Category Archives: Health

Drugs, Drugs, and More Drugs

The pharmaceutical industry in the United States has hoodwinked the public into believing its snake oils are worth the money you pay.  The government, “health care industry,” and insurance companies are happy to comply, and maybe some of them even believe their hype.

This does not stop them from jacking up the prices of necessary medications, like insulin for diabetes.  According to the New York Times, Martin Shkreli set a new record for Wall Street greed when he acquired the rights to Daraprim, a life-saving anti-parasitic drug, in 2015 and hiked the price from $13.50 to $750 a pill overnight.

The NYT says the Trump administration “went ballistic” when Pfizer increased prices a few weeks ago.  This has deterred Pfizer, along with Merck, Roche, and Novartis from raising prices, for now.

But not to worry, if you have stock in a pharmaceutical company, because the FDA and its sympathizers are on your side.  Only worry if your insurance company doesn’t cover the cost of your medications.

You might profit from buying stock in the companies whose drugs the FDA, the “health care industry,” and the insurance companies are pushing, such as the over-the-counter naloxone that is one of four medications promoted for “opioid use disorder.”  In terms of reputation, this “opioid crisis” has spread far and wide, to the highest government offices, academia, psychiatry, newspapers, magazines, television, the internet, the courts, and dinner-table talk.  Its funding has been greatly enhanced by the promoters of public disinformation, yet relevant facts are few.  All the stories have the monotonous flavor of canned worms, opened, sampled and regurgitated for yet another meal.

We are told about opioid-related deaths, the evil drug company that promoted its opioid drug as non-addictive, the lazy or greedy doctors who over-prescribe narcotics, and the glories of “medication-assisted treatment,” or MAT.  Somehow, heroin comes up in all these stories, yet most people should know heroin is nowhere legal in the United States, not even by prescription.  We are rarely told that this magical MAT consists of four drugs, two of which are opiates themselves, or that the federal government has added special training and licensing requirements for administration of its approved protocol. We are not told that “treatment” does not mean “cure.”  No, “cure” would imply eventual freedom from all drugs, a notion that doesn’t serve Wall Street profits.

So let me give you one example of how this scam works.  I hesitate to call it a “conspiracy” (wink, wink), because of the paranoia such a word implies.  I’d rather call it a “consortium” of interrelated interests, all of which stand to profit by exaggerating the problem and presenting expensive but ineffective solutions.

We are told opioid-related deaths have skyrocketed this century, and Oxycontin (oxycodone) is the precipitating culprit.  OxyContin is produced by Purdue Pharma, which indeed does have a shady background.  In 1952, three brothers—Arthur, Raymond, and Mortimer Sackler–all psychiatrists from Queens, New York, purchased Purdue Frederick Company.  Arthur was reputed to be brilliant in psychiatric research and pharmaceutical advertising.  Working for Roche, he found enough uses for Valium (diazepam) to make it the first drug to hit the $100 million mark in revenue.  He also “positioned” Librium (chlordiazepoxide) for Roche.  Valium and Librium are members of the “benzodiazepine” class of drugs, a class that includes Xanax (alprazolam), Ativan (lorazepam), Klonopin (clonazepam), and others.  Alternatively, oxycodone is a semi-synthetic opioid from thebaine, an opioid alkaloid in the Persian poppy.  It was developed in 1919 in Germany.

In December, 1995 the US Food and Drug Administration (FDA) approved Purdue’s OxyContin (oxycodone), to treat pain.  It hit the market in 1996. Direct-to-consumer (DTC) advertising of drugs was approved by the FDA in 1997.  Purdue marketed the drug to doctors and the public as a non-addictive treatment for pain.  It reached $45 million in sales the first year, and $1.1 billion by 2000.  By 2000, it was becoming evident that OxyContin was, indeed, addictive, but the FDA still approved a larger, 160-milligram pill for those with high tolerance.

In 2007, in US vs. Purdue Frederick Company, Inc., Purdue pleaded guilty to intent to mislead doctors and patients about the addictive properties of OxyContin.  It paid $600 million in fines, among the largest settlements for pharmaceutical companies in US history.

By 2010, revenues had hit $3.1 billion, or 30 percent of the painkiller market.  Purdue remains a privately held company, in the hands of the Sackler descendants.  It is being served with multiple lawsuits from different states for its role in contributing to the “opioid epidemic.”  According to The Week, Kentucky is one of the worst-hit states.  It has filed twelve claims against Purdue, for false advertising, Medicaid fraud, unjust enrichment, and punitive damages, among others.  The Week also says there was a four-fold increase in prescription painkillers supplied to pharmacies and MD offices between 1999 and 2010.

Meanwhile, The Guardian reported in 2017 that the US constitutes 80 percent of opioid pill production but has only five percent of the world’s population.  It claims the pharmaceutical companies made false claims of an “epidemic of pain,” in the 1990s, and the federal agencies went along.  Pharmaceutical lobbyists got Congress to loosen restraints, and doctors were often reprimanded for not supplying enough.  “Regulators became facilitators,” as the FDA approved one opioid pill after another.

How does this relate to heroin, a known street drug, one might ask.  It’s a good question, for which there are no easy answers.  The idea that prescription painkiller pills are “gateway” drugs to heroin use has been mentioned.  One source notes that heroin is less expensive on the street than OxyContin, which can cost $1/milligram, or $80 for an 80-mg pill.  A more significant problem with heroin, we are told, is that it is increasingly laced with fentanyl, another opiate that is up to 5000 times stronger than heroin.  Synthetic fentanyl is being smuggled in from China.  Heroin is coming from Mexico, some say.  Fact is, there are few facts available in this gigantic obfuscation of facts that characterizes sensationalism.

So we don’t exactly know how prescription pain-killers are related to heroin/fentanyl deaths.

Death from opioids usually comes from respiratory depression.  In other words, people who overdose pass out and stop breathing.  Many other drugs cause respiratory depression, too, and a mixture can have cumulative effects.  It is common for people with chronic pain to take both a narcotic (opioid) and a muscle relaxant/sedative of the benzodiazepine class mentioned above.  The benzodiazepines also cause respiratory depression, as does alcohol.   Too, it’s not clear how many of these opioid-related deaths are complicated by other substances.  One psychiatric journal mentioned that a third of opioid deaths were complicated by benzodiazepines.  It’s probably safe to say that hard-core street addicts could be taking many drugs at any given time.

But our “medication-assisted treatment” bypasses all these inconvenient details.  It does include a drug, naloxone, which reverses the effects of opioids and can save lives in a primary opioid emergency.  It has been around over 45 years and is well known in emergency rooms for its life-saving effects.  Since this crisis began, police and ambulance drivers have had to use it on numerous occasions.  Now, the US Surgeon General Jerome Adams, MD, MPH, has encouraged over-the-counter preparations of naloxone for those with opioid use disorder and their loved ones.  FDA head Scott Gottlieb is also advocating expanded access to treatment, Medicaid funding, and other systemic changes to pay for the problem.

Manufacturers of OTC naloxone have jumped to increase prices accordingly.  Narcan intranasal (Adapt Pharma Inc.) retails for $135/dose, more than double its price a few years ago.  Kaleo’s Evzio auto-injector now retails for $4,500, more than 6.5 times its $690 average price in 2014.

What’s not clear about this scenario is how a passed-out opioid over-doser who has stopped breathing will be able to administer the naloxone.  Irreversible brain damage occurs mere minutes after a person stops breathing.  The life-saving medication requires someone alert, quick to recognize the problem, and to administer the antidote.

With all the calls for funding, research, and treatment, no one is admitting that substance use treatment is notoriously ineffective.  FDA head Gottlieb and others are begrudgingly accepting the idea that cure may not be practical, and long-term maintenance must be considered.  So the magic bullet, the aforementioned MAT, or “medication-assisted treatment,” is not a cure.  It is designed to convert illegal opioid use to legal opioid use for perhaps a lifetime.  Of course this will require funding for treatment, for the treating facilities, support staff, the researchers, and for the prescriptions.

Who benefits from this crisis?  Well, the National Institute of Health has earmarked $1.1 billion to develop “scientific solutions,” backed by a $1.3 trillion omnibus package passed by Congress, according to Psychiatric News.

US President Donald Trump has declared the “opioid crisis” a public health emergency.  We have the White House Opioid Commission looking for ways to fund and treat the problem, including such issues as insurance coverage.  It recommends funding for no less than eight professional organizations.

The four approved medications in MAT are naloxone, mentioned above, naltrexone, and opioids buprenorphine and methadone, in case you want to buy stock in the companies.  Insurance company stock will most likely benefit, too.

The common denominator in this “emergency” is the use of more drugs to treat the drug problem in the drug-crazed culture we have created.

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How Do You Define Crazy?

What is “addiction”?  What causes it?  There’s a lot of attention given, lately, to various forms of “addiction,” but definitions of it and its clues about its causes are rare.  The American Psychiatric Association (APA), the primary lobbying organization for the professional mental disorder labelers, claims it is a “brain disease” that is “complex” and characterized by “compulsive substance use despite harmful consequences.”  The official platform, published on line, says there are a number of effective treatments, and that people can recover.

The APA also asserts there are “changes in brain wiring” as a result of addiction, and that “brain imaging studies show alterations in judgment, decision making, learning, memory, and behavioral control.”

The psychiatric establishment, including the National Institute for Drug Abuse, states brain changes in the brain stem, cerebral cortex and limbic system cause addiction.

So that’s our answer, in a nutshell.  Satisfied?

I’m not.  In fact, it’s embarrassing to admit I’m associated with such pretenders, because this propaganda campaign is nothing more than pandering to a group of people who probably know more about addiction than the “experts” do.  First, “addiction” per se is not listed among the growing list of “mental disorders” in the latest bible of psychiatric diagnosis, the Diagnostic and Statistical Manual of Mental Disorders, version V.  (DSM-V).  We have “substance use disorder,” and specific diagnoses related to the type of substance (mis)used, such as “opiate use disorder.”  We do have “internet addiction,” a new, DSM-V, excuse to seek funding for treatment.  But my rant here is not about addiction or the “opioid epidemic,” or even the marketing blitz that characterizes modern strategy for creating and perpetuating insanity.  It’s about terminology and the ocean of irrelevance that is pawned off as information to an under-informed, misinformed, and gullible public.

I first heard the term “brain disease” from members of the National Alliance for the Mentally Ill (NAMI), a lobbying group that prides itself on its family-associated organization, lobbying efforts for “mental health parity,” and its disassociation from mental health professionals.  NAMI has especially wanted to “de-stigmatize” mental illness by insisting it’s a “brain disease,” caused by a “chemical imbalance” in the brain, thus equivalent to physical diseases, even though there is little physical evidence for such conditions.

The psychiatric establishment, assisted by the pharmaceutical companies, the government, and to some extent, the insurance companies, has jumped on this opportunity to legitimize (and fund) research and treatment for a variety of mental disorders, and the list keeps growing.  Since the first DSM was published in 1952, the number of official mental disorders has steadily expanded, apparently to accommodate the tide of new medications flooding the market.  Homosexuality, formerly listed, has been expunged since 1987, but we have added problems you didn’t know were disorders, such as ‘social anxiety,” “adult attention-deficit hyperactivity disorder,” and “hypoactive sexual desire disorder.”  Insomnia is now an official psychiatric disorder, maybe thanks to the efforts of researchers and pharmaceutical companies that want to study and profit from it.

Lately, we are told the national suicide rate has gone up.  Army suicides are up, and there’s a question about whether some of the opioid-related deaths were intentional suicides.  We have the controversy over what used to be called “physician-assisted suicide,” which is no longer a politically or socially correct term, because it stigmatizes those who get a physician to help them die.  This is now called “medical aid in dying.”  Who remembers when Jack Kevorkian, a pathologist, went to prison in 1999 for helping patients die, convicted of second-degree murder?

Psychiatric terminology is tossed around with the same carelessness of standard epithets but carries the unsubstantiated veneer of insider knowledge.  Who hasn’t heard the president called a “narcissist?”  Look in the DSM-V to find out that “narcissistic personality disorder” could probably fit many people, depending on how one interprets the list of vague criteria, such as grandiosity or lack of empathy.  There are no “brain imaging studies” that prove it, and there’s no treatment.

To say the APA is misrepresenting itself, psychiatry, the mentally ill, and is flooding the public with irrelevance seems like a drastic claim, but here are the “facts.”  In its bid to align itself with “medical science,” such as it is, psychiatry likes to talk about “evidence-based” findings, but the evidence for most of its claims is based on subjective screening tools, such as Beck’s or Hamilton’s Depression scales, which depend on the patient or observer to assess symptoms or signs believed to contribute to clinical depression.

Also, the APA’s claim that “brain imaging studies” have identified specific areas of malfunction related to various mental disorders, is simply not true, but they keep trying, and the “psychiatric industry” is hot to obtain more funding for more research into the various potentialities of such tools as functional MRI and PET scans.

It is true that people under the influence of certain drugs and alcohol show more or less activity in certain brain areas, and autopsies of those with significant alcoholism, for instance, have brain changes consistent with long-term damage.

A great deal has been made over neurotransmitters, in order to justify the “chemical imbalance” hypothesis.  The class of antidepressants termed “serotonin-selective reuptake inhibitors” or “SSRIs”, led by the introduction of Prozac (fluoxetine) in 1989, quickly followed by copycats Zoloft (sertraline), Paxil (paroxetine), and others, spawned a new wave of psychiatric drugs that targeted specific brain chemicals (neurotransmitters).  Do they work?  There is increasing evidence that they don’t work for long, especially in children, and they may do more harm than good.  Approval by the FDA of direct-to-consumer (DTC) advertising in 1997 may have contributed to the upsurge in use of psychiatric as well as a host of other medications, and to the misperception that there’s a pill for every ill.

The “opioid epidemic,” deserves particular note, because it has been deemed by the Powers-That-Be as a “public health crisis,” deserving of broad-scale funding, research, special treatment protocols, legislation, and lawsuits against the pharmaceutical companies deemed most responsible for creating the problem.

Here, the psychiatric establishment–along with the government and media–has gone out of its way to misrepresent and inflate the problem, as well as its preferred solution, which is to hook people forever on different opiates.  The Need-To-Be-Needed crowd indirectly admits it has no cure, yet, but more funding will provide for better access to “care,” and for more research, such that maybe someday we will know enough to cut people loose from their psychiatric problems.

 

 

 

 

 

Gotcha!

The “health care industry” owns you, body and soul.  The irrefutable fact that health care insurance is mandatory in the United States proves the “industry” owns your body.  The idea that it owns your soul, too, requires a deeper look.

The “soul” is hard to define, and there are those who claim it doesn’t exist.  Various religions have their own conceptions of what the “soul” is.  For the purposes of this article, I will keep things simple by claiming the soul in this physical life is affiliated with mind, the ineffable generator and receiver of thoughts and ideas, the vast processing unit some people assume is in the brain.

The health care industry’s claim on your mind, and the mass mind, can be evidenced in multiple ways, most specifically in the mass belief that health care on a grand scale is necessary.  Television, with its ability to influence millions through covert and overt mental manipulation, works to consolidate and perpetuate the belief that you need doctors to look for and treat problems you didn’t know you had, to “educate” you about warning signs of potentially life-threatening conditions.  Media warns about “bad” foods, and signs of cancer and other terrifying diseases, all broadcast with the stated intent of helping you live a healthier life.  It promotes a philosophy that the “health care industry” works to serve you, when, in fact, the “health care industry” works to manufacture and promote disease by undermining your confidence in yourself and your body’s natural tendency toward healthy homeostasis.  It sells health care the way it sells cosmetics, by leading you to doubt your own beauty and your own body, enough to buy the product that will make you feel better about yourself.

The new “normal” for blood pressure has dropped from 120/80.  The new normal for cholesterol has dropped from 200.  No one mentions these are only numbers, and blood pressure fluctuates naturally during the course of the day, depending on activity and stress.  More people are depressed, we are told, and better pills for dealing with uncomfortable emotions are coming down the pike every day.  Never mind that TV itself is depressing and probably raises blood pressure.

Fact is, the body, which is well adapted for handling specific threats, is confused by more generalized, non-immediate, ones, like those generated by the mind, its imaginings, and the information the mind feeds to the body.  Worry is a bad habit that creates constant stress, keeping the body on the alert for ill defined dangers.  A perpetual state of hyper-arousal takes its toll on the body.  Worry is only one manifestation of fear, a chronic condition in our society, not only perpetuated through media but alive and pulsating on the streets, in traffic, in grocery stores and shopping centers.  People have short tempers, are quick on the trigger, and always afraid the other guy with a short fuse has a real gun that can do real damage in real life.  We live in a violent world.  Just watch TV to learn that version of the truth.  We have real reasons to be afraid, and we tell our bodies that, despite the lack of immediate danger.

So what does this have to do with the health care industry owning our minds?  Well, the idea that we absorb all this crap as if it were gospel, without the exposure to alternatives to determine how much is true and how much is propaganda, for the purpose of selling “health care.”  The illusion that there is “care” in the “health care industry” ultimately leads to a sense of having been betrayed, because the “care” was siphoned off a long time ago.  The system itself is greedily vampiristic, the parasites feeding off the host, bleeding and treating them ultimately to death, one life at a time.

Of course there are exceptions, and there are the medical heroes, those who have not lost the ability to care.  These are the doctors, nurses, and other “providers” patients are lucky to have.  But even the best of them are stretched thin and on the verge of burnout with the excessive demands of the system itself.

There are alternatives to the one-size-fits-none proposition offered by the “health care industry,” but you won’t hear about them on television.  You might hear from those who have personally benefited from alternatives like acupuncture, massage, chiropractic, herbal therapies, or folk remedies, just to name a few.  Ayurvedic medicine, but these are not likely covered by your mandatory insurance, so you would have to pay out-of-pocket.

But hey, it’s the price you pay for freedom.

Skull & Bones

August 19, 2017
I love my journal.  It’s the best therapist imaginable, free, doesn’t interrupt, argue, talk back, gossip, nag, or second-guess.  If more people kept journals, the world would be a saner place.

Ten years ago this month, when George W. Bush was still president, I purchased a “Collectors’ Edition” of the US News and World Report on “Secret Societies.”  The following journal entry was my take on “Skull & Bones,” the Yale club that claims the Georges Bush as members, among other famous power-brokers

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Sunday, August 26, 2007
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I bought a “Collector’s Edition” of the US News and World Report.  “Mysteries of History–Secret Societies.”  It has articles on the Masons, Rosicrucians, Skull & Bones, and numerous others.

Skull & Bones, the secret society at Yale that boasts multiple notable members– including George W. Bush and his father, George H. W. Bush–interests me only because it is an excellent example of a Good Ole Boy clique.  The article gives fuzzy details but for this:  Skull & Bones “puts its members through some strange activities and centers its program around ideas of death, power, and devotion to a goddess.  The influence of Skull & Bones is particularly noticeable in the area of public service, although it does no community service.”

I figure the public service is all done with other people’s money.  This is the plutocracy.  I wonder which goddess, or did they invent their own?  Is this some kind of Satanic cult American taxpayers have elected?  Is this the anti-Christ we’ve been waiting for?  Bush does walk around with a dazed look, as if he is figuring out he’s being perceived as the anti-Christ and doesn’t quite know how to play the role.

A skull and bones is the symbol for poison, so why would anyone choose to associate with a group that brags about being poisonous?  The flag that pirates carried?  I embrace life, not death.

Also, “Bones has each candidate recite his or her [?] sexual history right off the bat (September of his senior year).  By forcing them to share their most intimate confidences with each other, Skull & Bones binds its members together.”  Sounds like a cult of perverts, as well.  How does anyone know if they’re telling the truth?  Anybody ever refuse to join?

But America elected Bush, as well as others of this cult’s members.

What amazes me most is that anyone takes them seriously.  If this is what they’re learning at Yale, I withdraw my taxpayer contribution to education.

Secrecy is shame and shame secrecy.

The concept of Skull & Bones representing poison bears closer scrutiny.  My issues with public policy are strongly domestic:  The mis-management on the home turf, with poisons being pushed on people’s bodies and into the planetary ecosystem in massive quantities . . .

A more interesting article was about the Illuminati, an organization that may or may not exist, kept alive by belief that it does and that Jews are behind it.  Whether it exists is irrelevant to me.  The world is dominated by people who think they are smarter than everyone else, including each other, as current events show.  If they want to reassure each other that they are illuminated, just because they want it to be true, fine with me.  Just don’t expect me to pay for it.

Now Skull & Bones makes a big deal of public service with other people’s money, in true Plutonian style.

I would really like to know which goddess they pray to.  No wonder public policy feels like a gangbang.  Not enough women to go around.

I suspect they are all homosexuals and pedophiles, anyway.  Maybe the goddess they pray to is the one who can give them erections.  Someone more exciting than little boys.

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Their symbolism is interesting.  They adapt several masonic symbols having to do with building.   There are three “5”s in a triangle on their shield, which is a coffin.

They have west facing up – sunset – a 90-degree counter-clockwise shift of the south pole in a horoscope.

So that’s what we’re seeing on the world stage:  a group of self-proclaimed world leaders intentionally leading the world into self-destruction.  It makes no sense to me.

These people think they are smart?

 

 

 

 

Urban Gardening

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S. Squire Rooster and Lady Brownie Hen, standing around and on concrete block herb garden. Chickens don’t bother herbs, but they love worms, grubs, termites, roaches, lizards, and fiddlers. I keep my yard as free of artificial chemicals and traps as possible, but I can’t stop the county from dumping malathion on our heads.

August 18, 2017

As people starve in Venezuela and other places, I remind myself Americans don’t know what starvation feels like.  We suffer from the opposite problem, obesity, diabetes, heart disease, life-style-related diseases resulting from consuming too much of the wrong things.

 

My herbs begged for pruning the other day.  It took several hours to cut, sort, wash, chop, and store, but I got a half-gallon of mint-stevia tea and almost a pint of basil-chive pesto.  My mind is free when I’m doing finger-trained things like chopping herbs.  I thought about how easily herbs grow on my deck, and how even urbanites with window sills, balconies, or patios could grow food.

I thought about my “green footprint” and how all greenery—even so-called weeds—contribute to cooling the earth and re-claiming oxygen from CO2.  So even growing an herb or a potted tomato on the patio adds to your oxygen green print.  Citrus grows well in patio pots, too, depending on where you live.

When the government controls the food supply, it’s a set-up for famine.  Julius Caesar used that to advantage, and so have rulers the world over.  That’s what makes centralized power so fragile.  We’re seeing that now, with President Nicolas Maduro in Venezuela.   He has the military guarding the food.  I’ll bet lots of folks now regret leaving the farms to work in factories and oil refineries.  At home, they could grow their own food.

We have the same situation brewing in the USA, but here the strategy is more insidious. We can see it being played out in all the mergers and acquisitions in the food, drug, and poison industries.  Most notable is the planned purchase of Monsanto by Bayer, based in Germany.  So Monsanto will go underground, should these two poison giants (depending on your point of view) merge.  Second, a little different but no less significant, is the merger of Dow and DuPont, two chemical giants.  Dow has the trademark on Styrofoam and has its own versions of genetically modified (GM) corn and other patented plant products.

Finally, we have the impending merger of Swiss Syngenta, the world’s largest crop chemical producer, and China National Chemical Corp., a state-owned outfit.  More than half of Syngenta’s sales come from “emerging markets.”  At a $42 billion price, Wikipedia reports the purchase of Syngenta to be the largest for a foreign firm in Chinese history.

The farming industry (which is often distinct from and at cross-purposes with “farmers”) is supposedly opposed to the Montsanto/Bayer merger.  The opposition claims it will increase prices and reduce innovation.  The poison companies say they will increase research and development.  (That’s what scares me most.)

In the US, the ethanol mandate represents the biggest government power grab of the food supply to date.  GM corn manufacturers are now making “ethanol-grade” corn.  Well, folks, what does that mean to you?  It means to me that Monsanto, Dow, Syngenta, and other GM manufacturers are busy downgrading everyone’s food supply to generate electronic profits on Wall Street.  Of course Archer Daniels Midland, ConAgra, Cargill, and other Big Food are all for burning perfectly good corn whiskey in cars.  Cars consume it faster than alcoholics do, and the government gets more in taxes, so of course the FDA, CDC, and EPA are complicit.

So with the mergers of the world’s six largest seed, agrochemical, and biotech corporations, which are in the business of poisoning us from the ground up, it behooves all of us to start producing our own food, individual by individual, as space and sunshine allow.

 

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Deck herbs, some in concrete blocks, others in clay pots.  Cat litter boxes do a good job of catching water.  Can water and/or fertilize from the base.

Herbs are probably the easiest plants to grow, and many are perennial.  My chickens don’t like them, the deer don’t like them, and they are amazingly bug-resistant.  Stevia, chives, mint, oregano, and rosemary are all perennial.  The rosemary bush is taller than I am.  Since stevia was approved by the FDA as a natural sugar substitute a few years back, corporate marketing has improved its image. Less well known is that it’s a perennial extra easy to grow in a small clay pot.

So I harvested overgrown stevia, mint, chives and basil.  I made stevia-mint iced tea and basil-chive pesto.

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Set-up for making mint-stevia tea.  Mint is on the chopping board.  kco081717

I use a one-half gallon container for the tea, fill with cold water, let the water come to a boil, and turn the burner off.  I stir in the chopped mint and stevia, replace the lid on the pot, and let it steep all night.  In the morning I strain the tea and transfer it to the refrigerator container.

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Set-up for making basil-chive pesto.  Curved knife blade with rocking motion works best for fast and safe herb and veggie chopping.   kco081717

Making pesto is a breeze with a mini-food processor.  Pesto keeps weeks in the refrigerator and infinitely in the freezer.  I freeze fresh pesto and gouge chunks out of the mix as needed.  I use it in salad dressings, spreads, sauces, marinades, and Italian dishes of all kinds.

I use a standard blend of ingredients with whatever herbs I have.  Two to three cloves of crushed or chopped garlic, a couple of handfuls of chopped herbs, a handful of grated parmesan cheese, a handful of chopped nuts, and enough olive oil to make the processor work right.  I use soy sauce or olive brine instead of salt.  I like red pepper, too.  If you overdo the red pepper, extra olive oil helps a lot.

More traditional pesto recipes call for pine nuts, but they are expensive, somewhat hard to find, and not worth the price.  I prefer walnuts or almonds, but any nut will do.  Put them in the processor early, as they take time to grind up right.

Cheese is also variable.  Hard cheeses, like grated parmesan or romano, tend to last longer in storage, but I’ve used jack and cheddar, too.  Pestos are as versatile as your imagination.

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My version of pesto pizza.  Rye toast smeared with basil-chive pesto, topped with parmesan cheese and salad olives.  Broiled in toaster oven 3-5 minutes. kco081717

Crazies ‘R’ Us

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One of my alter-egos, Kookie the Shrink, with New-Age, eco-friendly, portable, non-pharmaceutical, public domain feel-good idea that hasn’t been invented yet.

Everyone knows psychiatrists are crazy.  Just ask my deceased mother, who claimed psychiatrists enter the profession to solve their own problems.  Fact is, I only began having problems in medical school.  My problems got worse after psychiatry residency, when I started practicing psychiatry in a “health care industry” so saturated with sanctimonious hypocrisy that I was astounded.  No one seemed to notice or care that externally imposed rules and expectations were making a mockery of the principles I was taught in training.  While everyone in the “health care industry” claims to be acting in the patients’ and public’s best interest, the so-called “healers” have become passive tools in a tidal wave of co-dependency that cripples to control and calls it “care.”

While “health care” professionals across the board have succumbed to this debilitating delusion, I feel particularly betrayed by the leadership in my own chosen specialty, because psychiatrists should know better.  I believe the psychiatric establishment has abdicated its philosophical foundations.  Instead of promoting mental health and self-reliance, it is busy kissing up to the profiteers in government, pharmaceutical and insurance industries, and seeking ever new ways to bind patients and the public to its mind-numbing agenda.

Two concurrent trends show how the psychiatric establishment–which depends on pharmaceutical advertising for its numerous professional publications—is desperately seeking relevance in a drug-pushing world.

The first trend, toward “medication-assisted treatment” for “opioid use disorder,” has been heavily embraced by the psychiatric establishment and the mainstream media.  The Friday, August 11, 2017 issue of USA Today claims “Opioids to be declared a national emergency.”  Here, we learn that President Donald Trump “’is drawing documents now’ to officially label the crisis as a national emergency.”  Such a designation would trigger specific tools for federal and state governments, including grants from the Public Health Emergencies Fund, a suspension of some of the patient privacy provisions of the Health Insurance Portability and Accountability Act (HIPAA) of 1996, and waive Medicaid restrictions on federal funding for mental health hospital admissions.

The second trend is the ongoing fight by the American Psychiatric Association (APA) and its state-level affiliates to stop the push by psychologists for prescription privileges.  This is an ongoing turf battle, with bills for psychologist prescribing introduced in multiple state legislatures every year.

The common denominator in these trends is that they are turf battles over drugs.  They have nothing to do with caring for patients, mental health, or the mind’s intrinsic self-healing potential.  The professional contestants, however, all claim they have patients’ best interests in mind.

Contributing factors abound.  In psychiatry, the shift from psychotherapy to medication management has been particularly devastating to professional self-esteem.  Psychiatry, now more than ever, seeks to align with the “scientific” foundations of medicine. Meanwhile, insurance and government have delegated “talk therapy” to less expensive psychologists and social workers.  What used to be 45-minute psychiatric consultations have become 15-minute “med checks.” Freud has been replaced by Prozac.

This follows a general cultural trend toward quick-fix solutions, with pills becoming the treatment of choice in all specialties except surgery.  The rise in illegal drug use can’t compare with the explosion of drugs for medical conditions, vaccines, and pseudo-conditions.  Over-medication is a major cause of accidents, drug interactions, and overdoses.  Unintentional injuries from falls and overdoses from prescription and illegal drugs are now the fourth leading cause of death in the US, according to one study.  Another study cites medical error the third leading cause in hospitalized patients.

The “opioid crisis” is attributed in part to Purdue Pharma’s misrepresenting OxyContin in 1997, when it was introduced, as having low abuse potential.  That same year, the FDA approved direct-to-consumer advertising. Pharmaceutical DTC advertising took off at the turn of the century.

That prescription painkillers fall in a different category from heroin—which cannot be prescribed in the US—bears mention, but they are linked by their black market affiliation.  OxyContin’s introduction on the market, and its aggressive marketing campaign to specialists and family practitioners brought Purdue Pharma $45 million in sales the first year.  That increased to $3.1 billion by 2010, or 30 percent of the prescription painkiller market.  In 2007, Purdue pleaded guilty in a federal lawsuit claiming it intended to mislead doctors and patients about its addictive properties.  It paid $600 million in fines.  The state of Kentucky, the state most ravaged by prescription painkiller and heroin use, has made 12 claims against Purdue, including false advertising, Medicaid fraud, unjust enrichment, and punitive damages.  OxyContin costs up to $1/mg on the street, or up to $80 for an 80 mg tablet.

Other reports say fentanyl, a prescription opioid that can be synthesized by drug traffickers, dramatically increases the risk of fatal overdoses.  Its deadliest component, carfentanil, is five thousand times stronger than heroin.  Add this to the fact that multiple common drugs and alcohol also depress the respiratory center, with a cumulative effect.  Benzodiazepines, like Xanax, are often taken along with opiates.

The “opioid crisis,” is now being traced to pharmaceutical companies and to the FDA, according to The Guardian’s latest report.  (www.theguardian.com/commentisfree/2017/aug/13/dont-blame-addicts-for-americas-opoid-crisis-real-culprits)

The collusion between the psychiatric community and the pharmaceutical industry to push drugs on a gullible public smacks of a cronyism that few seem to recognize.  The FDA-approved “medication-assisted” treatment for opioid use disorder contains two opioids—methadone and buprenorphine—which are also abused.  However, the psychiatric establishment, which has sub-specialties in addiction, has a piss-poor success record with addiction treatment and virtually ignores Alcoholics Anonymous and its spin-offs, like Narcotics Anonymous.  These are peer run, free, and have a better track record than the “experts” can claim, despite their education and degrees.  The APA also ignores non-pharmaceutical treatments like acupuncture, which even the NIH has admitted has utility in chronic pain.  Auricular acupuncture for substance abuse has a long and under-appreciated track record.

Where does psychiatric officialdom stand on the mental health advantages of low-stress lifestyles, nutrition, physical therapy, and exercise?  Ask, and let me know what you find out.

Crazies ‘R’ Us indeed.  The psychiatrists need to get off the drugs and learn to use their minds to heal themselves first.

 

July, 2007 Retrospective

bksangelldrug2005

Ten years ago this month, I was working in a public mental health outpatient clinic, preparing to retire my medical and DEA licenses the following month.  These journal notes give a profile of my reasoning at the time.

GOSSIP AND SECRETS

Sunday, July 1, 2007 – I have been victimized by gossip more than once.  I tell patients therapy wouldn’t be necessary if not for gossip.

I remember excluding myself from cliques – the lunchroom crowd at Duke, composed of several girls in my dorm, and the group in medical school who gathered at lunch – because I didn’t like the mean-spirited gossip and chit-chat that characterized the gatherings.  I couldn’t sit with them without judging and seeing sides of them they couldn’t be proud of.

So I have been naive about gossip’s power.  In a culture built on hearsay, I am an odd duck, indeed.

Of course, my way is better, because it’s more practical.  I like forming my own opinions and always wonder what the gossiper’s agenda is.  I agree with Anne Scott, my history professor at Duke, who insisted on primary sources.  I believe in getting my information from the individual in question.  What he or she doesn’t tell or show me is none of my business.

In theory.  When people are plotting behind my back, it becomes my business, because I end up being the victim of their gossip.  I have been blindsided too often by those I trusted too much.

FREEDOM

Monday, July 2, 2007 – My unconventionality surprises me more than anyone.  Rather, I’m surprised to be growing so confident in it.   Perhaps I always knew it was there – that I was “different” – but it was unexpressed until revealed by the contrasts with the groupthink.  I live what others profess to believe, yet I am castigated for it by those who claim the beliefs most strongly.

No one attacks me directly, but they use triangulation, hurting things and people close to me, such that no one is safe.  I believe at some point the winds will shift, and I won’t stand so alone.  I will not actually lead, except in ideas and methods, as I feel I am already doing when opportunities arise.  After the fact, everyone wants to claim credit.  I don’t care who or how many people get credit, because everyone who takes a stand on her own behalf deserves credit for it.  I do for myself what I hope others will do for themselves, in commitment to self-reliance and freedom from bondage.

A PATIENT-CHURNING, PRESCRIPTION-WRITING MACHINE

Tuesday, July 3, 2007 – The more I work as a patient-churning, prescription writing machine, the more I hate it.  If they want to hire me to do staff development, groups, lectures, or anything that doesn’t involve writing prescriptions, we can spin it as education, and I won’t need a license.  I think these drugs are overrated and/or do more harm than good.  I spend all my time reducing meds and warning about side effects.

ON DRUG REPS

Wednesday, July 11, 2007 – Drug reps were lurking in the halls again today.

I’m reducing people’s meds, and they are grateful.  These folks seem healthier than the system.  Politically manufactured diseases justify churning tax dollars.

As psychiatrists like Dr. W (who plans to be a stay-at-home mom) and me (who plans to be a stay-at-home survivor) leave the system, the exploiters wring their hands in agony, wondering how they can perpetuate the illusions when the docs won’t cooperate.

ON THE HEALTH SNARE RACKET

Friday, July 13, 2007 – I undermine the system with every patient.  A hip replacement?  I ask.  Surgeons like to cut, and they have overhead to pay.  You need a hip replacement?  If you lost weight and restored some flexibility to your joints, your hip pain may not be so bad.  You’re thinking about replacing something living with something dead.  A living hip joint is infinitely more capable of regenerating itself than a plastic substitute.  Do you know how bacteria-infested hospitals are?  And bone surgery is the most invasive of all.  Microbes can hide and fester best in bones.

Your drug rep says you need to up your Cymbalta from 20 mg to 60 mg because that’s the standard starting dose?  But you feel better on 20 mg, and you’re super sensitive to meds?  Your drug rep wants to sell drugs.  Listen to your body.

Turn off the television to alleviate depression.  Dance for exercise.  Journal for self-discovery.  Reduce meds.  People treat side effects with more meds.

The whole world is crazy, so if you’re crazy, you’re normal.

bumpdocchoice0717

FOOD

Thursday, July 19, 2007 – In the check-out line at the grocery store, the man in front of me, an elderly black man, had several chicken pot pies and orange juice in a plastic container.  I think about the cost of all that packaging.

Several patients have gained significant weight, so I’ve begun to talk with them about diet.  They spend lots of money on food at restaurants like Applebee’s, but don’t get takeout boxes.  I’m watching what people buy in grocery stores.  People are using food stamps for things like bottled water and soft drinks.

One patient told me her food stamps go farther since she started eating more vegetables.  She weighs close to 300 pounds.

PFIZER REPS AND DRUG CULTURE

Wednesday, July 25, 2007 – The Pfizer reps were blocking the halls yesterday, flirting with the head nurse, who was laughing and flirting back. As I squeezed past her to collect my next patient, she loudly mentioned that the other doctor was late.  She couldn’t much stop me, could she, considering I was generating money.  And no, I will not sign my name for samples of those poisons.

Fortunately for me, my patients all showed up, and I had a blast with them while avoiding Pfizer at every turn.

They even brought lunch.  There must have been 20 boxes of pizza in the break room, and everyone but me gravitated to the food.  I heard the other doctor’s voice, so the Pfizer rep had his fish.

I was too busy seeing patients until 12:30 p.m., so they knew not to stop me

I have said over and over the drug reps shouldn’t be allowed to hang out in the back.  It’s unprofessional.  But this is the way business is conducted these days, in these “public-private partnerships.”

The drug culture?  Here’s what I think of the drug culture.  Grow it, just like you do food.  If you can’t grow it, you don’t need it.  Tobacco, corn for ethanol, marijuana.

Here’s an idea.  Individuals should be allowed to have private ethanol plants, formerly known as stills, to fuel their personal energy needs.  Whatever they sell, they can pay taxes on, if they must.

Same with tobacco.

Individuals could grow corn for their energy needs and sell designer corn liquor by the side of the road.  This would give farmers more value for their ethanol and save taxpayers from the middlemen.

Why, if investment bankers and oil companies can get government mandates and subsidies to force commercial ethanol plants, individuals should have equal status under the law.  Corporations don’t vote.  Individuals do.  Corporations vote behind the scenes, with money and favors, but the public pays the taxes and other costs for the fat cats’ deals.

THE TRUTH ABOUT THE DRUG COMPANIES, MARCIA ANGELL, MD, 2004, 2005

Friday, July 27, 2007 – I’m on the last chapter of The Truth about the Drug Companies:  How they deceive us and what to do about it, by Marcia Angell, MD.  I read about how the Food and Drug Administration (FDA) basically works for the pharmaceutical companies.  Far from protecting the public, the FDA protects snake oils, since approved drugs are not required to show superiority over current drugs, only over placebo.

Monday, July 30, 2007 – Dr. Angell castigates drug companies and FDA throughout the book but at the end, she recommends more legislation and more money for the FDA.  Of course she’s part of the establishment and can’t rock the boat too much and expect to be published.  A Boston Yankee, liberal Harvard elitist in an ivory tower, she depends on government for funding so is ultimately a GoverCorp slave.

And, she doesn’t mention insurance.  How does insurance, which costs more for giving less, get away with being so transparent?  Like with cellophane, you don’t recognize the costs until you’ve been shrink-wrapped and can’t breathe.

Tuesday, July 31, 2007 – So Dr. Angell is sadly naive about government and Medicare, either that or she chose to focus on one problem at a time.

Not I.  The FDA, for instance.  Waste of money.  Have the drug companies market directly to patients, starting with FDA employees, and pay them to participate in clinical trials. This could constitute true consumer marketing, drug company accountability, earning opportunities for all, and publicly supported large scale scientific research.  Capitalism in a nutshell.  They already do it in third world countries, under the pretext of giving free medications and vaccines to the poor.

Secrecy is the problem, and regulations make secrecy necessary to survive.  The more rules, the less anyone knows about cooperation.  Communication plummets, except by hearsay, and this further tangles networks.

Perhaps the FDA should focus only on safety and leave the efficacy to market-based consumer trials.  Abolishing drug laws would give taxpayers direct access to drugs of choice, and MDs could assume advisory and educational support but not have to play middleman in the government’s war on taxpayers.