Wow. That’s the kind of thinking I used to imagine all doctors engaged in. Sadly, Covid has shown me that only a very few take their chosen profession seriously enough to put the patient first and evaluate them as individuals rather than an income stream.
Thank you for another thoughtful and powerful article. It is a pleasure to read your efforts here.
I am also a Penn Anesthesia grad although much older than you. I practiced fairly close to Penn and watched the corporate money infect the academics and culture at Penn. Frank Murphy was also a great mentor for me. However, if he were alive for the Plandemic, I fear he would have drunk the Vax Koolaid like all the rest. Even to this day, Penn will treat an unvaccinated patient but they will not allow their unvaccinated support person to enter the hospital. It is so sad to see the former Icons of Medicine succumb to the mind control without question as if science is ever “settled.” Thankfully you escaped with your analytical mind intact.
Thank you for reading and commenting here! When did you finish at Penn?
You may be right about Dr. Murphy. When I was there at the turn of the millennium (1999-2002) he ran a great monthly conference where he really pushed the residents to consider the ramifications of our approach to complex cases. However, like you suggest, he may not have been completely "immune" to institutionalized thinking. Sadly, "group think" is pervading the medical community as a whole and is no longer localized to academic centers.
I was there from “82-‘86 as I stayed to do a cardiac anesthesia fellowship. Back then, everyone highly respected the Anesthesia Department as arbiters for patient advocacy. Anesthesia ran the ORs under Steve Prevosnik, who took no prisoners where surgeons were concerned. And this always seemed to work out in the best interest of the patients. As corporate money trickled in over the years and administrators became more hands on in patient management, things have changed. This is everywhere.
But it really became apparent to me after the Age of Covid. I had a conversation with my good friend who is an anesthesiologist at CHOP (and taught you for sure) in early 2021 about the rapid release of the covid vaccine, how this was breaking all norms in terms of phase trials, the new synthetic platform, the fact that there has never been a coronavirus vaccine in animal history that has worked (and the animals would always die)—I only got lines like “this is an emergency” and I’m obviously not seeing enough people dying, etc.
Penn’s got Paul Offit at CHOP who works with Pharma and sits on FDA boards. They’ve got Weissman and Kariko, the two mRNA researchers who discovered the pseudouridine replacement which Moderna and Pfizer used in their vaccines. Penn certainly gets royalties on every jab for that discovery. I can accept all of that but what floors me the most is the lockstep groupthink coming out of that place, and how they have used all of their ancillary personnel-like guards at the doors-to enforce it. So what is happening to medicine in general is they are raising the “importance quotient” of the non-medical workers while minimizing those who are supposed to be the critical thinkers. If you want to get paid the big bucks, best to shut up and follow the protocol. It is so sad.
Very sad and interesting. I did not know about Penn's ties to the pseudouridine replacement.
I agree that when ORs are run by the anesthesia department the thrust becomes around patient safety and advocacy. When surgeons take over, volume and efficiency are stressed. If lucky we end up with a system that is safe and relatively efficient. That doesn't usually happen. Moreover, someone always ends up getting hurt when volume is the bottom line.
As you said, we are becoming protocol and "guideline" followers. Soon the days of anecdotal driven choices and second opinions will be long gone. Doctors have been sold the idea that "evidence based medicine" is the way to go. Sadly they don't have the capacity to detect poor methodology in study design or the myriad of tricks that can be played with the data.
There is no better evidence of this than the gaslighting of the vaccine injured by their own caregivers. Our colleagues are being taught to not trust their own eyes.
Interestingly, it was upon retirement that i learned that the Hippocratic Oath taken in 1987 differred from the one I kept in mind for 32 years.
I had unwittingly added a clause to it thus: I will not suffer a lie on the part of any patient under my care, under this roof. And my staff knew this. Recently reviewing the historic written Oath i couldn’t find that tenet anywhere.
Point is, if you are raised to detect , detest and deny lies, you can do more than commit to a historic code; its tenets can be part of yourself, your life, your being.
I like to think my patients benefited from this. It was not the burden it could have been. Practising during the covidscam became impossible for obvious reasons; i sold and began a new life free of the tyranny of a college of powertripping regulators. Avoidance looks weak, and perhaps I am. But if one can choose one’s tyranny, imho its better than being subject to it. I feel for those without the luxury of moving on; biting one’s lip all day is no way to work peacefully. 🇨🇦🙏🏽
What astonishes me are all those (Including doctors) who didn’t “just stand there,” who instead waited in long lines, rolled up their sleeves and took jab after jab, and, for some, continue to do so, without ANY information as to what they were being injected with.
Those doctors who have little to no time to do their own research, relying, as you mention, on whatever the CDC feeds them, contribute to creating a practice of medicine where the (at least somewhat) blind lead the blind. And we call this healthcare.
The whole or nearly whole system appears unethical to me. Injecting children without parental (informed) consent is egregious.
Re "Injecting children without parental (informed) consent is egregious."
Egregious is a good word to use but I say it is child abuse, pure and simple. I was a building surveyor and managed to turn my thinking round in 2 months solid research in 2020.
Wow! A great article, a pleasure to read. You are a brilliantly critical thinking soul. I would imagine a tough cross to bear in seeing many--Rethy is an example--do first and think later. Actions like hers should not be part of the medical profession. The whole dark Vax scam is seeing more of the light of day. The CDC was turning doctors into tools of an unconscionable Pharma agenda that didn’t care for people or the Hippocratic oath. Thanks for your work and sharing your heart and mind.
It will be an interesting case to follow, although I guess it may well be settled before going before a judge. But I'd be interested to see what kind of defense the doctor gives for her actions. Certainly it's a prima facie violation of the mother's rights of consent (to say nothing of the kids' rights).
Agreed. I cannot think of a possible defense. However I have just read that the province of Alberta has formally allowed doctors to vaccinate minors without consent of the guardian. Let's hope that this insanity doesn't spread far.
Sure - I understand that the overriding obligation of the doctor is to (1) do no harm, and (2) respect the patient's autonomy over her body.
As you quoted NNV, the number needed to vaccinate to prevent one death, I suspect that that number doesn't apply to children. For children, there is a NNNV -- how many children do you have to NOT vaccinate in order to avoid one death?
Hmmm. I updated the article to include NNV in this age group from CDC data.
Here are you alluding to differences in age stratified all-cause mortality? What source of data do you believe is valid? Perhaps more importantly, what source do you think Dr. Rethy would accept ?
If the defense is that this doctor took it upon herself to "do no harm" by vaccinating, surreptitiously, these kids, in the belief she was actually helping them--then the discussion widens out into other areas of our current moment, in which individual liberties such as free speech, as an example, are considered threats to a "common good"--and is another indication that a cult has formed in many mainstream domains, including healthcare. A possible cure may be to reaffirm the wisdom of our Bill of Rights, at least here in the US, and not imagine that its protections are somehow outdated.
The only time a doctor can take action without obtaining informed consent is when life or limb are in immediate jeopardy and the patient is either unconscious or incompetent. Those a large burdens of proof and clearly not relevant in this situation not only because the mom was in the next room and the children were not in any immediate harm.
The point has nothing to do with you believe the vaccines are "safe and effective." The point is that this was an absolute violation of medical ethics. It's like, in a murder trial by jury, the verdict has nothing to do with whether you like the defendant or not, whether you feel you must support the person because they are of the same skin color or religion as oneself. It's that straightforward.
Thank you, Madhava -- a comprehensive view of the medical and ethical landscape around C19 vaccination. Could you add something about the risk-benefit ratio specifically for children?
I was considering it. I thought that it might detract from the thrust of the piece--that it doesn't matter what you believe the risk/benefit ratio is, one must still obtain informed consent.
There are no benefits to vaccination for children or anybody else for that matter and I used to think they were of some use. At 60 years of age after a working life in surveying buildings I changed my mind about any benefits.
As a CRNA, (thanks for the brief shout out) I am especially impressed by your rare logic and reason in our space. I was interested in your substack because of your specialty but I’ll not miss a post because of your humanity and common sense. You give me hope that critical thinking may still have a remnant in this post-logic world. Thanks.
Well, of course. I can’t think of one MDA that I am acquainted with who has even the slightest bit of skepticism about what has taken place over the last 3 years. There are a few other CRNAs. And perhaps even worse, in the aftermath, no one is saying, “hey, maybe we were wrong...”.
Indeed there are. None are given a voice. Corporate funded media are polarizing the population. Until we understand this we will continue to scream at each other. The villains are the ones with the billions
Hello - I just discovered and subscribed to your substack today. I have only read 3 articles at this point, but I am very happy to have found it. Your writing is some of the best I have encountered thus far on the platform.
Medicine is wrong by design. The elites who control our institutions have openly declared that the goal is to turn physicians into unthinking technicians - all for purposes of global population reduction. This blinds technician/physicians to purposefully harmful "standards of care" then there are the medical school debt shackles on top of medical boards - so even if a physician thinks critically or sees the damage of the paradigm, he/she prefers to self-censor.
And it's amazing to see so many "well-educated" and "smart" "professionals" fall for the big Covid hoax. No excess mortality in 2020 means there is no new bug - just a bogus test and a new name for old influenza like illness symptoms. Don't believe me? In may 2020 an official report leaked from a blue ribbon panel convened by the German government stating exactly that. https://strategic-culture.org/news/2020/05/29/german-official-leaks-report-denouncing-corona-as-global-false-alarm/
Great piece ... for what it's worth, we often need well more than 3 sig-figs in engineering, and sometimes medicine knows more than the sign ... but nature is a brutal and unapologetic mistress that deserves the respect of any human practitioner.
Dr. Setty, you are way beyond smart, knowledgeable, principled, brilliant - and humane. THANK YOU for being there.
Wow. That’s the kind of thinking I used to imagine all doctors engaged in. Sadly, Covid has shown me that only a very few take their chosen profession seriously enough to put the patient first and evaluate them as individuals rather than an income stream.
Thank you for another thoughtful and powerful article. It is a pleasure to read your efforts here.
I am also a Penn Anesthesia grad although much older than you. I practiced fairly close to Penn and watched the corporate money infect the academics and culture at Penn. Frank Murphy was also a great mentor for me. However, if he were alive for the Plandemic, I fear he would have drunk the Vax Koolaid like all the rest. Even to this day, Penn will treat an unvaccinated patient but they will not allow their unvaccinated support person to enter the hospital. It is so sad to see the former Icons of Medicine succumb to the mind control without question as if science is ever “settled.” Thankfully you escaped with your analytical mind intact.
Thank you for reading and commenting here! When did you finish at Penn?
You may be right about Dr. Murphy. When I was there at the turn of the millennium (1999-2002) he ran a great monthly conference where he really pushed the residents to consider the ramifications of our approach to complex cases. However, like you suggest, he may not have been completely "immune" to institutionalized thinking. Sadly, "group think" is pervading the medical community as a whole and is no longer localized to academic centers.
I was there from “82-‘86 as I stayed to do a cardiac anesthesia fellowship. Back then, everyone highly respected the Anesthesia Department as arbiters for patient advocacy. Anesthesia ran the ORs under Steve Prevosnik, who took no prisoners where surgeons were concerned. And this always seemed to work out in the best interest of the patients. As corporate money trickled in over the years and administrators became more hands on in patient management, things have changed. This is everywhere.
But it really became apparent to me after the Age of Covid. I had a conversation with my good friend who is an anesthesiologist at CHOP (and taught you for sure) in early 2021 about the rapid release of the covid vaccine, how this was breaking all norms in terms of phase trials, the new synthetic platform, the fact that there has never been a coronavirus vaccine in animal history that has worked (and the animals would always die)—I only got lines like “this is an emergency” and I’m obviously not seeing enough people dying, etc.
Penn’s got Paul Offit at CHOP who works with Pharma and sits on FDA boards. They’ve got Weissman and Kariko, the two mRNA researchers who discovered the pseudouridine replacement which Moderna and Pfizer used in their vaccines. Penn certainly gets royalties on every jab for that discovery. I can accept all of that but what floors me the most is the lockstep groupthink coming out of that place, and how they have used all of their ancillary personnel-like guards at the doors-to enforce it. So what is happening to medicine in general is they are raising the “importance quotient” of the non-medical workers while minimizing those who are supposed to be the critical thinkers. If you want to get paid the big bucks, best to shut up and follow the protocol. It is so sad.
Very sad and interesting. I did not know about Penn's ties to the pseudouridine replacement.
I agree that when ORs are run by the anesthesia department the thrust becomes around patient safety and advocacy. When surgeons take over, volume and efficiency are stressed. If lucky we end up with a system that is safe and relatively efficient. That doesn't usually happen. Moreover, someone always ends up getting hurt when volume is the bottom line.
As you said, we are becoming protocol and "guideline" followers. Soon the days of anecdotal driven choices and second opinions will be long gone. Doctors have been sold the idea that "evidence based medicine" is the way to go. Sadly they don't have the capacity to detect poor methodology in study design or the myriad of tricks that can be played with the data.
There is no better evidence of this than the gaslighting of the vaccine injured by their own caregivers. Our colleagues are being taught to not trust their own eyes.
Interestingly, it was upon retirement that i learned that the Hippocratic Oath taken in 1987 differred from the one I kept in mind for 32 years.
I had unwittingly added a clause to it thus: I will not suffer a lie on the part of any patient under my care, under this roof. And my staff knew this. Recently reviewing the historic written Oath i couldn’t find that tenet anywhere.
Point is, if you are raised to detect , detest and deny lies, you can do more than commit to a historic code; its tenets can be part of yourself, your life, your being.
I like to think my patients benefited from this. It was not the burden it could have been. Practising during the covidscam became impossible for obvious reasons; i sold and began a new life free of the tyranny of a college of powertripping regulators. Avoidance looks weak, and perhaps I am. But if one can choose one’s tyranny, imho its better than being subject to it. I feel for those without the luxury of moving on; biting one’s lip all day is no way to work peacefully. 🇨🇦🙏🏽
Very interesting addendum. I agree, it's better to be able to choose your tyranny.
So glad that you have been able to move on.
Somewhat slightly off topic perhaps...
What astonishes me are all those (Including doctors) who didn’t “just stand there,” who instead waited in long lines, rolled up their sleeves and took jab after jab, and, for some, continue to do so, without ANY information as to what they were being injected with.
Those doctors who have little to no time to do their own research, relying, as you mention, on whatever the CDC feeds them, contribute to creating a practice of medicine where the (at least somewhat) blind lead the blind. And we call this healthcare.
The whole or nearly whole system appears unethical to me. Injecting children without parental (informed) consent is egregious.
Definitely a lot of herd mentality going on. Sometimes following the leader works until you find yourself going off a cliff with a crowd of lemmings.
Re "Injecting children without parental (informed) consent is egregious."
Egregious is a good word to use but I say it is child abuse, pure and simple. I was a building surveyor and managed to turn my thinking round in 2 months solid research in 2020.
https://alphaandomegacloud.wordpress.com/2022/08/17/what-is-the-flu-a-k-a-covid-19-and-why-vaccines-are-pointless-at-best/
Wow! A great article, a pleasure to read. You are a brilliantly critical thinking soul. I would imagine a tough cross to bear in seeing many--Rethy is an example--do first and think later. Actions like hers should not be part of the medical profession. The whole dark Vax scam is seeing more of the light of day. The CDC was turning doctors into tools of an unconscionable Pharma agenda that didn’t care for people or the Hippocratic oath. Thanks for your work and sharing your heart and mind.
Thank you 🙏🏾. Yes. The current medical response is reminiscent of my medical school experience
It will be an interesting case to follow, although I guess it may well be settled before going before a judge. But I'd be interested to see what kind of defense the doctor gives for her actions. Certainly it's a prima facie violation of the mother's rights of consent (to say nothing of the kids' rights).
Agreed. I cannot think of a possible defense. However I have just read that the province of Alberta has formally allowed doctors to vaccinate minors without consent of the guardian. Let's hope that this insanity doesn't spread far.
Sure - I understand that the overriding obligation of the doctor is to (1) do no harm, and (2) respect the patient's autonomy over her body.
As you quoted NNV, the number needed to vaccinate to prevent one death, I suspect that that number doesn't apply to children. For children, there is a NNNV -- how many children do you have to NOT vaccinate in order to avoid one death?
Hmmm. I updated the article to include NNV in this age group from CDC data.
Here are you alluding to differences in age stratified all-cause mortality? What source of data do you believe is valid? Perhaps more importantly, what source do you think Dr. Rethy would accept ?
If the defense is that this doctor took it upon herself to "do no harm" by vaccinating, surreptitiously, these kids, in the belief she was actually helping them--then the discussion widens out into other areas of our current moment, in which individual liberties such as free speech, as an example, are considered threats to a "common good"--and is another indication that a cult has formed in many mainstream domains, including healthcare. A possible cure may be to reaffirm the wisdom of our Bill of Rights, at least here in the US, and not imagine that its protections are somehow outdated.
The only time a doctor can take action without obtaining informed consent is when life or limb are in immediate jeopardy and the patient is either unconscious or incompetent. Those a large burdens of proof and clearly not relevant in this situation not only because the mom was in the next room and the children were not in any immediate harm.
The point has nothing to do with you believe the vaccines are "safe and effective." The point is that this was an absolute violation of medical ethics. It's like, in a murder trial by jury, the verdict has nothing to do with whether you like the defendant or not, whether you feel you must support the person because they are of the same skin color or religion as oneself. It's that straightforward.
Excellent article and it gives hope to know there are real and sensible doctors out there.
Thank you, Madhava -- a comprehensive view of the medical and ethical landscape around C19 vaccination. Could you add something about the risk-benefit ratio specifically for children?
Josh,
I was considering it. I thought that it might detract from the thrust of the piece--that it doesn't matter what you believe the risk/benefit ratio is, one must still obtain informed consent.
There are no benefits to vaccination for children or anybody else for that matter and I used to think they were of some use. At 60 years of age after a working life in surveying buildings I changed my mind about any benefits.
https://alphaandomegacloud.wordpress.com/2022/08/17/what-is-the-flu-a-k-a-covid-19-and-why-vaccines-are-pointless-at-best/
There is no benefit to health, only to the wealth of big pharma etc.
https://alphaandomegacloud.wordpress.com/2022/11/14/vaccination-industry-in-a-nutshell/
As a CRNA, (thanks for the brief shout out) I am especially impressed by your rare logic and reason in our space. I was interested in your substack because of your specialty but I’ll not miss a post because of your humanity and common sense. You give me hope that critical thinking may still have a remnant in this post-logic world. Thanks.
Hi Alicia. Thank you for tuning in and the kind words.
“rare Logic and reason in our space”
I had to smile at that. Has that been your experience?
Well, of course. I can’t think of one MDA that I am acquainted with who has even the slightest bit of skepticism about what has taken place over the last 3 years. There are a few other CRNAs. And perhaps even worse, in the aftermath, no one is saying, “hey, maybe we were wrong...”.
Off to do 21 peds ENT cases. Have a great day.
Excellent article and it gives hope to know there are real and sensible doctors out there.
Indeed there are. None are given a voice. Corporate funded media are polarizing the population. Until we understand this we will continue to scream at each other. The villains are the ones with the billions
Hello - I just discovered and subscribed to your substack today. I have only read 3 articles at this point, but I am very happy to have found it. Your writing is some of the best I have encountered thus far on the platform.
Thank you!
Well spoken, sir!
Medicine is wrong by design. The elites who control our institutions have openly declared that the goal is to turn physicians into unthinking technicians - all for purposes of global population reduction. This blinds technician/physicians to purposefully harmful "standards of care" then there are the medical school debt shackles on top of medical boards - so even if a physician thinks critically or sees the damage of the paradigm, he/she prefers to self-censor.
And it's amazing to see so many "well-educated" and "smart" "professionals" fall for the big Covid hoax. No excess mortality in 2020 means there is no new bug - just a bogus test and a new name for old influenza like illness symptoms. Don't believe me? In may 2020 an official report leaked from a blue ribbon panel convened by the German government stating exactly that. https://strategic-culture.org/news/2020/05/29/german-official-leaks-report-denouncing-corona-as-global-false-alarm/
Well said. Of course all internal diseases are essentially a form or 'flu. It is our understanding of what dis-ease and 'flu is that is at fault.
Great piece ... for what it's worth, we often need well more than 3 sig-figs in engineering, and sometimes medicine knows more than the sign ... but nature is a brutal and unapologetic mistress that deserves the respect of any human practitioner.