Physicians Facing Unprecedented Challenges, States President of AAPS

Physicians Facing Unprecedented Challenges, States President of AAPS

Many physicians sense that something is just not right about what is happening in medicine, states Jenny Powell, M.D., who became president of the Association of American Physicians and Surgeons (AAPS) in October. “Now many of my colleagues find themselves at a crossroad, feeling alone and confused,” she writes in the winter issue of the Journal of American Physicians and Surgeons.

Dr. Powell runs a busy, direct-pay private family practice with two locations (all clinical, no hospital) in rural Missouri. But “I have been not immune to the issues facing Hippocratic physicians throughout not only the country but the world.”

“Physicians who take their Hippocratic Oath seriously must now search through piles of junk to find good studies, good information, that which has not been colored by political or financial gains…. There has never been a more important time for like-minded physicians, nurses, and other medical caregivers to ‘hang together.’”

“We’ve seen some strange things happen lately,” she observes. “Shakespeare wrote in The Tempest in 1610, ‘Alas, the storm is come again! My best way is to creep under his gaberdine; there is no other shelter hereabouts: misery acquaints a man with strange bed-fellows.’”

Physicians must stand together against a system that would tell all physicians how they may diagnose and treat, with what they may treat and whom they may treat, and that if they resist, they will be silenced,” she states. “These are the times that try physicians’ souls.”

The Journal of American Physicians and Surgeons is published by the Association of American Physicians and Surgeons (AAPS), a national organization representing physicians in all specialties since 1943.

Read Full Article: https://jpands.org/vol26no4/powell.pdf

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Disaster Called ‘Evidence-Based Medicine’ Exposed in the Journal of American Physicians and Surgeons

Disaster Called ‘Evidence-Based Medicine’ Exposed in the Journal of American Physicians and Surgeons

The early 1990s movement called “evidence-based medicine” or EBM, full of the noble intention of incorporating high quality research into clinical practice, has displaced the doctor-patient unit as the ultimate decision-making authority and encourages totalitarian medicine, writes Richard Amerling, M.D., in the winter issue of the Journal of American Physicians and Surgeons.

“Most doctors have become so dependent on guidelines that they have lost the ability to problem-solve, to think critically, and to practice real clinical medicine,” he states.

Traditional medicine depends on “understanding pathophysiology and pathology (i.e., basic science), with careful patient management including following response to treatments,” he explains. EBM, in contrast, “relies heavily on studies of large populations and therefore statistics, which are inherently unreliable and easy to manipulate. It exalts metanalyses, statistical compilations of many studies, which can be created to support almost any pre-conceived idea.”

Most physicians, he states, are unable to understand, let alone deconstruct, the statistics. Thus, they are unlikely to challenge them.

“The transition from traditional, scientific medical practice based on treating patients as individuals towards EBM and a ‘population health’ model has been greatly amplified by the near abolition of independent private medical practice.”

Dr. Amerling writes that “EBM arrogantly claims for itself the mantle of ‘science,’ but is actually pseudoscientific.” It has directed physicians’ response to the COVID-19 epidemic, he states. He calls the response “anti-scientific” and highly coercive, noting that intrepid individuals who described remarkable results using repurposed drugs were censored and harassed, rather than being embraced and emulated.

“We are witnessing the destruction of individualized, ethical, science-based medicine, and with it, the medical profession,” he concludes. “The acceptance of EBM has played a major role in its demise.”

The Journal of American Physicians and Surgeons is published by the Association of American Physicians and Surgeons (AAPS), a national organization representing physicians in all specialties since 1943.

Read Full Article: https://jpands.org/vol26no4/amerling.pdf

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Doctor Tells American Medical Association That ‘the Oath of Hippocrates Is Enough’

Doctor Tells American Medical Association That ‘the Oath of Hippocrates Is Enough’

The American Medical Association (AMA) cannot claim to be the single voice of all physicians, since only 15 to 18 percent of doctors in the United States are paying members, writes Marilyn Singleton, M.D., J.D., in the winter issue of the Journal of American Physicians and Surgeons. “Despite its Code of Medical Ethics, the AMA’s principles change with the political winds,” she writes, and “the Oath of Hippocrates, not the AMA and its progeny, remains the guiding principle of medicine.”

Dr. Singleton is a past president of the Association of American Physicians and Surgeons (AAPS).

A black physician herself, she is well aware of the past racist sins of the AMA. “As far back as 1847, the AMA supported the exclusion of black physicians from medical societies and disparaged the abilities of black and female physicians.” However, the solution is not “86 pages of self-flagellation” in its Equity Strategic Plan.

“Hippocrates would approve if ‘DEI’ [Diversity, Equity, and Inclusion] represented dignity, equality, and integrity,” she writes.

During the COVID-19 pandemic, “the AMA has done little to scientifically address the many questions that have arisen,” Dr. Singleton states, despite Principle #5 of the AMA’s Principles of Medical Ethics, which commands physicians to make  relevant information available.

She discusses the PCR test, risk stratification, statistics on hospitalizations and deaths, natural immunity, the definition of “vaccine,” compelled vaccinations, “off-label” medications, and the COVID double standard.

Dr. Singleton concludes: “The American Medical Association is far from an organization of creative, critical thinkers who provide us with non-political, honest, and scientific discussion. The AMA comes across as a government mouthpiece.

“Physicians true to their Oath of Hippocrates will continue to advocate for a culture of respect for all human life. In our world of changing cultural norms, Hippocratic medical ethics, centered on the sanctity of the patient-physician relationship, is immutable and should suffice.”            

The Journal of American Physicians and Surgeons is published by the Association of American Physicians and Surgeons (AAPS), a national organization representing physicians in all specialties since 1943.

Full Article: https://jpands.org/vol26no4/singleton.pdf

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Facts Regarding COVID Vaccination of Children Reviewed in the Journal of American Physicians and Surgeons

Facts Regarding COVID Vaccination of Children Reviewed in the Journal of American Physicians and Surgeons

On Oct 29, the Food and Drug Administration extended its Emergency Use Authorization (EUA) for the Pfizer/BioNTech vaccine to include the vaccination of children aged 5–11. Naturally, parents are concerned and will have many questions. In the winter issue of the Journal of American Physicians and Surgeons, Steven Hatfill, M.D., reviews the most relevant medical literature and presents the possible effects of vaccinating young children aged 5-11.

“Children are naturally resistant to serious COVID-19 infection,” he states, for several reasons. In children aged 5–9 years, the infection fatality rate is an almost infinitesimal 0.001% to 0.002%, with a mean increase of 0.59% with each five-year increase in age past ten years. Overwhelmingly, childhood COVID-19 deaths are due to serious pre-existing conditions. There are currently more than 79 international high-quality research papers demonstrating natural immunity superior to individuals given the Pfizer COVID product. “The limited benefit needs to be balanced against adverse effects,” he writes.

“The FDA has recently acknowledged,” Dr. Hatfill observes, “that it is incapable of accurately monitoring serious adverse side-effects.” Thus, he states, any tally of effects such as the multisystem inflammatory syndrome in children (MIS-C) “will almost certainly represent a gross undercount with a lack of transparency to parents.”

Dr. Hatfill examines reports to the Vaccine Adverse Events Reporting System (VAERS) for each year from 2011 to 2021. “Both the total number of reports and the number of deaths in 2021 have exceeded the combined total for all vaccines in previous years,” he states.

Dr. Hatfill observes and discusses:

  • the international restriction of mRNA vaccines in young persons due to the risk of myocarditis:
  • the growing evidence of waning vaccine effectiveness;
  • antibody-dependent enhancement:
  • the emergence of variants;
  • blood clotting abnormalities; and
  • the early use of out-patient drug treatment.

Dr. Hatfill calls for a formal investigation into allegations of conflicts of interest and falsified data. Officials responsible for injuries and deaths must be “held accountable,” he states.            

The Journal of American Physicians and Surgeons is published by the Journal of American Physicians and Surgeons, a national organization representing physicians in all specialties since 1943.

Link to full article: https://jpands.org/vol26no4/hatfill.pdf

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Stem Cell Infusions May Help Muscular Dystrophy, according to Journal of American Physicians and Surgeons

Stem Cell Infusions May Help Muscular Dystrophy, according to Journal of American Physicians and Surgeons

Duchenne muscular dystrophy is a progressive genetic disorder causing severe disability and early death. Promising animal studies and earlier investigations led to a trial of intravenous stem cell therapy in an 11-year-old boy, described in the winter issue of the Journal of American Physicians and Surgeons by Darah Mohammed Pourakbar, M.S., Kipp Van Camp, D.O., and Cameron D. Knackstedt, D.O.

The patient underwent a 90-day treatment protocol involving three intravenous infusions of mesenchymal stem cells and exosomes derived from placenta and umbilical cord, mixed with platelet-rich plasma. The patient showed improvement in several measures on a musculoskeletal assessment test and stability on cognitive testing. Both the patient and his parents reported positive improvement in his overall balance and dexterity from their daily observations, and they elected to continue treatments after the protocol was completed.

The treatment appeared to be effective and safe. Future studies should involve blinded evaluations of treatment in a large number of patients over a prolonged period, with special attention to comparing the available delivery methods for the stem cells.

The Journal of American Physicians and Surgeons is published by the Association of American Physicians and Surgeons (AAPS), a national organization representing physicians in all specialties since 1943.

Link to full article: https://jpands.org/vol26no4/pourakbar.pdf

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Failure of National Pandemic Plan Examined in the Journal of American Physicians and Surgeons

Failure of National Pandemic Plan Examined in the Journal of American Physicians and Surgeons

Based on his experiences in a front-row seat during the Trump Administration, virologist and disaster response expert Steven Hatfill, M.D., calls for government accountability for the COVID-19 death rate and economic destruction, writing in the fall issue of issue of the Journal of American Physicians and Surgeons.

“Americans’ lives have been tragically disrupted and permanently altered by the COVID-19 pandemic. Government needs to be held accountable for what went wrong and for the decisions that financially ruined millions of individuals and businesses, crippled the US economy, facilitated the preventable death of more than 600,000 of our citizens, and destroyed confidence in our medical research institutions as well as in government.”

The U.S. has had a validated National Pandemic Response Plan since 2000, and it was updated in 2017. The existence of a of a new coronavirus was known as early as 2015. This virus, SHCO14-CoV, was analogous to the 2003 SARS virus, and was capable of jumping directly from bats to humans. Yet the alarming level of pandemic unpreparedness did not improve. “Most urgently, the U.S. had become dependent on China for the active pharmaceutical ingredients needed to manufacture critical pharmaceuticals. Also, most personal protective equipment was largely manufactured in China,” Dr. Hatfill writes.

 The U.S. COVID-19 Task Force was formed on Jan 29, 2020. By mid-February, South Korea was using chloroquine and hydroxychloroquine (HCQ) to help control its outbreak, and favorable evidence was accumulating. Although directed by their superiors to establish an Expanded Access Investigational New Drug (IND) authorization for HCQ, two U.S. government officials instead got an Emergency Use Authorization (EUA), which had the effect of restricting use to hospitalized patients, in whom success was far less likely than early in the course of the disease.

Within four weeks, the single act of admitted insubordinate action, combined with the actions of the mainstream media, served to trigger destruction of the core foundation of the National Pandemic Plan, which was based on early outpatient antiviral drug treatment until a safe effective vaccine could be developed, Dr. Hatfill states. The promised vaccine was the only officially approved method aside from lockdowns. But an EUA could not have been obtained for vaccine candidates if an effective treatment had been recognized.

Dr. Hatfill calls for investigation of the factors leading to the suppression of HCQ use and of political influences and conflicts of interest within the Food and Drug Administration (FDA) and Centers for Disease Control and Prevention (CDC).

Full PDF of article available at: https://jpands.org/vol26no3/hatfill.pdf

The Journal of American Physicians and Surgeons is published by the Association of American Physicians and Surgeons (AAPS), a national organization representing physicians in all specialties since 1943.

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Telemedicine Is Not the Equivalent of In-person Care

With improvements in technology, telemedicine has become increasingly popular, and increased 154% in March 2020 compared with 2019 because of the pandemic. Yet despite its advantages, virtual care cannot reach the highest level of medical care that is only achievable through direct physical interaction with patients, writes Paul Dibble, M.D., in the summer issue of the Journal of American Physicians and Surgeons. Dr. Dibble practices family medicine in Magnolia, Texas.

Disadvantages of virtual care that he mentions include significant errors in at-home measurements; lack of emotional connection; reduced ability to perceive subtle body language; potentially compromised privacy; inability to perform a thorough physical examination; technological difficulties; and the risk of excessive testing and overtreatment.

There are benefits just from the process of an in-person visit, Dr. Dibble writes. And the physical examination is a critical element of medical care. Besides the objective information gathered, “even the physical interaction itself has value. Humans need direct, in-person interactions; they need to be touched.”

Dr. Dibble concludes that while telemedicine can be a useful adjunct, it carries significant risks and cannot replace the direct in-person patient-physician relationship.

Read Full Article: https://jpands.org/vol26no2/dibble.pdf

The Journal of American Physicians and Surgeons is published by the Association of American Physicians and Surgeons (AAPS), a national organization representing physicians in all specialties since 1943.

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Corporate Cult of Certification Criticized by President of AAPS

Not long ago, board certification of physicians simply documented achievement of a certain level of specialty training, but recently it has become time-limited. There is a now a multi-million-dollar industry that imposes recurring onerous, expensive requirements on physicians. Constant recertification (Maintenance of Certification or MOC®) has become a cult, writes anesthesiologist Paul Martin Kempen, M.D., Ph.D., in the summer issue of the Journal of American Physicians and Surgeons. Dr. Kempen is current president of the Association of American Physicians and Surgeons (AAPS).

“Certification itself is a very widespread American corporate phenomenon, impacting accountants, crane operators, plastics, electronics, organic foods, meat, doctors, licensing, indeed almost any aspect of daily American life. It is generally run by private corporations, with no oversight,” he writes. “In medicine, the certification and educational industry’s acronyms continue to multiply like legislation.”

While MOC® is touted as a way to protect patients, there is no evidence that it improves care, Dr. Kempen states. He notes that in 2012 the American Board of Medical Specialties (ABMS) stated on its website that: “regardless of the profession—whether it is health care, law enforcement, education or accounting—there is no certification that guarantees performance or positive outcomes” (emphasis added).

When physicians are driven out of practice for not meeting MOC® requirements, they may be replaced by nonphysicians with far less training and experience—and no need for MOC®, Dr. Kempen points out.

“ABMS MOC no longer serves the profession by providing any methods of assessing, assuring, or advancing entry capabilities. Rather, it imposes arbitrary requirements throughout our professional lives, not with scientific evidence, but with merely the despotic will of an un-elected, self-serving plutocracy,” he writes.

What should govern medicine? “The welfare and needs of the patient,” he concludes.

Read article: https://jpands.org/vol26no2/kempen.pdf

The Journal of American Physicians and Surgeons is published by the Association of American Physicians and Surgeons (AAPS), a national organization representing physicians in all specialties since 1943.

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