George Floyd and “Black Lives Matter”

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There are a lot of things about the Floyd killing that lie under the surface of the loud jubilation of those in the immediate area. Gene Robinson and Lester Holt gingerly danced around them in brief editorials on tonight’s NBC News. More will probably follow soon.

The guilty verdict (“overkill?”- Three different offences) for Derek Chauvin was a self-fulfilling prophecy. Not one of those jurors had any interest in voting for any verdict that would burn Minneapolis to the ground. Van Jones on CNN clearly predicted that outcome of anything less than the three verdicts were brought forth. That said, there was plenty of damning evidence and Chauvin was clearly guilty. But the evidence damning Chauvin was much more damning than much of the evidence involving white folk killing black folk ever since reconstruction. That matters. 

There’s a lot more black folk in big cities (really no longer “minorities”) and they all carry “smart phones” capable of high-resolution movie capability. Any assault of any black person is mist assuredly going to be extensively caught on movies as effective as Cinemascope directed by Spielberg. In the case of Chauvin, from multiple vantages and containing street side editorials from onlookers. The Floyd murder was an easy trial; there was no effective defense for high-resolution film. The majority of atrocities involving assault on black men are not caught nearly as vividly, making it harder to effectively adjudicate. 

The loud jubilation involving one black guy and one cop may not necessarily be shared by another population with a deeply built-in hatred of black folk and be assured there are a lot of them out there whose opinions are not shared by the outcry tonight. So Floyd is the short game, a quick and limited short subject. Yes there are a lot of photos of Floyd in cities all over the world accompanied by appropriate slogans. But this is all put up by populations with an interest in the short game- “justice” for Floyd’s family and friends, and be assured justice was done. Chauvin will spend the rest of his life in prison.

But it bears remembering that the long game has been played since before reconstruction in the 1800s. The long game is the fact that there is another population here that does not recognize black folk in the same “humanity” terms that they do each other. This is why Chauvin kept his foot on the neck for nearly five minutes after Floyd lost his pulse, ignoring pleas from onlookers. Floyd was less than human and therefore fair game to treat that way. Very much similar to the way Vietnamese were depicted as less than human in 1967, rendering them more unceremonious to torture and kill. 

Cops have been torturing and killing black males and the occasional female for a very, very long time. Read Bryan Stevenson’s history on black lynching (written by Jeff Toobin):

https://www.newyorker.com/magazine/2016/08/22/bryan-stevenson-and-the-legacy-of-lynching

They were still killing them after Floyd’s death and they will probably continue to kill them at every opportunity, then express wonder at what the big deal was when caught up in the short game. So keep your eye on the Washington Post and the Grey Lady. Editorials coming there will be much stronger than Gene Robinson’s gentle assessment on the NBC News tonight. Gene danced around it but didn’t call it like he probably sees it. National TV Networks exist at the mercy of their advertisers biases. The newsprint is much more brutal as they demonstrated vividly in their dealings with Trump.

Yes, “justice” was done for Floyd et al but there is no convincing evidence that the longer game has been altered much. We’ll see in time.

David Crippen, MD, FCCM

Professor Emeritus (ret)

Departments of Critical Care, Emergency Medicine and Neurologic Surgery

University of Pittsburgh Medical Center

Notes on gun control

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Folks, the day is coming if it isn’t already here when we’re all going to have to start thinking about how we’ll deal with two impending cultural disasters capable of ripping the fabric of our society asunder.  Civilian weapon control (the second Amendment) and women’s reproduction rights under Roe v. Wade.

I can give you an opinion on these subjects because I’m old enough to have seen all of it in real action. I’ve been involved close up in firefights in which “assault rifles” resulted in the death of young men.  So you can take my opinions for what you think they might be worth, or not. We’ll start with the impending battle for gun control.

Those citizens who cling to the second Amendment as a guarantee they can possess and operate any kind of military weapon ad lib are spoiling for a fight and it’s been coming for a long time. Opponents of gun control believe the meat & potatoes of the Amendment to be taken literally: “A well regulated Militia being necessary to the security of a free State, the right of the people to keep and bear Arms shall not be infringed”.  Gun control advocates interpret the Amendment more figuratively.  The Amendment’s primary justification is to prevent the United States from needing a standing army. Preventing the United States from starting a professional army attacking the standing government in a coup, in fact, was the single most important goal of the Second Amendment. 

The authors of the Bill of Rights were not concerned with an “individual” or “personal” right to bear arms. The founders had no more conception of an AR-15 rapid-fire military weapon than they did a Boeing 747. However, the landmark 2008 Supreme Court case District of Columbia v. Heller, held that the Second Amendment guarantees an individual right to possess firearms independent of service in a state militia and to use firearms for traditionally lawful purposes, including self-defense within the home. This set the stage for a political defense of the 2nd rather than a practical one.

But there is a very practical reason why possession and operation of firearms should be controlled, especially rapid-fire military weapons specifically constructed to kill humans, individually and in groups. It’s reasonable for individuals to give up some “rights” constructed in antiquity in order to promote a much greater good. Much like forgoing the right of some free speech to avoid the catastrophe of yelling fire in a crowded theater. The founders with sluggish muskets propped against their door had no conception of the possible damage to the citizenry from modern rapid-fire weapons turned on them. Defense of the 2nd Amendment has now become a politically “conservative” ideal which means defenders are “all in” against any form of regulation no matter how commonsensical, a stand-alone paragon no matter what risk/benefit might exist.

The year 2020 was the deadliest gun violence year in two decades, nearly 20,000 souls massacred by various iterations of firearms, two thirds of who were suicides. There were 611 mass shootings in 2020. Compared to 22 other high-income nations, the U.S. gun-related homicide rate is 25 times higher. The standard refrain of gun control opponents is “the only way to stop a bad guy with a gun is a good guy with a gun”, but statistics modify this cliché greatly. According to figures from the National Crime Victimization Survey, people defended themselves with a gun in only 0.9% of crimes from 2007 to 2011. This data show that people use guns for self-defense very rarely and argues that the risks of owning a gun outweigh the benefits of having one in the extremely rare case where you might need to defend yourself. 

A Washington Post article stated that the percentage of people who told The NRA they used a gun in self-defense is similar to the percentage of Americans who said they were abducted by aliens. Even if someone wanted to use a gun in self-defense, they probably wouldn’t be very successful. Many people who carry a gun aren’t properly trained to use it, especially in panic situations. The argument that as many gun deaths occur in States having the strictest gun regulation laws smoothly fails to mention that weapons are imported into these areas in car trunks from States with much more lax gun laws. Gun regulation laws are only effective when spread out uniformly over the entire country.

Gun related massacres would seem to prompt effective action from reasonable people to stop them. Conservative Republicans and the NRA have shown themselves not to be entirely reasonable. On October 27, 2018, Robert D. Bowers, armed with an AR-15-style assault rifle and multiple handguns, killed 11 worshippers in the Tree of Life Congregation in the Pittsburgh neighborhood of Squirrel Hill. He also wounded four police officers, one seriously and two other individuals. Following this atrocious act of hatred, the citizens of Pittsburgh came together to demand political action, prompting the City Council to propose three gun control ordinances in December 2018. One prohibits the use of specified “assault weapons” within the city area, the second prohibits large capacity magazines (holding more than ten rounds) and most importantly, a “Red Flag law. On October 29, 2019, Judge Joseph M. James of Allegheny County, buoyed by the NRA and conservative Republicans struck down all three ordinances for violating state constitution. Members of the City Council hope to take this case to the Supreme Court to expand Pittsburgh’s and other municipalities’ ability to pass gun regulation specific to their needs. 

One can only hope that the SCOTUS will invoke the rule of common sense, ruling if not to completely protect the citizenry from firearm massacre, at least make it harder for killers to ply their deadly vocation. The “red Flag” law (Extreme Risk Protection Order (ERPO) is a reasonable start to protect innocents from gun violence.  The ERPO is a legal tool to remove firearms from people who are deemed to be at high risk of committing violence. Law enforcement or family members may petition a court to temporarily suspend an individual’s right to possess or purchase a firearm after submission of evidence that the person is a danger to themselves or others. In extreme cases in which an individual presents a clear and immediate danger, courts may grant ex parte orders to confiscate weapons, administered immediately without notice to the recipient. Ex parte orders are designed as an emergency measure to stop the threat of imminent violence. They require legally acceptable evidence and signing off by a judge, not much if any different than many other emergency measures affecting the citizenry. But the “conservative” political advocates consider “any” regulation to be a violation of the 2nd. Sorry if 20 children are wiped out at Sandy Hook by a rapid fire Bushmaster. Acceptable collateral damage. 

Critics of ERPOs question due process: Do ERPOs provide police and petitioners a means to conduct illegal searches or intimidate enemies? Again, this brings up the much larger issue of risk/benefit. The potential for all kinds of abuse greatly exceeds the exceptionally minuscule benefit and regulation does not mean wrenching firearms out of the hands of authentic sportsmen. The potential for such weapons to spread catastrophe quickly and efficiently so greatly exceeds the common bolt-action hunting rifle that they simply should not be allowed except under critical regulation for those with some convincing reason to have one. There is no practical use of rapid-fire military weapons with large capacity magazines (easily converted to automatic fire) other than for trophies on ones wall, and those are easily converted to non-functionality. 

So effective regulation of firearms in civilian hands seems to be a reasonable thing for society to adopt. It’s not a legal issue; it’s simply a public health issue and should be treated as such. Whether we will see any of this come to fruit depends greatly on how much saturation of “conservative” politicians there will be in the halls of congress for the 2022 mid-term and 2024 Presidential elections. The National Rifle Association, long time opponent of any form of effective gun regulation, may not be a player as they are currently embroiled in massive fraud lawsuits. We’ll see in time.

Coming soon:  Will the SCOTUS, packed with “conservatives” be all-in to repeal Roe v. Wade. 

More updates on climate change

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Crippen update- FWIW There are some very important things coming down the road you should take very, very seriously. 

1.  You need to take the global warming threat very, very seriously. Right now it directly threatens everyone in the USA and even the world, especially since a seemingly large population chooses to reject it as a blind political decision.  

Rising temperatures have worsened extreme weather events and sorry, that’s not politics, it’s a natural fact. The heat extremes in the Western USA are incompatible with human life. Asphalt highways are cracking down the middle. Huge numbers of people without air conditioning are huddled in cooled warehouses. Water reservoirs dependent on winter snow banks are drying up. Lakes and rivers are drying up and as they do so, drinking water for western states will dry up as well as crops that the eastern USA depend on. There is no way to create alternate drinking water resources for the huge demand in California, Nevada, New Mexico and Arizona. Distilling seawater is phenomenally expensive, unaffordable except by raising already oppressive taxes.

Over 81 percent of the river’s hydropower capacity comes from the Hoover and Glen Canyon Dams. Hydropower dams along the Colorado River and its tributaries are a significant source of electricity for over 780,000 households per year. Approximately 30 million people rely at least partially on the Colorado and its tributaries for fresh water. As the Colorado River drops its level due to heat related dehydration, the ability of the Hoover Dam to provide electrical energy and fresh water to users is in serious jeopardy. Climate change is predicted to further decrease stream flow and reservoir storage along the Colorado, dramatically decreasing hydropower capacity at a time when electricity demand is increasing due to regional population growth. Policymakers must adopt incentives that promote sustainable energy alternatives, and reduce energy demand throughout the region. All ignored by Trump, et al.

Wildfires are again burning completely out of control. This is the worst fire season the American West has ever seen. Wildfires in California have consumed more than 4 million acres this year, an area roughly the size of Connecticut. In Oregon and Washington, another 2 million acres have gone up in flames. Major cities such as San Francisco, Portland and Seattle have suffered some of the most polluted air on the planet. The Stanford Institute for Economic Policy Research estimates that poor air quality from this year’s wildfires will kill thousands of people in California alone, most of them elderly. As wildfires become more common because of climate change, such deadly consequences will increasingly be felt across the country.

Huge chunks of ice in the Antarctic the size of New Jersey have broken apart and there is already evidence that the water level in coastal cities is rising and will continue to do so. This is a recipe for catastrophe in New York City, all of coastal Florida, New Orleans and other areas at risk. The amount of money that will be lost to the economy as well as the loss of physical infrastructure is stunning. Coral reefs have been bleached and are increasingly at risk for the delicate oceanic infrastructure we all depend on for seafood. Mosquitoes are expanding their territory spreading more disease that will require huge resources to eradicate if it’s even possible. 

Why is all this happening? Its happening because of GLOBAL WARMING, we humans burning fossil fuels and chopping down forests, causing average temperatures to rise worldwide. Earth has already warmed by about 1 degree Celsius, or 1.8 degrees Fahrenheit since the 19th century, before industry started to boom. That global warming trend is increasingly disrupting our climate. What can be done to interdict this frightening trend? Not much but there are some things everyone should at least consider.

A.  As a group with power to address laws and regulations that affect us, Republicans largely refuse to believe that global warming exists and work hard to ignore the obvious, a plot by radical leftists. This is a recipe for inevitable disaster. Do what it takes to insure Republicans don’t get into power in congress. Go out and vote against them. Insure that their current strategy to limit voting rights doesn’t do so. Make sure everyone in your area gets out to vote against the likes of obstructionist McConnell, hypocrite Lindsay Graham and mental defective Marjorie Taylor Greene.

B.  Do whatever you can to keep Donald Trump from being re-elected in 2024. Donald Trump has been to climate regulation as General Sherman was to Atlanta.Whatever you think of President Biden, he has restored many of the 100-plus environmental regulations that Trump rolled back and mercifully got us back into the Paris Accords. Putting Trump back in office again will guarantee, among other atrocities, that he will reinstate as many of these detrimental anti-environmental policies as he can. 

Carbon dioxide levels in the atmosphere first hit the critical amount of 400 parts per million in 2016, the year Mr. Trump was elected. But Trump put economic growth above emissions targets, arguing that climate and other environmental regulations were harming job creation. Meanwhile, carbon dioxide levels reached 417 parts per million, the highest-level recorded in human history. Biden is doing what he can to try and fix this. 

2.  The issue of non-polluting energy sources. 

a.  Wind energy.  100% non-polluting. Reduces dependence on fossil fuels. Wind energy industry supports a large domestic industrial force, currently employing over 88,000 people and growing.  Harnessing offshore wind is especially promising for coastal cities. The benefits of this include wind energy being more abundant, consistent, and stronger than land-based wind. Our wind energy generation is growing. In 2015, wind represented the largest source of all newly installed US electricity generation. In the past, Trump has ignored this benefit.

b. Solar energy.  100% non-polluting. Unlike fossil fuels, solar energy does not deplete its resources. One of the biggest benefits of solar energy is the always-ready availability of the source, the amount of sunlight the earth receives per year making the sun the most abundant source of energy worldwide, trumping coal and other fossil fuels. Trump says this form of energy decreases jobs. This is nonsense. Good paying jobs in the expanding solar energy are expanding. Consider installing this source of renewable energy to your home. 

c. Electric cars. I predicted the exponential explosion of all- electric vehicles shortly after the introduction of the Toyota Prius, a hybrid vehicle that only increased gas mileage because the engine stopped at red traffic lights. As of 2019, the global stock of pure electric passenger cars totaled 4.8 million units. By the end of 2020 there were more than 10 million electric cars sold, an increase of 41% from prior year. Several countries have established a phase-out of fossil fuel vehicles, and California, which is one of the largest vehicle markets, has an executive order to ban sales of new gasoline powered vehicles by 2035.

My wife currently drives a Chevrolet Bolt, an all-electric vehicle with an effective range of around 240 miles that has virtually no upkeep cost. The dealer plugs it into their computer once a year for upgrades. Battery technology is increasing exponentially and although a recognized risk, battery fires are exceptionally rare. My wife’s Bolt sits in our garage next to my dinosaur Ferrari 360 that gets 10-mpg gas mileage of super premium fuel in town. My wife is absolutely crazy about her Bolt and it’s about as fast as my Ferrari, using no fossil fuel.

The Tesla is the fastest selling electric car with an effective range now of over 350 miles. The fascinating thing about the Tesla is the large terminal screen that shows the position of the car in real time along with the positions of any other vehicle in front of, by either side or behind, as they all roll along the road. Currently, there are huge numbers of new American electric vehicles on the road including a new Mustang, a Ford 150 pickup and a plethora of new Japanese cars. Charging stations are popping up all over the country like dandelions. There are many government incentives to purchase electric vehicles. Tesla is testing a rapid 30-minute battery change instead of charging for freeway travelers. 

These are things to think critically about, especially the issue of insuring Republicans stay out of the power to obliterate clean, renewable sources of energy in favor of the Governor of West Virginia’s coal resources. 

 

Notes on climate change

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I am not a “scientist” but I am a pretty good observer and I’ve observed a lot in my 79 years. Remember at least a couple of things.

1.  The progressive rise in global temperature can VERY accurately be associated with the beginning of the global industrial state, especially the increase in internal combustion engines and coal. The line is linear. It is impossible for this to be serendipitous. So if your theory is correct, and it might be, you cannot discount the rise of toxic fumes from internal combustion engines. 

2.  In areas where internal combustion engines have been altered to decrease toxic fumes, California in the 70s via mandatory cat converters, the amount of “smog” decreased dramatically.   I drove through Pittsburgh several times in the 60s and 70s. The black smoke was so thick, driving was treacherous. Then came Caligiuri who cleaned up the mess and the demand for steel dropped due to Japanese supply. Pittsburgh’s climate is now one of the best in the country.

3.  I’m a very keen observer of warming everywhere I’ve lived. I grew up in Northern Wisconsin because my dad was an avid sportsman. In my town, the lake in the middle of town froze over in winter and fishermen installed heated fishing huts everywhere, some very ornate, some housing illicit girlfriends caught red handed by fleeting visits by wives. I accompanied my dad on numerous occasions. The ice was four feet thick. Cars drove on it, general aviation airplanes landed on it. The only way to get a hole in the ice was by a gas powered drill device. 

On several occasions I remember the air temp being 40 degrees below zero. Tears froze in my eyes. Same for hunting jaunts where in a sleeping bag I was treated to the Northern Lights, I never expect to see again in my lifetime. The snow was so thick it was a local municipal regulation that there must be a red bandana tied to the tip of radio antennas, the only thing you could see coming at you at intersections. No car would start unless outfitted with a heated rod stuck in the dipstick tube, warming the oil so the engine would turn over. The entire month of February stuck at variations of minus 30 degrees F. 

That’s ALL gone now. ALL gone. Winters in my hometown now resemble that of Pittsburgh.

One of the saddest events in my life is when I lost who I considered the brother I never had. He didn’t die, he dumped me because I admitted I believed the reality of global warming. He was my college roommate at the University of Georgia in 1966-68.  We both got drafter at the same time but he elected to join the Marines because they offered him OCS. He survived OCS (he thought they were going to kill him), came out a second Lt, went to Vietnam the same time as me, came back with a chest full of medals and retired to North Carolina a full Colonel. We eventually found each other again and spent over fifteen years motorcycle riding all over the country with another pal from Chicago. We used to talk politics over the Internet and argued a lot since, like most military types, he was a committed right wing conservative. 

One day I happened to mention some of the evidence for global warming. This precipitated a brutal attack on the concept and to me for believing any of it. That I was so incredibly stupid as to accept any of that obvious doggerel meant I was part of the “other” and I was so much an embarrassment he could no longer have anything to do with me. Climate was just normal corrections and anything else was the result of meddling from the left wing. That was about 5 years ago. He never spoke to me again. Broke my heart. 

So the point of all this is that I don’t believe there is one sole reason for global warming but for whatever reasons, it absolutely exists, like God making little green apples and it’s now in the process of destroying our world.  Just look around you. I’ve paid a lot to maintain that opinion.

Assault on the US CS Capital January 6, 2021

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I’d hazard a guess that few if any in this group watched the entire day of US Capital police and Washington, DC police officers testifying (Monday, 08/27) as to their recollections of the US Capital assault by Trump true believers on 6 January. You all work for a living and it’s unlikely you had the time and energy to sit around and watch TV all day. Well, I did sit around and watch it and I have some observations.

First of all, CNN played the video of Trump’s speech exhorting his “Base” to advance on the US Capital to protest the fact that the election was “stolen” from him in 2020. 

“If you don’t fight like hell you’re not 

going to have a country anymore”

He clearly knew there were people in that crowd who were ready to and intended to be violent and he certainly did nothing to discourage it. The rowdy crowd quickly proceeded to the Capital building immediately after his speech. He not only did nothing to discourage it, he strongly hinted it should happen, and BTW he did not accompany them to the Capital building. He hopped in a car and rode back to his office where he watched the carnage on TV, refusing multiple requests to defuse the riot.

After the riot cooled off, multiple congress personalities opined that Trump should have done something to quell this disaster, including Senate minority leader Mitch McConnell and House Minority Leader Kevin McCarthy. On January 12, 2021, McConnell supported impeaching Trump for his role in inciting the 2021 storming of the United States Capitol, apparently believing doing so make it would easier for Republicans to purge the party of Trump and rebuild the party. Shortly thereafter, on May 28, 2021, McConnell voted against creating an independent commission to investigate the January 6 Capitol attack. Shortly after the riot, Kevin McCarthy visited Trump at his Mar-a-lago resort to kiss the ring and shortly thereafter released a statement that read in part, “Today, President Trump is committed to helping elect Republicans in the House and Senate in 2022.  

BTW, the two Republicans seated in the National Commission to Investigate the January 6 Attack on the United States Capitol Complex, Adam Kinzinger and Liz Cheney both publically named Donald Trump as a responsible progenitor for the riot. Otherwise, The GOP response has been to minimize or scoff at the occurrence. Unfortunately, the current Republican Party understands that, for whatever reason, the only person able to energize their Base is Trump, and they are now beholden to him and his whims because of his conspiracy theories embraced by a poorly informed “Base”. Instead, they are using his “Big Lie” as the reason to pass draconian laws they can use to hang on to power by instituting roadblocks for voters that don’t vote for them.

That said, the objective evidence that this was, indeed, a genuinely violent and frightening partisan mob is indisputable. There was a hastily constructed gallows erected outside the Capital building accompanied by chants to “Hang Pence” (for doing his constitutional duty instead of illegally installing Trump back into the Presidency). Once inside the building, the mob chanted “Find Pelosi” with an obvious intent to do her harm. Nancy Pelosi and Vice President Mike Pence were both hustled to safety by the same platoon of officers that were beaten up by rioters. 

Police officers trying to protect the Capital were beaten unmercifully (on camera), some dragged down flights of concrete stairs by their feet with their heads banging on each stair. Others lying on the ground kicked and stomped with heavy boots, pounded with flagpoles, bats, hockey sticks, timbers, pipes and other objects. Toxic substances were sprayed in their faces. One of the uniformed officers was repeatedly crushed between two doors screaming out in severe pain.

How could this happen?  The answer directly revolves around Trumps true believer “Base” and their propensity to embrace “The Big Lie”, propagated by Trump, actually before the 2020 election, that if he lost, it would be because the election would have been rigged against him. Insurance if it actually happened. That if it were not for the illegal manipulation of votes in several battleground states, he would have won big. Of course, when all the data is examined, this is nonsense as attested by hard looks at all the votes in all 50 states (no evidence of any vote fraud) and two looks by the SCOTUS (no evidence to support any kind of fraud). In order for this conspiracy theory to be true, all 50 states and the SCOTUS would have had to actively collude and there would have to be a paper trail (impossible). 

Seems like that evidence is strong enough to put an end to the drama, but two important facts about Trumps cadre of true believers must be remembered. 

1.  The true believers are groomed to believe anything Trump says with no need of any convincing evidence to support any of it. Trump’s word transcends any other form of media. All other forms of media criticizing Trump are lies crafted by malignant left wing to unfairly discredit him.

2.  90% of the evidence implicating Trump’s intentional lies and misinformation come from CNN and MSNBC, sites that no true believer would ever watch. So the reviews of all the books portraying Trump as incompetent by virtually anyone that’s ever come in contact with him and interviews of all those people are never absorbed by any self-disrespecting true believer. The only truth is Trump’s truth (and, of course, Fox News).

Now, this inevitably brings up the “way back when” etiology of “The Big Lie”. In order to do so, I must reluctantly accede to Godwin’s Law- “The longer an internet argument goes on, the higher the probability becomes that something or someone will be compared to Adolf Hitler”. But, there is simply no other coherent way to understand “The Big Lie” than to take it all the way back to the beginning, so hold your nose, here goes.

Donald Trump and his team have accurately followed the playbook of Joseph Goebbels, the chief propagandist for the National Socialist German Workers Party (the Nazi party), and later the Reich Minister of Public Enlightenment and Propaganda for Germany from 1933–1945. This is the man that expertly directed the Nazi propaganda machine, turning perfunctory fibs into grand displays of might and power, prompting the population to believe in what was then known as “The Big Lie”. 

Disinformation is a necessity for Trump as it was for Goebbels. The best description of the original “Big Lie” is comes from an OSS psychological profile of Goebbels at the peak of his prowess. Hitler’s primary rules were: 

“Never admit a fault or wrong, maintain a list of 

Enemies, (anyone who criticizes you), blame each 

For everything that goes wrong. Never accept blame. 

Never concede that there may be any good in your

Enemy. Always maximize a lie and if you repeat

It frequently enough people will sooner or later 

Believe it”.

These are the main tools of authoritarians and dictators; equally as potent for the Nazis as in our generation of malignant narcissists who would be king. Trump will loudly pontificate some outlandish quip hoping that his enemies will waste time challenging the lie. Opponents will insist on truth but in so doing will continue to repeat the big lie over and over until it becomes a part of the dialog. Once Trump can repetitively convince the populace that any opponents must be anathema to their interests, he can control the narrative, pointing out which news outlets may be speaking the truth (Friends of Trump), and which ones are enemies of the people (Enemies of Trump). 

Once his targeted audience (his Base) accepts his opinions as true without qualification, then he can move on to the concept that only he can personally fix the problems of the populace. Does any of this sound familiar?

.  

Current Events 11.19.21

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The universe is upside down. Everything is opposite of anything it should be even in an otherwise rational world. I’m choosing to dissect two of the most egregious examples occurring this week. I can’t bring myself to review the Republicans behavior re: the January 6 riot. It is what it is. There are others. Please bear with me. This is important.

The Kyle Rittenhouse trial, presented on CCM in all its glory, now with the jury. The facts of the case are brutally clear. Rittenhouse is an underage (17 y/o at the time) teenager who shot and killed two people and injured a third during a night of Black Lives Matter protests and civil unrest in Kenosha, Wis. He was underage to own an assault rifle and had a friend purchase one for him, a felony. He lived out of state. He went out of his way to Wisconsin allegedly to protect property there and offer EMT level medical aid if violence occurred during the “protest”, which was predicted. He was not an EMT and had no medical training. He wandered into the protest fray humping an AR-15 assault rifle; repeat- “assault rifle” and I can speak authoritatively on that subject having done the same in a different theater.

Rittenhouse had no demonstrable rationale for strapping this weapon (with a 30+ round clip) to the front of his body, very visible to all. He claimed he did so for his “own safety”, as if he planned to use it in a defensive manner if the was threatened by the mostly black crowd. Defensive as in shooting one that threatened him. But the underlying, but unstated foundational tenet of gun advocacy: That guns, particularly rapid-fire assault weapons are effective and necessary weapons of self-defense. Without them, lawlessness and tyranny would prevail. And in the words of the NRA, “in the hands of the “good guys”, guns promote public safety. The classic gun rights fantasy, self-defense as circular reasoning.

Rittenhouse says he carried a rifle in order to guarantee his safety during a violent protest but he was forced to shoot people when he says his life was threatened. According to his own defense, the gun posed a grave threat to Rittenhouse himself but the gun metamorphosed situations that might have ended in orthopedic trauma to death. His gun simply invited conflict. When protesters spotted Rittenhouse’s plainly visible weapon of war they immediately moved to foment conflict with him. The killing began when Rittenhouse pointed his gun at Joseph Rosenbaum, an unarmed protester, prompting Rosenbaum to advance on him presumably in an effort to stop a potential shooting. Rittenhouse claimed that Rosenbaum wanted to take the rifle and if he got it, and if he had been successful, “he would have killed me with it and maybe killed more people”. Rittenhouse fired four shots in less than one second, killing Rosenbaum. Rittenhouse then ran away, attempting to flee the scene following which he shot and killed another protester who was running after him and another protester who assaulted him after Rittenhouse had tripped and fell to the ground.

After all this turmoil and mortality, what was the value of assault weapons that night? They failed to deter attacks against those brandishing them. Rittenhouse brandishing such a weapon was the reason Rosenbaum pursued him, resulting in his death. Had it not been for the presence of weapons of war, a more moderate confrontation would have occurred, avoiding mortality associated with such weapons. Rittenhouse fired four rounds in less than one second at a person he thought was a mortal danger to him. Why not one round that might have immortalized his assailant rather than killing him instantly? Rittenhouse thought that the assault weapon very ostentatiously strapped to his chest would have embodied the pivotal NRA benchmark, helping the good guys ward off the bad guys. But if Rittenhouse was the good guy, what good did his weapon do him? What good did it do the community he was there to protect? Two people killed, and Rittenhouse life changed for the worse no matter what the jury finds.

  • Update 2:00 pm today, Friday- Not guilty on all charges. It’s not for me to work all of you with my personal biases on this case but I will give you some things likely to happen as a result of this verdict.

a. In a criminal, capital murder case, the bar for conviction is set extremely high (beyond a reasonable doubt). The defendant does not need to prove his innocence; the prosecution must prove guilt by leaping over the high bar. The jury took four days to obviously find reasonable doubt and that’s the end here. However, that doesn’t mean this is over. The aggrieved families now have the option of suing Rittenhouse in civil court for wrongful death, a burden much lower than in a criminal case (preponderance of the evidence) as O.J. Simpson found out. So Rittenhouse will likely find himself in court for many more months with a much higher probability of facing money damages. His previous life as it was is pretty much over for a long time.

b. And by the way, at some point in the recent past, Rittenhouse’s mother went on TV asking for money gifts to pay attorney and court fees she estimates to US$110,000 so far. They haven’t arrived at civil trials yet and civil attorneys don’t work cheap. They’ll all present bills that’ll make his eyes water.

c. In the future, we will see many more assault weapons arriving at “protests” and “demonstrations” because the issue of “self defense” is now seemingly more legitimized. If per chance anyone is shot, the diagnosis of “self defense” will be automatic and similar court actions as this one will be as well automatic. Somewhere Wayne LaPierre is smiling.

d. Television coverage of trials will become extremely popular, especially when covered in real time by venues like CNN. There is quite a bit of chatter now that the previous prejudice against defendants testifying on their own behalf is now morphed to a better chance of sympathetic juries if/when the defendant breaks down and sprouts bitter crocodile tears on cue (and on camera).


2. The impeccably contemptible clown act involving the HOR censure of (R. Az) Paul Gosar. The House voted to censure Paul Gosar of Arizona and strip him of his two committee assignments after he posted a video to his social media accounts depicting his murder of Democratic Congresswoman Alexandria Ocasio-Cortez of New York and President Biden. First of all, let’s not minimize the potential for evil of “social media”. Anyone, anywhere can depict pretty much any kind of detrimental, injurious, hurtful, inimical, destructive prose or pictorial they choose and get away with it. Lord knows, Donald Trump played social media like a Stradivarius to win the Presidential nomination in 2016, without which no one would have noticed him. Secondly, chastising a member of a publicly responsible legislative body ain’t what it used to be or should be. Subsequently, Ocasio-Cortez criticized Republicans for failing to denounce Gosar’s actions and asked her fellow lawmakers, “Does anyone in this chamber find this behavior acceptable?” Well…..apparently only Democrats as all but two Republicans fully supported Gosar, who never apologized, only “self-censored” himself by removing the offending cartoon from his social media account.

In fact, violent and malevolent actions are becoming more prevalent in politics, with Republicans leading the charge, and their colleagues failing to rein in any of it. Minority HOR Leader, Kevin McCarthy was quick to divert criticism of Gosar by quoting other similar atrocities by Democrats in the past, and more importantly to assert that if (when) Republicans took control of the HOR in 2022, any consequences of Gosars censure would be quickly reversed. Speaker Nancy Pelosi remarked: “These actions demand a response. We cannot have a member joking about murdering each other or threatening the president of the United States. This is both an endangerment of our elected officials and an insult to the institution of the House of Representatives.” In response, House Minority Leader Kevin McCarthy remarked: “Gosars censure is ‘Pelosi burning down the House on the way out the door’ and claimed Democrats are abusing their power by removing Gosar from his committees. Not only have Republicans failed to discipline colleagues for such actions, their ilk espousing such malevolent actions have profited very ostentatiously.

The antics of (R.Ga) Marjorie Taylor Greene leap out. A supporter of Trump’s efforts to overturn his loss in the 2020 presidential election, Greene has repeatedly and falsely claimed that Trump won the election in a landslide victory that was “stolen” from him (no evidence to support his claim). She called for Georgia’s election results to be decertified and was among a group of Republican legislators who unsuccessfully challenged votes for Biden during the Electoral College vote count, even though federal agencies and courts overseeing the election found no evidence of electoral fraud. Greene has published numerous baseless conspiracy theories and has tried to legitimize the thoroughly discredited Qanon conspiracy. She routinely expresses racist, anti-Semitic, and Islam phobic views. Naturally, Greene is a vociferous supporter of Donald J. Trump. The House of Representatives voted to remove Greene from all committee roles in 2021 in response to her incendiary statements and endorsements of political violence. Eleven Republicans joined the unanimous Democrats in the vote, but she prospers today, continuing to amass large quantities of cash support from her voter region and minimal if any new rein from her colleagues in the HOR.

A simple, desultory philippic…….2/20/22

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We’ve explored politics now for a while. Just for grins, let’s take some time to explore the “times that stir men’s souls”- Rock music, a dying art form. I do this a great length in my two Pitt Osher Lifelong Learning Institute classes on Rock Music Appreciations (60s and 70s). I’m told there is some interest among academic Pitt students for a 3-credit class by me on these subjects and I’m looking into it for next Fall. Even if you have no clue who Led Zeppelin is, it’s a good general education subject you can amaze your otherwise unknowledgeable friends with.

Let me give you a little history and philosophy of this captivating art.  

Among other things, the revolutionary 60’s changed everything in music. Strains of “Are you experienced” by Hendrix and “The End” from the Doors wafted out of dorm room doors in the mid-60s replacing girl groups and do-wop. No one had ever heard anything like this before and it changed lives, putting young adults in tune with what was going on in society and government. Then the age of 60s “collectivism” and communalism died under its own weight, morphing to the “Me Generation” of the early 70s. Convoluted “Bands” morphed to “singer-songwriters”; Sweet Baby James, Paul Simon, Don Mclean and getting in touch with one’s inner self. 

The 70s, evolved to a rich tapestry of music embodying some of the most talent musicians in history, an alternate universe of unconventional social mores passing through optimistic iterations to ultimately to end in a fatal mutation. An exploration of “no limits”, the price of admission for which a number of very talented players paid with their lives.

The medium of Rock has always been one of rebellion against conformity and conventionality. A high risk-high gain medium selecting for those actively living the dream, selecting strains and chords to pull resonant strings of the human brain, abandoning order. The stuff of existential anti-heroism, inviting those seeking salvation by immersing their souls in cathartic rock media masquerading as social profundity.

Those selected as the cast in this living theater had no safety net and were drawn in at their peril. Normally composed hominids become temporarily irrational at a Jerry Lee Lewis concert and ripped out seats. Jerry Lee lights a piano on fire and is carried out still playing by firemen. Duane Allman thought he was immune to laws of traffic. Bonzo and Moonie thought they were immune to the dangers of ethanol. Hendrix couldn’t sleep without escalating soporifics that ultimately put him to sleep forever. Cobain chose the brief pain of a shotgun blast to end the constant pain of his life. Jim Morrison died alone in a bathtub.

The early 70s were also a straight up revolution, preceded by the assassinations of Robert F. Kennedy and Martin Luther King in 1968 and nurtured by the violent Democratic National Convention also of 1968. An age of violent protest. Nixon Agonistes, the Students for a Democratic Society and the Weather Faction, Kent State, Vietnam Veterans Against the War (it’s head- John Kerry), Angela Davis and Black Power.

MLK was assassinated on April 4, 1968, the day before I left for Vietnam. The country exploded and, as you can imagine, the Brothers in my unit finishing jungle training at Ft. Bragg, NC were upset beyond belief. But we all understood that we were all responsible for each other once we arrived in-country, if for no other reason than no one else would be. So, I ran into one of the Brothers crying in the bathroom and touched his shoulder (in retrospect, maybe a dangerous move under the circumstances). I told him how painful this was for me as well and he accepted that. We never had a problem from that moment on. The candidate for President Robert Kennedy tearfully announced the death of MLK to the country from the back of a truck platform in Indianapolis.

Much but not all of the 70s related to an intensely polarizing President and the unpopular Vietnam conflict that remained in full swing. The current perception of popular unrest in the 2000s is jejune in comparison. In the early 70s, virtually every city in the country brimmed with firebombs, looting and the crackle of small arms fire. Business owners sat in shifts with shotguns propped on their toes outside their storefronts nightly.  

But I digress.

Something very important was happening to American music in the 70s. Dave Grohl believes that virtually all Rock music can eventually be traced to a central origin, nurtured and modulated in the turn of the 60s into the 70s. The best way to explain that concept is to postulate the repository of Rock music as an unstable white dwarf star in the universe, undulating and straining but not ready to explode into a supernova just yet, waiting for the right stimulus. Back in the 40s, big band music was simple and staid, feeding upon itself. In the 50s, a fundamental instability began with skiffle in England that created the Beatles. In the USA, be-bop and rhythm & blues, Gene Vincent and the Blue Caps, Little Richard, Jerry Lee Lewis and of course, Elvis. 

All of this boiled to the surface to bring the star to an explosive point in the 60s and 70s, setting the stage for the cataclysm it all literally and metaphorically went electric. A musical revolution never before dreamed of and will probably never be seen again. The star erupted sending chunks of musical expression out into the abyss to change the fundamental nature of music.

To name a few off the top- Hendrix, The Animals, the Zombies, The Kinks, Cream, the Doors, Pink Floyd, The Rolling Stones, Frank Zappa, Otis Redding, Credence Clearwater, The Byrds, Janis Joplin, James Brown, Miles Davis, The Who, Sly & the Family Stone, Paul Butterfield Blues Band, Buffalo Springfield, Procol Harum, Paul Revere & Raiders, Hollies, Dave Clark Five, Neil Young, Steve Miller Band, The Guess Who, Steppenwolf, Blood, Sweat & Tears, Jefferson Airplane all at once.

Each of these chunks shone brightly and autonomously, but in the end, like real stars, gravity must eventually rule and all the chunks were slowly drawn back into the star’s mass, stabilizing them into a heterologous mass of eclectic sound and tone. The metamorphosed star then launched a kind of solar wind from its surface, fabricating swells of unfiltered music that waxed & waned in time, creating vacuous slabs- Disco, Britney Spears, Justin Bieber, “American Idol”,’ The Voice”, Rap, Hip-Hop, Snoop Dog and many more dead or in jail. Survivors all wafting around out there at the whims of aimless, desultory mini-eruptions.

But the solar wind occasionally allows some bright spots, some incredible music out there but it’s dying out as the original artists age.  If you seek it, there is one rule. Don’t follow the money. The money will lead you to hype, glitz and an empty box with “Kardashian” somewhere on it. The performers that we’re still listening to pushing 50 years ago wandered into Nashville or San Francisco on foot, broke with a Taylor or Telecaster strung over their back and played for five drunks in a dark bistro. 

They all shared one commitment- absolutely no compromise. The music was what it was and would not be altered for any commercial advantage. It was all about the music. They didn’t care if they starved as long as someone was listening. The further you get away from money, the better it gets.

The one big paradox in American music is the ascension of mediocre talent to big money. Few performers illustrate mediocre voice talent more than Taylor Swift or her interchangeable monozygote Katie Perry. I’ve heard equal voice talent in local bar band singers. As it pertains to the nuts and bolts of voicing, tone and ear worthiness, neither can stand on the same stage as Sharleen Spiteri of the Glasgow band “Texas”, who in 25 years continues to enjoy only local UK exposure.

Ms. Swift’s albums of sophomoric personal narratives, “1989” sold 1.287 million copies in its first week, debuting at number one on the Billboard 200 and making Swift the first singer to have three albums sell more than one million copies in a week. It’s difficult to explain how this can be.  The unfortunate reality is that lack of talent does not necessarily equal failure once creative marketing becomes involved. 

Taylor Swift started out in Nashville spending at least half her career learning creative marketing techniques applied to performance art for the specific goal of moneymaking while delivering a serviceable vocal product. For years her mentors gently nurtured her into a product that would fill a bill encapsulated with money. It was about leaping onto stage from spring loaded boxes dressed to show her figure as provocatively as possible and warbling to the flashing lights and swells of electrified instruments.

Recently, Charlie Rose interviewed actor Jake Gyllenhaal regarding his film “Nightcrawler”. The conversation described a sociopath that creeps around Los Angeles at night photographing violent, salacious activities and selling them to local TV stations. The question of who could possibly be interested in such things arose. The answer was interesting. 

Back in the 60s, television news was immune from TV station merchandizing. This changed somewhere along the way, demanding that the news section generate a profit. This quickly produced what we see now on every local TV station in the country. Roving reporters searching for anything that might possibly be interesting to a population of jaded viewers otherwise bored with life in general. Weepy mothers decrying their kid shot dead just minding his business in the middle of a high drug exchange area at 3am. Vivid car accidents. High visibility court cases. 

This is news? No, it’s entertainment and it draws viewers, which draws sponsors generating money by lying straight faced about their products. It is an inalterable fact of our life, as are blatantly deceptive TV commercials for products that don’t work, even for Shaq.

Unclear where this will end if it ever does. But where they shone, they shone oh so brightly.

“Lies and the lying liars that tell them” (Al Franken)

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I continue to notice some things about TV commercials over the past few months. I wonder if anyone else has as well.

1.  I’d hazard a guess that at least two thirds of all network TV advertisements, maybe more, involve Big Pharma drugs hawked to would-be patients. Many hawk incredibly esoteric drugs to treat extremely unusual and relatively rare diseases. Once approved and marketed, several companies have shown that huge profits can be made on orphan drugs despite small numbers of potentially treatable patients. Gross profit margins of over 80% are reported in the rare disease industry, whereas the pharmaceutical industry average is 16%. Those ads exhort watchers to “ask your doctor if these drugs might be right for you”. Any of those specialists dealing with those diseases would intimately know these drugs well and would certainly not need reminding from potential patients watching TV ads. Big Pharma must be making a bundle off these expensive TV ads, or they wouldn’t be promoting them.

3.  Over-the-counter commercials are taking a lot more liberty with the truth than even a few years ago.  Best of all is a memory aid promoted by new “Jeopardy” host Mayim Bialik- “Neuriva Plus” as the brain supplement that “thinks bigger” so you can too”.  Mayim says, “I’m a real neuroscientist and I like the science behind Neuriva”. But because these supplements are OTC, they not required to undergo testing to show exactly how they work in the body.

So, the issue of Dr. Bialik being a “real neuroscientist” bears some examination. Yes, she has a PhD in “neuroscience” but it’s unclear exactly what that is. She’s not a physician, nor is she an accredited researcher. She’s an actress and has done nothing detectable with her PhD. Zero publications, no teaching at any college level and no lab work. Her esoteric dissertation has nothing to do with memory and she has no peer reviewed references in her dissertation. She’s written a Vegan cookbook. Recently, the manufacturer was forced to withdraw claims that Neuriva is science and clinically proven. In her research, she might have overlooked a March 27, 2020, article in Psychology Today by Gary L. Wenk, Ph.D. Author of Your Brain on Food. He called it snake oil.

3.  Three older guys in white coats sitting around surmising what the best analgesics for their patients in pain might be. On the nearest one, you can see “MD” on his name tag, but his actual Christian name is obscured. They all agree that their pained patients should all be using “Salonpas gel analgesic” (OTC).  The active ingredient is diclofenac sodium 1% gel, absorbed through the skin. Brand name Voltaren. It’s been around in one form or another since the 60s. 

Diclofenac is a NSAID like all the rest. There is no convincing evidence that absorbable diclofenac is any more effective in that route than any other NSAID taken orally. The same risks apply, none of which are mentioned by our three would-be physicians concerned with their patient’s pain issues.  A similar drug, rofecoxib (Vioxx), in the same non-steroidal anti-inflammatory drug family as diclofenac, was voluntarily taken off the market by its manufacturer in 2004 amid concerns over associated heart risks. There is an ongoing Europe-wide review of diclofenac’s safety. Evidence is lacking to determine the effectiveness of topical NSAIDs compared with oral NSAIDs.

4.  The worst. Endless, run-on ads exhorting social security recipients to call a number seeking to determine if they aren’t getting SS benefits, they deserve because the Medicare agency is intentionally withholding that information. Such has-been stars as Broadway Joe Namath and the former “Good Times” actor Jimmy Walker gleefully hyping the 800 number. Several things about this intensely misleading ad. First, if you watch closely, you’ll see that all these extra pie-in-the-sky SS benefits are never added on to Part A and B of Medicare benefits for free. They’re “available” for extra cash outlay, sometimes a lot of it. The ad doesn’t say you’ll get any of these extra benefits, dental, optical, free rides to doctors’ offices and such.  It says that the phone call to find out if any of these things are “available” is free.  The talking heads (fully compensated, BTW) don’t say they got anything. They say they’re glad they made the call. Down in the fine print, it states that callers will be put through to a licensed insurance salesperson (to sell the caller extra benefits.)

A compensated talking head- “I Called the 800 Number to See What Extra Medicare Benefits I Could Get – An Actual Person Answered Looked Up My Zip Code”. That talking head neglects to say any other benefits were accessed. There are a lot of government regulations associated with Medicare and looking up a zip code does not necessarily mean extra benefits are in the works. “The 2021 Medicare Helpline is not affiliated with or acting on behalf of any government agency or program”. A “licensed sales agent” will sadly let you know you’re not eligible for any of this, but they’ll be happy to sell them you.

4.  Over-the-counter back pain aids are in a class by themselves. The one that floats quickly to the top is “Salonpas” pain patch, a masterpiece of the effectiveness of placebo effect. This is a patch of 5% lidocaine placed on the lower back, said to decrease low back pain. Many sing its praises. In fact, the skin is a very effective barrier to things just like lidocaine, which never gets deeper than a few millimeters, nowhere near the strained muscles. If there were enough real lidocaine soaking into the muscles of the back, the patient would be seizing from toxicity. In fact, low back pain has a very potent psychological angle to it. An article a while back in one of the journals looked at the long-term effectiveness of Physical Therapy, Chiropractic, Orthopedics and good ole family doctor treatment. The results were identical if enough time went by. 

Photo journalism in Vietnam (1963 – 1975)

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Journalists covering action in Vietnam (or elsewhere) try to paint a word picture in the minds of readers describing what they see. Some more successfully than others as those words are amenable to social or political bias. Joe Galloway was successful describing the horror in the Ia drang valley in 1965, but only in prosaic terms requiring the reader to create form and function from that void.

Studies in sadness

Compiled by David Crippen, MD

135 photographers from either sides of the Vietnam conflict killed or missing presumed dead. 

This collection is a memorial to them and their photographs, a VERY important piece of history that I need to dwell on for many reasons. Those of us that were involved in Vietnam are now in our 70s and we’re dying out. Soon, no one will remember Vietnam, a fate that awaited a similar political mistake, Korea in the 50s. The mistakes that led to Vietnam still being made today, events that are important and need to be accurately recorded vividly.

Today’s young people now largely forget the amazing decade that set the stage for much that’s happening in our culture. I frequently toss out some 60s icons to my young doctors on rounds just to see the reaction. Ha! Usually greeted by blank looks. None of them have a clue of the location of Alice’s Restaurant, visualize that deaf, dumb & blind kid Tommy, recall Timothy Leary, how the Jefferson Airplane, Strawberry Alarm Clock, Moby Grape, Foghat, Creedence Clearwater Revival, The Zombies, The Byrds, Country Joe & the Fish and The Mothers of Invention shaped the culture of the era. 

They will possibly read word accounts of what happened in that era that profoundly shaped our world. The assassination of Jack Kennedy, Robert Kennedy, Civil rights, Medicare and Medicaid, Freedom riders, the assassination of Dr. Martin Luther King, the Berkeley Free Speech Movement, a man on the moon, the Weather Underground and the Days of Rage. These things can be testified by TV talking heads, but photographs detail the passion involved, not just the dry details. It’s IMPORTANT to understand the passion behind the words because if they aren’t collected, young people today will never know them. A tragedy, as they are so important to history.

I returned to Hanoi in 2012, visiting one of the museums and I noted a display of the photographer Robert J. Ellison (1944-1967), killed in action at Da Nang after less than a year in Vietnam. One of the few known personal photos of Eliison in Da Nang was displayed alone on a wall. Look at that face for a long time and you’ll see the pain and passion showing the reality he saw through those eyes. It brought me to tears. 

I was absolutely devastated by this display and it prompted me to assemble this collection photos by Vietnam photo journalists, some killed in action. I tacked on some of the photos I took in 1968-69 as an aside.

Rob Ellison landed in Vietnam in early 1967 with no credentials, one duffel and three cameras. He finessed his way out to Khe Sanh on a supply helicopter with a case of beer and box of cigars. On arriving at the violence-infested area, Rob insinuated himself into the full fury of the action, cheek by jowl with the Marine grunts, photographing the action as it happened in the unimaginable fiery Hell that was Khe Sanh in the early months of 1967.  Rob was killed when, as a passenger, the C-130 took rocket fire and crashed killing everyone on board. The bodies were not identifiable and are all buried in a mass grave in Missouri. Rob Ellison was 23 years old.

The genius of Van Gogh translated to a photographic vision. I stood heartbroken, feeling the vibrations of his urgent passion and what I knew he had to do to seek it out. I had to know him. I went on to collect many of his photos and they spoke to me, as they will for you.

Posthumously, Ellison has been rated as one of the top young photographers in the world. The Newsweek edition of March 18, 1968 carried eight pages of photos by him of the battle for Khe Sahn. His photographs were graphic illustrations what the Vietnam conflict was like in real life, not watered down media depictions.

Rare female photographer in hot zones, Dickey Chapelle was killed after the lieutenant in front of her kicked a tripwire mortar shell booby trap. Chapelle was hit in the neck by a piece of shrapnel which severed her carotid artery.  Clip shows Marine Chaplain giving photographer Dickey Chapelle last rites.

Larry Burrows covered the war in Vietnam from 1962 until his death in 1971. His work is cited as the most visually caustic photography from the war.  One of his most famous collections was published in LIFE Magazine on 16 April 1965. Burrows died in a helicopter shot down over Laos in 1971.  The scant remains of Burrows and fellow photographers Huet, Potter and Shimamoto were honored and interred at the Newseum in Washington, D.C.

Robert Capa accompanied a French regiment at the ill-fated battle for Dien Bien Phu in 1954 that should have been a massive red flag for further military adventure in Viet Nam. His photos graphically captured the agony of the futile holdout. On May 25, 1954 Capra passed through a dangerous area under fire and stepped on a land mine. He is buried in Westchester County, New York.  The Overseas Press Club created the Robert Capa Gold Medal in the photographer’s honor.

It is impossible to understand Vietnam without reading “Hell in a very small place” (The siege of Dien Beien Phu,1954) and “Street without joy” (a clear warning about what American forces would face in the jungles of Southeast Asia).  While accompanying a company of the 1st Battalion 9th Marines on Operation Chinook II in the “Street Without Joy” (Thừa Thiên Province) in 1967, Fall was killed after stepping on a Bouncing Betty land mine.

There are many others in “Requiem”, many heartbreaking.

I have collected some of these photographs in a Power Point presentation for you to peruse and etch into your general education memory. I would ask you to take a few minutes and view them, as they are really important history. Also included are some photos I took between 1968 and early 1970 if anyone has any interest. (see enclosures).  It was necessary to keep these Power Points under 10 MB each or they’ll hang up on the server so I had to reduce the size of some, reducing their resolution. 

A forgotten CODEs gig at an SCCM meeting resurrected

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Hello again, the 50th Anniversary of the Society for Critical Care Medicine (SCCM) is coming up and they were wondering if the CODES were available to play for the meeting again as we did several years ago. Not likely as we haven’t played together for a couple of years but it was a good run as our first gig was in 2006.

So I suggested maybe I edit a song from our last SCCM gig, which was several years ago. I rummaged through the high-resolution videos of that gig, selected a song that featured all of us playing and cut it back to a minute and a half. Don’t know if they’ll play this in their repertoire of ZOOM selections but I gave it to them. Maybe they’ll play it. Maybe not, but here it is for whatever interest anyone has.

The song is “Twilight Zone” originally done by a Dutch group Golden Earring (1982). It’s a great song and part of our set list for years. I chopped it after the meat & potatoes just before the extended lead break for brevity. You’ll get the idea. Listen for Gary’s scrape of the low E string from top to bottom. EEEEEOOOOOWWWWW. Not very loud. You have to listen for it.

Enjoy if you have an interest. As always, turn up the volume.

Percussion: Mike DeGeorgia, MD, FCNS
Professor
Chair, Neurology and Neurocritical care
Case-Western University, Cleveland

Rhythm guitar and backup vocals: David Crippen, MD, FCCM
Professor Emeritus (ret)
Department of Critical Care, Neurovascular ICU
UPMC, Pittsburgh

Lead Singer and base guitar: Stephan Mayer, MD, FCNS
Professor
Director of Neurocritical Care and Emergency Neurology Services, Westchester Medical Center, Valhalla, New York

Lead guitar and vocals: Gary Bernardini, MD, PhD, FCNS
Professor
Chair, Neurology and Neurocritical care
Cornell Medical Center, New York City