coronary microvascular dysfunction

 24.2.9: web.health/heart/
coronary microvascular dysfunction:

summary:

. if you feel like a heart attack is happening

but they can't find an obstructed or clogged artery,

that is known as MINOCA:

myocardial infarction [heart cell death due to blood loss]

with non-obstructive coronary arteries 

which can be caused by artery spasms, ripped artery,

or a new condition that is known by many names:

coronary microvascular dysfunction

Coronary microvascular disease

Microvascular endothelial dysfunction

Cardiac syndrome X

Nonobstructive coronary heart disease.

ami.org 2024.2.5

https://www.facebook.com/amidotorg/posts/pfbid022tx3M4kK9x4LdyGzERCRcB7qb3hMtpo1ThRziRvhFdNo6He8v8Ktd7RqMWdL2nPml

The Association of Medical Illustrators is

excited to announce the launch of 

the first round of illustrations through the 

AMI Diversity Fellowship, 

made possible by a grant through Johnson & Johnson’s (J&J) 

Our Race to Health Equity (ORTHE) initiative. 

In recognition, we will be highlighting the work of

each of our Diversity Fellows.

eg, the first illustration highlights

myocardial infarction with non-obstructive coronary arteries.

[!] image: myocardial infarction with non-obstructive coronary arteries 

(MINOCA), can be caused by artery spasms 

or coronary microvascular dysfunction.

interesting that mentions  

"coronary microvascular dysfunction";

it is a new diagnosis with many names...

Small vessel disease

https://www.mayoclinic.org/diseases-conditions/small-vessel-disease/symptoms-causes/syc-20352117

Small vessel disease may also be called:

Coronary microvascular disease

Microvascular endothelial dysfunction

Small vessel disease is treatable but may be difficult to detect. 

The condition is typically diagnosed after finding

little or no narrowing in the main arteries of the heart

despite the presence of symptoms that suggest heart disease.

Coronary Microvascular Disease (MVD)

https://www.heart.org/en/health-topics/heart-attack/angina-chest-pain/coronary-microvascular-disease-mvd

In coronary MVD, the heart's coronary artery blood vessels

don't have plaque, but damage to the inner walls of the blood vessels

can lead to spasms 

or abnormalities in smaller arteries.

Other names for coronary microvascular disease:

Cardiac syndrome X

Nonobstructive coronary heart disease

Treatment

Medications to relax blood vessels including 

beta blockers, calcium channel blockers and nitroglycerin.

Noel Bairey Merz, MD

https://www.cedars-sinai.org/newsroom/what-is-minoca-a-type-of-heart-attack-mostly-affecting-women/

What is MINOCA? A Type of Heart Attack Mostly Affecting Women

. myocardial infarction with non-obstructive coronary arteries 

(MINOCA), is garnering increased attention.

Janet Wei, MD, and Noel Bairey Merz, MD:

MINOCA is a heart attack caused by 

poor blood flow to the heart, 

despite no evidence of major blockage in the arteries,

eg, coronary artery spasms, and

spontaneous coronary artery dissection.

A troubling aspect of MINOCA is that

often when we diagnose a heart attack, 

we rely on a single imaging method

—invasive coronary angiogram—

to tell us if there’s a big blockage in the coronary arteries. 

With MINOCA, the angiogram can look normal.

MINOCA patients are more likely to be female and younger, 

and they’re also more likely to be Black or Hispanic/Latino. 

Israel's key to the Promised land no longer fits?

12.19: pol/purges/zionism/
Israel's key to the Promised land no longer fits?:

. the original purpose of the Promised land

was to have G-d followers replace G-d rejectors or idolaters,

but today's Judaism is trying to replace the godly muslims,

who tried to bring globalized religion

from the idolatry of Christianity deifying Jesus

closer to what Judaism was practicing.

the "woke" agenda from the Jewish perspective

2023.7.3: news.pol/purges/zionism/
the "woke" agenda from the Jewish perspective:

Charles Jacobson 2023 6/25:

https://www.toojewishradio.com/Too%20Jewish%20MP3's/Too_Jewish_2023-06-25.mp3

. the liberal agenda has been about equal opportunity for all;

whereas the "woke" agenda now in play

is about equal results:

if a race or culture is getting worse results,

that is proof they are getting oppressed by

the races or cultures that are getting good results.

. people of the Jewish culture have some of the best results

so among "woke" liberals 

the Jewish nation has lost its status as victims,

and are instead a big part of the oppression.

. actually, the main reason that

the Jewish nationals are seen as oppressors,

is for their support of zionism:

[ their being willing to wage an endless war

to maintain a Jewish state in Israel

at the expense of the Islamic state that existed there

for several hundred years.]

. authentic Judaism entails zionism,

so when liberals attack zionism,

they are being antisemitic.

. Charles Jacobson is a compiler and editor of 

"Betrayal: The Failure of American Jewish Leadership" [ad]

https://amzn.to/3NADXO7

. see also David L. Bernstein, Natan Sharansky 2022:

Woke Antisemitism: How a Progressive Ideology Harms Jews [ad]

#Arizona is fighting about defunding public schools again

2022.9.18: web.pol/edu/vouchers/
#Arizona is fighting about defunding public schools again:

. with expanded vouchers, the newer public schools

may have trouble repaying construction bonds.

. other than that, vouchers could be good

for promotion of gun-resistant and mind-liberating 

homeschooling.

the unexpected hazards of being a statistic

 2022.6.22: pol/healthcare/
the unexpected hazards of being a statistic:

. there was a problem with exploding air bags that killed people

but they didn't have them disarmed until replacement

because statistically, if they did disarm the air bag

there would be more people dying from accidents

than there would be deaths from air bag explosions

because seat belts alone are far deadlier than

seat belts with air bags.

. but those statistics just show the cost to society;

what about the cost to my family

when they know I may never have died from an accident

but I did die from an air bag explosion?

suggestions for a globalized pandemic preparedness and response

 2022.4.12: co.who.int/pol/healthcare/
suggestions for a globalized pandemic preparedness and response:

the intro from WHO:

https://inb.who.int/home/written-submissions

the form to give your comment:

https://extranet.who.int/dataformv3/index.php/491121?lang=en

the question:

“What substantive elements do you think should be included

in a new international instrument

on pandemic preparedness and response?” 

my comment:

. one thing we should do to prepare

is teaching people about who survived the pandemic;

it was people with a diet that promotes

low inflammation, low cortisol, and low insulin,

for enhanced insulin sensitivity.

. and for elders it was high levels of vitamin D, vitamin A,

with vitamin K2 to prevent bone loss from vitamin D,

melatonin, and zinc.

. we don't want a global effort of 

forcing everyone to take risky vaccines,

when we could work to isolate the vulnerable,

while we rapidly build natural immunity,

and get the lock-downs over with sooner!

Cares Act 2020 required removing guaifenesin from asthma meds

 21.7.12: web.health/diet/

Cares Act 2020 required removing guaifenesin from asthma meds:

. why was primatene recalled?

a competitor claimed that the Cares Act 2020

required removing guaifenesin;

possibly due to it being known that

guaifenesin may cause birth defects.

but that was known at least as far back as 2003.

[ Am Fam Physician. 2003:

https://pubmed.ncbi.nlm.nih.gov/12825840/

Over-the-counter medications in pregnancy

Ronald A Black, D Ashley Hill.

https://www.aafp.org/afp/2003/0615/p2517.html

]

aapsonline.org worries more "democracy" is a path to socialized medicine

2021.3.2: news.pol/healthcare/

aapsonline.org worries more "democracy" is a path to socialized medicine:

summary:

H.R. 1: For the People Act 3 of 2021:

https://www.congress.gov/117/bills/hr1/BILLS-117hr1ih.pdf

"To expand Americans’ access to the ballot box, 

reduce the influence of big money in politics, 

strengthen ethics rules for public servants, 

and implement other anti-corruption measures

for the purpose of fortifying our democracy, ... ."

. we actually need this bill to protect democracy

by making it easier to vote;

but it is bound to help the Democrat.party

which is known for increasing socialized medicine

which is bad if it limits the ability of doctors

to decide what they consider good patient care

instead of letting politicians decide your care.

. this is why Republicans voted for abortion rights:

https://www.worldatlas.com/articles/roe-versus-wade-decided-by-a-majority-republican-nominated-court.html

they actually voted to keep politicians from

taking choice from our doctors.

. I hope when this bill allows more Democrat politicians

that they help expand our access to healthcare

without tying the hands of doctors.

. if the usa has the most deaths from covid-19

https://en.wikipedia.org/wiki/COVID-19_pandemic_death_rates_by_country#/media/File:COVID-19_Outbreak_World_Map_Total_Deaths_per_Capita.svg

it was because we didn't give doctors more power:

good doctors wanted to treat early with older

unpatented drugs such as Ivermectin 

and zinc with HCQ; and vitamin D;

[Am J Med. 2021 Jan]

https://pubmed.ncbi.nlm.nih.gov/32771461/

whereas, the socialized medicine in the usa

https://www.covid19treatmentguidelines.nih.gov/antiviral-therapy/

told doctors not to treat until hospitalization was needed,

and to use only new patented drugs and ventilators.

safe harbor provisions of the Anti-Kickback Statute

2021.2.1: pol/healthcare/

safe harbor provisions of the Anti-Kickback Statute:

to the HHS Office of Inspector General (OIG):

https://www.regulations.gov/comment?D=HHSIG_FRDOC_0001-0440

Thank you for the opportunity to provide comments on 

abuse of safe harbors to the anti-kickback statute (AKS).

. this letter is a revision of the aapsonline response.

https://aapsonline.org/alert-and-special-legislative-update-pharmacy-benefits-managers/

Physicians Against Drug Shortages estimates that 

http://www.physiciansagainstdrugshortages.com/ 

safe harbor facilitated kickbacks increase 

"annual supplies costs by at least 30%, 

or upwards of $100 billion 

... and the prices of drugs ... 

by at least $100 billion annually as well." 

I urge HHS to move forward with the Part D rebate rule 

instead of delaying it further. 

. that regulation would replace protections for

drug rebates in Medicare Part D

with protections for discounts 

provided directly to consumers. 

. the Biden administration agreed to delay this rule

in response to suit challenging it brought by

the Pharmaceutical Care Management Association.

https://www.fiercehealthcare.com/payer/a-win-for-pbms-biden-administration-delays-rebate-rule

It is past time that discounts on drugs

are passed along directly to patients 

instead of being kicked back to middlemen.

In addition, the Office of Inspector General (OIG) 

must not sidestep its responsibility to investigate and end 

abuse of current AKS safe harbors, 

for example 42 CFR § 1001.952(j) and related regulations. 

This safe harbor for Group Purchasing Organizations (GPOs) 

has unleashed an epidemic of kickbacks

in the medical supply chain 

which has spread into pharmaceuticals 

through similar exploitation by 

Pharmacy Benefits Managers (PBMs).

HHS should further work to stop both

GPO and PBM misuse of safe harbors

by encouraging Congress to repeal 42 U.S.C. § 1320a-7b(b)(3)(C), 

a key statute that shelters harmful schemes. 

Shortages, unaffordability, and improper steering of patients 

to the most profitable product, instead

of the one that best meets patients' needs, 

are driven in part by this AKS safe harbor. 

For example,

sole-source contracts, facilitated by kickbacks, 

are an anti-competitive feature of

many GPO arrangements with hospitals and manufacturers, 

which increase the risk of shortages and push prices higher.  

For more details see 

http://jpands.org/vol23no2/singleton.pdf

-- This year the comment window is open until 

February 16 at 5pm Eastern.

my Comment Tracking Number: 1k5-9lk3-v0h4

@scifri Virologist @angie_rasmussen claims CDC appears "compromised" and has lost "respect"

2020.9.4: news.pol/healthcare/covid-19/
@scifri Virologist @angie_rasmussen claims
CDC appears "compromised" and has lost "respect":

@scifri radio factchecker guest Virologist @angie_rasmussen
claims CDC appears "compromised" and has lost "respect"
after issuing #covid19 policy that seems
"politically motivated" rather than scientific:
stop testing asymptomatic people
even if they believe they've been exposed.

the radio segment is recorded here:
sciencefriday fact-check.
partial transcript:

healthy cows eat grass and make methane

20.5.14: pol/purges/climate change
/healthy cows eat grass and make methane:
Israeli Researchers Cut Air Pollution
by Reducing Gas Output from Cows
[Judy Siegel-Itzkovich 2020 May 14]
. the author of this news supposes that
if a researcher studies the origin of cow germs
(diet vs germs given by mother)
it must be to control a greenhouse gas,
but I couldn't find such a concern
mentioned in the reference;
and, that is as it should be; because,
healthy, happy cows eat grass not grains;
and fermenting grass makes a lot of methane.

1918 flu pandemic a #WWI #bioweapon? bleeding from high-dose aspirin

20.5.1: health/immunity/1918 flu pandemic
/H1N1 with bleeding from high-dose aspirin:
summary:
. the 1918 flu pandemic was an H1N1 virus;
there was some who suspected it was a bioweapon
and not just the flu;
because a lot of bleeding was involved,
as if it was hemorrhagic fever virus
meant to influence the current war (WWI);
however, there was a new popular fad at the time,
of taking very high doses of aspirin
as it it had only recently been discovered;
and they unaware that it was the aspirin
that was causing the same sort of bleeding
that is caused from scurvy or low vit'C.
. historian on @scifri radio said
the 1918 pandemic was able to kill just the young
because it caused an autoimmune reaction;
so, the stronger you could attack the virus
the stronger you would attack yourself.

#passover 2020 we find out why people are #hoarding #inflation

20.3.23: news.pol/purges/inflation/
passover 2020 we find out why people are hoarding:
David Sidman 2020.3.19:
Israeli economist and financial journalist Rafi Farber
who predicted the 2015 Black Monday crash
now predicts on the first day of Passover (April 8)
when the US Treasury is scheduled to auction off
10-year and 30-year Treasury bonds,
interest rates to pay usa's national debt
will start to rise precipitously;
because the world can see inflation coming;
because, the Federal Reserve is printing trillions
and Congress plans to hand out $1 trillion
directly to consumers to spend while they are
told to quit work to control the pandemic.
. so there are many dollars chasing few goods,
and prices will rise to reduce shortages.
. this is why people are hoarding:
buying while the dollar still has good value.

our fight is not with humans but with spirits

2019.12.4: relig/christian/
our fight is not with humans but with spirits:
. the current divisions between usa's political parties
(Repub's as christian or traditional;
and, the Dem's as liberal or modernist)
reminded me our primary fight is
not between countries (eg, usa vs Russia),
or democracies vs dictatorships,
but between the various spirits
that support opposing moral positions;
eg, the biblical vs anti-biblical,
or the modernist vs traditionalist.
. the bible of the early church
has some related verses.

trust flu vaccine? we need humane organic farming

19.6.17: tv.pol/healthcare/industrial farming
/Rob Wallace`african swine fever:
6.19: summary:
trust flu vaccine? we need humane organic farming:
. part of the reason for encouraging flu vaccine
is that globalized factory farming
is increasing the rate of flu virus evolution;
but flu vaccine is often not protective;
what we really need is to discontinue
globalized factory farming of animals
by mandating humane organic farming.
. I summarize the work of
biology Ph.D. Rob Wallace
and others concerned with the way
factory farming promotes disease.

#healthcare #fluoride Dr. David Kennedy

19.6.2: pol/healthcare/fluoride/Dr. David Kennedy:
6.3: summary:
. more bad news about fluoride
being a hormone disruptor;
I live in Tucson which doesn't fluoridate,
so my main source has been tea
which is a fluoride accumulator,
and comes mainly from China
where there is a lot of fluoride pollution
from burning coal.
. fluoride is known to affect thyroid
and very high levels of it may reduce
testosterone levels.

. heard Dr. David Kennedy on the radio:
with Martie Whittekin (Healthy By Nature)
[Tucson, AZ, KGMS 940 AM – Sunday 1 pm]
. fluoride is an endocrine disruptor
by affecting g-protein function.
fluoride increases brain aluminum.
Dr. David Kennedy has a book:
David Kennedy 1996`How to Save Your Teeth:
Toxic-Free Preventive Dentistry.
--
. that book has cult-classic pricing on amazon
but cheap pdf's are sold by iaomt.org.

why lie about man-made global warming?

5.14..15: pol/gemini/science/climate change/
why lie about man-made global warming?:
. the evidence for global warming being man-made
is said to be weak or even faked;
but why would the establishment want to lie?
I got a new sense of why
after hearing just what a nightmare it will be
if we can't do anything about it.
. why lie about existence of superhuman aliens?
(astronauts say we are suppressing disclosure)
. we lie for morale, to make us feel safe;
if it were true that global warming
is going to happen no matter what we do
then that would make us feel hopeless,
and people who think the end is near
may act as if they have nothing to lose
which could endanger the establishment.
. we need underground cities
to protect us from climate change
but that is some very expensive housing
and we can't afford to help everyone.

Anderson 1999`brain drain in physics?

18.10.31: news.phi/science/
Anderson 1999`brain drain in physics:
summary:
. Anderson 1999 says there was a brain drain
in the field of published physics;
what his article misses is that
real physics exploring new paradigms
is being practiced within secret industries
that serve our national security.
. you'll fully see the real physics
only during the next world-wide war;
for a possible taste of what is to come
study videos of how the towers on 9/11
were silently yet instantly turned to dust.
(not a collapse and not a demolition,
nothing published can explain all the evidence
compiled by Dr.Judy Wood).

lobbyism -- rep's for virtual states and cities

pol/representation/lobbyism -- rep's for virtual states:
2017.12.14:
. representatives should be more of a lobbyist,
representing my group's particular interests
rather than the interests of
the group I'm geographically with;
the key to proper representation
is moving to a virtual city
where everyone thinks like you
and your wishes are not nullified
by an opposing majority.
. so, how to find your lobbyist?
learn the issues;
locate your position in multi-dimensional issue space,
place your issues into essential vs nice-to-have categories;
computer shows space of group you're in
and shows larger groups you are close to but not exact match;
the larger your group the more votes your rep has;
eg, for every 1000 people in your virtual city,
your virtual city's rep gets 1 vote.

Putin on election interference

news.pol/purges/democracy/
Putin on election interference:
. usa admits to interfering with Russian elections
but says they have a right to because
they are spreading democracy;
is that civilized?
... the chaos [of using media for propaganda]
is not the result of any interference
but of usa's own political system:
the internal struggle, the disorder, the division ...
[it's caused by democracy that tries to
unify nationalists with globalists,
and liberals with religious conservatives.]