Home » Health

Tag: Health

Why Add EMSculpt and EMSella to My Practice?

I just added two amazing treatments to our office toolbox: EMSculpt and EMSella. I am so excited about these two treatments.

Why add these to the practice? As a family practitioner who focuses on the treatment of insulin resistance, pre-diabetes, diabetes and obesity, I’ve been looking for safe and effective ways to improve muscle and decrease fat. Ketogenic and carnivorous diets are the most effective way to do this naturally, of course including a good exercise program should be a significant part of these diets. Yet, many of my patients over 40 are already seeing the effects of aging, obesity and muscle decline.

Lack of core strength leads to gait instability, weakness, increased likelihood of falling and breaking a hip. Poor core strength is also a factor in incontinence, erectile dysfunction and poor sexual function.

We know that improving core strength has a very powerful positive effect in reducing these problems. Yet, a significant number of my patients over 65 have a hard time exercising due to arthritis and other diseases.

These are revolutionary devices that simultaneously emit both radiofrequency and high-intensity electromagnetic energies (HIFEM).

The end result is more fat reduction and muscle growth than any single gold-standard product for less time and less money. . . 25% more muscle and 30% reduction in fat on average after just four treatments*.

When used with a ketogenic or carnivorous diet, these treatments are a game changer for getting rid of that last bit of stubborn fat.

In combing EMSculpt for the abdomen and EMSella for the pelvic floor, it creates “core to floor” muscle strengthening and stability that is an amazing and very effective adjunctive treatment to a regular exercise program.

YouTube player

These treatments are perfect for postpartum mothers, men, elite athletes and women who suffer from incontinence. They are all a perfect fit for this treatment as results include improved strength, balance and posture; alleviated back pain; and improved urinary issues and sexual health in both men and women. When EMSella is used in conjunction with other muscle development devices like Emsculpt, you’re building core strength, posture developments and sexual health improvements for both men and women.

And, although core strength is not something you see, it is something you can definitely feel.

YouTube player

Call our office for your first treatment today!!


*US FDA clearances:

Your results may vary. You may feel intense heat during the treatment, but it should never be painful. If you experience pain during the treatment, immediately discontinue the treatment and speak with your treatment provider. Treatment should not be applied over scar tissue, or if you have electronic or metal implants. As with any heat-based therapy, burns may result. As with any medical procedure, ask your doctor if the EMSCULPT NEO® procedure is right for you. EMSCULPT NEO® is indicated for non-invasive lipolysis (breakdown of fat) of the abdomen and thighs and reduction in circumference of the abdomen and thighs with Skin Type I to Skin Type VI; and for non-invasive lipolysis (breakdown of fat) of the upper arms limited to skin types II and III and BMI 30 or under. EMSCULPT NEO® is also indicated for improvement of abdominal tone, strengthening of the abdominal muscles, development of firmer abdomen; strengthening, toning, and firming of buttocks, thighs, and calves; and improvement of muscle tone and firmness, for strengthening muscles in arms.

Why Haven’t You Called Me About My Labs Yet?

The pipes in Rome were slowly killing the people.  No one knew lead in the pipes was actually poisonous.

Today, it’s quite easy to scoff at their ignorance.  Yet, each of us have our own lead pipes, those modern “marvels” that future generations will shake their heads at.  We have at our fingertips inventions and practices later proven to be catastrophic to our health and well-being.

It’s one thing to learn about these blind spots after the fact.  What if you knew in REAL-TIME what was happening?

What if you had secret knowledge about your OWN lead pipes . . . ?

What if you were among a small group who knew which of our modern inventions and practices were slowly killing our health and vitality . . . would you still turn a blind eye?

Or, would you make the simple change that set you free?

After reading the following two articles, I now understand why I must spend 17-18 hours a day working to keep up.

I thought that maybe it was just me.  However, this study published in the Annals of Internal Medicine found that during a typical office day, just a quarter (27 percent) of a physician’s day is spent having direct face time with patients – while nearly half (49.2 percent) of a physician’s day is spent on EHRs and other administrative work. This roughly translates into two hours of additional time spent on EHRs and desk work for every hour physicians spend face-to-face with patients.

Over the years, we’ve hired more staff and I now have six and a half staff members to every provider. It’s taken part of the burden of time off of our shoulders, yet, in an era of rising inflation, hiring more staff isn’t affordable.  It’s not a sustainable model financially.

This second study found that with an average primary care practice responsible for roughly 2,300 patients, doctors would need to spend 21.7 hours of patient interaction per day to provide “all the recommended acute, chronic and preventive care” for a panel of this size.  The average internist has 3000-4000 patients in their panels.  There literally are not enough hours in the day to take care of all the office tasks required for a panel size of 2000 patients or more.

It has become physically impossible to do what is now required on treating acute, chronic and preventative care for the patients that we see day to day in the primary care setting. The inability to fully meet patient needs due to factors outside of their control results in frustrated patients and very frustrated physicians who lose sight of why they decided to practice medicine in the first place. This can leave physicians feeling depressed, cynical and suicidal, pushing them to contemplate early retirement, search for other practice options, quit medicine altogether – or worse, take their own life.

This has created the general feeling and perception in the mind of patients across the country that physicians just don’t care, they don’t have time for me and “they just want my copay.”

It isn’t that we don’t care.  If I didn’t care, I would have quit practicing medicine 15 years ago.  I love the practice of medicine.  It is the immense burden of documentation, the paper work, the seven page FMLA forms, and the thousands of ancillary treatment plan reviews & signatures, the providing proof of performance to Medicare and payors required every day that makes it so very hard to complete lab reviews, refills and callbacks in a timely manner.

I haven’t taken a real vacation in 15 years.  Who has time?!

Today, mounting evidence shows that the day-in-day-out pressures experienced by primary care physicians – caused by long hours, excessive fatigue and the sheer emotional toll of the work – can lead to burnout, depression and suicide. Sadly, the medical profession has among the highest risk of death by suicide compared to other occupations in countries around the globe. Recent studies reveal the concerning rate at which primary care doctors feel as though their personal lives are negatively affected by work, feel stressed at work and wish that they had more time to do more for their own health. When it comes to patient care, physician burnout is associated with higher rates of self-reported medical error, substandard patient care, longer recovery time and lower patient satisfaction. Layer on top of the burnout syndrome what some are describing as “moral injury,” the distress weighing on physicians because the business of medicine has overtaken the doctor-patient relationship. And for some, it seems that practicing medicine is literally killing physicians.

To regain control over their practice and personal lives, some primary care physicians are leaving the profession and others are taking steps to deal with work-related emotional exhaustion and chronic over-stress. Over the years, I’ve inherited a number of patients who’s doctors have left practice or moved to concierge models.

I’ve offered concierge services to my patients for years, but few patients have shown much interest up to this point.

Does one just leave medicine altogether?

Maybe.

References:

  1. Sinsky C., Colligan L., Li L., Prgomet M., Reynolds S., Goeders L., et al., “Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties,” December 2016, (Accessed online June 21, 2022)
  2. Altschuler, Justin et al., “Estimating a Reasonable Patient Panel Size for Primary Care Physicians with Team-Based Task Delegation,” 2012, (Accessed online June 21, 2022)

Three Questions To Ask Yourself About Any Therapy Including The COVID-19 Vaccine

[Updated August, 28, 2021]

I’ve had thousands of patient’s ask about the COVID-19 vaccine and whether they should consider taking it or not. At the outset, let me make it clear that I am not opposed to vaccines, nor am I an anti-vax proponent.  I am very much a proponent of safe and effective vaccines and therapies.  I present this information so that my patients and readers can make an informed choice about their individual health.  Many of my patients have chosen to get vaccinated, and many have not.  Many are still on the fence.

This information is continually changing and I will try to update this post when important information is available. You can find a summary and links to recent research on a previous blog post here.

Any time you use a therapeutic, medication or vaccine, you need to evaluate it with three guidelines in mind:
      1. Is it safe?
      2. Is it effective?
      3. Do you actually need it?

Survivability Points to Ponder

Currently, children under 18 years old have a 99.998% chance of survival if they get COVID-19 and are untreated.  Why would you inject a child with a vaccine when there is no need for treatment?  Yet this vaccine is being pushed upon our children 12 years of age and older by schools, sports programs and government officials.
The risk of death in a young adult who contracts COVID-19 between the ages of 19 to 44 years old is 99.95%.  Again, why would we force vaccination or treatment upon anyone who’s risk is 0.05%?
If everyone on the planet were to get COVID-19 and not get treated, the global death rate would be less than 0.5% of the global population.  That is identical to influenza.  After you read the information below, you need to ask yourself: Does the potential risk of the COVID-19 vaccine warrant force vaccination the entire global population?
If we have effective outpatient treatments, and the risk of death was no greater than the flu, why would you consider use of a vaccine with significant sides effects and poor overall effectiveness?

How Does the COVID-19 Vaccine Work?

As of today, the Pfizer/BioNTech, Moderna and Johnson Johnson COVID-19 vaccines consist of a snippet of genetic code directing production of an immune response identical to what the actual virus causes to occur. This response stimulates the production of a coronavirus spike protein. In the Pfizer.BioNTech & Moderna vaccines, it is delivered in a tiny fat bubble called a lipid nanoparticle. Some researchers suspect the immune system’s response to that delivery vehicle also causes some the short-term side effects, and may post greater risks in the long term.
What we know today, is that the spike proteins, whether produced by the virus or by the vaccine is the “toxic” portion to the body. A percentage of people have significant adverse responses to this spike proteins. This protein binds to those tissues with the highest concentrations of ACE2 receptors on their cell membranes.  The binding of ACE2 receptors by spike proteins causes a release of inflammatory cytokines (protein signals to stimulate the body to fight infection).   However, this cytokine release is amplified significantly when T cells are suppressed or not functional.  We know that obesity, diabetes, prediabetes and insulin resistance states cause a suppression in T cell function.  Within four hours of blood sugar and insulin levels spiking and staying elevated, something that commonly occurs in diabetic, pre-diabetic and obese patients, T cell immunity is suppressed and cytokine levels, like IL-6, are elevated.
A recently uncovered Pfizer study in Japan identified that these proteins and the nano-particle transport system concentrate and bind at the spleen, bone marrow, liver, adrenal glands, mesenteric lymph-nodes, and ovaries within 48 hours of vaccination (1).  Originally, it was thought that the vaccine only concentrated in the deltoid muscle where the vaccine was given. According to Dr. Robert Malone the creator of the mRNA technology, the spike proteins are biologically active. Because of this distribution throughout the body, and according to Dr. Malone, there is significant potential for leukemia, lymphoma and female fertility issues 1-3 years from vaccination and auto-immune disorders 2-3 years from vaccination.  Because we have no data in humans at the 2-3 year mark, the actual risk of this is still unknown.

Is The Vaccine Effective?

Currently the only data we have on the vaccine effectiveness comes from a brand new package insert released on the 23rd of August, 2021.  Studies in 44,000 people demonstrated it has a 94.7% confidence interval over 6 months.  That means, in lay terms, that the vaccine will decrease your likelihood of caching COVID-19 by an “estimate” of 94.7% within six months of your first shot.  However, data coming out of Israel where 85% of the population has been vaccinated for the last eight months shows that that this effectiveness drops to 39% by the eighth month.  Anything less than 40% effectiveness is considered no more effective than placebo.
If you’ve never had a COVID-19 infection, then this vaccine will give you short term protection for 2-8 months as it’s protective effect rapidly wears off.  Hence, Pfizer and Moderna have recommended a third dose of the vaccine starting in September.  However, there is no information about the risks and benefits of a third dose.  And, if a third dose is necessary, will there be a fourth?  And a fifth?
In the short term studies (two month period of time), vaccine manufacturers stated that there was a 66% reduction in hospitalizations due to COVID-19 with the vaccine use.  This is not what is being seen in Israel, where 85% of their population has been vaccinated.  In fact, people vaccinated in January had a 2.26 times greater risk for a breakthrough infection with the Delta variant than those vaccinated in April.
The rate of infection and hospitalization rates remain the same as the unvaccinated as you can see in the graphic below:
In another study just released on August 25, 2021, as a pre-print in the British Medical Journal (BMJ), data from Israel paints a very interesting picture of what happens when the majority of the population is vaccinated.  This real world observational study of over 800,000 people compares the unvaccinated  to those with prior COVID-19 illness, those with prior COVID-19 + 1 dose of vaccine and those who are vaccinated with two doses.
This study demonstrates that those who received the COVID-19 vaccine (two shot series) have a 13.06 times GREATER risk of infection with the COVID-19 Delta variant compared with those who were unvaccinated but had previous infection with COVID-19 alone.
Additionally, those who received the vaccine had a 6.7 fold greater risk for admission to the hospital compared to those with natural infection.  The conclusion in this, the largest real world vaccination study on COVID-19 to date, is that natural immunity confers a 13 times greater protection than the vaccine.

Acute or Short Term Issues:

First these vaccines contain a black box warning for people under age 55 years old. This warning is that there is a significant increased risk of a forms of inflammation of the heart called myocarditis and fluid build up around the heart called pericarditis.  This risk was set at 13 per million, or one person in every 76,900 doses given.  As of August 20th, 2021, Moderna’s vaccine is being evaluated for an even greater risk seen from Canadian data.  “There might be a 2.5 times higher incidence of myocarditis in those who get the Moderna vaccine compared with Pfizer’s vaccine,” Reuters reported.
Second, Blood clot formation is the number one risk of these vaccines. The spike proteins that form from the vaccine are identical to the same proteins caused by the virus itself. It’s not the virus that’s the problem, it’s the spike proteins that act like a toxin. The Salk Institute has identified that these spike proteins bind to the ACE 2 receptors on multiple organ tissues, damaging the lining of blood vessels and increase the risk of blood clot, stroke and heart attack. The increased risk of clots is most dramatic in the first week after a vaccine is given, however, this risk is elevated as long as these proteins are circulating in the blood stream.
Given this information, and the number of blood clots I and many others have seen clinically post vaccination, this vaccine has been aptly called “The Clot Shot.”
Third, data demonstrates that patients given this vaccine in their 1st trimester of pregnancy have an increased risk of miscarriages from 10% to 80% above the average. This is likely due to spike protein deposition in the uterus, however, this is still under evaluation.

Sub Acute Issues:

In all other attempts at making a coronavirus vaccine in the last 25 years, animal studies have show the development of antibody dependent enhancement (ADE). This is where re-exposure to the virus causes a 10 fold immune response above the norm.  This also causes what is called cytokine release syndrome.  However, because this vaccine was released under an Emergency Use Authorization, these animals studies were never performed on this vaccine to determine the potential for these syndromes to arise.
I am seeing signs that ADE is starting to happen in a percentage of my patients who have been vaccinated with both the first and second doses of vaccine.

Long Term Issues:

There is definite scientific evidence that these spike proteins may damage ovarian function. There is definite evidence that they may lower sperm counts. There is definite evidence that they will effect autoimmunity in a percentage of the population. There is definite evidence that it may cause various forms of cancer.
According to a recent article by Talotta et at., “Young patients and female patients who are already affected or predisposed (e.g. immunological and serological abnormalities in absence of clinical symptoms, familiarity for immune-mediated diseases) to autoimmune or autoinflammatory disorders should be carefully evaluated for the benefits and risks of COVID-19 mRNA vaccination” (4).
Lipid nano-particles have been shown to concentrate themselves in the ovary with a 16% decrease in fertility that was identified in the animal studies recently made available to the public.
Recent research from Read et al. demonstrates that vaccinating people with vaccines that do not completely stop transmission actually increase conditions that promote more severe strains of the virus.  “Our data show that anti-disease vaccines that do not prevent transmission [vaccines that don’t completely stop transmission] can create conditions that promote the emergence of pathogen strains that cause more severe disease in unvaccinated hosts” (5).

What is the Actual Risk Of:

      • Infertility
      • Autoimmunity
      • Cancer after getting this vaccine?
We JUST DON’T KNOW!

Who Should NOT Receive the Vaccine:

The Centers for Disease Control and Prevention (CDC) has issued an update on those who should not receive mRNA COVID-19 vaccines. Recommendations cover:
      • Patients who have had a severe allergic reaction to a COVID-19 vaccine.
      • Patients who have had an immediate non-severe allergic reaction to a COVID-19 vaccine.
      • Patients who have had an allergic reaction to polyethylene glycol (PEG) or polysorbate.
      • Patients who have had an allergic reaction to other types of vaccines or an injectable therapy.
      • Patients who have had allergies not related to vaccines (food like shell fish, nuts, etc).
Common Side Effects that can and will occur with both versions of the vaccine (lower side effect profile in Pfizer/BioNtech version):
      • Fever up to 104 F (40 C) for 24 hours in 2-4% of participants.
      • Severe fatigue in 4%- 9.7% of participants
      • Muscle pain in 8.9%
      • Joint pain in 5.2%
      • Headache in 2%-4.5%.
That’s a higher rate of severe reactions than people are accustomed to, and it occurs because the vaccine is actually producing the same toxin in the system that the virus does – spike proteins.
      • The likelihood of a severe problem if you get a COVID-19 infection is about 0.5%.
      • Where the likelihood of side effects from the vaccine is 1-10%.
With those odds, you be the judge.

Additional Cautions in Pregnancy/Breast Feeding:

Directly from the CDC website: “Observational data demonstrate that, while the chances for these severe health effects are low, pregnant people with COVID-19 have an increased risk of severe illness, including illness that results in ICU admission, mechanical ventilation, and death compared with non-pregnant women of reproductive age. Additionally, pregnant people with COVID-19 might be at increased risk of adverse pregnancy outcomes, such as preterm birth, compared with pregnant women without COVID-19.”
“Based on how mRNA vaccines work, experts believe they are unlikely to pose a specific risk for people who are pregnant. However, the actual risks of mRNA vaccines to the pregnant person and her fetus are unknown because these vaccines have not been studied in pregnant women.” However, as noted above, vaccination in the 1st trimester of pregnancy increases miscarriage rate up to 80%.
“There are no data on the safety of COVID-19 vaccines in lactating women or on the effects of mRNA vaccines on the breastfed infant or on milk production/excretion. mRNA vaccines are not thought to be a risk to the breastfeeding infant. People who are breastfeeding and are part of a group recommended to receive a COVID-19 vaccine, such as healthcare personnel, may choose to be vaccinated.” Yet, in light of these assumptions by the CDC, studies in this group has NOT been completed, so we just don’t know the answer.
For those outside of the United States, the UK government’s safety instructions recommend that “no pregnancy or breast feeding should be planned within two months of each COVID-19 vaccine dose.”

Does the Benefit Outweigh the Risk?

Does the benefit of two to six months of protection outweigh the risks that are being seen with these vaccines?  Ultimately, that decision is yours.  My profession opinion is that the risk is greater than the benefit.  Especially when we have effective, inexpensive treatments available.
The NIH, CDC, Hospital Associations, Health Systems and big Pharma have spent hundreds of millions trying to convince the American public that these vaccines are safe.   As of December 2020, prior to completion of any safety studies on these vaccines, the US government alone had spent $250 million dollars trying to convince you and me that these vaccines are worth the risk.  Yet, as a physician who weighs risk to benefit outcomes of treatments with 20-30 patient’s every day, those risks just don’t add up.
When in the history of mankind have you ever heard or seen such powerful propaganda regarding health and safety of every soul on the planet?   The only time I have heard or seen anything remotely similar is in the 1940’s.
Hitler rose to power by convincing the entire nation of Germany that the Jewish population carried typhus, an infectious bacteria that was perceived as an imminent threat to the country.  The typhus vaccine was developed in 1939 in Poland and was in use during WWII.  In order to stop the spread of typhus three things occurred:
  1. Those at risk (mainly the Jews) were quarantined.
  2. Everyone in the nation was required to carry papers documenting full medical history, travel history, vaccination status and typhoid risk.
  3. Those that were not compliant were excluded from socialization and work, or were they were imprisoned.
Sound familiar?

Sources:

  1. https://Pfizer COVIDvac_report_Japanese government.pdf
  2. https://www.cdc.gov/…/recommendations/pregnancy.html
  3. https://www.gov.uk/government/publications/regulatory-approval-of-pfizer-biontech-vaccine-for-covid-19/information-for-healthcare-professionals-on-pfizerbiontech-covid-19-vaccine
  4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7833091/
  5. https://europepmc.org/article/MED/26214839

The Ambulance Down in the Valley

Twas a dangerous cliff, as they freely confessed,

Though to walk near its crest was so pleasant;

But over its terrible edge there had slipped

A duke and full many a peasant.

So the people said something would have to be done,

But their projects did not at all tally;

Some said, “Put a fence ’round the edge of the cliff,”

Some, “An ambulance down in the valley.”

But the cry for the ambulance carried the day,

For it spread through the neighboring city;

A fence may be useful or not, it is true,

But each heart became full of pity

For those who slipped over the dangerous cliff;

And the dwellers in highway and alley

Gave pounds and gave pence, not to put up a fence,

But an ambulance down in the valley.

“For the cliff is all right, if you’re careful,” they said,

“And, if folks even slip and are dropping,

It isn’t the slipping that hurts them so much

As the shock down below when they’re stopping.”

So day after day, as these mishaps occurred,

Quick forth would those rescuers sally

To pick up the victims who fell off the cliff,

With their ambulance down in the valley.

Then an old sage remarked: “It’s a marvel to me

That people give far more attention

To repairing results than to stopping the cause,

When they’d much better aim at prevention.

Let us stop at its source all this mischief,” cried he,

“Come, neighbors and friends, let us rally;

If the cliff we will fence, we might almost dispense

With the ambulance down in the valley.”

“Oh he’s a fanatic,” the others rejoined,

“Dispense with the ambulance? Never!

He’d dispense with all charities, too, if he could;

No! No! We’ll support them forever.

“Aren’t we picking up folks just as fast as they fall?

And shall this man dictate to us? Shall he?

“Why should people of sense stop to put up a fence,

While the ambulance works in the valley?”

But the sensible few, who are practical too,

Will not bear with such nonsense much longer;

They believe that prevention is better than cure,

And their party will soon be the stronger.

Encourage them then, with your purse, voice, and

And while other philanthropists dally,

They will scorn all pretense, and put up a stout fence

On the cliff that hangs over the valley.

Better guide well the young than reclaim them when old,

For the voice of true wisdom is calling.

“To rescue the fallen is good, but ’tis best

To prevent other people from falling.”

Better close up the source of temptation and crime

Than deliver from dungeon or galley;

Better put a strong fence ’round the top of the cliff

Than an ambulance down in the valley.

By Joseph Malin

The Nation Has Changed – Overnight

The world we lived in last Tuesday, is not he same world we live in today.  Historic changes have occurred.  We live today in a United States in name only.   There are now two distinct countries inside one nation the Leftist Nation and the Conservative Nation.  One of those “country’s” economies is under attack. The Leftist Nation has declared economic warfare on the rest of us.
The capital riots have given the Leftist Nation the ability to declare war on 75 million Americans.  Every word that any of us speak is going to be monitored, scrutinized and twisted.  How will each of us maintain a voice that can be heard by those needing to hear it?  Conspiracy theories have flourished because we have no media actually doing their job.
Parlor was officially de-platformed by Amazon Web Services.  Amazon, Apple, Facebook and Google did this in a coordinated effort.  The power structure of these companies has created a need of government and government needs hi-tech.  This is why they have aligned.
We have come to the point that Kathy Griffin, again, re-posted the gruesome bloody head of Trump in her hand on twitter last week – not a soul said a word. When Pornhub is purchased by Disney and Apple, Google and Amazon shut down conservative voices, ask yourself who the real enemy is?
Anything that Twitter, Facebook, Instagram, Google and Amazon will attack anyone with an opposing voice. Rational Americans recognize very clearly the hypocrisy of these actions.
I will never stop standing for liberty, for freedom of speech, for freedom of expression, and the right to bear arms. I will never stop supporting the entire Bill of Rights.
This will more profoundly effect every aspect of our lives, including health care.
The Leftist Nation has dismissed on a daily basis the concerns of 75 million people for four years. Then this powerful group of elites removed the only person that was supportive to this group of 75 million by de-platforming President Trump’s voice.  We are the United States in name only today, we are a house divided.
What will you and I do about it?

Masks Are Symbolic

Over the last few months, our fearless infectious disease leader, Dr. Anthony Fauci,  and the Ivory Tower of medical journals, the New England Journal of Medicine, have clearly informed us that mask wearing by the healthy is little more than symbolic ‘Virtue Signaling.’

For those Karen’s and Felicia’s who have tried to shout me down like a Tourette’s tick with ‘Social Media Science,’ in Wal-Mart, in the big box stores, at the gas station and at the burger shop, lets look closely at what the New England Journal of Medicine said on May 21, 2020.

We know that wearing a mask outside health care facilities offers little, if any, protection from infection. Public health authorities define a significant exposure to COVID-19 as face-to-face contact within 6 feet with a patient with symptomatic COVID-19 that is sustained for at least a few minutes (and some say more than 10 minutes or even 30 minutes). The chance of catching COVID-19 from a passing interaction in a public space is therefore minimal. In many cases, the desire for widespread masking is a reflexive reaction to anxiety over the pandemic.

So, why have we been ordered to wear are masks everywhere by mayors and governors and city officials across the country?  Symbolism.  Pure and simple symbolism.  From that same NEJM article:

It is also clear that masks serve symbolic roles. Masks are not only tools, they also serve as a talisman [an object that acts as a charm to avert evil and bring good fortune] that may help increase health care workers’ perceived sense of safety, well-being, and trust in their hospitals.

The Surgeon General was widely mocked and ridiculed for suggesting in March that masks might even increase the spread of the virus.  Yet, here, in the “journal of all medical journals,” the NEJM provides the same warning to mask-wearers:

What is clear, however, is that universal masking alone is not a panacea. A mask will not protect providers caring for a patient with active COVID-19 if it’s not accompanied by meticulous hand hygiene, eye protection, gloves, and a gown. A mask alone will not prevent health care workers with early COVID-19 from contaminating their hands and spreading the virus to patients and colleagues. Focusing on universal masking alone may, paradoxically, lead to more transmission of COVID-19 if it diverts attention from implementing more fundamental infection-control measures.

However, suddenly on June 17th, 2020, Dr. Fauci suddenly changed his tune, and contrary to all the scientific evidence and over 50 years of medical literature on the subject, said wearing a mask is “better than nothing.” Within weeks, executive orders for mask wearing were signed across the nation. 

The argument should have been over.  Anyone advocating for universal mask wearing by the healthy, according to all the mask wearing literature, is merely engaging in virtue signaling, not actual public health.

Cities and states across the nation have mandated mask wearing (some even advocate using bananas). I’m not telling you to break the law.  I am saying that the mask mandate has done nothing to “slow the spread” as so many people have now bought into.  Research demonstrates that homemade masks do little to stop the spread of viral infections.  It also demonstrates that properly fitted surgical masks worn correctly decrease this risk of viral spread in a highly controlled setting at the very best by only 2-5%.

In the most recent comprehensive review of the mask wearing literature, the authors stated, “The evidence is not sufficiently strong to support widespread use of face-masks as a protective measure against COVID-19. However, there is enough evidence to support the use of face-masks for short periods of time by particularly vulnerable individuals when in transient higher risk situations.”

What is effective is washing your hands regularly with soap and water, avoiding those who are actually sick or have fevers over 101 degrees, eating a healthy diet that prevents diabetes risk and getting adequate sleep.  Those at high risk for infection can and should be vigilant about avoiding exposure to those who are sick.

For the rest of us, it’s time to unmask.  I, myself, struggle daily to maintain enough virtue in my bones for myself, let alone signal others about it all day long.

 

Tyranny

One more Star-Spangled day of hamburgers, brisket and hot-dogs has passed.  The fireworks have exploded and the dogs are not freaking out any more. 

The kids had fun. Smiles were had.  Bellies were filled.

So, let’s talk about what this holiday really means, today, for you and I, here in grownup land . . .

The Fourth of July is no longer for celebrating “independence.”

It’s to see its loss, and planning to re-take it once again.

Our “free” country has slowly been covered with a slow mold that has crept into every corner and under every wall and in every crack and crevice.

Under the pen of every lawmaker some of that “freedom” has been usurped.

With every government circumvention. . .

With every bail out. . .

With every re-distributive measure . . .

With every affirmative action . . .

With every mask over the face . . .

With every closed gathering place, church and gym . . .

The mold gets thicker, darker, and deeper . . . all the while bringing us one step closer to outright tyranny.

“Never let a good crisis go to waste” they said. . . and continue to say this morning.

COVID-19 has been a gift for tottering regimes around the world . . .

A chance to sweep decades of fiscal incompetence and unkeepable promises under the rug of the economic shutdown . . .

It’s provided the mother of all scapegoats to pin it upon.

“Your freedom will return when we have a vaccine,” they say.

“This is for the public good . . .” they say.

“This is too difficult for you to think for yourself . . .” they say.

We’ll give you back your liberty when we’re all “inoculated,” they promise.

Yet, the plan backfired.

Behind closed doors many have talked of forced quarantine as the “test run”

. . . as a means to measure your backbone and mine . . .

Even to condition a compliant populace.

However, from this side of the fence . . . it’s had the opposite effect.

You and I have tasted tyranny.

Have they really softened us up for another dose?

Or, have they hardened resolve

. . . Awakened the sleeping giant that is a still-free, still-sovereign people?

There is no “effective” vaccine for COVID-19 . . . There never will be.

There is no means of “inoculation.”

Yet through their overreach, they’ve unwittingly created a different immunity . . .

We’ve been inoculated against a disease fare worse: tyranny.

As long as we’ve not been emasculated . . .

As long as we remind our public servants that it is the will of WE THE PEOPLE, not themselves that they are bound to serve . . .

Then their plans have failed.

Where they see the “great unwashed” in need of a corral . . .

I see you, my compatriots.

I see my brothers and sisters, woken from a deep sleep . . .

Seeing perhaps for the first time how precious, how easily lost freedom can be.

So, on the week following the remembrance of Independence Day, let us resolve:

  • There shall be no slow frog boiling here
  • There shall be no toe-hold for tyranny, no matter how sweet the promise of familiarity or safety may be.
  • We cannot afford the “help” of an over-reaching government if the price is freedom and liberty.
  • No matter the cost, we must prevail as a free people . . . come what may.

To your freedom and a renewed and wonderful 2020!

Adam Nally, D.O.

Aka @DocMuscles.

(Adapted from Bryan Ward’s Third Way Man)

What Can You & I Do To Prevent Viral Infections?

The following general measures are recommended to reduce transmission of infection:

  • Diligent hand washing, particularly after touching surfaces in public. Use of hand sanitizer that contains at least 60 percent alcohol is a reasonable alternative if the hands are not visibly dirty.
  • Respiratory hygiene (for example – covering the cough or sneeze).
  • Avoiding touching the face (in particular eyes, nose, and mouth).
  • Avoiding crowds (particularly in poorly ventilated spaces) if possible and avoiding close contact with ill individuals.
  • Cleaning and disinfecting objects and surfaces that are frequently touched. The CDC has issued guidance on disinfection in the home setting; a list of EPA-registered products can be found here.

Dr. Nally talks about each of these in his latest YouTube video below:

YouTube player

“Keep the carbs low and the fat high.”

—————————————————————-

For more information about any of the things mention above and in other videos, you can find the links below:

#JustKeepEsterifying #LeadFolloworGetOutOrMyWay.
#Ketogenic #Keto #KetogenicLifestyle #Carnivore #DrAdamNally #DocMuscles #DocMusclesLive #DocTalk #DocsWhoLift #LiftRunShoot #DocMusclesLife YouTube.com/drnally/.
Dr Nallys Lasers: #PicoSure #Icon #SculpSure #TempSure
Help Dr. Nally have time to make more great videos:  https://www.patreon.com/docmuscles
YouTube Channel: http://youtube.com/DrNally/
Book: The KetoCure  https://amzn.to/2PmkPoO
Twitter: https://www.twitter.com/DocMuscles/ or @DocMuscles
Weight Management & Concierge Medicine: https://www.DocMuscles.com/membership/
Direct Primary Care Programs:  https://www.docmuscles.com/direct-primary-care/
Exogenous Ketone Manufacturers:

Get Ready For KetoTalk with Jimmy & the Doc!

KetoTalk

KetoTalk with Jimmy & the Doc (the legendary podcaster Jimmy Moore from Livin’ La Vita Low Carb and his newest co-host, your’s truly, Dr. Adam Nally) makes its debut this Thursday, December 31st, 2015 on iTunes.  You can see the show notes at KetoTalk.com (will be up and live on January 1st, 2016).

Throughout the exciting month of January, we will be airing a brand new episode of this 20-minute show each Thursday and a special bonus episode available on Sundays just to wet your ketogenic appetite and to kick off the podcast in its first month. Then, in February we’ll settle in to our regular Thursday time slot each week.

New podcasts can take a few days to assimilate into ‪#iTunes, so don’t get discouraged if you don’t immediately see it up on iTunes. However, you can always find them at KetoTalk.com.  Jimmy and I look forward to being your go-to, Ketogenic Lifestyle source for the latest and greatest in treating the diseases of civilization!

Get a sneak peek of our new show on tomorrow’s (Wednesday, December 30th) episode of “The Livin’ La Vida Low-Carb Show” where you can hear my interview with Jimmy as a preview what is sure to be a big hit in the ‪#‎keto‬ community. Thanks in advance for supporting our new podcast!