Tuesday, March 31, 2020

1155 HOW COVID-19 KILLS – I'm a Surgeon – And Why We Can't Save You

HOW COVID-19 KILLS – I'm a Surgeon – And Why We Can't Save You

Newsletter published on March 30, 2020

(1) HOW COVID-19 KILLS–I'm a Surgeon–And Why We Can't Save You
(2) In Brooklyn, Friends had become Strangers, and Strangers had become
Threats
(3) An ER MD in New Orleans tells what the disease looks like up close
and personal
(4) US has just over 2 hospital beds per 1,000 cf Japan which has 12
beds. We also lack respirators, masks and gowns
(5) Overseas Chinese flee to China - because its Medical system is better
(6) Britain's Housing Market Freezes As Wave Of Delayed Mortgage
Payments Looms
(7) The virus is circulating in Hospitals; Hospitals become Death Traps
(8) Fruit and Vegetable Prices will Skyrocket; better plant vegetable
seeds NOW

(1) HOW COVID-19 KILLS–I'm a Surgeon–And Why We Can't Save You


Dr. Duc Vuong

This video explains how Covid-19 attacks your lungs. This is NOT the flu

(2) In Brooklyn, Friends had become Strangers, and Strangers had become
Threats


I fled the coronavirus in New York for Sydney. I was shocked by what I
saw in Australia

By Ed Coper

Posted March 27, 2020 04:00:59

I have a grim message for you from the future. About three weeks into
the future, to be precise.

My wife, our two daughters and I stepped off the plane in Los Angeles
earlier this week as if emerging from a dream — or was it entering one?
The reality we walked into seemed nothing like the one we had left in
New York a few hours earlier.

In our home neighbourhood in Brooklyn, friends had become strangers, and
strangers had become threats.

Our usual Sesame Street existence — in which a life of shared outdoor
space turned every walk along the brownstones into a string of impromptu
conversations with neighbours, crossing guards and shopkeepers — had
descended into a lonely and menacing dash for essential supplies.

People would cross the street as they saw you approaching. Regulars at
our local cafe, when it was still open, would shout at others in line to
keep their distance; parents in the park would usher their kids away
from you with surgical-gloved hands.

Everyone was a threat. Anyone could kill.

After a string of cancellations and last minute re-bookings, we finally
made it onto one of the last flights out — a hasty emigration brought
forward by circumstance, all of our belongings left behind indefinitely.
The plane was empty.

When an airport worker at LAX started yelling at us to bunch closer
together, two by two instead of single-file, I realised the coronavirus
did not seem to represent the threat it did in Brooklyn.

Fifteen hours later, as we disembarked in Sydney, it did not seem to
exist at all.

It's too late for New York, but not for Sydney

Like the background noise of an airplane safety demonstration, we were
given vague instructions by quarantine officers to self-isolate for two
weeks, handed a Department of Health fact sheet, then released into the
wild.

We stepped outside to be transported back in time, to New York three
weeks ago.

Schools and businesses were still open, beaches were packed (later that
day Bondi closed and further shutdowns were announced), and people
mingled — perhaps in denial of the new reality headed their way.

There's a meme circulating the internet at the moment, that climate
change wishes it had the same PR person as COVID-19.

But it's the similarities of the two crises we should be looking at, not
the differences.

The main barrier to effective action on either is that we seem incapable
of taking action until we see the problem manifest itself before our
eyes, and the longer we leave it, the more drastic the intervention will
be needed.

Sydney, you still have a chance to take the pandemic seriously — to take
small but swift steps now and potentially avoid more significant
disruption later.

For New York City, which is emerging as the epicentre of the virus's
spread in the US, it is too late. The healthcare system is already
beyond breaking point and cases are said to be doubling every three days.

It may not seem real to you until you know someone who is infected.

We know a dozen or more — young, healthy people now seriously ill. A
parent at our local school. A friend's newborn baby. Hopalong Andy, our
kids' singalong cowboy musician.

Prologue to a farce or a tragedy—or both

If New York could have the last three weeks back, it would. That
innocuous play on the swings. That last trip on the subway to work. That
last catchup at the pub before the "serious" lockdown started. All of
these things now seem reckless in hindsight.

But you still have those three weeks ahead of you, Sydney.

You can still rethink that barbecue with your healthy-looking neighbour,
that playdate in lieu of day care, that beer with your friend — after
all, they would never get the virus, it's for cruise passengers and
international arrivals.

A little bit of self-control, of erring on the side of caution, can
still arrest the exponential tsunami that is already spreading through
your city.

Back in Brooklyn, nobody looked sick in our community; we now know it
has been circulating there for weeks and possibly longer — some who had
the flu last month are now being told it was probably COVID-19.

One of America's founding fathers, James Madison, warned in 1822 that a
"A popular Government, without popular information, or the means of
acquiring it, is but a Prologue to a Farce or a Tragedy; or, perhaps both."

He was imploring the fact that an informed citizenry was necessary for
democracy to thrive.

Australia's leaders are armed with all the information they need to
avert disaster.

They see Italy (where 900 people died just on the day we landed in
Sydney), they see America (where experts are warning of deaths likely in
the millions).

Incremental piecemeal closures were the cause of Italy's historic
catastrophe, they're saying.

Australians are now armed with information to prevent this prologue
becoming a full-blown tragedy.

It is not just coming for your boomer parents who are still insisting on
attending christenings in Bowral, it is coming for you.

For the doctors and nurses you will rely on to help you. For your
cancer-surviving colleague; your diabetic friend. People you know will die.

Then you will look back and wonder why, in the face of all this
information, did we not act like our lives depended on it.

Ed Coper is executive director of the New York-based Center for Impact
Communications, and is currently a few days into two weeks of isolation
in Sydney.

(3) An ER MD in New Orleans tells what the disease looks like up close
and personal

From: Byron Allen Black <englishcorrection@gmail.com>
Subject: Covid-19, of course

Hey Peter,

This personal narrative, which I saved from the "Comments" section of
the Kunstler blog, might be of interest to you. Quite grim but not
unexpected.

----------

"Here is something passed on by a doctor friend. This is what the
disease looks like up close and personal.

"Anecdotal info. Still worth the read:

"I am an ER MD in New Orleans. Class of 98. Every one of my colleagues
have now seen several hundred Covid 19 patients and this is what I think
I know.

"Clinical course is predictable.

"2-11 days after exposure (day 5 on average) flu like symptoms start.
Common are fever, headache, dry cough, myalgias (back pain), nausea
without vomiting, abdominal discomfort with some diarrhea, loss of
smell, anorexia, fatigue.

"Day 5 of symptoms- increased SOB, and bilateral viral pneumonia from
direct viral damage to lung parenchyma.

"Day 10- Cytokine storm leading to acute ARDS and multiorgan failure.
You can literally watch it happen in a matter of hours.

"81% mild symptoms, 14% severe symptoms requiring hospitalization, 5%
critical.

"Patient presentation is varied. Patients are coming in hypoxic (even
75%) without dyspnea. I have seen Covid patients present with
encephalopathy, renal failure from dehydration, DKA. I have seen the
bilateral interstitial pneumonia on the xray of the asymptomatic
shoulder dislocation or on the CT's of the (respiratory) asymptomatic
polytrauma patient. Essentially if they are in my ER, they have it. Seen
three positive flu swabs in 2 weeks and all three had Covid 19 as well.
Somehow this ***** has told all other disease processes to get out of town.

"China reported 15% cardiac involvement. I have seen covid 19 patients
present with myocarditis, pericarditis, new onset CHF and new onset
atrial fibrillation. I still order a troponin, but no cardiologist will
treat no matter what the number in a suspected Covid 19 patient. Even
our non covid 19 STEMIs at all of our facilities are getting TPA in the
ED and rescue PCI at 60 minutes only if TPA fails.

"Diagnostic

"CXR- bilateral interstitial pneumonia (anecdotally starts most often in
the RLL so bilateral on CXR is not required). The hypoxia does not
correlate with the CXR findings. Their lungs do not sound bad. Keep your
stethoscope in your pocket and evaluate with your eyes and pulse ox.

"Labs- WBC low, Lymphocytes low, platelets lower then their normal,
Procalcitonin normal in 95%
CRP and Ferritin elevated most often. CPK, D-Dimer, LDH, Alk
Phos/AST/ALT commonly elevated.
Notice D-Dimer- I would be very careful about CT PE these patients for
their hypoxia. The patients receiving IV contrast are going into renal
failure and on the vent sooner.

"Basically, if you have a bilateral pneumonia with normal to low WBC,
lymphopenia, normal procalcitonin, elevated CRP and ferritin- you have
covid-19 and do not need a nasal swab to tell you that.

"A ratio of absolute neutrophil count to absolute lymphocyte count
greater than 3.5 may be the highest predictor of poor outcome. the UK is
automatically intubating these patients for expected outcomes regardless
of their clinical presentation.

"An elevated Interleukin-6 (IL6) is an indicator of their cytokine
storm. If this is elevated watch these patients closely with both eyes.

"Other factors that appear to be predictive of poor outcomes are
thrombocytopenia and LFTs 5x upper limit of normal.

"Disposition

"I had never discharged multifocal pneumonia before. Now I personally do
it 12-15 times a shift. 2 weeks ago we were admitting anyone who needed
supplemental oxygen. Now we are discharging with oxygen if the patient
is comfortable and oxygenating above 92% on nasal cannula. We have
contracted with a company that sends a paramedic to their home twice
daily to check on them and record a pulse ox. We know many of these
patients will bounce back but if it saves a bed for a day we have
accomplished something. Obviously we are fearful some won't make it back.

"We are a small community hospital. Our 22 bed ICU and now a 4 bed
Endoscopy suite are all Covid 19. All of these patients are intubated
except one. 75% of our floor beds have been cohorted into covid 19 wards
and are full. We are averaging 4 rescue intubations a day on the floor.
We now have 9 vented patients in our ER transferred down from the floor
after intubation.

"Luckily we are part of a larger hospital group. Our main teaching
hospital repurposed space to open 50 new Covid 19 ICU beds this past
Sunday so these numbers are with significant decompression. Today those
50 beds are full. They are opening 30 more by Friday. But even with the
'lockdown', our AI models are expecting a 200-400% increase in covid 19
patients by 4/4/2020.

"Treatment

"Supportive

"Worldwide 86% of covid 19 patients that go on a vent die. Seattle
reporting 70%. Our hospital has had 5 deaths and one patient who was
extubated. Extubation happens on day 10 per the Chinese and day 11 per
Seattle.

"Plaquenil which has weak ACE2 blockade doesn't appear to be a savior of
any kind in our patient population. Theoretically, it may have some
prophylactic properties but so far it is difficult to see the benefit to
our hospitalized patients, but we are using it and the studies will
tell. With Plaquenil's potential QT prolongation and liver toxic effects
(both particularly problematic in covid 19 patients), I am not longer
selectively prescribing this medication as I stated on a previous post.

"We are also using Azithromycin, but are intermittently running out of IV.

"Do not give these patient's standard sepsis fluid resuscitation. Be
very judicious with the fluids as it hastens their respiratory
decompensation. Outside the DKA and renal failure dehydration, leave
them dry.

"Proning vented patients significantly helps oxygenation. Even self
proning the ones on nasal cannula helps.

"Vent settings - Usual ARDS stuff, low volume, permissive hypercapnia,
etc. Except for Peep of 5 will not do. Start at 14 and you may go up to
25 if needed.

"Do not use Bipap- it does not work well and is a significant exposure
risk with high levels of aerosolized virus to you and your staff. Even
after a cough or sneeze this virus can aerosolize up to 3 hours.

"The same goes for nebulizer treatments. Use MDI. you can give 8-10
puffs at one time of an albuterol MDI. Use only if wheezing which isn't
often with covid 19. If you have to give a nebulizer must be in a
negative pressure room; and if you can, instruct the patient on how to
start it after you leave the room.

"Do not use steroids, it makes this worse. Push out to your urgent cares
to stop their usual practice of steroid shots for their URI/bronchitis.

"We are currently out of Versed, Fentanyl, and intermittently Propofol.
Get the dosing of Precedex and Nimbex back in your heads.

"One of my colleagues who is a 31 yo old female who graduated residency
last may with no health problems and normal BMI is out with the symptoms
and an SaO2 of 92%. She will be the first of many.

"I PPE best I have. I do wear a MaxAir PAPR the entire shift. I do not
take it off to eat or drink during the shift. I undress in the garage
and go straight to the shower. My wife and kids fled to her parents
outside Hattiesburg. The stress and exposure at work coupled with the
isolation at home is trying. But everyone is going through something
right now. Everyone is scared; patients and employees. But we are the
leaders of that emergency room. Be nice to your nurses and staff. Show
by example how to tackle this crisis head on. Good luck to us all."

(4) US has just over 2 hospital beds per 1,000 cf Japan which has 12
beds. We also lack respirators, masks and gowns


Coronavirus XIIl: The Good News is Still There To me, the days seem too
long. Instead of 24 hours in a day, it feels like the day is 30 hours
long. ...

At my office, my partners and staff have continued to see patients
through this crisis. That has been an honor. I feel we are providing a
much-needed service and I have seen sick patients improve with our care.
So far, out of the five providers (Drs. B, Ng, Nusbaum, NP Taylor, and
PA Jenny), none of us has a patient hospitalized with pneumonia. We have
not heard about any of our patients dying. And, we have had many sick
patients with flu-like symptoms, and some who have tested positive for
the virus, who have done well taking their vitamins and receiving IV
nutrient therapies.

Let's look at the positive and the bad news. I would like to get the bad
news out of the way. The US has moved into the number one spot with the
most cases in the world of COVID-19. Not a great statistic. Hospitals in
NYC are overflowing and there is a worry about a lack of respirators for
sick patients. The same worry is occurring in my home state of Michigan.
That is due to a lack of planning by our state and federal agencies.
Japan has significantly more hospital beds and ICU beds than we do per
capita. Look at the chart below. This is a graph of hospital beds per
1,000 inhabitants (2018 data). (1)

The US is the green bar near the left side of the graph–just over 2 beds
per 1,000 compared to Japan which has over 12 beds. If that graph does
not infuriate you, nothing will. We are the richest country on the face
of the earth who spends the most on health care and we lack hospital
beds? We not only lack beds, we lack respirators, masks and gowns, and
here we are in a pandemic.

As I said in previous posts, heads should roll when this is over!

(5) Overseas Chinese flee to China - because its Medical system is better


Fearing Next Wave, China Doesn't Want Its Diaspora Coming Back

Bloomberg News March 27, 2020, 5:59 PM GMT+10

Asian nation not evacuating its citizens from overseas

90% of the imported virus cases are Chinese nationals

A wave of coronavirus infections from people traveling into China is
putting the country on edge over whether it should keep the doors open
to its students and workers who live elsewhere.

Shaken by the almost 600 "imported" infections it's caught after it
brought its domestic case growth to zero, the Asian nation has already
announced a sealing of its borders to foreigners from Saturday. But the
move won't stop the wave, given that 90% of the imported virus cases are
Chinese nationals returning from other countries, according to data from
China's foreign ministry.

Beijing is actively discouraging its 11 million Chinese diaspora from
coming home, telling them that it would mean long delays in their
studies and jobs overseas. And it's no longer sending chartered flights
to get citizens home, an about-turn from an earlier policy that saw it
bring plane loads of Chinese back from Iran and Japan.

The new approach also runs counter to that taken by countries like
Singapore, Australia and Canada, which have urged their citizens working
and studying overseas to come home.

After bringing its epidemic under control through draconian measures
that quarantined a region of 60 million people and caused a historic
economic contraction, China is now fearful of a second peak as the
pandemic accelerates overseas. Over 81,000 people have been infected and
over 3,200 have died in China since the virus was first reported last
December.

"Students may face long-term delay in their study or work if they return
to China, as the outbreak may well last one or two years," said Zhang
Wenhong, a Shanghai-based Chinese epidemiologist, in an online chat with
overseas Chinese students organized by the Chinese embassy in
Dusseldorf, Germany, on March 17.

Zhang also told them that younger people have a lower chance of becoming
seriously ill after contracting the virus.

Back to Work

The pandemic's epicenter has shifted out of China, with the U.S. now
emerging as the worst-affected country while large parts of Europe
continue to suffer. Globally, over 532,000 people are sick and 24,000
have died. China, meanwhile, is slowly going back to work, its factories
have begun clanking again and its lockdown of Wuhan, the city where the
virus first emerged, will be lifted on April 8 after fresh cases dipped
to zero earlier this month.

The lockdown of Hubei province, where Wuhan is located, may have bought
China months before the next wave becomes a real threat. According to a
study published in Lancet Public Health March 25, social-distancing
measures may not just flatten the curve, they can also push back waves
of infection to October.

Some of China's overseas citizens trying to go home are already infected
and wanted to return for treatment, while others were infected during
the flight. On Friday, all 54 reported new cases in China were imported,
according to the National Health Commission. So far, China has reported
595 imported cases since late February.

The imported cases "undoubtedly pose a severe challenge to the results
of domestic epidemic prevention and control, the pace of restarting
production and work, as well as people's safety," the Civil Aviation
Administration of China said in a March 26 statement. No Chartered Flights

The Chinese embassy in the U.K. said in a March 8 statement that there
are no plans to send chartered flights to fly overseas Chinese home.
Instead, it suggested overseas citizens try to get help where they are,
for example by calling overseas Chinese organizations to help with face
masks and other protective equipment. It has asked students to contact
their schools to decide on how to proceed with their courses.

Liu Xiaoming, China's ambassador in the U.K., told Chinese students on
March 25 that staying where they are is safer, given the potential
dangers in the homebound journey. Instead of flying dozens of hours
without eating or drinking, wearing gloves and masks, and then being
quarantined for 14 days on arrival in China, "I think it's better to stay."

That, however, hasn't stopped some Chinese students from doing whatever
it takes to come back, despite sky-rocketing fares, in the belief that
they can't get proper medical treatment overseas.

A female student who studies in the U.K. took a two-stop 51-hour journey
from London to her hometown Xi'an wearing protective clothing and
goggles throughout, according to a video widely circulated on Chinese
social media.

"We are coming back because we rely on China's medical treatment. It's
not to bring back the virus," she said in the video.

— With assistance by Claire Che

(6) Britain's Housing Market Freezes As Wave Of Delayed Mortgage
Payments Looms


by Tyler Durden

Sat, 03/28/2020 - 10:50

One of the more unorthodox measures implemented by No. 10 Downing Street
when it placed the entire UK on lockdown earlier this week was a virtual
freeze of the country's housing market. For nearly a week now, the
housing market across the country has ground to a halt as agents have
been prohibited from marketing new homes.

And on Thursday, the government took things a step further, and banned
visitors from viewing properties while the "stay-at-home" measures are
still in force.

The edict affects all transactions, blocking all transfers of title
until further notice, while also banning evictions, it's basically
forcing the entire county to stay put in whatever housing situation they
have been living in. For those who don't have permanent housing
arrangements, it's presumably been a struggle. But that's a relatively
small slice of the population.

This is about all prospective homebuyers in the UK can do right now:

     "You can speak to estate agents over the phone and they will be
able to give you general advice about the local property market and
handle certain matters remotely but they will not be able to start
actively marketing your home in the usual manner," the government said
on Thursday night.

A number of banks and specialist lenders have already withdrawn new
mortgages to "focus on existing customers", even as demand for loans is
expected to soar. The decision was meant to reduce stress on call
centers as most places are expected to be low on staff in the coming weeks.

Lloyds and Barclays have already withdrew most of their mortgage offers,
and are expected to cut off all loans currently in the process of being
made unless the borrower can put down 40%.

Barclays told brokers it would no longer offer mortgages for customers
who did not have a deposit of at least 40%, but it would continue with
some remortgaging deals.

With so much uncertainty and such extreme fluctuations in interest rates
and credit markets, banks are hoping to put things on pause until things
have calmed down a bit.

Bankers told the FT that the withdrawal of mortgage products wasn't a
signal that they were running short of financing, as happened in 2008
when funding markets froze.

But with so many borrowers warning lenders to expect delays on their
mortgage payments until the federal stimulus checks have been issued,
issuing new mortgages right now would almost be stupid. To continue
lending money at a time when reliable borrowers are already having
trouble doesn't seem to make sense, which is one problem that the
government is going to need to solve with this bailout,

(7) The virus is circulating in Hospitals; Hospitals become Death Traps


Coronavirus in Europe: Overworked hospitals become death traps

By Gregor Link

28 March 2020

[...] A report in the New York Times gives an insight into the
catastrophic conditions already prevailing in European hospitals. In the
province of Brescia, the centre of the outbreak in Italy, 10 to 15
percent of doctors and nurses have been infected and incapacitated,
according to a doctor from the region. But the problem is widespread
throughout Europe. In Italy, France and Spain, more than 30 doctors and
nurses have died of the coronavirus, and thousands of others have had to
isolate themselves, according to the Times.

In France, 490 health workers have been isolated due to infection with
the virus. In Spain, where the number of cases doubles every four days,
the authorities say that as many as 5,400 doctors are infected, almost
14 percent of all those who are ill.

In the countryside, the Times says, some Spanish communities have had to
send up to 30 percent of their nurses home for health reasons over the
past week. In the capital, Madrid, the mass deaths have led to the
temporary storage of corpses in the Olympic skating stadium before they
can be buried.

In all three countries, the ranks of doctors and nurses are thinning,
the newspaper concludes. At the same time, the percentage of infected
people who are currently showing no symptoms remains unclear. As they
are not sufficiently protected in their daily life-saving missions, and
there is a lack of protective equipment at all corners and ends,
"infected [health care] workers and their clinics are increasingly
becoming active disease carriers."

A spokesman for the Spanish nurses' union SATSE told the Times that even
when it was already known the virus was circulating in hospitals, they
were told to limit the use of protective equipment to certain
circumstances. The absence of their colleagues, in turn, has increased
the pressure on the remaining hospital staff, who are already under
extreme stress. Hospitals in Spain are already among the worst sources
of infection in the country. [...]

In the meantime, reports are piling up in the media of sick people who
find themselves in front of closed medical practices in search of
COVID-19 tests and are then forced to wait in the cold for hours and
fill out countless documents before being granted access to a container
clinic. [...]

Meanwhile, Attilio Fontana, president of the Italian region of Lombardy,
told the news magazine that they would "soon not be able to offer the
sick any more treatment" because there were not enough respirators.

"There is a lack of protective equipment everywhere, improvisation is
widespread," doctor Antonio Antela told the Times from his sickbed at
the university hospital in Santiago de Compostela, Spain. The doctor had
been admitted to intensive care with pneumonia and a positive
coronavirus test. Hamon, who is also infected, concludes, "The state is
completely unprepared. It owes us an explanation."

The real explanation is that behind the apparent "chaos" and the
omnipresent scarcity, there is a class policy that has been consciously
pursued in Germany, Italy, France, Spain and countless other countries
by successive governments since the dissolution of the Soviet Union. In
Germany alone, between 1990 and 2010, approximately 180,000 hospital
beds (26 percent) were cut, 360 hospitals (15 percent) were closed, and
the number of hospital beds for acute inpatient care was drastically
reduced.

"This pandemic has been rolling towards us foreseeably for weeks," notes
the open letter from the nurses to the Ministry of Health. The letter,
which also demands significant wage increases, explains: "We expect from
you in concrete terms [...] an immediate organisation of the procurement
of effective protective materials, including all possibilities. In case
of emergency, also by nationalising manufacturers and their suppliers to
protect us nurses." ...

(8) Fruit and Vegetable Prices will Skyrocket; better plant vegetable
seeds NOW

- by Peter Myers, March 31, 2020

Someone told me yesterday that a cauliflower now costs $13 in the local
shops.

Farmers can no longer employ backpackers and migrant workers. They have
to employ Locals instead - the very Locals they have spurned for years.
In our area, the unemployment rate has recently been 13% (and that's
only the official rate), but large numbers of backpackers & migrant
workers are brought in.

Fruit and Vegetable picking are hard work; I believe that all
politicians should have to spend a week or two each year doing it. They
would soon learn a respect for manual labour.

Farmers are going to have to pay their workers Dollars, not Pesos. And
improve work conditions - no more slave labour.

This means that the price of fruit and vegetables must rise; and there
might be shortages.

This will cause real estate prices in the big cities to fall. One reason
they were so high is that low prices for food, and cheap goods from
China, left money in pockets which the banks decided to grab as they
loaned more and more for the very same house.

But the true value is what people can afford - so that will fall.

And that will cause banks to fail, because mortgages will exceed
valuations. Unlike in the US, where you can just hand the keys back to
the bank and walk away, in Australia the bank can go after you to cover
their loss. But politicians will suffer insurrection if they side with
the banks in the wake of the coronavirus.

I believe that city people will increasingly flee to the countryside; it
will be like the 'Back to the Land' movement of the mid 1970s, pioneered
by the hippies.

I was part of that movement. One of the most striking features of it was
that city people, once living in rural settings, adopted the Sexual
Division of Labour - the traditional role models that Feminism rejects.

The women had babies at home, were homemakers, and looked after the
children. They were feminine and wore maxiskirts.

The men built houses. They learned from magazines, from old books, from
the local rednecks, and by helping one another. They did NOT do courses.
Courses don't teach you anything - you only learn by DOING. So, if you
want to build a house, first build a shed - even a chook-house. Even
those tasks have been made illegal, by the Nanny Staters. You need a
license to do EVERYTHING.

In the late 1970s, civil war was in the air. Guns were not involved, but
the loss of the Vietnam War had created a crisis of legitimacy for the
Ruling Class.

As a result, insubordination to authority was widespread. In rural
areas, people just went ahead and built homes, or had babies at home,
without bothering about the rules. Building inspectors dared not interfere.

These days, with the Nanny State much stronger, Building and Health
inspectors WOULD interfere. But after the first few get shot, they will
accept the popular mood. That will happen in the US - because people
have guns there.

Numerous intrusive laws will go by the board in a very short time.

Traditional norms will return; Sex Change and Gay Marriage will
disappear. I'm not saying that Gays or Homosexuality will disappear, but
the institutionalisation of homosexuality will disappear. There will be
no more Gay Mardi Gras.

The Nanny Staters have got Insurance Companies to enforce their laws,
denying you insurance for DIY jobs. But when I built a house in 1979, I
had no trouble getting insurance. I believe that those days will return.

The other scenario common in alternative media at present, is that Big
Pharma are behind this pandemic, and are busy developing vaccines, which
will be forced on everyone as compulsory mass vaccination.

Many of the big Pharma companies are not trusted, in the wake of the MMR
triple vaccine causing an autism epidemic, especially when given at too
young an age. This had not happened when single vaccines were used (i.e.
each of the 3 vaccines was given separately). Also, the NUMBER of
vaccines being administered to each child. has increased sharply from
the mid 1980s. The anti-Vaxxers are mainly people who actually
vaccinated their children, with adverse results.

If YOUR child in not one of those with Autism, you might think that the
Autism epidemic does not affect you. But what happens in school, when a
child who cannot talk enters school with normal children? I know one
5-year old who can't talk but who has just started school. Does that not
present great difficulties for the teacher and the quality of
instruction for the other children? Then, when that child becomes an
adult, maybe still wearing a nappy or drinking from a bottle, will it
not impact everyone? It will collapse the welfare system.

But many people dismiss this as a fake issue - the very same people who
dismissed Covid-19 as a media beat-up, a few weeks ago.

Medicines contain preservatives. I use a nasal spray whose main
ingredient is Oxymetazoline Hydrocxhloride. But it also contains a small
amount of a preservate, Belzalkonium Chloride. That ingredient actually
CAUSES Rhinitis (nasal congestion) if used for more than three days; but
I get hooked on it. My doctor told me that the EU is aware of the
problem, but you cannot buy such sprays without the preservative.

If you look at Mould Cleaners in the shops, you will find that many of
them contain the very same Belzalkonium Chloride as their main
ingredient. It's an industrial chemical.

The same applies to vaccines. Mercury has been added to many of them, as
a preservative. It's since been removed from some, but not all. Vaccines
also contain aluminium. Even when ONE presevative has been removed,
others will have been added.

It's often MINOR ingredients, which nobody pays attention to, that are
the culprit.

So, these doomsday scenarios predict that a police state will be imposed
as part of a World Government; and that dissenters will be sent to
concentration camps.

I don't think that China or Russia would submit to a World Government.
Nor will the public in Western countries accept a police state. A spirit
of rebellion is in the air, as it was in the mid 1970s.

The US Federal election is a farce, a contest between two no-hopers.
There must be plenty of talented people available - Robert F. Kennedy Jr
is one - but the political system constrains them to party membership,
which means acceptance of Globalisation, the very cause of our current
predicament. Either way, the fox will be in charge of the henhouse. But
change is in their air. Something will happen, but we cannot discern it yet.

So, two scenarios are presented: one says that we will be dragooned into
a Police State, the other that a populist uprising will get rid of the
Nanny State.

In any case, better plant vegetable seeds NOW, before the shops run out.
They might be the new Toilet Paper.

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