Friday, May 31, 2024

Crooked Donald and the Waah Waah Republicans

D onald Trump convicted on all 34 charges.

How's that for a man who could shoot someone on 5th Avenue and never face justice?



But how did they find a group of 12 New Yorkers which did not contain even a single Trump fan?

In this country, that's remarkable.

https://www.youtube.com/watch?v=qa4kzo6AHKc

But, as Mr. Trump informed us just after the verdict, this country is now so poisoned by the millions of terrorists, escapees from insane asylums and rapists who have been pouring across the border every day, we shouldn't be surprised at this jury pool, picked from a demographic where only 6% of the citizens are Trump voters.

How many of these were El Salvadoran insane asylum residents just out of custody at the Southern border, transported by Texas Governor Greg Abbott by bus to New York to sit on that Trump jury? That's what I'd like to know.



And why couldn't we get Paul Gosar on that jury? He should have been foreman of the jury. Then we would have got justice. Mr. Gosar, who opposes contraception, at least for white women, who believes in the 2nd amendment and who knows Biden stole the election from Mr. Trump would have injected a much needed dose of reality into that jury. 



Now, if we had had fair jury, say Marjorie Taylor Greene, Lauren Boebert, Louie Gomert, Alex Jones, Rush Limbaugh (who may be gone now but is not forgotten), and any of dozens of other upright citizens we all could name--very different outcome.

But no! What we got is a jury from that city of carnage and depredation, that Sodom of Gomorrah, that low intelligence, sleazy urban den of iniquity, New York City, which Donald Trump gave the best years of his life trying to raise up to a standard of virtue. 



So ungrateful!

So Sad!

But you know, the best thing that ever happened to Adolph Shicklgruber Hitler was that 6 months in prison, where he had time to sit down and think and write "Mein Kampf."  It made him a millionaire and it gave him time to try out his material. Donald Trump has just not had a moment's rest since he took that famous ride down the golden escalator. 



So we should all maybe hope he gets that 4 year sentence from the conflicted judge, who is still prickly about Mr. Trump's giving out the judge's daughter's home phone number and her password to Facebook.



You know Mr. Trump will rise, in the end. He's a man of destiny. The Tempest is coming. Stormfront. Stormy. Daniels. You know, he will make sure nobody replaces us. He'll make America Great Again. 


 

Wednesday, May 29, 2024

FOX NEWS INTERVIEWS MAD DOG

 As some of you may know, Mad Dog has a day job and that is working for Steward Medical Group, which has lately become something of a high profile enterprise: For weeks Steward was above the fold, front page news for the Boston Globe. 



So, it was only a matter of time until Mad Dog would be accosted by a member of the working press, or someone who plays a news person on TV, to wit, a FOX NEWS sprite, who passed her audition on a white leather couch (one can only imagine) and demanded MAD DOG  say something to the public as he tried to enter the clinic door.



FOXY:  Excuse me, do you work here?

MAD DOG:  Until further notice.

FOXY: Excuse me? 

MAD DOG: Already been there.

FOXY: Pardon.

MAD DOG: I excused you already.



FOXY: What can you tell me about working here when the Democrat governor of Massachusetts has called you a criminal enterprise and threatened shut down all Steward facilities?

MAD DOG: A criminal enterprise? Well, now, that is news. To me at least.

FOXY: So how does that affect you as you try to take care of patients?

MAD DOG: Thing is, I really do have patients to take care of right now and I don't want to keep them in the waiting room any longer than necessary. Time is money, you know, and those yachts don't pay for themselves.



FOXY: Are you worried the governor will nationalize Steward, make it into a state run socialized medicine agency?

MAD DOG: She can do that?

FOXY: People are saying...

MAD DOG: Oh, then it must be true. I heard she was going to send in the National Guard to run the clinics, which would be a great help during COVID and flu season, but not so much now. They'd probably get bored and definitely would put a strain on our coffee budget, which is under considerable stress as it is.

FOXY: What was that you said about yachts?

MAD DOG: Oh, they do not pay for themselves. Mobile homes neither, as Justice Thomas can tell you. You would not believe the cost a mobile home, or maybe you call it an RV, one of those Prevost Le Mirage XL Marathons. The upkeep!

FOXY: Pardon?

MAD DOG:  Well, some people are saying it's a mobile home, but I think of it as a land yacht. Either way, very expensive. 

FOXY: I'm not sure I follow.

MAD DOG: Well, it's like Paul Gosar says, "Aren't we supposed to be standing for something instead of falling for everything?"

FOXY (Speaking to her producer through her ear piece) I think we better move on.

MAD DOG: I've really got to get to clinic. You know there's a tuberculosis pandemic.

FOXY: Tuberculosis?

MAD DOG: Paul Gosar was the first to notice. Those illegal aliens brought it in. We could treat it with Ivermectin or chloroquine, but the FDA refuses to allow these life saving medications because big pharmacoindustriomedical complex won't let us!

FOXY: Are there any other doctors working in this clinic I can talk to?

MAD DOG: You'd have to register as a patient.

FOXY: You are signing up new patients?

MAD DOG: We were when I was last here, but that was before the Memorial Day weekend, which was an utter debacle.

FOXY: You had a problem with Memorial Day?

MAD DOG: Not here. At home. The clinic was closed over Memorial Day weekend, but my wife and I nearly came to blows over the flag.

FOXY: The flag?

MAD DOG: She insisted she knew how to fly the flag and that I don't.  Now how do you string that sucker up? Blue part at the bottom or at the top? 

FOXY: And that's a wrap, from Steward Medical clinic in the Merrimack Valley!


Sunday, May 12, 2024

On Being An Unwoke Democrat: Of Indians, Pronouns and Transgender Clinics

 I support anybody being the person they want to be and feel they must be. But my question is: To what extent do I have to participate in supporting your self image?

--Dave Chappelle 


Having attended the New Hampshire Democratic Party state convention, having heard the wonderful Jamie Raskin confront, slam and otherwise undo Republicans in particular (Lauren Boebert, Jim Jordan, Mike Johnson) and in general (Trumpists, Trumplings and other sub genera of Trumpies), I have returned home to Hampton renewed and reinvigorated, determined to say what I'm actually thinking, rather than silently self editing into demure quietude. 

Congressman Jamie Raskin


I'm determined to resist what used to be called "political correctness" and now is called, "wokeness."

One is the pandering, simpering embrace of identity politics, which may flatter a single group but alienates many more. The Cleveland Indians felt compelled to rename their team because "Indians" is now deemed derogatory. I agree with George Carlin that one owes it to a man to call him what he wants to be called: So Muhammed Ali gets to discard his "slave name," and you should call him by the name he chooses. And a group name which is, or has been meant as a slur, like "Kike" or "Nigger" should be abjured, by consensus. 



But insisting on "Native Americans" or "Indigenous People" is simply to insist on a misconception at best and a lie at worst. As George Carlin insisted, everybody is from somewhere else, except maybe the original human beings who walked out of the Rift Valley in Africa. But Native Americans did not simply materialize out of the soil on the Great Plains or anywhere else in North America. They clearly walked or boated to North America from Asia. They got here first, to be sure, maybe by hundreds or even a thousand years, and Europeans washed up later, and then displaced the Indians.

Quanah Parker


There is argument about the derivation of the word, "Indian" which, for years has been taught in history courses as the name Columbus gave the people he found living in the Caribbean, thinking he'd reached India,  but more recently claims have been made Columbus knew full well he had not reached India and the name came from In Deus, (Of God, or people of God).  History, of course, is one long argument, but it doesn't matter. The name was not used by whites to denigrate those who preceded them, as, say "Redskins" might have been said to do.

And to say, "I'm sticking with 'Indians'," is not to deny these stone age people deserved to be systematically murdered or treated savagely. Whether Phil Sheridan really said, "The only good Indian is a dead Indian," the sentiment was the same. Sheridan and Sherman understood to bring the Plains Indians to heel you had to kill all the buffalo, on which these cultures depended, and that the generals did, bringing in hunters and accomplishing a real genocide of animals, reducing a sea of buffalo, millions which covered miles of the vast Great Plains, to near extinction.

Having said all that, I'm sticking with "Indians."

Maga Trump Chump


I also don't like "native species" and "invasive species"  when it comes to plants and wildlife. Everything arrives, tries to successfully occupy a niche and either succeeds or does not.

So, as Democrats, let's not pander to "Indigenous People" and open our conventions with 15 minutes of drumming on tom toms. Let's just say we did them wrong and move on.

As for pronouns, no less than The New Yorker writes its articles using "they" to refer to a person who prefers to use that pronoun. I agree you call a person the name he or she wants to be called, but that applies only to proper nouns, to names, not to pronouns. My pronouns belong to me and so do your pronouns belong to me. I'm owner of what pronouns I use. As Chappelle says, the question is: To what extent must I participate in supporting your self image? Do I have to change a language pattern locked in since infancy, when I first learned to speak English, before I could even know I was learning anything at all? 

And lastly, while I cleave to the idea that every patient be treated with respect, and nobody should be belittled or made to feel badly about his or her sexual preference or gender identity--which is something which should matter only to those individuals, the idea that patients who present themselves to clinics for treatment of their gender dysphoria should be in control of what that treatment should be, without challenge is not just absurd, but it is inimical to the effectiveness of treatment. 

Now that a scholarly, dispassionate review of the experience of treating patients in the United Kingdom has been published by one of that nation's reigning and respected pediatricians, Hilary Cass, MD, is it alright again to ask whether we are doing more harm than good in our efforts to help?

Paul McHugh, MD


These areas of contention: Transgender , Woke acquiescence to demands for pronoun chaos and obsequious abjuration of words like "Indians" are losers for Democrats. 

Not only that, caving in to these misapprehensions is simply to embrace wrong thinking. 



Monday, April 29, 2024

Hungarian Rhapsody

 


Returning to the States after a holiday in Franco's Spain, my father said, with some dismay, "Everyone looked so happy in Madrid. Don't they know they are living in a dictatorship?"

Which meant a simple truth had escaped him: People live their lives concerned only about whether they can afford to go out to a good restaurant, buy food, travel,  have a car--"kitchen table" things. They don't give more than 10 minutes thought to abstract issues like democracy, tolerance, and the suffering of other people.

Here in Budapest, Mad Dog looks around and sees smiling faces, people eating at sidewalk cafes, strolling along the Danube--everyone looks so...happy!

Their prime minister, whom they have re elected for 14 years, says Hungary is a Christian nation, which should be ethnically homogeneous and should erect walls to prevent the immigration of undesirables. Views which contradict this prevailing view are said to be disloyal.

And yet, one of the most famous and consequential Hungarians in history did just that: He espoused an unpopular, highly inconvenient view which made the ruling hierarchy look bad.


Semmelweis


He was an obstetrician named Ignaz Semmelweis, who noticed that women died after childbirth of something called puerperal fever, now understood as sepsis, in the maternity wards of Budapest at an alarming rate. Well, they died on certain wards at an alarming rate, but not on other wards. The death row wards were those run by faculty and medical students of the medical college, but the wards where patients were seen only by midwives, this calamity was rare.

He suspected the explanation for this discrepancy had something to do with the fact that the doctors went from doing autopsies, from examining one woman post partum to the next women-- without ever washing their hands.  The midwives did none of this; they simply delivered the babies and sent mother and baby home.






Now, this was about 1850, years before germ theory had gained widespread acceptance, but Semmelweis insisted doctors wash their hands in a solution we now know was a disinfectant, and only then examine a woman after childbirth-- and the rates of sepsis plummeted.

Doctors of that time and place were not happy about having their practices questioned, especially if it meant they were blamed for causing the deaths of their patients, so they punished Semmelweis in every way they could, and he wound up admitted to an insane asylum and he ultimately died at age 47 under murky circumstances, possible homicide. 

Makes one think of Paul McHugh and his campaign against transgender clinics in Baltimore.  Makes one wonder about the risks of challenging orthodoxy anywhere at any time. 


Sunday, April 21, 2024

Hilary Cass and Those Uncomfortable Questions: The Orthodoxy of Transgender Medicine



Hilary Cass, a Scottish pediatrician has done a courageous thing: She has insisted on critically evaluating the science behind current medical practice.


Dr. Hilary Cass


And not just any medical practice, a practice which in the commercial medical system of the United States has become a mighty industry, and in the socialized national health systems of Scandinavia, the Netherlands, France and the United Kingdom has skyrocketed into a huge cost and some would say, burden, for those publicly funded systems: Transgender Clinics.



Her report was commissioned and prompted owing to the explosion in demand for transgender care seen across Europe. Some have asked, "Where have all these kids been, until now?" Tens of thousands of children from age 10 to 18 have been brought to clinic by their parents with the chief complaint: I do not feel like a girl, although I was born a girl. I'm in the wrong body. I am the wrong sex for what I am.

This is called "gender dysphoria."



This complaint is not new, but what is new is the vast numbers of children presenting for care.

Some have claimed these kids were always out there in the real world, but like homosexuals, they were in the closet, afraid to report the torment they were going through.

Unlike homosexuals, however, these children are not seeking to be simply left alone; these children are patients because they are presenting themselves asking doctors to help them, and this help takes the form of powerful hormones and, ultimately for some, reconstructive surgery and castration.



More than fifty years ago, patients with a variety of abnormalities in production of various hormones, usually testosterone or its downstream products, were described, and some of these people were born with "ambiguous genitalia" which could not be clearly called either scrotum or vulva, penis or clitoris. Some were born with normal appearing female external genitalia, i.e. vulva, clitoris, but who in fact did not have female internal genitalia (i.e. uterus, ovaries). But these patients could be understood biochemically and ultimately, genetically. 

The current wave of patients presenting to transgender clinics have no such biochemical or genetic abnormalities yet identified.

Curiously, Dr. Cass notes, over the past decade most of the flood of patients have been requesting female to male transition, which was not the case twenty years ago.

When she looked at the data to try to ascertain the fates of kids who had been "transitioned" to the opposite gender, it was not clear, but it appeared many if not most of the preadolescents treated at the clinics had, by age 18, reverted to identifying as the gender they had originally been designated at birth, mostly female.

Simply put, these children had "outgrown" their problem or "got over it." (Not Dr. Cass's words)

I was particularly interested in this report because this whole phenomenon has been such an anomaly in medicine: It is the only session at the Endocrine Society meetings where scientific method, open inquiry and challenging the data and conclusions presented were shouted down and treated as heresy, blasphemy really. To question what was being done in the Transgender Clinic was to declare yourself as one of "them," the censorious world of bigots who, blinded by hate and intolerance, refused to acknowledge the suffering of this cohort of patients.

Paul McHugh, MD


In fact, this reaction was not new or confined to the Endocrine Society: Dr. Paul McHugh was vilified at Johns Hopkins after he questioned the Transgender Clinic programs which included surgery to transform female to male and male to female. Medical students refused to even speak with  him. At Johns Hopkins!

McHugh arrived at Hopkins in 1975  to assume the chair of the Department of Psychiatry, and one of the first things he was asked to do was to integrate psychiatry into the Hopkins Transgender Clinic, which included  plastic surgery, gynecology, urology and endocrinology.  And, being a scientist, he sat down to review the data and one thing leapt out at him: The patients at the clinic were committing suicide (or making serious attempts, not just gestures) at a rate exceeding 45%.  He asked: if you had a program in cardiology or surgery which had a 45% death rate, would you not pause that operation to re-evaluate it? 

Galelio


Hopkins had been doing sex reassignment surgery since 1966, but it was hoping to ramp it up in 1975. McHugh withdrew psychiatry from the program. By 1979, the Hopkins sex reassignment surgery program was discontinued. 

In 2017, McHugh wrote an amicus brief in a Supreme Court case outlining his objections: 

--Policy Should Not be Used to Enforce Bad Medicine — Treating Gender Dysphoria Through Social Transition and Mandatory Gender Affirmation Rests on Unreliable Testimonials

-- Social Transition Encourages a Gender Dysphoric Person to Indulge in a Falsehood, Which does not Address the Root Issues Causing Clinical Distress and Makes it Harder for the Mind to Accept Reality

--Hormone Therapy has not been Proven Beneficial, and there are Harmful Consequences to Artificially Manipulating the Body

--Surgical Intervention has not Proven Beneficial, and there are Harmful Consequences to Surgically Altering Healthy Bodies

--There is Insufficient Scientific Evidence to Support Treating Gender Dysphoric Children as if They are the Opposite Sex

-- Gender Dysphoric Children Suffer from a Psychological Disorder that Can Be Resolved through Therapy in Many Cases

--Gender Affirmation and Medical Intervention for Gender Dysphoric Children is Not Helpful, and Can be Harmful

--Protocols Calling for Social Affirmation, Hormone Treatment, and Sex Reassignment Surgery are a Reflection of Ideology and Activism, Not Evidence Based Medicine

 His basic argument was, and is still, that gender dysphoria is analogous to anorexia nervosa, where a 90 pound woman who is 5'7" looks in the mirror and says, "I'm so FAT!" She has a single "wrong idea" and the child with gender dysphoria is similarly afflicted. He was arguing that the doctors in the Clinic were participating in confirming that wrong idea to the patient and to the patient's family. 



Attending the Endocrine Society meetings some years ago, I went to a session on "Androgen Abuse Syndrome" where cases of men who looked like the Incredible Hulk, with huge musculature, visited clinics asking for testosterone injections because they looked in the mirror and saw themselves as 98 pound weaklings. In Dutch clinics,  patients signed contracts to taper themselves off exogenous testosterone, run on the model of their opiate addiction clinics and their anorexia nervosa clinics. 



My next session was the Transgender Medicine session, where the speakers readily admitted the suicide rates in their clinics had always exceeded 40%, and showed no signs of declining--which they attributed not to anything they might be doing to their patients, but to the pressures society puts on transgender people. 

The doctors in these clinics were using doses of testosterone which were 4-5 times higher than I had ever used to treat males.  I was stunned, and I texted the man from University of Michigan who had led the "Androgen Abuse" session, and he replied, "There is nothing wrong with that, because these doses are being used in gender affirming therapy."

So in one patient, we've got him signing contracts to taper himself off testosterone, and in another patient we are giving patients orders of magnitude higher doses to affirm their new gender.

One case presented was a male to female (still with penis and testicles) and the lesbian partner who wanted expensive IVF treatments to get pregnant. Nobody asked, wait, what kind of sex are they having?

Another case of a female to male was being given testosterone in 5 times the usual dose because menstruation had not been ablated and the monthly menstrual flow was undermining the patient's new identity as a male.

We are not talking science here. We are talking faith.




The problem with complaining about Transgender Clinics is you immediately find yourself grouped with Marjorie Taylor Greene and the "there are only two genders" crowd, or with Abigail Shrier, who wrote a screed calling Transgender Medicine part of a "craze," doing irreparable harm to young people. 

What doctors crave is a pathway to the truth, and the way there is, and always has been, the dispassionate, rigorous pathway and in the case of transgender medicine, this has been discarded by the medical profession, until now, until Dr. Cass published her report.




Saturday, April 20, 2024

What to Say When

 



Watching Katie Porter (D-CA) during a hearing in the House of Representatives, when a witness (Lindsey Burke, of the Heritage Foundation)  testifying before the Committee inveighed against Congress "spending other people's money," Rep. Porter made the simple, but devastating observation that the job of Congress is, in fact, to spend other people's money, namely taxpayer money, and if Congress refused to do this job we would "zero out all spending for the Defense Department." And turning to the witness, she asked, "Is that what you want?"



https://www.youtube.com/shorts/3c-qT2wZ9CY

This is just one example of someone who has heard a simple, telegraphic prop, a synecdoche really, where a short hand phrase stands in for a whole, longer argument, and who explodes into a longer, more detailed deconstruction of what that, by logical extension, would actually mean.

So, the Heritage Foundation would like us all to believe that taxation is really government imposed theft, taxes being robbed from citizens, and thus are, ipso facto, illegitimate and taxes should not be collected, because doing so is the crime of theft. 



Of course, as Porter explains, without taxes, without a source of revenue, there can be no government, which the Heritage Foundation would possibly like, but then, even the Heritage Foundation realizes there are some things the government does even the most ardent Republican, libertarian likes: armed forces. 

Built into the macho proponents of strong men, violent men of iron will, is the love of guns and armed forces.

So Porter demolishes that empty phrase: "You are spending other people's money," with the riposte: "Of course we are spending other people's money, and other people want us to spend their money to provide for their defense, and likely, for a variety of other things."

Another phrase adored by people like Marjorie Taylor Green and other gun worshipers is, "If you make guns illegal, only the bad guys will have guns." Or, the spin off, "The best way to deal with a bad guy with a gun, is a good guy with a gun!"

To this, Dominic Erdozain ("One Nation Under Guns") replies: The good guy with a gun is always good, until he becomes a bad guy with a gun.



In fact, as he asserts, citing a welter of gun death statistics, the vast majority of gun deaths, in particular mass shootings, are committed by people who, until they unsheathed a gun, were thought to be good guys--no criminal record, no actionable history to deny or question their right to gun ownership.





But what Erdozain is saying is people who own guns are the people who kill other people with guns. He cites statistics which suggest a very common murder scenario is fathers who shoot to death their own sons. 

Who knew? 

Actual good person with gun


My real point is here, if we know or can identify an argument which is really, at heart, stupid, we can torpedo that particular piece of stupidity if we are prepared. Otherwise, the moment passes and we are left sputtering.

Congressmen like Jamie Raskin seem particularly adept and prepared to blow Ms. Greene out of the water, likely because they have heard it all before. When MGT tells Raskin she will not answer his "stupid questions" he rejoins with, "Well, will you answer my intelligent questions? Or my devastating questions?"


What we Democrats really need is a playbook, a hymnal, filled with Republican tropes, so we can develop our own tropes, prepared in advance, to sink those Republican vessels.



Saturday, April 6, 2024

Trumpkin Police: Beyond Law and Order



Sometimes, a picture can speak more eloquently than words. 

Looking at those police goons in Michigan, standing behind Trump, tells you all you need to know about some police departments. 



You could see it in Birmingham, Alabama in that iconic photo of the cop and his police dog--although, as is so often true in life, that photo may have been misleading.



You can see it in Texas with Governor Abbott.



You could see it in Alabama when George Wallace stood in the school house door and declaimed, "Segregation today. Segregation tomorrow. Segregation forever," backed up by his police. 


Today I have stood, where once Jefferson Davis stood, and took an oath to my people. It is very appropriate then that from this Cradle of the Confederacy, this very Heart of the Great Anglo-Saxon Southland, that today we sound the drum for freedom as have our generations of forebears before us done, time and time again through history. Let us rise to the call of freedom- loving blood that is in us and send our answer to the tyranny that clanks its chains upon the South. In the name of the greatest people that have ever trod this earth, I draw the line in the dust and toss the gauntlet before the feet of tyranny . . . and I say . . . segregation today . . . segregation tomorrow . . . segregation forever.

--Governor George Wallace

You see it in the New York City Police.

Police often, but not always, are people who like beating people up. They are frequently resentful. They like tough guy leaders who "have our backs."



Less of that in New Hampshire, but true in many places.

George Orwell got it right in "Animal Farm," where Napoleon the pig takes a brood of puppies from their mothers, raises them and then unleashes them to run his rivals off the farm and to intimidate all the other animals, especially those who might challenge his authority.



Police like the ones standing behind Trump in Michigan ought to be in the mind of every voter walking into that voting booth on November 5, 2024.