“People should not be afraid of their governments. Governments should be afraid of their people.” – Alan Moore – V for Vendetta
“Authority, when first detecting chaos at its heels, will entertain the vilest schemes to save its orderly facade.” – Alan Moore – V for Vendetta
I wrote an article called V for Vendetta – 2011 just over nine years ago on the day after the Tucson shooting where congresswoman Gabrielle Giffords and eighteen others were shot by a psychologically disturbed lunatic, with six dying. At the time, I thought of the scene from the V for Vendetta movie where someone did something stupid and all hell broke loose. I expected a similar result from this act, but those in control of our society were successfully able to put a cork in the bottle, preserving their façade of order.
We learned shortly thereafter, through the patriotic efforts of Edward Snowden and Julian Assange, how the government was using the vilest of schemes to surveil every American through their abuse of the Patriot Act. The government has become an enemy of the people.
It is interesting to go back and view my conclusion from nine years ago and assess its accuracy as of today:
“This country has not reached the level of control and fear seen in Orwell’s 1984 and V for Vendetta, yet. We are moving relentlessly in that direction. Surveillance, monitoring, spying, censorship, secret prisons, predator drones, and conforming to state rules and regulations put citizens further under the thumb of an all-powerful state. The freedom to dissent, the freedom to be left alone, the freedom to speak out against injustice, the freedom to disagree with your government, and the freedom to present your ideas without fear of retribution or penalty are essential in a democratic society.
The next phase of this Fourth Turning will surely include another downward spiral in financial markets as un-payable debts accumulate to a tipping point level. When ATM machines stop spitting out twenties, food shelves are bare and gas stations are shuttered, social chaos will ensue. The government will react with further command and control measures. In V For Vendetta, the government creates a terrorist incident in order to gain unquestioned control over the population. Americans will need to be more vigilant than they have been over the last ten years in keeping an eye on their government.”
In light of what has happened in 2020 thus far, I’d say my fears have been realized, with more downside to come. I was deeply concerned about the surveillance state, on par with Orwell’s 1984, two years before Snowden made his revelations public. The country has been in a downward spiral since the government used the 9/11 fear and panic to ram through a 300-page pre-written piece of legislation to further take away our Constitutional rights and put vastly more power and control into the hands of uncontrolled psychopaths operating in the shadows of government halls.
Those in charge never let a crisis go to waste. 9/11 was used to pass the Patriot Act and initiate nineteen years of declared and undeclared wars in the Middle East to create chaos, empower Israel, and abscond with the oil of sovereign countries.
The 2008/2009 crisis, created by the Fed and their Wall Street banker proprietors, was used by the powers that be to abscond with trillions in national wealth, while further enslaving senior citizens in poverty and forcing the working middle class further into debt servitude. Bernanke, Yellen, Geithner and a myriad of other banker flunkies have been richly rewarded for their traitorous actions by their Wall Street brethren, with tens of millions in compensation for their duty and honor to the cabal.
The men who created the 2008/2009 global financial collapse through their mortgage fraud scheme, used fear and panic in the markets to force the feckless pathetic bought off congress apparatchiks to pass TARP and dozens of other ridiculous “bailout bankers” schemes to provide a façade of recovery. There was never a recovery. The unpayable debt was papered over with trillions more of unpayable debt, until something snapped in September 2019.
The first half of this twenty year, or so, Fourth Turning was ushered in by the 2008/2009 financial collapse and the subsequent disastrous solutions implemented by the ruling class in order to preserve their wealth, power and control. The taxpayer bailout of Wall Street should have been called NO BANKER LEFT BEHIND. The mind-boggling amount of debt issued over the last decade in order to rectify a problem created by issuing a previously mind-boggling amount of unpayable debt over the previous decade has become so large, the average person can’t comprehend the implications or consequences.
The masses have been indoctrinated through government schools and propagandized by the captured corporate media to such an extent, they have been convinced abnormality and pillaging by the ruling class are both normal and acceptable. The world added $90 trillion of debt between 2000 and 2008, over a 100% increase. Bernanke, Yellen, Powell and their other central bank co-conspirators said hold my beer and added another $90 trillion since the first debt created crisis. The Himalayan mountain of debt now stands at $253 trillion, or 322% of global GDP. Rogoff and Reinhart proved countries whose debt surpass 90% of GDP always proceed towards crisis and currency debasement.
Even John Maynard Keynes knew countries should run surpluses during good times, so they could run deficits during the bad times. Our glorious financial and political leaders seemed to have skipped that chapter in their economics textbooks. So, under the tutelage of Bernanke, Yellen, Powell, Bush, Obama, and Trump the country has added $12 trillion to the national debt, $3 trillion of corporate (junk) debt to buy back stock, a few trillion in credit card, auto, mortgage and student loan debt, all while the Fed was feeding the Wall Street parasites with zero interest rates and buying $4 trillion of their worthless assets (aka QE). This was all done while we were supposedly experiencing the longest economic boom in history and the stock market confirmed the boom by rising 400% to all-time highs in February of 2020. All’s well that ends well. Right?
It seems debt can’t buy happiness in the long run. This economy and stock market have been bugs in search of a windshield for a long time. Longer than I ever thought possible. But, as some bright financial minds have said, that which is unsustainable will not be sustained. The critical thinking financial people I trust knew something went screwy deep in the recesses of the opaque banking system sometime in September when the overnight repo rates soared to 10%.
I know 99.99% of Americans have no idea what an overnight repo is, let alone care about them. But Wall Street bankers and connected billionaire hedge fund managers cared, because Powell and his flunkies bailed them out every night from their bad trades and extreme risk taking. As we entered the fateful year of 2020, years of poisonous sludge was clogging the gears, and another financial collapse was imminent. What a fortuitous time for a global pandemic.
This is when things began to get interesting. There have been so many earth shattering events in the last two months it’s almost impossible to assess the current situation with any semblance of certitude. I believe I’m being lied to by virtually everyone. I know for a fact I’m being lied to by the Fed, Wall Street billionaire titans, the fake news media, corrupt politicians, the Chinese dictator, most people on social media and the blithering idiot talking heads on CNBC.
If almost everyone is lying, how can someone decipher the truth? The best way to untangle falsehood from truth is to follow the money. Just as the monied interests and Deep State didn’t let a crisis go to waste after 9/11 and the 2008/2009 Wall Street created collapse, they are again taking advantage of the distress and panic caused by the Chinese coronavirus to once again plunder the American public while assuring them it’s in their best interest.
“When the institutions of money rule the world, it is perhaps inevitable that the interests of money will take precedence over the interests of people. What we are experiencing might best be described as a case of money colonizing life. To accept this absurd distortion of human institutions and purpose should be considered nothing less than an act of collective, suicidal insanity.” – David Korten
Collective suicidal insanity is the perfect description for what has happened in the last two weeks. There is no doubt the world is experiencing a health crisis not seen since the 1918 Spanish Flu pandemic. It is estimated 20 to 50 million people died during that pandemic, with approximately 600,000 succumbing in the U.S., or .57% of the population. A similar death rate from this pandemic would total 1.9 million people in the U.S.
As of today, there have been 140,000 confirmed cases and approximately 2,400 deaths. Over the coming weeks there will be hundreds of thousands more cases and thousands of additional deaths. That is a depressing and sorrowful fact. But the death count is going to be drastically lower than the 1918 total, during which the country continued to function and slog forward.
A judicious thinking individual might wonder why the Swine Flu epidemic of 2009, which is estimated to have infected 61 million Americans and killed 12,000 to 18,000, did not require a countrywide lockdown resulting in a second Great Depression. Maybe it was because the ruling class already had the ongoing financial crisis as their logic to use panic and fear in achieving their plundering objectives. Did anyone really notice we experienced a global pandemic in 2009?
Our very own CDC “experts” tell us the country has already experienced 38 to 54 million flu infections since October, with a half million hospitalizations, and at least 24,000 deaths, so why weren’t our hospitals overwhelmed? I know this is a serious virus, but the scare tactics being utilized by our overseers, corrupt politicians and their corporate media propaganda outlets is beyond excessive, and reveals a far more nefarious purpose.
Did we need to purposely create a global depression in order to defeat this virus? Will the benefits outweigh the cost? Is this health crisis being used by the monied interest swine to again gorge themselves at the taxpayer trough, robbing the public, while persuading them it’s for their advantage? The “conspiracy theorists” among us, who have been proven correct time after time over the last decade, know the answers to these questions. This is a controlled demolition by the powers that be as cover for their fraud, criminal schemes, and looting of the national treasure.
“To rob the public, we must first deceive it. The trick consists in persuading the public that the theft is for its advantage; and by this means inducing it to accept, in exchange for its property, services which are fictitious, and often worse.” – Frederic Bastiat
Only in a suicide cult, which our country has become, would the majority support and cheer for a corporate lobbyist written $2.2 trillion 873-page windfall to bankers, connected mega-corporations, and every special interest imaginable. This doesn’t even account for the $4 trillion of secret payoffs and behind the scenes shenanigans of the Federal Reserve, as they do their part to support their banker owners once again. And just to make sure none of their despicable acts will see the light of day, the ruling class slipped in little clause titled:
SEC. 4009. TEMPORARY GOVERNMENT IN THE SUNSHINE ACT RELIEF.
The provision authorizes the Federal Reserve Board and other such officials to meet in secret without any oversight constraints. Who needs transparency from the privately owned organization who controls our currency, interest rates, banking regulation and is most responsible for the third financial collapse in the last two decades? And why should we worry that Goldman alum Mnuchin was given a $500 billion slush fund to use as he wishes? I’m sure he’s going to use it to help the local restaurant owner down the block.
I’m outraged we’ve let this happen again. All they needed to do was crash the stock market by 32% in a few weeks, while having their propaganda machine media predicting millions of deaths, and scaring the nation into shuttering our entire economy. The oppressors once again have succeeded in convincing us they know best and are working for our best interests.
We’ve shirked responsibility for our own lives by believing the very same people who didn’t see the crisis coming, weren’t prepared, and have failed miserably to centrally control the situation. We’ve given them the power over our lives and we are being led towards the slaughterhouse. It was our choice. We let fear overcome reason and courage.
“Since mankind’s dawn, a handful of oppressors have accepted the responsibility over our lives that we should have accepted for ourselves. By doing so, they took our power. By doing nothing, we gave it away. We’ve seen where their way leads, through camps and wars, towards the slaughterhouse.” ― Alan Moore, V for Vendetta
The egotism and hubris of the ruling class has no limits, as they quarantine themselves in one of their six mansions or on one of their yachts, eating caviar and drinking champagne, paying their lobbyists to ensure they get a big hunk of the $2.2 trillion stimulus pie, while the average Joe and Jane get a couple thousand bucks to pay one month’s rent and buy some ramen noodles to sustain themselves through the coming military lockdown.
Don’t look now but you’ve been screwed again. The Wall Street bankers are again able to borrow at 0%, while charging you 17% on your ever-increasing credit card balance. Why aren’t these scumbag bankers announcing a three-month moratorium on credit card and mortgage payments, with no interest accruing? Because their goal is to further enslave you in debt, while enriching themselves. They will run patriotic commercials, while sticking you with the bill once again.
In Part Two of this article I will examine the parallels between our current situation and the favorite anarchist/libertarian film V for Vendetta. I address both the disturbing aspects and the hopeful aspects of the film in relation to what the future holds.
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If the very worst case scenario is true, the total number of dead would be completely covered by the total number of new illegal immigrants that arrive every year. Probably more than cover the loss.
https://nypost.com/2019/03/30/over-100k-illegal-immigrants-predicted-to-cross-us-border-reports/
This isn’t a pandemic, it’s a war, against the remnants, waged by the collectivist oligarchs using an annual virus as a cover for their final act of domination and control.
“The supreme act of war is to subdue the enemy without fighting.”
-Sun Tzu
So did a guy named Joseph. Of course, I’m not a guy named Joseph’s daughter. I’m the child of a POW from Japan during WWII. One who knew how much peace a few beans might give a guy.
Who are YOU?
Are you a hardscrabble farmer? Or are you a guy pretending?
Got the screenshot, you will be glad to know.
In case it just disappears. Because God keeps track.
Did you know God keeps track of it all or did you think that was only the New England Mayflower Compact makers. Did you think it was only the WHITE ONES?
(P.S. In case you wondered, I got the quote and answer screenshot with a camera.)
sigh, another family feud on TBP.
please, life is too short.
The charges have been strategically set about the foundation supports of our country and are being systematically detonated in a manner that will do nothing less than leave our once great and powerful nation in a massive pile of rubble that has imploded upon itself.
Always put our faith in Jesus and never in Mankind to ultimately save us from ourselves.
Maggie, what in the hell are you talking about???
AOC, did you ever watch the movie Up the Down Staircase where a young girl writes a mash note to a handsome English teacher and the dude corrects her spelling? This is a similar episode here on As the Compost Turns. I love her but Maggie can be such a girl sometimes.
I see said the blind man! 🙂
MG
please, take a screenshot of this comment
I am retired military and hardscrabble farmer is correct — it is a war for the very soul of America and you are one of those who shill for the nwo. The bankers need our nation, which was the last bastion of freedom and Christianity left in the world, to fall so they have total control, but thanks to people like you MG it is now fallen — gone. There will never be normal again. We now hide from each other over a fake pandemic, because you are not intelligent enough to think for yourself and see through the charade — corona virus = common cold — something millennials don’t understand because their cellphone told them it was dangerous. We close the doors to our churches out of obedience to Satan, not God above, and then leftist like you want to threaten people who make truthful comments about it being a war. You MG have accepted the lies spread by socialist that this nation is of satan. Now you are correct — we are now of satan, the instant we closed our church doors WE turned our backs on God and accepted Satan as our king.
So, MG, you NWO shill, hope you find hell worth it in the end.
People are not dying anymore than they were. Take your lazy ass out and watch different hospitals for three or four days — oh, that’s right the bankers told you to stay home and you obey satan, nor can you reason. Millennials — a bunch of hysterical cry babies who need gov’t to tell them how to live; what to think; what to wear; what to believe, etc. and the male millennials a bunch of wussified wanna be men — all being told everything by govt over that cellphone which is your god.
have a good eternity in hell you bunch of fake Christians for true Christian would have never closed their church doors.
I have said the same thing and I get the look. Bravo!!
Suck on this HardBabble
Clinical Pearls Covid 19 for ER practitioners
213,403 Views | 225 Replies | Last: 1 hr ago by AggieChemist
nawlinsag1:27a, 3/25/20
I just spent an hour typing a long post that erased when I went to change the title so I apologize to the grammar and spelling police. This one will not be proofread and much shorter.
I am an ER MD in New Orleans. Class of 98. Every one of my colleagues have now seen several hundred Covid 19 patients and this is what I think I know.
Clinical course is predictable.
2-11 days after exposure (day 5 on average) flu like symptoms start. Common are fever, headache, dry cough, myalgias(back pain), nausea without vomiting, abdominal discomfort with some diarrhea, loss of smell, anorexia, fatigue.
Day 5 of symptoms- increased SOB, and bilateral viral pneumonia from direct viral damage to lung parenchyma.
Day 10- Cytokine storm leading to acute ARDS and multiorgan failure. You can literally watch it happen in a matter of hours.
81% mild symptoms, 14% severe symptoms requiring hospitalization, 5% critical.
Patient presentation is varied. Patients are coming in hypoxic (even 75%) without dyspnea. I have seen Covid patients present with encephalopathy, renal failure from dehydration, DKA. I have seen the bilateral interstitial pneumonia on the xray of the asymptomatic shoulder dislocation or on the CT’s of the (respiratory) asymptomatic polytrauma patient. Essentially if they are in my ER, they have it. Seen three positive flu swabs in 2 weeks and all three had Covid 19 as well. Somehow this ***** has told all other disease processes to get out of town.
China reported 15% cardiac involvement. I have seen covid 19 patients present with myocarditis, pericarditis, new onset CHF and new onset atrial fibrillation. I still order a troponin, but no cardiologist will treat no matter what the number in a suspected Covid 19 patient. Even our non covid 19 STEMIs at all of our facilities are getting TPA in the ED and rescue PCI at 60 minutes only if TPA fails.
Diagnostic
CXR- bilateral interstitial pneumonia (anecdotally starts most often in the RLL so bilateral on CXR is not required). The hypoxia does not correlate with the CXR findings. Their lungs do not sound bad. Keep your stethoscope in your pocket and evaluate with your eyes and pulse ox.
Labs- WBC low, Lymphocytes low, platelets lower then their normal, Procalcitonin normal in 95%
CRP and Ferritin elevated most often. CPK, D-Dimer, LDH, Alk Phos/AST/ALT commonly elevated.
Notice D-Dimer- I would be very careful about CT PE these patients for their hypoxia. The patients receiving IV contrast are going into renal failure and on the vent sooner.
Basically, if you have a bilateral pneumonia with normal to low WBC, lymphopenia, normal procalcitonin, elevated CRP and ferritin- you have covid-19 and do not need a nasal swab to tell you that.
A ratio of absolute neutrophil count to absolute lymphocyte count greater than 3.5 may be the highest predictor of poor outcome. the UK is automatically intubating these patients for expected outcomes regardless of their clinical presentation.
An elevated Interleukin-6 (IL6) is an indicator of their cytokine storm. If this is elevated watch these patients closely with both eyes.
Other factors that appear to be predictive of poor outcomes are thrombocytopenia and LFTs 5x upper limit of normal.
Disposition
I had never discharged multifocal pneumonia before. Now I personally do it 12-15 times a shift. 2 weeks ago we were admitting anyone who needed supplemental oxygen. Now we are discharging with oxygen if the patient is comfortable and oxygenating above 92% on nasal cannula. We have contracted with a company that sends a paramedic to their home twice daily to check on them and record a pulse ox. We know many of these patients will bounce back but if it saves a bed for a day we have accomplished something. Obviously we are fearful some won’t make it back.
We are a small community hospital. Our 22 bed ICU and now a 4 bed Endoscopy suite are all Covid 19. All of these patients are intubated except one. 75% of our floor beds have been cohorted into covid 19 wards and are full. We are averaging 4 rescue intubations a day on the floor. We now have 9 vented patients in our ER transferred down from the floor after intubation.
Luckily we are part of a larger hospital group. Our main teaching hospital repurposed space to open 50 new Covid 19 ICU beds this past Sunday so these numbers are with significant decompression. Today those 50 beds are full. They are opening 30 more by Friday. But even with the “lockdown”, our AI models are expecting a 200-400% increase in covid 19 patients by 4/4/2020.
Treatment
Supportive
worldwide 86% of covid 19 patients that go on a vent die. Seattle reporting 70%. Our hospital has had 5 deaths and one patient who was extubated. Extubation happens on day 10 per the Chinese and day 11 per Seattle.
Plaquenil which has weak ACE2 blockade doesn’t appear to be a savior of any kind in our patient population. Theoretically, it may have some prophylactic properties but so far it is difficult to see the benefit to our hospitalized patients, but we are using it and the studies will tell. With Plaquenil’s potential QT prolongation and liver toxic effects (both particularly problematic in covid 19 patients), I am not longer selectively prescribing this medication as I stated on a previous post.
We are also using Azithromycin, but are intermittently running out of IV.
Do not give these patient’s standard sepsis fluid resuscitation. Be very judicious with the fluids as it hastens their respiratory decompensation. Outside the DKA and renal failure dehydration, leave them dry.
Proning vented patients significantly helps oxygenation. Even self proning the ones on nasal cannula helps.
Vent settings- Usual ARDS stuff, low volume, permissive hypercapnia, etc. Except for Peep of 5 will not do. Start at 14 and you may go up to 25 if needed.
Do not use Bipap- it does not work well and is a significant exposure risk with high levels of aerosolized virus to you and your staff. Even after a cough or sneeze this virus can aerosolize up to 3 hours.
The same goes for nebulizer treatments. Use MDI. you can give 8-10 puffs at one time of an albuterol MDI. Use only if wheezing which isn’t often with covid 19. If you have to give a nebulizer must be in a negative pressure room; and if you can, instruct the patient on how to start it after you leave the room.
Do not use steroids, it makes this worse. Push out to your urgent cares to stop their usual practice of steroid shots for their URI/bronchitis.
We are currently out of Versed, Fentanyl, and intermittently Propofol. Get the dosing of Precedex and Nimbex back in your heads.
One of my colleagues who is a 31 yo old female who graduated residency last may with no health problems and normal BMI is out with the symptoms and an SaO2 of 92%. She will be the first of many.
I PPE best I have. I do wear a MaxAir PAPR the entire shift. I do not take it off to eat or drink during the shift. I undress in the garage and go straight to the shower. My wife and kids fled to her parents outside Hattiesburg. The stress and exposure at work coupled with the isolation at home is trying. But everyone is going through something right now. Everyone is scared; patients and employees. But we are the leaders of that emergency room. Be nice to your nurses and staff. Show by example how to tackle this crisis head on. Good luck to us all.
I just spent an hour typing a long post that erased when I went to change the title so I apologize to the grammar and spelling police. This one will not be proofread and much shorter.
I am an ER MD in New Orleans. Class of 98. Every one of my colleagues have now seen several hundred Covid 19 patients and this is what I think I know.
Clinical course is predictable.
2-11 days after exposure (day 5 on average) flu like symptoms start. Common are fever, headache, dry cough, myalgias(back pain), nausea without vomiting, abdominal discomfort with some diarrhea, loss of smell, anorexia, fatigue.
Day 5 of symptoms- increased SOB, and bilateral viral pneumonia from direct viral damage to lung parenchyma.
Day 10- Cytokine storm leading to acute ARDS and multiorgan failure. You can literally watch it happen in a matter of hours.
81% mild symptoms, 14% severe symptoms requiring hospitalization, 5% critical.
Patient presentation is varied. Patients are coming in hypoxic (even 75%) without dyspnea. I have seen Covid patients present with encephalopathy, renal failure from dehydration, DKA. I have seen the bilateral interstitial pneumonia on the xray of the asymptomatic shoulder dislocation or on the CT’s of the (respiratory) asymptomatic polytrauma patient. Essentially if they are in my ER, they have it. Seen three positive flu swabs in 2 weeks and all three had Covid 19 as well. Somehow this ***** has told all other disease processes to get out of town.
China reported 15% cardiac involvement. I have seen covid 19 patients present with myocarditis, pericarditis, new onset CHF and new onset atrial fibrillation. I still order a troponin, but no cardiologist will treat no matter what the number in a suspected Covid 19 patient. Even our non covid 19 STEMIs at all of our facilities are getting TPA in the ED and rescue PCI at 60 minutes only if TPA fails.
Diagnostic
CXR- bilateral interstitial pneumonia (anecdotally starts most often in the RLL so bilateral on CXR is not required). The hypoxia does not correlate with the CXR findings. Their lungs do not sound bad. Keep your stethoscope in your pocket and evaluate with your eyes and pulse ox.
Labs- WBC low, Lymphocytes low, platelets lower then their normal, Procalcitonin normal in 95%
CRP and Ferritin elevated most often. CPK, D-Dimer, LDH, Alk Phos/AST/ALT commonly elevated.
Notice D-Dimer- I would be very careful about CT PE these patients for their hypoxia. The patients receiving IV contrast are going into renal failure and on the vent sooner.
Basically, if you have a bilateral pneumonia with normal to low WBC, lymphopenia, normal procalcitonin, elevated CRP and ferritin- you have covid-19 and do not need a nasal swab to tell you that.
A ratio of absolute neutrophil count to absolute lymphocyte count greater than 3.5 may be the highest predictor of poor outcome. the UK is automatically intubating these patients for expected outcomes regardless of their clinical presentation.
An elevated Interleukin-6 (IL6) is an indicator of their cytokine storm. If this is elevated watch these patients closely with both eyes.
Other factors that appear to be predictive of poor outcomes are thrombocytopenia and LFTs 5x upper limit of normal.
Disposition
I had never discharged multifocal pneumonia before. Now I personally do it 12-15 times a shift. 2 weeks ago we were admitting anyone who needed supplemental oxygen. Now we are discharging with oxygen if the patient is comfortable and oxygenating above 92% on nasal cannula. We have contracted with a company that sends a paramedic to their home twice daily to check on them and record a pulse ox. We know many of these patients will bounce back but if it saves a bed for a day we have accomplished something. Obviously we are fearful some won’t make it back.
We are a small community hospital. Our 22 bed ICU and now a 4 bed Endoscopy suite are all Covid 19. All of these patients are intubated except one. 75% of our floor beds have been cohorted into covid 19 wards and are full. We are averaging 4 rescue intubations a day on the floor. We now have 9 vented patients in our ER transferred down from the floor after intubation.
Luckily we are part of a larger hospital group. Our main teaching hospital repurposed space to open 50 new Covid 19 ICU beds this past Sunday so these numbers are with significant decompression. Today those 50 beds are full. They are opening 30 more by Friday. But even with the “lockdown”, our AI models are expecting a 200-400% increase in covid 19 patients by 4/4/2020.
Treatment
Supportive
worldwide 86% of covid 19 patients that go on a vent die. Seattle reporting 70%. Our hospital has had 5 deaths and one patient who was extubated. Extubation happens on day 10 per the Chinese and day 11 per Seattle.
Plaquenil which has weak ACE2 blockade doesn’t appear to be a savior of any kind in our patient population. Theoretically, it may have some prophylactic properties but so far it is difficult to see the benefit to our hospitalized patients, but we are using it and the studies will tell. With Plaquenil’s potential QT prolongation and liver toxic effects (both particularly problematic in covid 19 patients), I am not longer selectively prescribing this medication as I stated on a previous post.
We are also using Azithromycin, but are intermittently running out of IV.
Do not give these patient’s standard sepsis fluid resuscitation. Be very judicious with the fluids as it hastens their respiratory decompensation. Outside the DKA and renal failure dehydration, leave them dry.
Proning vented patients significantly helps oxygenation. Even self proning the ones on nasal cannula helps.
Vent settings- Usual ARDS stuff, low volume, permissive hypercapnia, etc. Except for Peep of 5 will not do. Start at 14 and you may go up to 25 if needed.
Do not use Bipap- it does not work well and is a significant exposure risk with high levels of aerosolized virus to you and your staff. Even after a cough or sneeze this virus can aerosolize up to 3 hours.
The same goes for nebulizer treatments. Use MDI. you can give 8-10 puffs at one time of an albuterol MDI. Use only if wheezing which isn’t often with covid 19. If you have to give a nebulizer must be in a negative pressure room; and if you can, instruct the patient on how to start it after you leave the room.
Do not use steroids, it makes this worse. Push out to your urgent cares to stop their usual practice of steroid shots for their URI/bronchitis.
We are currently out of Versed, Fentanyl, and intermittently Propofol. Get the dosing of Precedex and Nimbex back in your heads.
One of my colleagues who is a 31 yo old female who graduated residency last may with no health problems and normal BMI is out with the symptoms and an SaO2 of 92%. She will be the first of many.
I PPE best I have. I do wear a MaxAir PAPR the entire shift. I do not take it off to eat or drink during the shift. I undress in the garage and go straight to the shower. My wife and kids fled to her parents outside Hattiesburg. The stress and exposure at work coupled with the isolation at home is trying. But everyone is going through something right now. Everyone is scared; patients and employees. But we are the leaders of that emergency room. Be nice to your nurses and staff. Show by example how to tackle this
you are a hero.
thanks for the insight,
I don’t understand 1/2 of the words, but I get most of it.
sounds horrible.
it does not sound like a natural virus,
what kind a virus kills it’s host? that is not normal behavior for a virus, it wants to survive,
like the rest of us, and pass it’s genes onto other hosts.
humans all carry viruses, herpesviruses and retroviruses, mostly dormant, some not.
but, we live through them and adapt.
This one sounds like an engineered pathogen to destroy the lungs.
Thank you. I’m a retired cardiac RN, I used to work in a “cabbage patch”..Cardiac Bypass Graft..clinic..basically a stent clinic. Jim Quinn’s “40 blocks of squalor” got me here but as usual a comment section has turned to shit. Good luck to all of us who mean well.
Day one and the bitch comes in name-calling HF “HardBabble”. Then she complains that the comment section has turned to shit. I haven’t seen enough from Nurse Hatchet to call her a cunt, I’ll leave that to LLPOH, but she may turn out to be another Iravani.
I don’t believe all are saying this doesn’t exist. I think the majority are saying the response is over dramatic.
BravFuckingO!! Admin nails it with some renewed vigor! Almost brought a tear to my eyes.
So many great lines! I particularly enjoyed your reminiscing about the 2009 clusterheist when you said it should have been called “NO BANKER LEFT BEHIND!” PRICELESS!!
You touch on many aspects of this perpetual crime. The latest Corbett Report entitled the Greatest Depression highlights many of your own thoughts. Mr. CORBETT even referenced a TBP article in it.
Kudos Jim!!
Yeah, I second PP’s observations– absolutely BANG-ON article Admin!! And I really appreciate the V for Vendetta references… in that review of “TOP 5 LAST STANDS” by the youtuber “The Critical Drinker” he gives a scene in V for Vendetta an honourable-mention when it deserves a spot on the list:
(< 5 minutes) The whole movie is a last stand of sorts. May we here at TBP all have our rebirth moment like in the above scene so that we may be the sowers of seeds in this later winter climax that will take root in the coming socio-economic spring
Someone who can think rationally beyond the tip of his penis or her clitoris. Regarding the power we can exercise, well done. I don’t see enough of that kind of reasoning.
Maybe because you can’t read beyond the tip of your penis. Quite a few here can think rationally.
Experience shows me that I cannot trust anyone with my freedom. You’re not as smart as you think you are. Wisdom is not merely a matter of IQ. Anyone who believes in some popular fairy tale out of peer pressure or herding instincts is not rational. Christians calling socialists sheeple is the height of hypocrisy, for example. We are loosing and badly. Perhaps you ought to investigate the nature of things beyond your tip.
Have you ever honestly considered that maybe Christianity in it’s purist form isn’t about authoritarian control through fear mongoring but simply about right and wrong from the Creator’s perspective and what is actually best for His creation?
“but simply about right and wrong from the Creator’s perspective and what is actually best for His creation?”
That one may burn one’s sarcastic peak to a degree that the peak is ready for point-making.
From His perspective, right and wrong(s).
Right: Worship the Father, the Son and the Holy Spirit with all your heart…
Wrong: In-fighting between Christian groups is not worshipping the Father, the Son and the Holy Spirit with all your heart…
I have not seen a Christian at TPB be pissed off enough to say to Realty Doug (I do not know if RD is a fraud are not), I am pissed off just like you about the TPTB corrupting our women and children.
I know many TBPs Christians can become pissed about the corruption of women and children.
Instead of TBP Christians going up against RD christian-speak style as scriptual per worship. Why not a little Fuck You, RD, corruption of women and children cannot be tolerated. And this is the plan: pray, stay Christian-like isolated while women and children are corrupted.
It is not RD to christian-speak to. If RD is a focus of christian-speak, it better be about a victory for dismantling corruption of women and children.
You shouldn’t blame God or Christianity for man’s failings.
Then you haven’t been reading the right Christians. Or, at least, you haven’t been reading me.
Or me.
Just sayin’ Christians can claim victory in a fed up, grumpy way.
RD can kiss Christian ass for a change.
Forget about reality,
he is too busy smelling his own superior fart gas, and trying to bottle it.
RD, for me being a Christian means having the maximum in individual freedom. I agree one cannot trust any man with his individual freedom.
Galatians 5:1 KJB… “Stand fast therefore in the liberty wherewith Christ hath made us free, and be not entangled again with the yoke of bondage.”
Then many here know that Project Fear of the Dark is going quite well.
They will succeed on their taking of liberties of the people, while tanking the market, as they profit heavily on the massive drops, to grab large portions of ever important bail out gifts, then to accrue considerable wealth when the market rebounds.
Huffing and puffing abounds about what the people will do, in the name of justice they preach, as this chapter ends, silently moving into the next.
There will be no torches in hand roaming the streets, hemp rope at the ready, the proverbial guillotines on call. The angry words will drift off into the night.
Once again, their project complete, nothing do they fear. They know they are safe, for they have learned much from history, as you can see, for they know to keep food on our shelf.
I’ve got that sort of reasoning but no one here will listen. I suspect it is a God thing, asshole. Like when He hardened old Pharoah’s heart.
I put red, white and blue rocks and stuff on Noah’s grave yesterday. It was cool as hell.
Fuck you MG
Too bad he didn’t provide all the information available to people. Only what he wants people to know.
Him and the syrup farmer.
What are you all pissed off at Farmer about? I must have missed something. I’m completely in the dark on this.
Maggie is a former Red Rope. Red Ropes naturally seek to put people in line, square every corner, dot every T. Attention must be paid, wrongs righted, favors acknowledged. Not because she needs to have people’s gratitude (she is the most cold-blooded humanitarian) but because she cannot move the troops forward without an an all clear. I got crapped on because I did not provide my mailing address. No matter, Maggie is like Stuck in that she is quick to forgive, Trump is that way too, if you are sincere.
And you thought the current division in the country was bad.
Let’s see what’s left after this disease is finished.
My division is simple. Prevent the City Slickers from escaping and infecting everyone else. Say, like what they’ve done in Florida recently. They want their urban Utopias, then they can stay there.
Almost three years of this bullshit. Pretty divisive. Now you have the assholes DEMANDING amnesty because muh pretend ignorance.
““People should not be afraid of their governments. Governments should be afraid of their people.”
neither should be afraid of the other. government should be an extension of the citizens. those who advocate fear of government seek to overthrow citizen self-government so they can become rulers.
Your universalism is maudlin and corrupt. You have intellectual integrity with a falsehood, and you alienate us for it. Most Christians are bearable in the short run for being pleasant liars. This identifying principle of yours is what makes you unbearable.
“This identifying principle of yours is what makes you unbearable.”
when the overarching government that everyone swims in and thus presumes is gone, your self-identity will make you as unbearable to everyone else as everyone else presently is unbearable to you.
Christianity cannot be corrupted, because once done, it is no longer Christianity. God does not offer salvation to any organization, neither nation nor church, only the individual. Your arguments are nonsense. Christianity is not about power, freedom, or wealth. It is about faith in the one true God . You waste your time , small hat provocateur. Christians know you’re merely a tool of the serpent.
The things your wicked heart desires are the things which Christians reject as sin.
Ephesians 6:12
For our struggle is not against flesh and blood, but against the rulers, against the authorities, against the powers of this dark world and against the spiritual forces of evil in the heavenly realms.
Matthew 16:26
And what do you benefit if you gain the whole world but lose your own soul? Is anything worth more than your soul?
Of course being the secret king you are, it’s highly likely that you not only are of higher intellect than every scientist on this list, but a superior (uber man) being as well. Hell, you might even be your own god. There is nothing greater than you. All hail the secret king.
https://infogalactic.com/info/List_of_Christians_in_science_and_technology
This is a list of Christians in science and technology. Persons in this list should have their Christianity as relevant to their notable activities or public life, and who have publicly identified themselves as Christians or as of a Christian denomination.
“When the institutions of money rule the world”
institutions don’t rule. people do. now who owns the institutions of money?
“Did we need to purposely create a global depression in order to defeat this virus?”
“we” didn’t create it. and the goal is not to defeat the virus, but to defeat us.
There was no “absconding of sovereign nations’ oil” as a result of the Iraq/Afghanistan wars. What is this idiot talking about? We SHOULD have done that, but it didn’t happen. Liar
Go fuck yourself asshole. Go back to your Fox News neocon network.
What the hell is a swimologist?
Why don’t you name the countries, how much oil was taken, how it was done, etc. You CAN’T because it didn’t happen… so you deflect and resort to name-calling like a little pussy
You neo-con apologists for the military industrial complex are a dime a dozen. Yeah, we bombed Iraq into oblivion because of WMD – not for their oil. Your obtuseness is a choice. Fuck off and mingle with your fellow low IQ neocons.
Can’t answer the question. The liar is OWNED
The oil went to China, a valuable chip in the Great Game, and you definitely have some Chinese made shit in your possession, maybe even the shitty device your are participating with, as a kick back for being a citizen of Rome. So with that device, the oil for plastic device, you go into another mans home and open with idiot and liar? And that seemed like a good play to you?
Fuck dude, thats rough, sorry for whatever happened…
For FUCKS SAKES swim Donald Trump has even lost any pretense in Syria… He wants the troops there just to protect the oil…
Thank you.
I trust you but you are wrong on this.
The world is swimming in oil. In a couple weeks all the storage tanks and ships will be full. After that it will just spill on the ground, like all the Onan posters on this page.
NO.
ha ha ha … and Maduro the president of Venezuela must be replaced by a US picked swamp creature becasue he’s a baaaad man …. nothing to do with oil.
Swim harder Swimologist , you’re drowning in your own spew.
NO.
Swimmer.
I thought you were more aware than that. Am i reading it wrong? We are presently stealing oil from at least 3 countries. Libya, Iraq, and Syria.
Provide a link. You saying it doesn’t make it so. It would be a 24/7 story in the leftist press if we were “stealing” another nation’s oil.
You jest.
“Economic Hitman”
“The Bush Agenda: Invading the World, One Economy at a Time”
The list goes on.
Nobody on this site can cite ANY evidence America stole oil from the Middle East. OWNED
Swimologist are you a mushroom?
When someone’s big reply is “provide a link” that should be all that is necessary to prove they are a mushroom.
If anyone has taken the time to click links as ‘sources’ on articles you would find yourself circling about the internet to meaningless or even opinion pieces lending no credibility anyway. Much akin to Wikipedia and how it is continually edited by the 500 or so employees to reveal the ‘truths’ that are desired.
see above
No one wants to take the time to re-prove pthe past over an off-topic demand. Who’s word would you take? What esteemed body of mainstream journalism needs to report it for it to be credible to you?
You won’t find it there.
No oil moves out Iraq/Afghanistan sans US approval. Control is ownership. …smh.
Muh quote: ‘When oil was discovered there in 1938, U.S. oil companies like Socal, Texaco, Mobil, and Standard Oil of New Jersey quickly gained lucrative concessions by forming the Arabian-American Oil Company (ARAMCO). A draft state department memorandum in 1945 described Saudi Arabia’s oil resources as “a stupendous source of strategic power, and one of the greatest material prizes in world history.”‘
Muh link: https://www.isreview.org/issues/15/blood_for_oil.shtml
Muh quotey: ‘The Shah himself initially opposed the coup plans, and supported the oil nationalization, but he joined after being informed by the CIA that he too would be “deposed” if he didn’t play along.’
Muh linky: https://en.wikipedia.org/wiki/1953_Iranian_coup_d%27%C3%A9tat
Muh quote again: “Marc Rich was the person who President Clinton pardoned on his last day in office from crimes of income tax evasion of $100 million and trading with the enemy. Libby was Marc Rich’s lawyer for many years while Rich made $billions moving Iranian crude oil through a secret pipeline through Israel.”
Muh link again: http://universitypressblog.dept.ku.edu/uncategorized/1395/
Here, children, a source for what oil goes where….
PETROLEUM & OTHER LIQUIDS
GLOSSARY › FAQS ›
OVERVIEWDATAANALYSIS & PROJECTIONS
U.S. Imports by Country of Origin
Product: Period/Unit:
Country:
Download Series History Download Series History Definitions, Sources & Notes Definitions, Sources & Notes
Show Data By:
Product Import Area Country
GraphClear 2013 2014 2015 2016 2017 2018 View
History
U.S.
15,864 1,753 1,078 4,251 20,818 20,216 2004-2018
Click on the source key icon to learn how to download series into Excel, or to embed a chart or map on your website.
https://www.eia.gov/dnav/pet/PET_MOVE_IMPCUS_A1_NLY_EPC0_IM0_MBBL_A.htm
You are showing stuff to blind people.
Swimmy
You never heard Trump say it outright about Syria and Iraq even recently? Libya? You don’t deserve links. Nobody is that dense, your just trolling for Rachel Madcow.
There is a certain unstated assumption here that people are way beyond the dross inhabiting message boards of HuffPo, The Hill, etc. It is assumed they are informed. The provide a link bullshit is just that-bullshit. Or the person demanding the “link” is so fucking stupid they don’t know how to type a question in a search bar to inform themselves. I once dealt with a shithead demanding links. There were over 200,000 hits on Bing alone on the subject.
H&R
Amen.
Hey Flea…
I have been meaning to ask.. how is your health holding up.
Slainte!
Rins.
Considering that I’m playing with house money, pretty good. 4 years ago the much ballyhooed International Heart Institute gave me 1 year if I stayed here and 3 tops if I moved to low desert. It’s the heart meds that kill me. When I have to go to the ER for heart or lung failure they refuse to admit me if I don’t agree to go back on the heart meds. It takes a month to get detoxed from all the poison they give me and I’m back to barely able to walk when I get released. IV’s of diuretics and prednisone are really destructive. I work out at home so I’m alright but I wonder if I’ll be able to get out of here by the time I’m strong enough and the passes are free of black ice. Life is good in spite of all that.
I wouldn’t go to an er now no matter what.
Thanks for asking.
Glad to hear.. you better stick around for a while yet cuz things are about to get real interesting…
In Michael C Ruppert’s book “Crossing the Rubicon” he supplies all the links on how the oil was already divided up by different oil companies in the region before the Iraq/Afgan wars. Condoleezza Rice was a big part of the picture in all of that because she was an expert on oil in the region. They even named an tanker after her. Yeah, and Dick Cheeney was a big help with that too if I remember correctly.
I guess you subscribe to the notion that it’s our oil under their land, Neocon Swimmy.
More trolling for amusement I see. Total ad hominem conjecture.
It’s all stuff that belongs to the white people through Manifest Density.
Did you not learn that when they sent the blankets in with Smallpox on them?
There were no blankets of small pox given, only taken. Stick with what you know.
http://www.amerika.org/science/another-myth-dies-american-indians-were-not-given-smallpox-infected-blankets/
One of the most important comments on TBP, of Stucky hundreds.
They never miss a chance to rub it in our face either. One example is Hedge funds being bailed out. Hedge funds are set up for the purpose of taking large risks for large returns often using leverage. Now we bail them out after they put all their money on boxcars.
A year ago I said we are in the midst of a stealth devaluation and reset where PM’s will be allowed to seek their true value in fiat dollars. Now the stealth part is over. Today the silver premium is 100% and rising. 3 generations will be paying this off.
How many today are aware that this “Global Vampire Squid” mafia style electronic debt based “money” printing machine is our THIRD central bank?
The first two had mandated charters EXPIRING in twenty years, as the pollies THEN, KNEW how dangerous and evil they were / are. Pollies today are owned by the Banksters.
Famous Quote:
“Gentlemen! I too have been a close observer of the doings of the Bank of the United States. I have had men watching you for a long time, and am convinced that you have used the funds of the bank to speculate in the bread stuffs of the country. When you won, you divided the profits among you, and when you lost, you charged it to the bank. You tell me that if I take the deposits from the bank and annul its charter I shall ruin ten thousand families. That may be true, gentlemen, but that is your sin! Should I let you go on, you will ruin fifty thousand families, and that would be my sin! You are a den of vipers and thieves. I have determined to rout you out, and by the Eternal, (bringing his fist down on the table), I will rout you out.”
Andrew Jackson,
A great president, a warrior, a hero, a pragmatist, but damn he sure did fuck over the Indians. I’m not saying there was a reasonable alternative in the ultimate goal, but barefoot in winter over hundreds of miles, that’s contemptible considering many Indian warriors fought with him. What’s more contemptible is the white man’s refusal to win at the expense of others. Just for narrative55, I don’t append my usual propagandist ending. I will only say, onward Christian soldiers!
By Robert V. Remini.
Three volumes per Andrew Jackson.
You’ll find them highly illuminating.
Please read them before lambasting the Jackson for the trail of tears.
No matter what else he did, nothing makes up for the fact that that fucker slaughtered thousands of Indians, especially elderly, women and children. I hope that evil bastard is being roasted in the depths of hell.
I upvoted you because, growing up, I read many western books (louis l’amour). I always felt bad for the American Indian and I always thought their way of life was the most free and respectful of mother earth. Is that soppy?
What whites did to the Indians, the Indians did to each other, and for no gain, no progress. Yes, some would rather live close to nature. Power and evolution disagree. Your darlings were Indians. They were related to the Aztecs. Progress is difficult among savages for a reason.
“On the following morning, they were placed on a large scaffold, in sight of the whole population. It was a gala-day. Young and old were gathered from far and near. Some mounted the scaffold, and scorched them with torches and firebrands; while the children, standing beneath the bark platform, applied fire to the feet of the prisoners between the crevices. The Algonquin women were told to burn their husbands and companions; and one of them obeyed, vainly thinking to appease her 250 tormentors. The stoicism of one of the warriors enraged his captors beyond measure. “Scream! why don’t you scream?” they cried, thrusting their burning brands at his naked body. “Look at me,” he answered; “you cannot make me wince. If you were in my place, you would screech like babies.” At this they fell upon him with redoubled fury, till their knives and firebrands left in him no semblance of humanity. He was defiant to the last, and when death came to his relief, they tore out his heart and devoured it; then hacked him in pieces, and made their feast of triumph on his mangled limbs.” (Source: Francis Parkman, France and England in North America, Part II: The Jesuits in North America in the Seventeenth Century, http://www.gutenberg.org/files/6933/6933-h/6933-h.htm#Chapter_17)
There’s more I could reference, but the point is made.
Reality isn’t a western novel..
Let’s see, they were invaded, exterminated, forced to convert or die, torn from their homes to be made into “humans”, lied to till the end of time and…no one is talking about reparations for the American Indian but they’ve been sedated.
Your country’s invasion is wrong. Your displacement is wrong. Correct? Your government stealing and lying to you is wrong, correct? At least the American Indian fought back. Is the Custer story true? Savages, huh?
If what I have understood about the American Indian is true, they loved mother earth. She was their God. Fighting each other’s tribes? Duh, that’s human nature for all humans. But wrong for the American Indian.
I guess it’s just me. They played games to the death even. You weren’t a real man until you killed a bear or some shit like that. They didn’t take more than the needed. Currency and usury? I never heard of them doing that but I really don’t know. I am certainly not an American Indian expert.
Soppy yes. History, get some.
“If you don’t know history, then you don’t know anything. You are a leaf that doesn’t know it is part of a tree. ”
― Michael Crichton
Flash,
Which side of history should I believe? The truth may be a bit lost doncha think?
Ultimately, I get it. It’s only yours if you can defend it. I’m sure that’s how you’ll feel as your government tightens the noose. 🙂
A lot of broken links in history.Piecing patterns together can be revealing, but leave lots of holes. Don’t start believing history best you can do is study, learn with an open mind. the winners mostly tell the tale but it hides the truth as much or more than it reveals.
“I always thought their way of life was the most free and respectful of mother earth”
yes, it was – for fellow members of one’s tribe. they were quite nasty with other tribes, so much so that their way of warfare is mentioned in the declaration of independence.
I guess you’re alright with agent orange? Flame throwers? Controlling weaker countries through force and the $$? Stealing resources? Firebombing millions of innocent people? Causing economic devastation and bowing to foreign governments causing untold hardships and death around the world. Withholding medical supplies.
You’re right, they had no right to defend themselves in whatever way they could.
“You’re right, they had no right to defend themselves in whatever way they could.”
it’s not that they didn’t have the right to defend themselves – everyone does. it’s that they didn’t think anyone else did, and acted accordingly. they all thought that. that’s how all primitive societies start. “us, just us, only us” is not just a jewish attitude, it’s the initial attitude of all primitive humanoids from baboons on up. if you don’t crush them, they think you’re weak and continue fighting.
Donkey they had every right to defend themselves but they were hardly innocent..
I don’t think I said innocent.
We are splitting hairs..
The best thing that ever happened to America was the arrival of Columbus.
Chris and those who followed were able to end child sacrifice… well at least until George Soros and the Clintons showed up…
YO, REDSKIN, Get wid de program… Capish???
they did. they haven’t forgotten where they came from and what happened, and it tears them in half, but they know where their bread’s buttered and they’ve decided they like butter. ask any indian female if she wants to go back to wearing sagebrush skirts and she’ll tell you no. like one indian told us, “thank god for burger king.”
Nothing more than what the Indians weren’t already doing to their own. The barbarity with which Indians tortured and genocided each other was brutal even beyond Bolshevik standards .
Once upon a time , all men served their tribe first. And, this still holds true today, for all except the white mans’ tribe, who today mostly work to destroy the ties that bind us together. This ought to make you happy . Let just call it Red Asses’ revenge. What goes around….
For more info, give this a read. It’s why they were called savages.
Trade Your Furs or Die: Derived and Translated from the writings of Pierre Esprit Radisson
Fuck yeah! Contribution coming your way.
Remember, Ackman and company, Hell is Coming, and something tells me it won’t just be an epitaph.
A reader sent this to my blog (below vid – An interview with Dr John Ioannidis of Stanford University) and said he is a “voice of reason amidst the hysteria”. I’ve been watching it as I’ve had time today and… so far…, I concur; especially regarding the infectivity and mortality rates of COVID-19.
https://www.youtube.com/watch?v=d6MZy-2fcBw&t=2400s
I’m concerned that not only has Chicom been eliminating dissidents but that in the West certain doctors and perhaps black flag actors will commit suicide in uncanny numbers. I hope not, but we should all anticipate what is only now too predictable. We are playing a woman’s game of life-and-death stakes.
Sir Admin,
Having followed your superb articles on the Fourth Turning here for some time, my curiosity was triggered to wonder about the nature of the events, and the time frame, compared to the also never discussed Kondratieff cycle my old Pal Ian Gordon in Vancouver B.C. was pushing a couple decades ago.
His description of the “Winter” cycle at the top left of the pie chart and notes on his other chart are spot on to events today, looks like.
Banksters bagged him with their ability to stretch the Fall cycle out so he was off by 20 years.
Hope all here will find this informative.
Strauss and Howe fourth turnings, time and events summarized on one page for us uninformed.
https://www.lifecourse.com/about/method/the-four-turnings.html
K cycle description. The descriptions of the Four seasons are in the four corners of the pie chart. Winter has apparently just begun, top left.
http://longwavegroup.com/market/charts/_pdf/Kondratieff_Long_Wave_Cycle.pdf
K Cycle, another view. Long term chart annotated with dates, events. He was just TWENTY Years early, as the FED and Bankster pals kept the DEBT Ponzi going.
http://www.longwavegroup.com/market/charts/_pdf/Kondratieff_Cycle_Chart.pdf
Trump locked us down until the end of April. “ the good Lord said he’s getting me out of this mess but, you’re F’d”.
Truth be told we were fooked long before the virus. We’ve been fooked since, officially (sorta) 2007, and even earlier than that. When Glass Steagal was repealed, when the Community Reinvestment Act was created in 1977, when Bill Clinton sold us out to China, when NAFTA was created….myriads of laws and acts and treaties and trade deals sold us down the river and enriched the few at the expense of the many.
The virus is a perfect cover, a handy excuse to yet again bail out institutions and corporations at the expense of the little guy. The fascist/communists have been preparing this for a long time. Odd how the fossil known as Pelosi had an almost two thousand page tome handy to toss out for ‘relief’ of virus measures.
Almost makes one wonder if this virus wasn’t created and released to accomplish a few massive monetary coverups?2019 Economist cover….lots of portents and dire warnings…including a little pangolin (pangolin and corona virus, look it up)
https://www.google.com/search?q=economist+cover+with+pangolin&tbm=isch&ved=2ahUKEwik1OKyh8HoAhXHLawKHe-ED0YQ2-cCegQIABAA&oq=economist+cover+with+pangolin&gs_lcp=CgNpbWcQDFAAWABgl78YaABwAHgAgAEAiAEAkgEAmAEAqgELZ3dzLXdpei1pbWc&sclient=img&ei=0EyBXqSsH8fbsAXvib6wBA&rlz=1C1WPZB_enUS775US775#imgrc=TaTFf9zYGzVONM
Wh-wh-wh-what?
We starting to see eye to eye?
It’s war, plain and simple and it’s being waged against a opponent that doesn’t even realize it’s happening.
Darling farmer, we never were too far off, my main and current complaint is that too many are blowing off the virus as no biggie re health hazard. It is a biggie and it does kill and I do most fervently believe it was no accident of nature in how it got here.
I disagreed most vehemently with your dismissal of the virus as a mere flu, a nothingburger.
What I also see coming down the chute real quick like is a depression that will make the Great Depression seem like the Little Depression in scale. What also amazes me is in the ‘war’ you describe, when the curtain settles, that which will be left over won’t be worth squat. What will there be to consume? Why would TPTB want such a world?
MGM.
I left you a nice note over on penny dropped.
Regarding you’re last paragraph above. They see our suffering and death as a blood sacrifice. To them that’s winning.
If it was a really nice note, it seems it might have been worth repeating.
Just saying.
Lord is forcing me to write what I don’t want to.
Maggie
That would not be very humble.
Hit us with it again, don’t be shy. MGM is hot, we can take your slavering all over her body.
They will consume you.
There is a script for sure. I’m rooting for the improvisors…to get their heads out of their buttholes.
You seem to be deceived, Mom says.
Got the Screen Shot… Dad said “get the picture” somehow if you can.
The natives are getting restless
https://www.dailymail.co.uk/news/article-8165415/Armed-vigilantes-cut-tree-use-roadblock-quarantine-workers-New-Jersey.html
Always thought the awake & prepared would do things while “normies” sheltered in place.
Apparently the media fear-driven normies have lost their shit and armed up.
Whoda thunk it? Maybe the prepared get to sit home and eat chips while the sheeple devour each other out of fear.
“This is a controlled demolition by the powers that be as cover for their fraud, criminal schemes, and looting of the national treasure.”
This is probably accurate, but I await conclusion, and we just got started. I have high expectations that this time will be positively different, with a smorgasbord of arrests, the End of the Fed, and a post 4th crisis return to civic virtue. So these powers will not be. This time is different, it is more critical, it occurs on the 4th. If the aforementioned fucks pull the same, without contest, the future ramifications will be dire, lasting.
I know it’s beyond unpopular round these parts, but I still hold conviction that Trump will be the Gray Champion history has chosen him to be, and it not just him, it is the team and narrative that surround him.
This time is also different financially, at least so far. There were no checks to main street last time,period, the loan renegotiation’s were a scam joke. Perhaps the payout is still bigger to Wall Street, but the payout to main street is significant, when cash, grants, loans, debt payment reprieve and the rest is combined and considered.
There also appears to be monetary structural changes of significance, digital currency and new issuers, a reboot is coming, no matter what is said, it will take time to “see” what really happens here.
The timing of this event could not occur better for the cratering DNC and worse for President Trump. This says it all for me, it is an attack, practically open, and many will suffer for it.
I am rambling, thanks as always, not only for the adroit truth telling, but especially for your tireless commitment to truth and liberty.
A retarded monkey could have handled this shit better than that dumb cunt Trump.
Handled? What has he handled? he can’t close a border crossing without ten judges jumping his tired ass.
He’s the marionette they send out onstage to distract the kids with shadow puppets. I doubt he even knows what a virus is, never mind how to do anything about it.
This is all intentional, classic Sun Tzu.
Have you ever read Pilgrim’s Progress or did you just think the name was punny?
I am assuming you have a list you would have attended differently?
I enjoy watching Trump trot out Fauci to proselytize globalist edicts, I guess we are watching different movies.
I hope the homestead is well supplied and the family is well.
Or a really smart fucker who was really rich because of his superior business sense.
Thank you!!! Finally some sanity with balls!!!
Jim’s last paragraph WAS the solution (i.e. once Trump fucked up the initial response). People out of work, on the street, and with no kitchen are going to rebel. Those checks just bought a bit of time and certainly aren’t anything to write home about for the middle class, unless we’re now saying those making >$75,000/yr. are wealthy.
I’m past the point where I welcome it.
Would you like some balls with your sanity?
https://www.youtube.com/watch?v=DBsOWF4JMSs
As a wise little Sri Lankan yoda once told me ” Please don’t call him a cunt. Every man from the royal rulers to the poorest peasants, want to touch, feel and fuck the cunt. Cunt is most useful thing. That man is not useful.”
Aren’t you the pussy hiding out in New Zealand or Australia somewhere else? You may be the best arm chair quarterback in history.
I left for a more favorable personal situation. No doubt I did more for the US than you. Served at arms. Built a business and employed many. Paid huge taxes. And as a free man chose my own path and was welcomed in to Oz as they found me of value. Was never an armchair quarterback. Always led from the front.
I earned and paid for my right to comment.
Just what have you done? Most likely you are a parasite, or you would not be against someone leaving the chains. Generally parasites hate that their hosts get away.
Whatever you do, don’t call it G.R.E.E.D. That would be ENVIOUS of you.
“The egotism and hubris of the ruling class has no limits, as they quarantine themselves in one of their six mansions or on one of their yachts, eating caviar and drinking champagne, paying their lobbyists to ensure they get a big hunk of the $2.2 stimulus pie, while the average Joe and Jane get a couple thousand bucks to pay one month’s rent and buy some ramen noodles to sustain themselves through the coming military lockdown.”
When do the people who service these ass clowns go on strike? Stop preparing their meals (unless to poison maybe?), stop driving them around town, stop repairing their luxury liners, stop maintaining their lawns and households and stop wiping their asses. Most of these honchos couldn’t tie their shoes if they were velcroed (H/T TonyP.)
I know it’s possible. I witnessed first hand super highly compensated executives freaking out if they thought the nanny was going to leave them for one reason or another. That’s when I realized who truly held all the cards in that relationship. I wish people had more respect for themselves and dignity.
Excellent points SeeBee….now watch this video…it is scary and portends the future….
https://www.youtube.com/watch?v=3pGW-8xPvTY
Not sure why the downvotes, but thank you for posting.
Why are so many people on the right antisemitic? I see it as a form of insanity on the level of child molestation. It is from Satan himself, the hatred because the Savior came from the Jews.
Great article, you’ve surpassed yourself. Looking forward to Part Two.
Thanks Robert
Part Two is done and it makes Part One seem optimistic.
Yay!
I have been so damned happy these past few weeks I thought I might be losing my marbles.
Now I have some cold hard cynicism on deck to get my head right again.
Nobody trusts a grinning misanthrope.
Yeah, yay….rah…whoop-de-doo…joy joy,cough. Happiness is the first word I’d use to describe these past weeks. I see your grinning misanthrope and raise you a smiling psychopath or two.
Some do.
Few have every seen one. Rarer than green’s hen’s teeth they are.
Goody.
Oh. Me. Too.
Admin – I do not know how many people have actually caught this virus. That remains the great unknown, as without that info, mortality rates cannot be calculated.
But what we do know is that if you get sick enough to require hospitalization, you have about a 10% chance of dying, if there are enough ventilators, or 20% if there are not. This virus is way deadlier than the flu, IF it makes you sick. The flu makes everyone sick who gets it, so it is pretty easy to count how many cases of flu there are. But this shit floats around unnoticed by a great many who catch it. Which makes it very insidious. I doubt therefore it is going away anytime soon. I suspect that the actual number of cases is ten times higher than what is being recorded, and thus the mortality rate a fraction of what is being recorded.
Glad I do not live in a big city. New York is like a huge incubator. I have never understood why people would choose to live like rats. It is insane. But when this ends, I guarantee they will continue to do so.
I agree. The mortality rate is high if you on count those who really show symptoms. God help the person that has to go to a hospital for any other emergency care.
God is really cramping my stomach reading your words.
The creation of CV-19 was a Crime Against Humanity just as WW2 was; and the people responsible should be held accountable for the CV-19 Holocaust.
don’t you mean holocough?
This causes apparent temporary blindness in the panic-stokers:
Guess who wrote it.
https://gellerreport.com/wp-content/uploads/2020/03/Fauci_NEJM_COVID.pdf
This has been posted her several times by others, yet still panic-stokers and prophets of viral doom persist.
We’re being played based on the following videos.
Edit: This is New Jersey.
https://www.youtube.com/watch?v=fdF_L43oLAk
Thanks for posting this VV!
I am convinced that this BatFlu is being exploited as a control measure to implement Martial Law..
It is FUCKEN brilliant!
It took me a while to decide which camp I was in (not FEMA, although that could change). It has just been in the past week I decided this is a very well thought out psyop. Not that people aren’t getting sick, mind you. Fauci is a weasel and Trump is being led around by his j-ish chabod loving son-in-law and daughter.
The whole thing unfolding is a masterstroke in control. Like you I do think there is a bug going around. And some are gonna die. Myself I have had this weird persistent cough for almost 3 weeks. It could be much ado about nothing. Or maybe not.
The pressure is being ratcheted up and people are starting to crack. For some reason the skeptic in me is resisting the urge to give in to fear. I woke up this morning to radio just before 7am and just in time for news. I couldn’t help but laugh.
The only sports to report was this…
https://www.orlandosentinel.com/coronavirus/os-sp-coronavirus-nascar-0330-20200329-ozlqyqx7rratlfrclfnqqs7cka-story.html
We live in a clown world, where those in charge have lost all pretense of the simulation..
“The whole thing unfolding is a masterstroke in control.”
It’s not such a masterstroke, Rins. People are so dumbed down, it really wasn’t that hard. It’s much, much harder for the people who have seen through this charade at the get-go.
This video from InfoWars showing New York hospitals is banned. So you have to go to the site to watch it. Some nurses are also having a nice singalong. Nice to know they have so much time during the virus “crush.”
https://www.infowars.com/video-empty-waiting-rooms-no-lines-where-is-the-pandemic-being-broadcast-by-msm/
Vixen.
Easily explained. They were photoshopped out.
This is 2 days ago in Queens after Dr. Smith put out a video of “apocalyptic” conditions at the hospital.
https://www.youtube.com/channel/UC8Cl9QaRtuW9CNjP7pP4BBQ
I’m not buying it.
Vixen.
I was just kidding with you about the photo shopping.
OK. But I wasn’t going for that idea anyway, at least not with all of them.
I think the’re all real and very damning.
Me either, V V.
188 people hospitalized in Canada is a National catastrophe..
You forgot to cough, hint, hint.
She doesn’t look like someone on the precipice of death. Most afflicted will never darken a door at a hospital. Most will recover at home in imposed isolation. It doesn’t, on it’s surface, look compelling to me…
Note:
This woman is among the worst of the worst and the reason this country is living under Martial Law.
Canadians are so much fun to play with. xxxooo.
This, a million times this.
“In Goethe’s 1831 drama Faust, the devil persuades a bankrupt emperor to print and spend vast quantities of paper money as a short-term fix for his country’s fiscal problems. As a consequence, the empire ultimately unravels and descends into chaos. Today, governments that have relied upon quantitative easing (QE) instead of undertaking necessary structural reforms have arguably entered into the grandest Faustian bargain in financial history.”
– Scott Minerd “Global CIO Outlook”, August 21, 2012
Hmmmm…..,seems a lot of posters,more then normal,what,do you all have the day off?!
Seems the malaria drug is working,fda passed emergency usage for virus.
The real fun begins in the late spring/early summer when economic reality hits hard,hope all here as ready as possible while enjoying the day(day off).
Don’t know what to believe except we are and have been lied to every step of the way.Out here on I80 everything seems normal with only the restaurants closed but you can still get take out. We The public are being ripped off again by the powers that be but when you understand their goal is to destroy the world economy and bring in world government it makes sense.
What can one do ? Pray I guess. Anyway looking forward to reading the second part.Take care.I will keep letting you know what I see out here on the highway.
you coulda come by okc and picked up beans and rice for a lot of people
Blah blah blah…talk talk talk. No organization and no action. Nothing can change till these criminals hang. Action is needed. Kinetic action. Talk is useless bloviating drivel.
“corporate lobbyist written 2.2 trillion 873-page windfall”
hey
When the elephants dance, it is prudent to maintain a low profile and avoid playing their game. In a culture and economy driven by debt, the prudent course is to avoid debt, hold hard assets, and be as independent and as hard a target as possible.
Admin, Stupendous writing, always a pleasure to come here and read the writing on the wall.
I read every comment today, because, well, I have time on my hands, my business is deeply impacted, as are probably others.
If you really want to know if this is fake or not, just start reading the obit pages, in your local rag or any other paper, and then investigate. it is up to you to figure out reality, you can not consume it, you must create it. we all create our own reality.
Unfortunately some folks are lazy and have believed what they have seen on tv all their lives.
There is no data, there is no testing, but there is a lot of hand waving, by a lot of officials, and this is always a great tell.
When fucking NY Mario is speaking in front of a bunch of boxes, with some n-95 mask packages on top (so you can imagine what is inside all those boxes) you know it is all theater.
Real work does not involve stage craft, and all we are seeing is theater.
they are trying to buy time, to let nature take care/cull the heard.
are some folks getting sick and dying, hell yes, is it the end of the world? no, no, no.
was it man made? hell yes, nature does not produce/promulgate anything like this.
For you younger kids out there, here is an analogy to help you understand:
Thanos=Bankers
Avengers/Guardians=Politicians.
little people=little people
Guess who wins?
And the icing on the cake for people in the US is that the so-called payment of $1200 they are supposed to receive is nothing more than a tax credit ADVANCE for 2020 income taxes. Essentially they’re sending people money that was going to be stolen from them in the first place while the scum on Wall Street get their “forgivable” loans in the billions. Isn’t it interesting they’re not making that known to everyone?
Excellent article; it could benefit from comparing changes in hospitalizations between influenza seasons with COVID19 cases because the system does have a somewhat fixed capacity. I understand the point being made but it does not consider the net system capacity.
https://www.cdc.gov/flu/about/burden/2018-2019.html
From the CDC (link above):
“2018–2019 season included an estimated 35.5 million people getting sick with influenza, 16.5 million people going to a health care provider for their illness, 490,600 hospitalizations, and 34,200 deaths from influenza (Table 1). ”
“The overall burden of influenza for the 2017-2018 season was an estimated 45 million influenza illnesses, 21 million influenza-associated medical visits, 810,000 influenza-related hospitalizations, and 61,000 influenza-associated deaths”
***Why wasn’t our medical system over run by an extra 4.5M medical visits and 319,400 hospitalizations in 2017-2018????*** The influenza season is 4-5 months long. Compare this data with COVID19… given the hysteria and lack of resources highlighted in the media do not make sense given the change in system capacity and overall case load.
I think the mortality rate is artificially high As well. Data is very immature and shouldn’t be cited as a certainty (especially mortality rate which invokes the most panic). Many infected cases are not being counted because of lack of symptom severity, available testing, etc. but the cases in hospital that lead to death all accounted for (cause of death). When you cannot count/test all of the infected cases but capture the cases resulting in death, this mathematically results in high mortality rate
Your country started to ROT in the 60’s after Rock n Roll, the Beatles, Timothy “The” Leery. Now the bugs are eating you out.
Your country started to rot in the 60’s. After rock n roll, the Beatles, Timothy “The” Leery, etc. Now the bugs are eating you out.
I thought I said that already.
Gabby married a ASTRONUT – FAKE NASA – you really think this is an honest woman? I believe the entire thing was a hoax just like Nasa – birds of a feather marry together –
CDC ….Center for Disease Control ….has failed miserably in “controlling disease” while blaming the President for everything. Somebody remind me why we need all these useless parasites again cause I just don’t get it.
200!!!!
Wow. Nice present as soon as I get here.
https://www.zerohedge.com/political/hosptital-exec-fired-after-discussing-ways-ensuring-trump-supporters-get-coronavirus
The dollar is done. Look for a world currency which would consist of the dollar, yen, euro, yuan, and sterling. International Monetary Fund will likely captain that ship. US dollar will lose 50% of its value. There is no way to recover from this debacle. In 2010 the nation had $11.2T in debt. Today, prior to the stimulus, $23T in debt. Using a multiplier of 1.1 over the next 10 years we end up at $59T in 2030. Impossible to fathom. The debt accumulation tipping point is late 2024 /early 2025.
Wow.
I have to admit there is plenty of interesting stuff in this writing, but I am stuck with such crazy things like those :
-99,99% of the people don’t know what’s a “repo”…and you don’t explain it ! Good job…
-idolize Frederic Bastiat then complain about croony state capitalism is such…Stupid. Economic liberalism ALWAYS create big, gigantic corporations, which use their power to influencing the State. You get what you ask for.
Same thing happened in history of Roman Republic : a liberal system, quite civic, based on frugality and duty > oligarchy > then state populistes rise (Caesar, Augustus) > then totalitarianism after Dioclietian. Awful taxes, and people forced to do the same job their father did. The misery was so awful than “barbaric invasion” was saw as liberating.
(of course, all those arguments will be useless, because I know economic liberal cultists are dogmatic at same level as marxists. Only nationalists are centrists, pragmatics on economics)