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RAPID RESPONSE...Daily Commentary on News of the Day
This is a new section. It will offer fresh, quick reactions by myself to news and events of the day, day by day, in this rapid-fire world of ours. Of course, as in military campaigns, a rapid response in one direction may occasionally have to be followed by a "strategic withdrawal" in another direction. Charge that to "the fog of war", and to the necessary flexibility any mental or military campaign must maintain to be effective. But the mission will always be the same: common sense, based upon facts and "real politick", supported by a visceral sense of Justice and a commitment to be pro-active. That's all I promise.
GS

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SUNDAY, March 29, 2020

RR#1

SOME RANDOM THOUGHTS ON CORONAVIRUS.

•    Dr. Fauci said he is "willing to bet anything" that survivors of this infection will not get re-infected. That's because they will have developed protective antibodies. So, why are we not hearing more about the therapeutic use of this "Passive Immunity" to treat current patients?
•    As I noted earlier, Dr. Deborah Birx is a real "keeper". You would do well to follow what she says: always informed, reasonable...even soothing.
•    One valuable by-product of this terrible experience that is developing: a real-life study of the front-line interactions between Federalism and the Federal Government, as established in our U.S. Constitution and Amendments. A contrast is available between the Federal approach of President Woodrow Wilson in dealing in 1918 both with ending WW l and with the Spanish Influenza...and the approach to date of President Trump, more sensitive to the role and prerogatives of the individual States. Stay tuned: this will produce valuable lessons for decades to come.
•    There will be a time for a "postmortem" of this entire world-wide experience. That time is not now; but it will come. Then will be the time to consider the actions (and inactions) of China, of the World Health Organization and its Director, of massive world-wide travel - often without attention to personal medical protection (travel immunizations), of the virtual disappearance of borders between nations (except for President Trump's wise efforts for America), of massive immigration from third world countries without controls, of poverty and the poor who "...will always be with you", and of the ever-present failure of those in authority to Plan for these inevitable recurring events - long before the "end-times". And we will always have stubborn goats, passive sheep and wily selfish wolves to deal with. That time will come.
Meanwhile, for Americans it's "All for One and One for All".

GS

RR#2

George A. Sprecace M.D., J.D., F.A.C.P. and Allergy Associates of New London, P.C.
asthma.drsprecace.com

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SATURDAY, March 28, 2020

RR#1

Here is an article offered for the pure scientists among my readers (if any).
Extremely complex. If, while trying to read this, a non-scientist gets a bad headache...take two aspirin and Don't call your doctor in the morning.
Just Stop Reading.
However, the article does include a reassuring comment:
"Our analyses clearly show that SARS - CoV-2 is not a laboratory construct or a purposefully manipulated virus".

GS

Origin of COVID-19: Nature Medicine Report

RR#2

MORE ON THE CORONAVIRUS PANDEMIC:
"The Truth Will Make You Free". It will also make you less anxious.

Nearly all of the articles on which the following comments are based may be found in this week's publications of the WSJ.

1) ON MEDICAL ASPECTS OF THIS WAR:
a) "Is Covid-19 As Deadly As They Say?" As of today, America has about 100,000 cases and 1,000 deaths. That's a mortality rate of 1%.  See also: "Covid-19--Navigating The Uncharted", by Drs. Fauci, Lane and Redfield (Editorial, NEJM, March 26, 2020).
We mourn and pray for each and every one of those persons who died, and for their families. But in a War, there will be casualties.
b) "Risk, Uncertainty And Coronavirus". "We don't have enough data".
"Aye, and there's the rub".
c) "How Long Will The Lockdowns Go On"?
d) "These Drugs Are Helping Our Covid-19 Patients".
e) FDA warns: Coronavirus can be transmitted by the fecal-oral route.
f) A national Allergy / Clinical Immunology organization addresses the use of oral corticosteroids for allergies and asthma (OK)...but declines to deal with the question for serious / critical coronavirus infection: "...no data".
Wrong. There is abundant Clinical evidence for its use when the patient's Inflammatory System begins to run amok; SEPSIS. We can't wait for the double-blind crossover study.
g) "Rationing Care Is A Surrender To Death".
We're not talking about "rationing". But we must be talking here, as in a massive military conflict, about TRIAGE!

2) ON THE AMERICAN ECONOMY, ON WHICH WE ALL DEPEND:
"It's the economy, stupid".
a) A marked weakening of our economy from within could lead to social unrest or worse in America and/or to adventurism from without...and to War. We now have a 2.1 Trillion dollar relief package, to a wartime President and to his implementation of the Defense Production Act. But we cannot continue this lockdown (or worse: see Dade County Texas) indefinitely. Our people must get back to work, accepting some increased individual and collective risk.

3) And we can always depend on our "allies", right?    Wrong.
See: U.S.Bid To Blame China Over Coronavirus Stalls At U.N., by Wainer and Wadhams (in theday.com, March 28, 2020).

To Be Continued...

GS

RR#3

THE CORONAVIRUS MULTIPLE CHOICE QUESTION:
Not "either, or"...but BOTH AND.

GS

Healthy Americans in a Healthy Economy: A Public Health Strategy for Economic Recovery

RR#4

MORE...
See the article by Mairead McArdle in National Review:
"Fauci: Italy...."

As I had predicted early in this story, despite the efforts of the WHO to throw America into a uniform world pot, America is not Italy, is not China, is not Iran.... Our problems and our solutions must be our responses to America's experience.

GS

RR#5

TREATMENTS FOR CORONAVIRUS INFECTION.
As I suggested a short time ago: Passive Immunization with convalescent sera has been approved by the FDA.

However, my suggestion regarding possible use of oral corticosteroids for accompanying Sepsis is the subject of a comprehensive article in the journal Lancet (Feb. 15, 2020). "Clinical evidence does not support...." That is because the injury to lungs from Coronavirus is direct and not related to Sepsis. In fact, here it may make matters worse.

GS

FDA OKs Emergency Use of Convalescent Plasma for Seriously Ill COVID-19 Patients

FRIDAY, March 27, 2020

RR#1

MORE ON CORONAVIRUS: FACTS VS. PROJECTIONS.

Actual Facts - observations and statistics - are finally coming in, much better on which to base critical decisions regarding the fate of the American people and of the entire nation.
Remember the "projected tracks of hurricanes: American model, European model"....?
Herewith, I will provide more information (with the usual direct citations or links, as available) - and also some more of my own developing views for your consideration. Please review all of my Rapid Response offerings at least as posted in March for context.

1) Dr. Anthony Fauci has been invaluable to date in providing the available facts and also many projections regarding the future course of this pandemic. But of what use is it to talk about long durations or multiple waves spanning years - based upon projections and not on available facts? Yes, he will be on record. But that does not modify the current Anxiety and potential Panic.
At this point, I suggest that more attention be given to the presentations of Dr Deborah Birx, who has been excellent throughout - and who now is stressing attention to the increasing Facts and to sticking to these in making critical decisions...like when and how to beginning opening upAmerica to Business and Life again.
You might also want to review the recent article in the LA Times reviewing the opinion of Nobel laureate Michael Levitt:
"Why This Nobel Laureate Predicts A Quicker Coronavirus Recovery: 'We're Going to Be Fine'".

2) More Facts: An early review of the Italian experience: "COVID-19 In Italy" (www.medpagetoday.com).

3) Facts: What an articulate and animated N.Y. Gov. Cuomo did in 2015 when urged to buy thousands of ventilators for a possible pandemic.

4) Fact: Why don't we hear more about the great and historic medical utility of convalescent blood sera for administration to current patients? Vaccines give "Active Immunity - if and when available. Convalescent sera give "Passive Immunity", available Now.

5) See the recent article by my friend and colleague Dr. Jon Gaudio, "Selfishness in the face of the coronavirus", published in The Day. Or you can just consider a few quotes, to which I entirely subscribe:
"selfishness...ignorance...stupidity...idiocy."
Or, as my grandmother would say, occasionally to me in staccato fashion during my teenages:
"STUPIDO. STUPIDO. STUPIDO".

6) Facts - and opinion - by an ER Doctor In NYC (in HuffPost, March 25, 2020).

7) Fact: HUMOR: THE BEST MEDICINE. See the article, "If you don’t laugh, you cry: Coping with virus through humor", by William Kole, AP, and in The Day, March 27, 2020.

8) Fact: a sobering article, with plenty of facts, by Lee Elci ( in The Day, March 25, 2020), "‘Wuhan Flu’ more accurately names virus and what it means", on the increasing possibility of Social Unrest resulting from all of this. It certainly has happened elsewhere in history. Remember Russia in 1918 and beyond?

9) Actions to be based on Facts - much more than Projections:
"Trump Says Feds Developing New Guidelines For Virus Risk", by Miller and Suderman, AP.

10) Fact: "Widening Coronavirus Crisis Threatens To Shutter Doctors' Offices Nationwide" (in LA Times, March 24, 2020).
That is certainly actually happening in this region now. Each one has a story - but that action is Wrong if voluntary, in my opinion.
I have made substantial changes to access to my medical office and to related procedures. But my office will continue to be open to patient care by appointment.
The only thing that would change that would be if I contracted the disease.
After nearly 63 years as a physician in active care of patients, am I supposed to sequester by myself at home in misplaced concern about only me? No, thank you.

"JUST THE FACTS, MA'AM".

GS

RR#2

"WHY ARE YOU AFRAID? HAVE YOU NO FAITH?"

Regardless of one's Faith, these words and this Blessing should resonate among us all.

GS

Pope’s Urbi et Orbi Blessing in Light of Coronavirus

MONDAY through THURSDAY, March 23 through 26, 2020

CORONAVIRUS:
"On The Other Hand..."

GS

Is the Coronavirus as Deadly as They Say?

Current estimates about the Covid-19 fatality rate may be too high by orders of magnitude.

By

Eran Bendavid and

Jay Bhattacharya

March 24, 2020 6:21 pm ET

WSJ March 25, 2020

If it’s true that the novel coronavirus would kill millions without shelter-in-place orders and quarantines, then the extraordinary measures being carried out in cities and states around the country are surely justified. But there’s little evidence to confirm that premise—and projections of the death toll could plausibly be orders of magnitude too high.

Fear of Covid-19 is based on its high estimated case fatality rate—2% to 4% of people with confirmed Covid-19 have died, according to the World Health Organization and others. So, if 100 million Americans ultimately get the disease, two million to four million could die. We believe that estimate is deeply flawed. The true fatality rate is the portion of those infected who die, not the deaths from identified positive cases.

The latter rate is misleading because of selection bias in testing. The degree of bias is uncertain because available data are limited. But it could make the difference between an epidemic that kills 20,000 and one that kills two million. If the number of actual infections is much larger than the number of cases—orders of magnitude larger—then the true fatality rate is much lower as well. That’s not only plausible but likely based on what we know so far.

Population samples from China, Italy, Iceland and the U.S. provide relevant evidence. On or around Jan. 31, countries sent planes to evacuate citizens from Wuhan, China. When those planes landed, the passengers were tested for Covid-19 and quarantined. After 14 days, the percentage who tested positive was 0.9%. If this was the prevalence in the greater Wuhan area on Jan. 31, then, with a population of about 20 million, greater Wuhan had 178,000 infections, about 30-fold more than the number of reported cases. The fatality rate, then, would be at least 10-fold lower than estimates based on reported cases.

Next, the northeastern Italian town of V, near the provincial capital of Padua. On March 6, all 3,300 people of V were tested, and 90 were positive, a prevalence of 2.7%. Applying that prevalence to the whole province (population 955,000), which had 198 reported cases, suggests there were actually 26,000 infections at that time. That’s more than 130-fold the number of actual reported cases. Since Italy’s case fatality rate of 8% is estimated using the confirmed cases, the real fatality rate could in fact be closer to 0.06%.

In Iceland, deCode Genetics is working with the government to perform widespread testing. In a sample of nearly 2,000 entirely asymptomatic people, researchers estimated disease prevalence of just over 1%. Iceland’s first case was reported on Feb. 28, weeks behind the U.S. It’s plausible that the proportion of the U.S. population that has been infected is double, triple or even 10 times as high as the estimates from Iceland. That also implies a dramatically lower fatality rate.

The best (albeit very weak) evidence in the U.S. comes from the National Basketball Association. Between March 11 and 19, a substantial number of NBA players and teams received testing. By March 19, 10 out of 450 rostered players were positive. Since not everyone was tested, that represents a lower bound on the prevalence of 2.2%. The NBA isn’t a representative population, and contact among players might have facilitated transmission. But if we extend that lower-bound assumption to cities with NBA teams (population 45 million), we get at least 990,000 infections in the U.S. The number of cases reported on March 19 in the U.S. was 13,677, more than 72-fold lower. These numbers imply a fatality rate from Covid-19 orders of magnitude smaller than it appears.

How can we reconcile these estimates with the epidemiological models? First, the test used to identify cases doesn’t catch people who were infected and recovered. Second, testing rates were woefully low for a long time and typically reserved for the severely ill. Together, these facts imply that the confirmed cases are likely orders of magnitude less than the true number of infections. Epidemiological modelers haven’t adequately adapted their estimates to account for these factors.

The epidemic started in China sometime in November or December. The first confirmed U.S. cases included a person who traveled from Wuhan on Jan. 15, and it is likely that the virus entered before that: Tens of thousands of people traveled from Wuhan to the U.S. in December. Existing evidence suggests that the virus is highly transmissible and that the number of infections doubles roughly every three days. An epidemic seed on Jan. 1 implies that by March 9 about six million people in the U.S. would have been infected. As of March 23, according to the Centers for Disease Control and Prevention, there were 499 Covid-19 deaths in the U.S. If our surmise of six million cases is accurate, that’s a mortality rate of 0.01%, assuming a two-week lag between infection and death. This is one-tenth of the flu mortality rate of 0.1%. Such a low death rate would be cause for optimism.

This does not make Covid-19 a nonissue. The daily reports from Italy and across the U.S. show real struggles and overwhelmed health systems. But a 20,000- or 40,000-death epidemic is a far less severe problem than one that kills two million. Given the enormous consequences of decisions around Covid-19 response, getting clear data to guide decisions now is critical. We don’t know the true infection rate in the U.S. Antibody testing of representative samples to measure disease prevalence (including the recovered) is crucial. Nearly every day a new lab gets approval for antibody testing, so population testing using this technology is now feasible.

If we’re right about the limited scale of the epidemic, then measures focused on older populations and hospitals are sensible. Elective procedures will need to be rescheduled. Hospital resources will need to be reallocated to care for critically ill patients. Triage will need to improve. And policy makers will need to focus on reducing risks for older adults and people with underlying medical conditions.

A universal quarantine may not be worth the costs it imposes on the economy, community and individual mental and physical health. We should undertake immediate steps to evaluate the empirical basis of the current lockdowns.

Dr. Bendavid and Dr. Bhattacharya are professors of medicine at Stanford. Neeraj Sood contributed to this article.

SUNDAY, March 22, 2020

RR#1

MORE ON THE CORONAVIRUS...
Informed, thoughtful, sensitive articles rather than the usual bombast.
"NOW HEAR THIS"...or rather READ THIS!

1) "Your Owner's Manual: A Psychiatrist's Guide To Weathering...Anything", by Charles Atkins, M.D. (in ctmirror.org, March 22, 2020).
2) "We Were Primed for This", by Jon Gaudio, M.D. (in The Day, March 22, 2020).
3) "Our Lives Interrupted", by Paul Choiniere (Editorial, The Day, March 22, 2020)
4) "The World Will Never Be The Same" (The Day Editorial Board, March 22, 2020).
5) "Yes, Flatten The Curve", by Daniel Henninger (in WSJ, March 19, 2020, Opinion, pA17).
6) "America's Hospitals Can Avoid Italy's Fate", by L. Borio and S. Gottlieb (in WSJ March 18, 2020, Opinion, pA17).

And then there are two words of caution.
7) "Trump's Embrace Of Unproven Drugs To Treat Coronavirus Defies Science", by K. Thomas and D. Grady ( in NYTimes, March 21, 2020).
But Science is not always above Hubris, as when in Medical Science it always demands the "double-blind cross-over study" while ignoring or even denigrating  the observations and judgment of "Clinical Medicine": the manyfold interactions of doctors and patients.
Here I refer to the suggestions about possible benefits of Hydroxychloroquine and Azithromycin in treating this scourge. Fear not: they will be tried...and those experiences will also be valuable.
8) "Rethinking The Virus Shutdown" (WSJ Editorial, March 20, 2020, pA16). "But no society can safeguard public health for long at the cost of its overall economic health".

GS

RR#2

"PANDEMIC": YOU'VE HAD ONE FOR MANY DECADES.

GS

LifeNews.com

How extreme are radical abortion activists?

They are doing everything they can to exploit the coronavirus and kill more babies in abortions and force you to fund abortions with your tax dollars.

Last week, as members of Congress pushed for legislation to help Americans dealing with the virus and the negative economic fallout, pro-abortion Speaker Nancy Pelosi put together a stimulus bill that would have forced Americans to pay for killing babies in abortions.

President Trump's staff and pro-life lead

Here at LifeNews.com we immediately sounded the alarm and our news story on how Pelosi was caught reached millions of people and was shared almost half a million times on Facebook.

Thankfully, Pelosi was forced to back down and Congress eventually passed a bill with pro-life protections to make sure you aren't required to fund abortions!

Meanwhile, state after state is taking every precaution possible to protect Americans from getting the coronavirus. States like California, Pennsylvania, Ohio, Louisiana, and others have issued orders to stop elective surgeries to save medical staff and resources to treat patients diagnosed with the virus.

There is no more elective surgery that is complete and totally medically NOT necessary that killing a baby in an abortion!

LifeNews has uncovered and reported on how Planned Parenthood abortion clinics TODAY are defying those mandates and are continuing to kill innocent unborn children in abortions!

Thankfully, in a story LifeNews broke yesterday, the Ohio Attorney General has stepped up and is demanding that abortion clinics in his state stop killing babies because abortion is not necessary health care. But abortion clinics in every other state continue to kill unborn children.

Finally, three's Joe Biden.

While our families were beginning to deal with the virus last weekend beginning to understand the meaning of "social distancing," Joe Biden was telling Americans about his plans to expand abortion.

Biden wants to make you and me pay for millions of abortions. he wants to overturn every pro-life law nationwide that saves babies, and he wants to pack the Supreme Court with more pro-abortion judges.

Whether it's Nancy Pelosi, Planned Parenthood or Joe Biden, pro-abortion extremists will stop at nothing to impose their abortion agenda on America -- even if that means exploiting and international health crisis to do so.

RR#3

FOR YOUR INFORMATION....

GS

Soros' Anti-Israel Funding

SATURDAY, March 21, 2020

RR#1

Alright: I changed my mind, consistent with a little more time and with "a sense of proportion". Here is a different subject, which should resonate with all who have had a father...and even more with those who haven't.

Check out the book by Father Donald Calloway:
"Consecration to St. Joseph: The Wonders Of Our Spiritual Father".
But first read the excellent extended interview conducted with the author ("It Takes A Father", by Joseph Pronechen (in National Catholic Register, March 15, 2020, p5).

Whatever your Faith, and even for those without Faith: you won't be disappointed.

GS

RR#2

NOW COMES A SAD AND CAUTIONARY TALE: ITALY, 2020.

See the article in the NYTimes, March 21, 2020, entitled:
Italy, Pandemic, New Epicenter, Has Lessons For The World"
by Jason Horowitz et al.

Clearly, there are lessons here - and also questions. 
Were there then at the outset - and now - differences between the people and the political structure of Italy and America? Was there greater interaction among the peoples of Italy and of China - and of America and China? Did the famous historic and almost genetic skepticism of the Italian people toward their government du jour play a critical role? Did their new immigrant population (certainly not ever mentioned) play a role?

Read the article: read it and weep. Then Unite in complying with difficult but Common Sense measures. And unite behind your Government, as we did with Pearl Harbor. We're Americans!

GS

TUESDAY through FRIDAY, March 17 through 20, 2020

RR#1

ON THE CORONAVIRUS PANDEMIC.
Until further notice, I will be restricting my RR comments and references to this subject. Please review rrelated comments already posted throughout this month.

1) "What To Do If You Have Covid-19", by Ana Radelat (in The Day, March 20, 2020).
As is nearly always the case from this journalist for CTMirror.Org, this is informative and useful.
 2) The following is a helpful Editorial in The Day (March 18, 2020):
"Beware Simple Solutions To Complex Health And Economic Crisis".
But then The Day published an article out of the Mercury News of San Jose, California: "Test Kits Debacle" (March 17, 2020). Thanks for Nothing.
3) "Ethicists Agree On Who Gets Treated First When Hospitals Are Overwhelmed By Coronavirus", by Olivia Goldhill (in Quartz: qz.com, March 19, 2020).
Read it and understand that choices and decisions may have to be made, called "Triage"...as in military circumstances.
4) The following type of articles are the opposite of Helpful: they can be harmful. They are totally speculative, especially as regards America in relation to the rest of the world. And they can easily promote Panic, often followed by dismissal of the entire matter. Just Human Nature.
"Covid-19: How Many People Will Die?" (in mdlinx.com/internal medicine, March 19, 2020)
5) And then there is this; why am I not surprised?
"US Officials: Foreign Disinformation Stoking Virus Fears", by Miller and Long, Associated Press, March 16, 2020.

If you are reading this,     CONGRATULATIONS!
I have been sharing a vast amount of information and commentary with the public for decades via this web site (asthma.drsprecace.com).

Furthermore, my medical practice in Allergy / Chest Diseases, including Coordination of Care, continues without interruption and with a few appropriate modifications due to the current situation.

GS

RR#2

If You’ve Ever Wondered What Stupid Looks Like, Take A Gander At Spring Breakers On The Beach In Florida During The Coronavirus Outbreak

RR#3

MORE ON THE CORONAVIRUS SCENE,
from an informed medical observer.

1) There are a lot of MYTHS out there. Check out medlinx.com/internal- medicine.
2) Check out "Border Chaos In Europe..." in The Day March 17, 2020.
America is not Europe, although some here and in Europe - and also the Director of the World Health Organization - have tried to make it so.
3) There is a lot of Speculation out there, most predicting worst case scenarios. This is not only not useful; it is harmful in promoting Panic, which can be followed by disengagement (remember "The Boy Who Cried 'Wolf'?). It is often also self-serving - and political weaponization.
4) Closing all schools? Not at all imaginative and still consistent with "social distancing". A teachable moment discarded.
5) Closing all places of worship? Ditto.
6) What we need now are facts, both medical and socio-economic. Here you see the tension between the good Doctor / Scientist Anthony Fauci and our Leader-In-Chief who is trying to effect a type of "Triage", balancing the health of our Citizens with the long-term health and survival of our Nation.
What we don't need is Hyperbole. Here I regret to quote a usually very sober observer, Professor Alan Dershowitz:
"This is the greatest crisis ever confronting an American president since the Civil War. This is more dangerous than World War ll; this is more dangerous than 9/11, Pearl Harbor."    BALONEY.
7) If you want Facts, the Truth, see:
"Elci: 'Wuhan Flu' More Accurately Names Visus And What It Means", (in The Day, March 18, 2020).
Read it...and test how strong a stomach you have.
8) Be careful what you purchase for your health, both medical and financial.
See: "I'm Relying On Prayer..." (in ctmirror.org/2020/03/02).
See also the news about the possible efficacy of Hydroxychloroquine in treating Coronavirus. Maybe: between you and your informed physician. But be sure to read first the potential side effects of this old and useful medicine. Certainly, we don't need a "double-blind, cross-over study", as Dr Fauci and other scientists would prefer, to consider it under these circumstances.
9) And we don't need more "un-named sources" suggesting that "Early Alarms about Possible Pandemic Went Unheeded" - in the Washington Post, the cradle of un-named sources. President Trump placed a ban on China travelers on February 3 - very early in this story.

"What we need is love, sweet love"...and facts and a sense of proportion and prayer and COMMON SENSE.

GS


MONDAY, March 16, 2020

RR#1

This is Great, as was this man.

GS

Just like every other conservative, a decent man vilified by the left.

I had no idea about Hoover's life.

-P



RR#2

FINALLY!

GS

Trump Confirms “Buy American” Executive Order To STOP Reliance On China

RR#3

Please read the several posts I placed on my RR this weekend, with informative articles appended.
The article provided below is, I believe, a particular example of scientific hubris.  And the way it is presented is sure to promote panic - not good.

How can I be sure? I am not sure. But I am paying attention (with a file exceeding 2" in depth, and growing daily); and I have been paying attention for nearly 63 years as a physician.
The following represent my best educated guesses at present, on which I am willing to stake my life (perhaps literally) at present and subject to change with future developments.
  1. America's "pandemic" is NOT that of China or South Korea or Japan or Italy or Europe or ir Iran or the world. America will be a "special case" for a variety of reasons - both based on America and based on those other regions.
  2. There will be ample time for regret over what the developing panic here will have done unnecessarily to our collective lives and to our fortunes.
  3. Only persons who show compatible symptoms should be tested. The push to test everyone is stupid and dangerous.
  4. With over 80% of Actual Victims expected to get No or Mild symptoms, the concept of Herd Immunity has to be considered. (Look it Up).
  5. I agree with reasonable "Social Distancing" at long as it is reasonable and Common Sense. But I cringe regarding the school closures and the vast disruptions that will cause. There could be a better way: no bussing; no classrooms - only auditoria, gyms and other large spaces for "distancing" - a teachable moment for the kids.
  6. The concept of Triage should be a Must in the potentially limited hospital setting. And hospital admissions must be limited: besides the above-noted 80%, an estimated 14% will have moderately severe illnesses, often treatable at home - including "TeleMedicine", which I have been practising for decades; and 6% will have critical and possibly fatal illnesses. Even here, a more open-minded medical approach to treatment may be very useful...like considering the (usually counter-intuitive) use of substantial Steroids) to counter the deadly effects of an Inflammatory response Run Amok.
  7. The worst part of this scene here in America is the Weaponizaton of facts and fancy to harm President Trump. As a result, the consequences even here will be worse than they would have been without that damnable exercise.

That's the best I can do for now, subject to change with notice.
Meanwhile, Use Common Sense and "Don't Worry, Be Happy!"

GS


SUNDAY, March 15, 2020

CORONAVIRUS: SOME GOOD AND PRACTICAL ADVICE.
See: "What To Do If You Think You Have Coronavirus", by Kristen Aiken (in Huffpost Life, March 13, 2020).

GS


SATURDAY, March 14, 2020

RR#1

THIS EDITORIAL FROM THE PHILADELPHIA INQUIRER (MARCH 10, 2020) WAS RE-PUBLISHED IN THE DAY.
"Women's Right To Choose Is Eroding".

"...on-going erosion of reproductive rights."
"Anti-choice advocates..."
"...defenders of reproductive rights...."
"A woman's ability to plan when she has a child...."

AND WHAT ABOUT THE OTHER LIVING HUMAN BEING INVOLVED IN THIS "CHOICE"?

WHAT ABOUT A MOTHER'S RESPONSIBILITY TOWARD HER BABY?

WHAT ABOUT A FATHER'S RESPONSIBILITY, BEFORE AND AFTER THE ACT THAT PRODUCED THAT LIVING HUMAN BEING?

WHAT ABOUT A PHYSICIAN'S RESPONSIBILITY TO BOTH OF HIS PATIENTS?

A responsible newspaper should not be promoting this claptrap.

GS

RR#2

"THE TRUTH, THE WHOLE TRUTH, AND NOTHING BUT THE TRUTH".

GS

Sean Hannity RIPS media over coronavirus: Agenda-driven coverage 'hurting our country'

RR#3

More "About the Corona Virus Pandemic",
about which I published in this "Rapid Response" section on March 13, 2020.

A great deal has taken  place in the last 24 hours, particularly in terms of the massive Public-Private national initiative developed by President Trump and his teams. My comments noted above are still quite relevant. But they can now be expanded based  upon several excellent reports which I share herein.

1) "Coronavirus Vs. Flu: A Comparison", by Betsy McKay (in WSJ March 13, 2020, Special Report, pR7).
Actually, the hard data are not yet clear, but: a) they are both more or less similarly transmissible; b) their mortality rate is probably more or less similar at around 1%; c) the vast majority of cases (around 80%) presented with either no or mild symptoms. Another 14% were severely ill, and 6% were critical.

2) "Divergence In Strategy Holds Lesson For U.S.", by Martin and Walker (in WSJ March 14-15, 2020, pA10).
 "Corona Virus Cripples Italy", by Sabrina Ferrisi (in National Catholic Register March 15-28,2020, pA1).
A comparison of the experience so far in South Korea and in Italy is instructive. It appears to be a case of East vs. West. In the Far East, with or without a dictatorship, "The Confucian emphasis on respect for authority, social stability and the good of the nation above individualism is an ameliorating factor in a time of national crisis". In Western cultures, individualism and suspicion of authority can produce a different result - or at least a more difficult process.

3) "Europe's Coronavirus Fate Is Already Sealed", by Joseph C. Sternberg (in WSJ March 13, 2020, Opinion, pA15).
The thesis here is based on how the European nations finance their Health Care. Italy and the U.K. rely predominantly on government financing ( 79% and 74%) and lag substantially behind health care investment in Germany and France (6% and 5%) which have compulsory insurance schemes. Thus their relative capabilities to meet a health care delivery crisis are very different. That is why Italy has had to admit to making substantial use of Triage, well known in war,  in caring for patients.

4) See also: "How To Navigate The Coronavirus", a Special Section in WSJ March 13, 2020, pR1. A lot of useful information.

All of this is why I believe that America is a "Special Case", Western, Individualistic, but capable of Uniting in response to a serious challenge.
We have done it before. We will do it now. Meanwhile, individually...just use Common Sense.

GS


THURSDAY and FRIDAY, March 12 and 13, 2020

RR#1

ABOUT THE CORONA VIRUS "PANDEMIC".
The following are some helpful articles, as well as some personal observations.

1) "10 Myths About COVID-19", by Natasha Priva Dval, M.D. (in http://www.medicalbag.com, March 12, 2020).
2) "State Has 3 More COVID-19 Cases: Doctors Answer Questions During Virtual Forum", by Erica Moser (in The Day March 12, 2020).
3) "What SARS, MERS, And COVID-19 Have In Common", by Amanda Gardner (in http://www.msn.com/en-us/health/medical).

At this point, here are some personal observations / "guesses" that I have developed based upon: a) the typical 'hair-on-fire" reportage from the media; b) the early and continued efforts of the World Health Organization to plant the current American experience squarely into that of the World; c) the weaponization of the entire story here for partisan gain; d) the belief that nothing emanating from China can be accepted at face value.

A) Even on a good day, very scarce any more, the mainstream media promotes high anxiety and panic - it sells;
B ) These two words expressed by President Trump in his recent address to the nation were right on point:"...foreign virus...."  What is happening in America is a far cry from what is happening in the rest of the world. There are several reasons for this, including the early action taken here to exclude Chinese travelers from entering this country.  That is and was impossible for all of Europe and Eurasia, invaded by millions of migrants - many from the Middle East and from Africa, episodic hot-beds for viruses like MERS and EBOlA.
C) The well-established disease called "Trump Derangement Syndrome" is poised in this election year to break out into an even more virulent form.
D) Although some of the actions being taken on Wall Street and Main Street are prudent, I suspect that "when the smoke clears" we will have a lot to regret.
E) Imagine if last Fall we were suddenly told that "the new URI Virus" was  breaking out through the country and the world, and that millions of people were coming down with it - with some actually dying from it.
"URI=Upper respiratory infection", otherwise known as the "common cold".
I am not making light of this. But folks, Get A Grip!

Ultimately my only advice is: USE COMMON SENSE!

GS

RR#2

REGARDING CHINA: NOTHING NEW SINCE MAO TOOK OVER IN 1950.
And we Still Haven't Learned! It's the almighty Buck...and STUPIDITY.

GS

Newt Hits China for Lies on Coronavirus

RR#3

MORE ON CHINA, FOR WHICH WE DEPEND ON OVER 90% OF THE RAW MATERIALS FOR OUR ANTIBIOTICS....
This is henceforth not just Greed and Stupidity.
It is Treason. It is also Suicide!

GS

China Hints It May Hold Back Lifesaving Drugs to U.S.

RR#4

THE CORONA VIRUS: MORE FROM ITALY, GROUND ZERO WITH CHINA.

GS

America-Italy and the Dual Coronavirus Threats

RR#5

AND THEN THERE IS THIS.      EXCELLENT!

GS

Will the Coronavirus Pandemic Trim the Nonsense?

TUESDAY and WEDNESDAY, March 10 and 11, 2020

Justices allow 'Remain in Mexico' asylum policy to continue

MONDAY, March 9, 2020

AS A PHYSICIAN, I HOPE HE'S WRONG ABOUT JOE BIDEN.
But if he isn't...

GS

Giuliani TEARS into Biden: ‘The man has something wrong with him'


SATURDAY and SUNDAY, March 7 and 8, 2020

THIS INFORMATION WAS ALSO THE SUBJECT OF A REPORT BY TUCKER CARLSON ON FOX RECENTLY.
In how many ways is America vulnerable, thanks to our SWAMP?

Read it and weep. And then get very angry!

GS

FDA Cites Shortage of One Drug, Exposing Supply-Line Worry

FRIDAY, March 6, 2020

RR#1

THIS IS ABOUT LIFE AND DEATH...AND ABOUT THE CHOICES WE MIGHT WANT TO CONSIDER.

I have a personal prayer:
"I Love You. I Trust You. Thy Will Be Done. I Am Yours."

I also believe that, consistent with that position, we can have a role to play in our last days...totally excluding euthanasia, physician - assisted suicide, and all suicide.

To clarify, I suggest you read three articles - and then discuss them with your spiritual advisor.
a) "MY FATHER'S PASSPORT", by Christine Hemp (in NYTimes Jan. 23, 2020). I believe that a rational and also spiritual choice might be made under such circumstances, consistent with "The Will Of God".
b) Google Search: "Billionaire Dead From Pancreatic Cancer".
Steve Jobs was unfortunately not rational in placing his treatment in delusions for too long a time.
See also the article about him and his wife (Laurene Powell Jobs) ( in NYTimes March 1, 2020, Sunday Business).
c) "PREPARING FOR A GOOD END OF LIFE", by Katy Butler (in WSJ Feb. 9-10, 2020, Review, pC1).

Then, having done the above: "Don't Worry...Be Happy!"

GS

RR#2

HERE'S ANOTHER EDITION OF POT POURRI.
1) "There are real risks associated with legalizing marijuana", (in ctmirror.org, March 6, 2020)
2) "That cellphone is stealing your life away" (in Pittsburgh Post-Gazette, Editorial, published in The Day, Feb. 28, 2020).
3) "Want to keep subs?..." by Lee Elci (in The Day March 4, 2020).
4) "Resilience in the face of racism...." (in The Day March 3, 2020).
This is a great story, and a great exhibit at the Lyman Allyn Art Museum in New London.

GS

RR#3

Will COVID-19 Expose Physician Shortfall, EMTALA Shortcomings?

RR#4

REMEMBERING THE GREAT YEARS OF AMERICAN CINEMA,
AND THEIR GREAT CREATORS.

See another great Netflix Documentary, generally the best viewing to be had:
"FIVE CAME BACK":
The stories of directors Stevens, Wyler, Ford, Capra and Houston
during WW ll, and how they came back with their own individual versions of PTSD that enabled them to do their greatest work.
Just two examples:
"The Best Years Of Our Life", by William Wyler.
"It's A Wonderful Life", by Frank Capra.
And how Stevens could no longer do comedy after his wartime experience.

This will also remind us of the many great actors who fought in that war.
Great American History.

GS


TUESDAY through THURSDAY, March 3 through 5, 2020

JUST THE FACTS...NOT THE POLITICS OR WEAPONIZATION.

GS

COVID-19 Mortality Rate May Be 'Less Than 1%'


MONDAY, March 2, 2020

RR#1

THESE LEAVE ME ALMOST SPEECHLESS...A PRETTY GOOD TRICK.

GS

Chalk Guy is Back (PDF)

RR#2

TO ALL OF THE BLACK RACISTS OUT THERE...
"You want the Truth? You can't handle the Truth."

GS

Fiery Diamond & Silk Speech: Blacks Don’t Need Reparations, They Need Liberation from Dems

SUNDAY, March 1, 2020

RR#1

JUST SO YOU KNOW.
And this can be multiple choice. No need to rush it.

GS

Top 10 causes of death in the US in 2020

RR#2

LISTEN UP, FOLKS, WHETHER REPUBLICAN OR DEMOCRAT OR INDEPENDENT, WHETHER SPIRITUAL OR ATHEIST? 
Do these stories and these people reflect you and your values?
I certainly hope not, for your sake.

GS

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