A. Sprecace M.D.,
J.D., F.A.C.P. and Allergy
Associates of New
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.
Click dates below
for past Rapid Responses
WEDNESDAY and THURSDAY, January 12 and 13, 2022
"IT IS A RIDDLE WRAPPED IN A
MYSTERY INSIDE AN ENIGMA".
This statement, expressed by Winston
Churchill in 1939 regarding the intentions of Russia, also describe
the role and timing and selection of
available testing for the Pandemic infections.
Now comes a small study, by
evidently reputable investigators and carefully performed, comparing the rapid
test and the PCR test. It has yet to be peer-reviewed. But given the confusion
embracing the public on this vital matter, it bears attention.
See: "Study Raises Doubts
About Rapid Covid Tests' Reliability In Early Days After Infection" (reported
@mattherherper, January 5, 2020).
I have no personal knowledge or
expertise in this subject of choice and timing of tests. But here are the
rapid nasal test is not Positive early on despite presence of Infection.
But a Positive test means Infection.
rapid Throat test would likely be more effective; but being more
complicated it is not recommended for the lay person.
infection does Not Involve the sensory organs. It's symptoms are generally
milder and more flu-like.
PCR test is slower, but if Positive is more reliable for Infection and
transmissibility. But it may be too sensitive, and may produce false
positives.There have been negative rapid nasal tests 1-2 days after a
SO: WHAT TO DO? THIS IS WHAT I WOULD
DO...NOT ADVICE OR PRESCRIPTION!
1) USE PERSONAL COMMON SENSE
REGARDING THE LIKELIHOOD OF EXPOSURE DESPITE CAUTION.
2) USE CLINICAL JUDGMENT (yours and
that of your physician) regarding any symptoms - very variable.
3) If you decide to test: a) do a
rapid nasal test and a PCR initially; b) if the rapid nasal test is Positive,
you have Infection;
c) if the rapid nasal test is
negative initially, repeat that test if the PCR returns Positive, although not
necessary if the PCR is negative.
4) EXPECT CHANGES IN ALL OF THIS AS
MORE FACTUAL INFORMATION BECOMES AVAILABLE.
That's just the way it is. But
again: Protect yourself. You do Not want to get this infection!
And GET VACCINATED.
TUESDAY, January 11, 2022
AS I WAS SAYING..."
I AM A REGULAR READER
OF CHRIS POWELL'S ARTICLES AS POSTED IN THE DAY
But check out the column that appears in the
January 11, 2022 edition entitled, "Vaccine definition was changed". What happened?
As might be expressed
by one of our robo-call "friends": WHAT THE HELL YOU ARE TELLING
"Don't get the
"Too many side-effects?"
Industry too influential?"
We need to treat the
World even before treating our citizens?
This is an unusual
opinion piece for Mr. Powell - and it is not helpful for people trying to make
Remember: all of Life requires
Risk to Benefit analyses.
Here the current
information and the scientific Facts are clearly in favor of Getting
You Don't Want This
Disease and its ability to throw your Immune System into harmful
MONDAY, January 10, 2022
But you gotta believe...and remember
in November, 2022 and 2024.
The New York Times has not changed,
as I thought.
SUNDAY, January 9, 2022
OF COURSE IT IS, AS I HAVE BEEN
SAYING AND WRITING FOR DECADES.
See: Is Nuclear Power Part Of The
Climate Solution?, by Gernot Wagner (in WSJ January 8-9, 2022,
Yes: Climate Change / Global Warming
is here again for a while, as it has been in past eons.
Yes: The Industrial Age and the
massive increase in Humanity populating this Earth is contributing to Global
Yes: The only variables we have to
modify its effects are our ingenuity and our willingness to modify our
Yes: Our willingness to modify our
life-style is directly controlled by the Costs of those changes to our current
And Yes: Those massive costs - and
the unequal impact of those costs on different populations - will determine our
Considering the ever-present Risk /
Benefit Analysis that accompanies All of our Human Actions, Nuclear Power (
Fission now, Fusion soon) is the Most Cost-Effective of our
If only banal politics and
self-service would get out of the way. Given the increase in disasters
developing, people are ready.
IF WE EVER NEEDED JOE
FRIDAY, IT 'S NOW: "JUST THE FACTS, MA'AM. JUST THE FACTS".
Misguided - and
infected - by a mountain of mis-information and just plain lies, too many
people who should know better (in addition to members of our Stupid younger
generations) are succumbing unnecessarily to a DISEASE THAT YOU DO NOT WANT TO
Here are some more FACTS.
SATURDAY, January 8, 2022
TODAY'S OFFERING IS BOTH INSTRUCTIVE
ON HOW SCIENCE WORKS AND A CAUTIONARY TALE FOR SCIENTISTS AND THEIR
Science Works! See
the fascinating article entitled: "The Vast Promise Of mRNA
Technology", by Allysia Finley (in WSJ Dec. 4-5. 2021, Opinion,
This is how and why we have had
COVID-19 vaccines in record time to protect us. That is IF THEY ARE TAKEN,
And then there are the
"political scientists", those with the moist finger in the wind. They
stimulate confusion, not antibodies.
Unfortunately, some of the
confusion has been packaged and marketed by some misguided Republicans. Big
Those positions are Wrong and
Unfounded, Irresponsible and also Losers in the coming Elections. WAKE UP!.
FRIDAY, January 7, 2022
DO PUBLIC SERVANTS WHO BECOME "POLITICIANS" HAVE AND RETAIN ANY BED-ROCK PRINCIPLES?
It appears not, at least at this critical time in our national history.
Of course, there have been other critical times. But, with the exception of the Civil War, they were external threats.
Not this time.
Back to our typing exercise:
"NOW IS THE TIME FOR ALL GOOD MEN TO COME TO THE AID OF THEIR COUNTRY"
"MEANWHILE, BACK AT THE
the State of this asterisk
THIS SEEMS LIKE THE SECOND COMING OF GOVERNOR CUOMO.
Think, Man, Think!
TUESDAY through THURSDAY, January 4 through 6, 2022
FYI: A LOT OF GOOD AND TIMELY INFORMATION.
Get fully vaccinated, mask up with effective masks (N-95 or surgical), avoid crowds...and USE COMMON SENSE.
That's much more important than unnecessary "rapid testing".
January 5, 2022
Distribution: All Yale New Haven Health System Employees
and Medical Staff
Message from the Chief Clinical Officer
fourth surge triggered by the omicron variant of COVID-19 is creating
immense stress on our communities, our healthcare workers, and our
institutions. The fundamental issue is that the explosive spread is
resulting in significant hospitalizations that will likely exceed our
previous peak in March 2020, at a time when our healthcare workforce is
also being stressed due to community COVID-19 infections. Based upon
international reports with omicron, I am hopeful that our eventual peak
will come quickly, and be accompanied by a rapid drop-off. We are
currently finding that of our COVID-19 admissions, between 70-80% are
unvaccinated, and of the 20-30% of admitted patients who are
vaccinated, 80% did not receive a vaccine booster. This is clear and
local data emphasizing that vaccination and boosters are hugely
effective in preventing the worst consequences of COVID-19.
Our Emergency Department teams are experiencing immense patient
volumes, and are exhibiting immense creativity in sending as many
patients as humanly possible home with follow-up to ensure that
inpatient beds are being used optimally.
It is critical to communicate that our EDs and Urgent Cares should not
be used to obtain COVID-19 testing – symptomatic patients should be
directed to use home tests or community PCR testing to minimize
unnecessary patients coming to our EDs.
Our surgical and procedural leaders are carefully reviewing all
scheduled procedures through a clinical lens to ensure that our teams
across the system are not overloaded. Ensuring access to time-sensitive
scheduled care is essential to our ability to ensure we serve our
communities’ health needs.
Our ambulatory enterprise is shifting once again to prioritize the use
of telehealth to minimize the risk of exposure and viral spread. These
areas are critical to caring for patients with COVID-19 in the
community setting and reducing unnecessary visits to our Emergency
Departments and subsequent hospitalizations.
Our Human Resources team, in close discussion with our operational
leaders, have developed innovative ways to address our ongoing staffing
needs, which will be communicated through operational channels over the
next 24 hours.
Our COVID-19 testing enterprise has modified its testing rubric to
ensure adequate availability of COVID-19 PCR tests for symptomatic
healthcare workers. Healthcare worker testing can be accessed at
https://ocucovidtesting.ynhhs.org. The most recent guidance regarding
healthcare worker testing and return to work is available here.
It is very clear that COVID-19 vaccine boosters have a substantial
impact on reducing COVID-19 infections, severity of illness,
hospitalization, and death. At present, our Occupational Health
department estimates that roughly 40 percent of our healthcare workers
have received a vaccine booster. Those who have not been boosted should
do so as soon as possible. For YNHHS employees, healthcare worker
booster appointments can be accessed within Infor. For members of the
Medical Staff who are not employed by the System, the vaccination
clinics can be accessed at https://vaccinepartner.ynhh.org.
Those who received a vaccine booster outside the Health System can send
in proof of booster dose administration to firstname.lastname@example.org.
In addition the availability of sotrivimab, (the monoclonal antibody
therapy that is effective against the omicron variant) and paxlovid
(the very effective oral COVID-19 antiviral drug), our Care Signature
group and pharmacy teams have added a pathway to support the ordering
of molnupiravir, another oral antiviral COVID-19 drug. A detailed memo
is available here, with Tips and Tricks available here. The pathway for
adult ordering is available here. The pathway for pediatric ordering is
know this latest surge is taking an enormous toll on you all and our
communities. We will do all we can to help support the front lines as
we navigate what will hopefully be a short, and final surge in this
immensely long and painful pandemic.
Thomas J. Balcezak, MD
Chief Clinical Officer
Yale New Haven Health
THIS IS THE TRUTH.
Remember it in November.
MONDAY, January 3, 2022
The January 6 Committee hearing and
work sound more and more like the "Russia Collusion" fairytale.
As we say in the practice of
Medicine: "PIS AND PUS MUST COME OUT".
SUNDAY, January 2, 2022
JANUARY 2, 2022. BUT
THESE ARE NOT NEW YEAR'S RESOLUTIONS.
Those of you who are
regular visitors to this RR site will recognize the following as mainstays of
my view of the World,
views shared and echoed by many other observers, some of whom I often offer in
They need to be
repeated and repeated...for these are the areas of concern where we all Live -
So, Here Goes,
INTELLIGENCE: "The Good, The Bad And The Ugly". We can't live
now without it. But we may end up becoming the house pets of robots.
MUST HAVE CONSEQUENCES, from very early childhood through old age.
"Smash and Grab" needs to be smashed early and as often as necessary.
The alternative? Self-Help!
HEALTH CARE SYSTEM IS SICK...AND WORSENING. This had begun in the late
1980's with the DRG's and the RVS's and the explosion of "health care
insurance" behemoths, and their power on our Washington "public
servants", and the subversion of the AMA ("go along to get
along"), and these insurance companies practising Medicine without a
license through "prior authorization" mandates, and with some
hospital "Suits" placing the bottom line "uber alles".
It's now a jungle out there for both health care "providers" and
their patients - who must fight to get proper attention. And of course,
the COVID-19 PANDEMIC has accelerated the process, including the
politicization of the related Science and scientists that has cost broad
confidence in the products of that Science. The articles in support of the
above are too many to reference here. Just read the Wall Street Journal as
one reliable source amid the others that have prostituted their
"Journalism". And review the many related articles that I have
posted on this web-site throughout the last 20 years.
EDUCATION". "Ai, and there's the rub". The news
continues from Bad to Worse, supported by its most adversely affected
citizens. "Stupido. Stupido. Stupido". See my web-site
Category entitled "Public Education Politics".
AMERICA AND THE WORLD.
Vis a Vis China and Russia and Fundamentalist Islam...WE ARE FAILING.
"EQUITY". Equality...YES, by all means. "Equity"...will
never happen. Communism tried it, and failed.
FAIR ELECTIONS: WHAT A
2021: A TERRIBLE
YEAR, thanks to the bumbling and stumbling of our asterisk president and his
Democratic snake pit.
2022: HOPEFUL, if only
we all Pay Attention, Participate and VOTE IN NOVEMBER.
Once again, the advice
of St. Augustine come to mind:
"PRAY AS IF IT
ALL DEPENDS ON GOD.
WORK AS IF IT ALL
DEPENDS ON YOU."
SATURDAY, January 1, 2022RR#1
HERE'S A NEW YEAR'S DAY GIFT TO ALL
OF US...FROM A GREAT GIRL.
"You Go, Girl".
Heaven will never be the same.
2021 IN REVIEW: GOOD
Now Concentrate on November,
WHETHER OR NOT YOU LIKE ANN COULTER,
THESE ARE FACTS!
And if you have college age
children, think long and hard about exposing them and your bank account to
College campuses have gone absolutely insane.
student group asked me to speak about our nation’s immigration laws at
the University of California at Berkeley, the so-called “birthplace of
the free speech movement.”
As you may have heard, my speech was
abruptly canceled because leftist thugs decided to riot and the
administration wouldn’t stick up for free speech.
Unfortunately, I’m not the only one to suffer threats and intimidation on campus. Far from it.
I point out in Resistance is Futile: How the Trump-Hating Left Lost Its
Collective Mind, ever since Donald Trump’s arrival in politics,
liberals have lost their minds. But there’s no padded room to keep them
contained! Instead, these violent, masked lunatics have taken over
college campuses, where young Americans are turned into automaton
leftists just like themselves.
Young conservatives on college
campuses across our nation are losing their right to free speech – and
even the right to walk down the street without getting sucker punched –
because of how intolerant the liberals have become.
But lest you
think I’ve given up hope, faithful conservative, there’s a group I
trust that fights back against this onslaught and exposes leftist bias,
abuse, and indoctrination on college campuses for all the world to see:
Campus Reform, a project of the Leadership Institute,
is the single most powerful force for campus free speech in America
today. By sticking up for conservative students and giving them the
tools necessary to defend themselves and their principles, Campus
Reform provides an absolutely essential public service.
– Campus Reform uncovers the liberal schemes that the mainstream media
wants to keep hidden... and they shut down the liberals’ indoctrination
on campus after campus.
And to sweeten the pot – when you give
$100 or more to LI’s Campus Reform, I’ll rush you a copy of my book,
Resistance is Futile. Saving young conservatives AND getting a free
book? What a deal!
Campus police at the College of DuPage in
Illinois told conservative students they’d “lock them up” for handing
out copies of the U.S. Constitution. Yes, that dangerous document that
the created the greatest country ever known to man.
assistant at the University of Nebraska-Lincoln harassed the student
president of a conservative group for recruiting students. With a
gesture from her middle finger, she shrieked profanities at the
conservative student and called her a “neo-fascist” and “Nazi.”
At Purdue University in Indiana, a staffer called
conservatives “vile, racist idiots” and threatened to rape pro-life
students. (And you wonder why liberals prefer violence to debate.)
all three cases, LI’s Campus Reform exposed the truth. Armed with
investigative reports from their student correspondents on campus,
Campus Reform got word out to their nationwide audience of concerned
conservatives. And they brought it to news outlets like Fox News,
Newsmax, the Blaze, and numerous talk radio shows.
Campus Reform’s exposure of the truth got results. In these cases and
many others, Campus Reform’s quick and powerful action forced
universities to change their anti-conservative policies, discipline
leftist student groups, and suspend or fire radical professors.
believe an angel gets its wings every time a leftist professor is fired
for their outrageous and unapologetic abuses against conservatives.
But Campus Reform’s fight to make the left see the light and feel the heat won’t be won overnight.
fight the forces of the intolerant left, stand up for free speech, and
protect conservative students who want to simply share their beliefs
without getting a black eye, Campus Reform is counting on your help.
Friend, let’s make ‘em pay.
Please help Campus Reform right away so they can empower conservative students and strike back at the lunatic liberals.
P.S. Remember, when you give $100 or more to LI’s Campus Reform, I’ll rush you a copy of my book, Resistance is Futile.
It’s just one more way I can thank you for joining this crucial cause. Because if we lose the kids, we lose this country.
(c) Copyright 1999-2022, Allergy Associates of New London, PC