I am disturbed by the increasing failure of today’s doctors, advanced practice providers, and nurses to deliver high-quality, competent, and error-free care. Here, I explore disturbing data trends.<\/a><\/h5>\n\n\n\nPierre Kory, MD, MPA<\/p>\n\n\n\n![\"\"](\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F458da037-eacd-4c0f-8d04-07d0d999d9c2_401x260.png\")
<\/a><\/figure>\n\n\n\nLet\u2019s start by recalling the article below published in JAMA in July of 2024 by researchers at Mass General (Haavaad), where they reported that \u201ctrust in hospitals and doctors\u201d plummeted from 71.5% in 2019 to only 40% in 2024:<\/p>\n\n\n\n![\"\"\/](\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa70bef94-7e2f-40d9-b45d-caac947b70f9_651x566.png\")
<\/a><\/figure>\n\n\n\nMainstream media published several articles in response to the study, where they tried to come up with explanations for the plummeting trust. My favorite obfuscation was this US News World Report article<\/a>, whose headline read:<\/p>\n\n\n\n![\"\"\/](\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4a76689f-c467-4d98-9bf5-75b2ddd01350_1165x329.png\")
<\/a><\/figure>\n\n\n\n\u201cSome Americans?\u201d How about A TON of Americans? In 4 years, trust slipped from 71% to 40%. That ain\u2019t \u201csome.\u201d The most honest and revealing sentence was a direct recitation of the findings in the paper:<\/p>\n\n\n\n
\n\u201dPeople who trusted medicine less tended to question the financial motives of doctors and hospitals<\/strong>, doubt the quality of care<\/strong>, suspect that care was being influenced by other entities or agendas (<\/strong><\/em>Ed: conspiracy theorists!<\/strong>)<\/strong>, or perceive discrimination or bias (<\/strong><\/em>Ed: like towards the unvaccinated?)<\/strong>.<\/strong><\/em><\/p>\n<\/blockquote>\n\n\n\nIn this APHA article<\/a>, the journalist tried to blame \u201cus\u201d for the loss of trust, i.e., those who publicly called out the corrupted and unscientific policies in COVID-19:<\/p>\n\n\n\n\n\u201cMedicine became highly politicized in COVID due to ‘misinformation being amplified by public figures, including some physicians<\/strong> (<\/em>Ed: moi? oh no!<\/strong>) and the President.<\/strong><\/em><\/p>\n<\/blockquote>\n\n\n\n\nElected leaders and popular personas<\/strong> encouraged people to doubt science and disregard public health advice \u201caimed at protecting their health.\u201d<\/em><\/p>\n<\/blockquote>\n\n\n\nI am about to throw up here. Recall that the new head of the FDA, Dr. Marty Makary, testified in a Congressional hearing that \u201cthe biggest purveyor of misinformation during Covid\u2026 was the government<\/em>.\u201d Yet the APHA blames me and others instead of captured government agencies and officials working in the service of the criminal syndicate otherwise known as \u201cBig Pharma.\u201d<\/p>\n\n\n\nAm I being grandiose in thinking I was personally being referred to in that article? Sadly, no. In the below JAMA article (look at the title), they analyzed the biggest physician purveyors of misinformation on social media<\/strong>, and a number of my tweets showed up (red circles):<\/p>\n\n\n\n![\"\"\/](\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F90499ee2-5688-45d8-baac-745229a8da37_410x495.png\")
<\/a><\/figure>\n\n\n\nIf you can\u2019t read my tweets above, here they are:<\/p>\n\n\n\n
\n\u2026 ever wonder whether this anti-ivermectin onslaught on TV, in newspapers, medical journals, medical societies, and health agencies\u2026 is to keep the market open for Pfizer and Merck\u2019s oral anti-viral pills rushing through the pipeline?<\/em><\/p>\n<\/blockquote>\n\n\n\nUmm, how is that misinformation? I was just asking a question! Another one:<\/p>\n\n\n\n
\nAttorney Ralph Lorigo has gone to court to force hospitals to give ivermectin to ventilated patients\u2026 12 times. He won court orders 11 times. Nine of those patients are home; the 10th is recovering rapidly. I guess this country needs more lawyers and fewer doctors.<\/em><\/p>\n<\/blockquote>\n\n\n\nClever tweet, right? That was also factual and not misinformation. One of the saddest datasets in Covid was Ralph’s ultimate track record in those lawsuits, which I covered in a chapter called \u201cA Legal Legend\u201d in my book, \u201cThe War On Ivermectin<\/a>,\u201d and will repost here again:<\/p>\n\n\n\n\nRalph received 200 consultations to sue hospitals for patients being denied ivermectin. Eighty went to court. He won 40 and lost 40 (the hospitals started heavily lawyering up, and the judges began turning on him, especially in blue districts). Of the 40 he won, 38 survived. Of the 40 he lost, two survived.<\/strong><\/em><\/p>\n<\/blockquote>\n\n\n\nCould you let that sink in for a second? Like the \u201cmeasles cases,\u201d that data still enrages me (literally) to this day. Here is yet another tweet of mine that the study authors categorized as \u201cmisinformation\u201d:<\/p>\n\n\n\n
\n\u201cWHO\u2019s ivermectin research team lead…independently publishes on 24 ivermectin RCTs in a major journal\u2014reports large decreases in mortality, hospitalization, time to recovery, viral clearance.\u201d<\/em><\/p>\n<\/blockquote>\n\n\n\nAgain, this is a 100% true statement (at least until that same WHO team lead, Dr. Andrew Hill, later \u201cself-retracted\u201d the paper, threw out a number of the trials originally included, and then re-analyzed it as negative for mortality). Important context: Hill depends on grant funding from major national and international health care organizations for a living.<\/p>\n\n\n\n
The comic relief of the JAMA paper is when the authors provided their definitions of what constituted misinformation in COVID-19. Try not to laugh:<\/p>\n\n\n\n
\nThe virus was concocted in a lab (Ed: true<\/strong>), natural immunity is equal or better than vaccine immunity (Ed: true)<\/strong>, ivermectin and hydroxychloroquine are effective (Ed: true<\/strong>), the vaccines are ineffective, toxic and lethal (Ed: true, true, and true)<\/strong>, that federal agencies were working directly in the service of Pharma (Ed: true but I would also include the Dept. Of Defense as well<\/strong>).<\/em><\/p>\n<\/blockquote>\n\n\n\nClown world. The article then ends in typical fashion: \u201cFurther research should delve into understanding the lack of trust in doctors and hospitals, the researchers suggested.\u201d<\/p>\n\n\n\n
As you can see from the above, the media articles that covered the study made little serious or honest attempt at identifying the true causes of the loss of trust. Here are mine (note this list is not meant to be comprehensive, just a \u201ctop ten\u201d):<\/p>\n\n\n\n
\n- The pandemic outbreak was met with immediate attempts by public health leaders (Fauci) to cover up the fact that the virus was engineered in a bioweapons lab funded by the U.S.<\/li>\n\n\n\n
- The disturbing contradiction of policies that locked down small businesses and churches while allowing big box retailers and liquor stores to remain open<\/li>\n\n\n\n
- Wanton issuing and enforcement of non-scientific policies like 6-foot distancing and ubiquitous masking without assessing efficacy and then ignoring obvious adverse downstream effects (like loss of IQ in children)<\/li>\n\n\n\n
- Mass media and health agencies\u2019 \u201cgaslighting\u201d of the public by ignoring and censoring the massive rates of vaccine injuries being reported<\/li>\n\n\n\n
- Incessant and brazen manipulation and\/or \u201ccherry-picking\u201d of data by officials, journals, and agencies to convince the public of the safety and efficacy of the vaccines<\/li>\n\n\n\n
- Mandating and\/or coercing the most dangerous medical intervention in history by taking away people\u2019s livelihoods and\/or freedom to travel if they refused.<\/li>\n\n\n\n
- Designing, conducting, and publishing trials that were manipulated to show that ivermectin and hydroxychloroquine (and others) were ineffective and\/or dangerous (which then fueled negative corporate media public relations campaigns).<\/li>\n\n\n\n
- Using \u201clawfare\u201d against doctors prescribing \u201coff-label\u201d treatments via persecutory actions by the FDA, Medical Boards, Pharmacy Boards, and Specialty Certification Boards (which in turn, also scared pharmacists from filling the prescriptions).<\/li>\n\n\n\n
- Enforcing rigid adherence to largely ineffective, dangerous, and highly remunerated hospital protocols centered around the use of remdesivir and artificially lowered doses of corticosteroids, all of which led to a massive amount of deaths compared to other countries.<\/li>\n<\/ol>\n\n\n\n
The culmination of all of the above policies in the U.S:<\/p>\n\n\n\n![\"\"\/](\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F161250d2-3e55-4864-a6f4-6becb8e3d40a_854x410.png\")
<\/a><\/figure>\n\n\n\nDETERIORATING QUALITY OF CARE IN AMERICAN MEDICINE<\/h3>\n\n\n\n
My next question is whether, in addition to the reasons I gave above for the loss of trust, how much of it is also being driven by a deterioration in the quality of care in U.S hospitals?<\/p>\n\n\n\n
I have over 15 years of experience reviewing law firms’ medical malpractice cases. In my review of the medical records of Daisy Hillebrand and Kaley Fehr<\/a> (the two girls in Texas who died of inept medical care, not measles), I found unprecedented missteps, errors, incompetence, and a lack of critical (or clinical) reasoning skills. The abysmal care I witnessed led me to question whether there has been a significant drop in the quality of care in the U.S.<\/p>\n\n\n\nLo and behold, I quickly discovered that the quality of care in the U.S has deteriorated rapidly compared to other countries, timed with the onset of the pandemic. The data below was sourced from the non-profit organization Peterson-KKF Health\u2019s System Tracker<\/a>, where I found the following:<\/p>\n\n\n\n![\"\"\/](\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F28de44db-441d-42f9-8a54-62c6a0526b87_1634x790.png\")
<\/a><\/figure>\n\n\n\nAs you can see above, since 2019, the quality of medical care in the United States has resulted in pronounced increases in in-hospital mortality (for injury, surgical, medical, and especially mental health), age-adjusted mortality, and hospital-acquired infections, while life expectancy has plummeted<\/strong>. The latter finding is one of the most disturbing because it can only be caused by sudden rises in deaths among the young (older adults dying cannot impact average life expectancy as drastically).<\/p>\n\n\n\nA commenter on my prior post reviewing the two records of the two \u201cmeasles\u201d deaths<\/a>, Aleph<\/a>, wrote:<\/strong><\/p>\n\n\n\n\n“… hospital care is deteriorating nationwide, not just in pediatrics. I expect death rates to rise and life expectancy to decrease.\u201d<\/em><\/p>\n\n\n\nCare is ruled by convenience under the “least effort” principle. Hospitals are like a fragmented assembly line with the “product”, in fact a CLIENT, in one spot (a bed) and the workers moving along, each to do their “thing” but nothing else.<\/em><\/p>\n<\/blockquote>\n\n\n\nThe two Texas girls’ deaths are examples of 1) preventable in-hospital mortality, 2) increased hospital-acquired infections, and 3) increased age-adjusted mortality rates (6 and 8-year-old generally healthy American girls should almost never die of a typical or even atypical infection in modern times). Further, as per this article by KFF<\/a>:<\/p>\n\n\n\n\n\u201cThe country continues to have the highest rates of preventable hospitalizations, avoidable mortality, maternal and infant mortality, and chronic disease burden among high-income countries.\u201d<\/em><\/p>\n<\/blockquote>\n\n\n\nThe KFF report<\/a> goes even further:<\/p>\n\n\n\n\n\u201cPatient safety remains a concern, with medical errors contributing to significant morbidity and mortality. Low-quality care includes medication errors, diagnostic errors, and healthcare-associated infections that can adversely impact health outcomes.\u201d<\/em><\/p>\n<\/blockquote>\n\n\n\nAll of the above happened in the Texas measles cases. However, I refuse to believe that those cases were unique. Instead, I fear they result from disturbing trends impacting the healthcare workforce over the pandemic years.<\/p>\n\n\n\n
I formulated ten dynamics within healthcare that I believe represent the \u201croot causes\u201d of the deteriorating quality of care.<\/p>\n\n\n\n
I’d like to invite my readers to submit any additional thoughts on drivers of poor care quality beyond those I discuss below. Hang in and hold on, because I paint a pretty miserable picture of what is happening in Medicine. Disclaimer: I almost certainly \u201ccherry-picked\u201d data below to support my arguments, but that is OK I am happy to evaluate any contrary or contradicting data or opinions that have merit.<\/p>\n\n\n\n
*Please consider a paid subscription if you appreciate the time and effort I put into performing these extensive case reviews and researching and writing my posts.<\/p>\n\n\n\n
\n\n\n\nHypotheses As To Why The Quality Of Medical Care In The U.S Is Deteriorating<\/h3>\n\n\n\n1. Widespread Cognitive Impairment In the Wake of the Covid mRNA Campaign (and Covid)<\/h4>\n\n\n\n
It should be evident that physicians, nurses, and nurse practitioners were among this country’s most highly vaccinated subpopulations due to Biden\u2019s Federal CMS mandates.<\/p>\n\n\n\n
Just this week, a WSJ article<\/a> highlighted the \u201cmillions of Americans,<\/strong>\u201d both old and young, with new cognitive impairments due to \u201cLong COVID\u201d (which we know from what I bear witness to each day in my vaccine injury and Long COVID specialty practice\u2014it is a euphemism for \u201cLong Vax\u201d – 70+% of my patients’ issues started in temporal association with vaccination, not COVID).<\/p>\n\n\n\nIn addition, as per AMD, \u201cthe COVID vaccines were sold with the most aggressive marketing campaign in history, using healthcare workers as the initial cohort to promote the vaccines since it would be easy to;<\/p>\n\n\n\n
1) manipulate them into fully vaccinating<\/p>\n\n\n\n
2) have the public trust in their endorsement<\/p>\n\n\n\n
3) make them less likely to publicize the side effects of the shots<\/p>\n\n\n\n
Because of this, doctors and nurses were some of the most highly vaccinated Americans, and in turn had some of the highest rates of injury.<\/p>\n\n\n\n
This is important because cognitive impairment is one of the most common side effects of the COVID vaccines, <\/strong>something not only shown by the data but also in my patients – neurological and cognitive injuries are the rule. The data supporting this reality is overwhelming:<\/p>\n\n\n\n\n- A recent study by Thorpe et al<\/a> identified alarming increases in 86 adverse events related to brain function, behavior, and cognition following COVID-19 mRNA injection, and another study showed spike protein in the cerebral arteries<\/a> of vaccinated individuals 17 months out.<\/li>\n\n\n\n
- AMD\u2019s compilation of data showing the negative cognitive impacts from the mRNA vaccines <\/a>adds even more disturbing data on the vaccine’s impact on cognition.<\/li>\n\n\n\n
- In a post I wrote about an interview I did <\/a>with a veteran ER\/ICU nurse at The Ohio State University Medical Center (TOSUMC), she reported that many of the illnesses and\/or disabilities sufferred by physicians in that system were described to her as being due to neurological issues – either overt neurological deficits or cognitive decline\/impairment, and even dementia.<\/li>\n\n\n\n
- One study published in Nature<\/a> (one of the top medical journals) reported that after mRNA vaccination, they found a 68% increase in depression, a 44% increase in anxiety, dissociative, stress-related, and somatoform disorders, a 93.4% increase in sleep disorders, a 77% decrease in schizophrenia, and a 32.8% decrease in bipolar disorder.<\/li>\n\n\n\n
- Another <\/a>study analyzed individuals over 65 and found Covid vaccination increased the risk of mild cognitive impairment by 138% and the risk of Alzheimer\u2019s by 23%, with smaller increases in vascular dementia and Parkinson\u2019s disease that the authors did not deem to be significant.<\/li>\n\n\n\n
- VAERS detected a massive spike in cognitive issues being reported to it after the COVID-19 vaccines hit the market.<\/li>\n<\/ol>\n\n\n\n
\n![\"\"](\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb8af8ab0-f014-4842-94ac-c653c900a0a6_712x428.png\" "\\"\\"\/")
<\/figure>\n\n\n\n<\/a><\/p>\n<\/blockquote>\n\n\n\n\n- Admissions to a nursing home significantly increased, as shown by this extensive data set from the Netherlands<\/a>.<\/li>\n\n\n\n
- Ed Dowd has repeatedly documented<\/a> a significant increase in physical and cognitive disability throughout the adult population, beginning with the onset of the mRNA campaign:<\/li>\n<\/ul>\n\n\n\n
![\"\"](\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9eb75ffd-8477-42af-bf6d-0bd24729c47c_1914x1062.png\" "\\"\\"\/")
<\/a><\/figure>\n\n\n\n\n- Steve Kirsch was contacted by a whistleblower who reported there had been a 25-fold increase<\/a> in sudden dementia at the nursing home where she works.<\/li>\n\n\n\n
- From Igor Chudov\u2019s article on this topic<\/a>:<\/li>\n<\/ul>\n\n\n\n
\nI own a small business and deal with many people and other small businesses. Most provide reliable service, remember appointments, follow up on issues, and so on. I noticed that lately, some people have become less cognitively capable. They forget essential appointments, cannot concentrate, make crazy-stupid mistakes, and so on.<\/em><\/p>\n<\/blockquote>\n\n\n\n\n- Igor Chudov<\/a> also identified another dataset from the Netherlands, which further corroborated a massive cognitive decline:<\/li>\n<\/ul>\n\n\n\n
\nThe latest quarterly research update from the GOR Network shows that in the first quarter of 2023, there was a 24% increase in GP [general practitioner] visits related to memory and concentration problems among adults (age 25 years and older) compared to the same period in 2020.<\/em><\/p>\n\n\n\nMore specifically, they found:
\u2022No increase was observed in adults under 25 years old.
\u2022A 31% increase was observed in those 24-44.
\u2022A 40% increase was observed in those 45-74 years old.
\u2022 An 18% increase was observed in those over 75 years old.<\/em><\/p>\n<\/blockquote>\n\n\n\n2. Workforce Shortages In The Wake Of The mRNA Campaign<\/h3>\n\n\n\n\n- Numerous insurance company reports and studies of actuarial data on the vaccinated report a 37% lower life expectancy and a doubling of the risk of dying<\/a>. Sun Life Financial\u2019s US operations reported a <\/a>surge in costly claims<\/a><\/strong> that caused stop-loss insurance benefits costs to spike in the fourth quarter.<\/li>\n\n\n\n
- A new study found massive increases in deaths<\/a> from Covid-19 in association with increased vaccination among Western Countries by up to 1,275.0%<\/li>\n\n\n\n
- The Ethical Skeptic analysis of publicly available data<\/a> finds that cancer diagnoses and expenditures began to skyrocket with the rollout of the mRNA campaign.<\/li>\n\n\n\n
- The insane number of predominantly young, actively employed Canadian doctors whose deaths have been tracked on social media (132 at last count<\/a>, two years ago).<\/li>\n\n\n\n
- In my post on <\/a>Ohio State University Medical Center, the nurse I interviewed reported that the new cancer center was running out of infusion suites and that cancer surgeries were being delayed due to the excess volume.<\/li>\n\n\n\n
- Jeff Childers wrote a recent post on cancer clusters reported <\/a>in numerous and diverse geographic regions, workplaces, and within families. Industrial exposures cannot be blamed given the diversity of cancers and the clustering of different cancers within the same family. The most alarming clusters are occurring among groups of nurses and\/or doctors in the same hospital.<\/li>\n\n\n\n
- More \u201creal-world\u201d evidence of the above comes from my interview with a veteran nurse colleague <\/a>who has worked at OSUMC for decades. She reported:\n
\n- An increasingly noticeable number of doctors, nurses, and staff have \u201cdied suddenly,\u201d \u201cdied unexpectedly,\u201d or have become disabled and ill from injuries and\/or cancer. The youth and health of these employees have been increasingly remarked on amongst staff (not to mention the deluge of previously healthy and\/or young patients that are now presenting with severe and\/or atypical (for that age) illnesses. Remember, cancer used to be a disease of aging essentially.<\/li>\n\n\n\n
- The suspected role of the vaccines in most of the deaths is an open secret and a growing concern among staff there. Ohio State University Medical Center (OSUMC) stopped emailing out obituaries of prominent or veteran employees when they died. Why do you ask? Because of the uncomfortably noticeable large number of them, which triggered comments by employees openly calling out the likelihood that the vaccines were a cause (i.e., they would point out the dates of the deceased\u2019s vaccination and their death). Unsurprisingly, she also told me that OSUMC would quickly censor any posts of that nature (despite containing no foul language, personal attacks, or threats). From a text conversation we had:<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n\n\n\n
\n\u201cYes, this is huge. Lots of internal cases of death and disabilities. They quit posting internal obits for staff. The comments underneath them showed that people knew why everyone was dropping dead for baffling reasons. So those went away.\u201d<\/em><\/p>\n<\/blockquote>\n\n\n\n\n- Several physicians (the most noticeable of them being super-specialists who cannot be easily replaced), besides dying, were also leaving due to disability or retiring due to unspecified health reasons.<\/li>\n\n\n\n
- She heard of a growing number of lawsuits by family members of these physicians against OSUMC for the mandates that led to their deaths or disabilities.<\/li>\n\n\n\n
- One lawsuit was filed by the widow of a physician who dropped dead suddenly. Interestingly, she demanded an autopsy with staining for spike protein, and the heart was found \u201cloaded with spike.\u201d<\/li>\n\n\n\n
- When physicians die suddenly, this creates a huge mess operationally because \u201copen notes\u201d in the electronic medical record (EMR) can\u2019t be closed, and the chronic, ongoing care of large numbers of often long-time or highly active patients becomes disrupted. In her words, \u201cdealing with the practice of a doc who died is a mess – dealing with open notes, ongoing patient care, patient calls, and maintaining plans of care.\u201d<\/li>\n\n\n\n
- Many of the disabilities and deaths of physicians were discovered by this nurse while she was following up on notes that were \u201cleft open\u201d in the EMR. The staff would then tell her about the injury, death, or disability of the health care provider who started the note. Further, adding the \u201cabandoned\u201d patient panel to healthier and still working physicians in that specialty was causing further strains.<\/li>\n\n\n\n
- Cancers are exploding at OSUMC, causing massive strain on oncology services, particularly glioblastomas in the brain, as well as in the spine. Also, case managers for many cancer patients stated that they were not retiring due to the volume of patients in need.<\/li>\n\n\n\n
- Even worse, cancers are being missed at high rates, given that the \u201cindex of suspicion\u201d in younger patients is not appropriately high enough. As a result, doctors are missing cancers, as evidenced by retrospectively \u201cobvious\u201d signs and symptoms in the record.<\/li>\n\n\n\n
- Applications for both short and long-term disability have risen so much that they have created backlogs and delays that staff have noticed and are more openly talking about. The often young ages of the staff applying for disability have not gone unnoticed either.<\/li>\n\n\n\n
- She knows of several colleagues who are either declining or dying from cancer but are forcing themselves to work to provide for their families.<\/li>\n<\/ul>\n\n\n\n
In a recent conversation with A Midwestern Doctor<\/a>, they reminded me that we both know numerous doctors who have become impaired or disabled from the COVID vaccines, many of whom then had to enter early retirement, or sadly, died prematurely from a vaccine side effect. Many doctors are still in denial about this.<\/p>\n\n\n\n3. Physician, NP, and Nurse \u201cBurnout\u201d Rates Are Increasing<\/h3>\n\n\n\n![\"\"](\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7494a803-a24a-43f8-a8b1-7032d1d690de_850x500.png\" "\\"\\"\/")
<\/a><\/figure>\n\n\n\nPhysician \u201cburnout\u201d rates increased significantly during the COVID-19 pandemic, from 38.2% in 2020 to 62.8% in 2021<\/a>. This spike marked an all-time high<\/a> and ended a previous six-year decline in burnout rates.<\/p>\n\n\n\nIn the articles I read about surging burnout rates, the above examples from OSUMC were evidenced by data findings (all references hyperlinked below).<\/p>\n\n\n\n
\n- Increased Workload and Patient Volume<\/a>:<\/strong> Physicians faced an overwhelming number of patients, especially during the COVID-19 surges<\/li>\n\n\n\n
- Risk of Infection<\/a>:<\/strong> Constant exposure to COVID-19 patients increased fear and anxiety about personal and family safety.<\/li>\n\n\n\n
- Insufficient Resources<\/a>:<\/strong> Early shortages of personal protective equipment (PPE), lack of effective treatments, and inadequate institutional support heightened stress.<\/li>\n\n\n\n
- Staffing Shortages<\/a>:<\/strong> Many healthcare systems experienced severe staffing shortages, which led to longer hours and more intense work for the remaining staff.<\/li>\n\n\n\n
- Work-Life Imbalance<\/a>:<\/strong> School closures, increased childcare demands, and inability to maintain work-life boundaries contributed to distress.<\/li>\n\n\n\n
- Emotional and Psychological Strain<\/a>:<\/strong> Physicians reported increased anxiety, depression, insomnia, and a sense of helplessness in the face of high mortality and suffering.<\/li>\n\n\n\n
- Moral Distress and Mistreatment<\/a>:<\/strong> Experiences of mistreatment by patients or the public and politicizing public health measures compounded stress.<\/li>\n\n\n\n
- Administrative Burdens<\/a>:<\/strong> Ongoing frustrations with bureaucracy, documentation, and loss of autonomy further eroded professional fulfillment.<\/li>\n<\/ul>\n\n\n\n
These factors combined to create an unprecedented level of occupational distress among physicians during the pandemic, with many considering leaving the profession or reducing their clinical hours.<\/p>\n\n\n\n
This is probably a good time to mention that, although I was shocked by the inept medical care in the two non-measles deaths, the above may provide some forgiving context for their actions. Providers are now up against many adverse dynamics while caring for patients, so some grace must be shown. I prefer to think of the doctors as \u201cdoing the best they could,\u201d against the many stresses preventing them from delivering the quality of care patients expect and deserve.<\/p>\n\n\n\n
4. Attrition Of Physicians From The Workforce<\/h3>\n\n\n\n
The implications of the rising cognitive issues, deaths, and burnout are that they are leading to an increased physician attrition rate in the United States. Lo and behold:<\/p>\n\n\n\n
\n- Job Changes and Retirement:<\/a><\/strong> A 2022 survey found that 43% of physicians changed jobs during the pandemic, 8% retired, and 3% left medicine for non-clinical careers\u2014much higher than typical annual turnover rates of 6\u20137%<\/strong>.<\/li>\n\n\n\n
- Annual Attrition Trends<\/a>:<\/strong> Before the pandemic, annual physician turnover increased from 5.3% in 2010 to 7.6% in 2018\u2014a 43% increase. In 2022, 40% of U.S. physicians reported<\/a><\/strong> an intention to leave their current job within the next two years. This figure decreased slightly to just over a third (approximately 33\u201335%) in 2023 but is still historically high.<\/strong><\/li>\n\n\n\n
- Specialty and Demographic Variation<\/a>:<\/strong> The increase in attrition has not been uniform across all specialties or demographics. For example, primary care and rural practice have seen sharp declines in new entrants<\/strong>, and older physicians (65+) are retiring at higher rates<\/strong>.<\/li>\n<\/ul>\n\n\n\n
Now, although attrition has risen, the overall physician workforce has grown. However, that is almost certainly being driven by recruiting less experienced, younger, and\/or international doctors with varied training. Most physicians who leave the field do so for retirement between the ages of 60 and 69. Thus, the older, wiser, veteran doctors are leaving at unprecedented rates. If the most knowledgeable and experienced docs are leaving, who is going to \u201cteach\u201d what used to be called \u201cthe art of medicine?\u201d<\/p>\n\n\n\n
5. Attrition of Nurses From The Workforce<\/h3>\n\n\n\n
If you thought the rising attrition rates of doctors were bad, it gets way worse with the nurses. Since the onset of COVID-19, the annual nurse attrition (turnover) rate in the U.S. has also increased significantly<\/strong>. The numbers are eye-popping – multiple studies and workforce reports have documented a sharp rise in both departures and nurses\u2019 intentions to leave the profession.<\/p>\n\n\n\n\n- During the pandemic, about 100,000 registered nurses left the workforce<\/a> in two years<\/strong>, primarily due to stress, burnout, and retirement.<\/li>\n\n\n\n
- The psychological impact of the pandemic<\/a> included increased workload, exposure to critical illness and death, and emotional exhaustion.<\/li>\n\n\n\n
- **Projections indicate the situation may worsen: If current trends continue, nearly 900,000 RNs (about one-fifth of the U.S. nursing workforce<\/strong>) are expected to leave the profession by 2027.<\/li>\n<\/ul>\n\n\n\n
One-fifth of the U.S. nursing workforce is expected to leave the profession in the next two years? We have to stay out of the hospitals, folks.<\/p>\n\n\n\n
6. Increases in \u201cSentinel Events\u201d Within Hospitals<\/h3>\n\n\n\n
Based on the above data showing that healthcare providers likely suffered some of the highest rates of cognitive impairment, neurological conditions, cancers, and sudden deaths, which then caused skyrocketing burnout and massive workforce departures, it should come as no surprise that there is a disturbing data trend regarding \u201csentinel events\u201d in hospitals. First, let\u2019s go over the definition of a sentinel event:<\/p>\n\n\n\n
A \u201csentinel event\u201d is an unexpected occurrence in a healthcare setting that results in:<\/p>\n\n\n\n
\n- Death<\/li>\n\n\n\n
- Permanent harm (e.g., loss of limb or function)<\/li>\n\n\n\n
- Severe temporary harm (e.g., significant disability or disfigurement)<\/li>\n<\/ul>\n\n\n\n
These events are unrelated to the natural course of the patient\u2019s illness and are often caused by major mistakes or negligence by healthcare providers<\/strong>. Sentinel events are closely investigated by healthcare regulatory authorities to identify root causes and implement corrective actions to prevent similar incidents from occurring in the future.<\/p>\n\n\n\nThere are 58 total types of sentinel events, with the most prevalent being:<\/p>\n\n\n\n
\n- Falls (48%)<\/li>\n\n\n\n
- Wrong site surgery (8%)<\/li>\n\n\n\n
- Unintended retention of foreign object (8%)<\/li>\n\n\n\n
- Assault\/rape\/sexual assault\/homicide (8%)<\/li>\n\n\n\n
- Delay in treatment (6%)<\/li>\n\n\n\n
- Suicide (5%)<\/li>\n<\/ul>\n\n\n\n
Check out the data chart below from the Joint Commission\u2019s 2023 review<\/a> of sentinel events, which shows a steep rise in sentinel events concurrent with the rollout of the mRNA platform (obviously, other factors likely contribute, but the temporal association should give serious pause):<\/p>\n\n\n\n![\"\"](\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7d51425f-990b-4a14-adfa-23d5fc10ae2d_1106x674.png\" "\\"\\"\/")
<\/a><\/figure>\n\n\n\nSo, what sentinel events drove this rapid rise?<\/p>\n\n\n\n
Answer: FALLS!<\/p>\n\n\n\n![\"\"](\"https:\/\/substackcdn.com\/image\/fetch\/w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep\/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F67fa435e-b535-41e9-b81b-47931bde38a6_2160x1118.png\" "\\"\\"\/")
<\/a><\/figure>\n\n\n\nThe average number of falls in 2019 and 2020 nearly tripled in 2021 and then quadrupled the pre-pandemic rate in 2022 and 2023. Admittedly, this can be due to the increasing cognitive impairment of patients, but it also likely represents less monitoring\/care\/training of nurses (issues discussed in my previous post here<\/a>). But the real shock is how the Joint Commission addressed this issue in their report:<\/p>\n\n\n\n\nConclusion: Reported sentinel events remained consistent with<\/strong><\/em> previous reporting patterns. <\/strong><\/em>Consistent with prior years, patient falls were the leading event type reviewed (48%).<\/p>\n<\/blockquote>\n\n\n\nI no longer am shocked by \u201cauthorities\u201d so blatantly and willfully peddling lies, misrepresentations, and distortions. But this takes the cake. Yes, the highest percentage of sentinel events were falls in \u201cprevious years.\u201d However, if you look below to see what percent were falls before the jab campaign, only 18-21%. They are almost 50%, and the absolute number of falls reported has skyrocketed. \u201cConsistent with previous years\u201d my ass.<\/p>\n\n\n\n
<\/a><\/figure>\n\n\n\nLet\u2019s start by recalling the article below published in JAMA in July of 2024 by researchers at Mass General (Haavaad), where they reported that \u201ctrust in hospitals and doctors\u201d plummeted from 71.5% in 2019 to only 40% in 2024:<\/p>\n\n\n\n Mainstream media published several articles in response to the study, where they tried to come up with explanations for the plummeting trust. My favorite obfuscation was this US News World Report article<\/a>, whose headline read:<\/p>\n\n\n\n \u201cSome Americans?\u201d How about A TON of Americans? In 4 years, trust slipped from 71% to 40%. That ain\u2019t \u201csome.\u201d The most honest and revealing sentence was a direct recitation of the findings in the paper:<\/p>\n\n\n\n \u201dPeople who trusted medicine less tended to question the financial motives of doctors and hospitals<\/strong>, doubt the quality of care<\/strong>, suspect that care was being influenced by other entities or agendas (<\/strong><\/em>Ed: conspiracy theorists!<\/strong>)<\/strong>, or perceive discrimination or bias (<\/strong><\/em>Ed: like towards the unvaccinated?)<\/strong>.<\/strong><\/em><\/p>\n<\/blockquote>\n\n\n\n In this APHA article<\/a>, the journalist tried to blame \u201cus\u201d for the loss of trust, i.e., those who publicly called out the corrupted and unscientific policies in COVID-19:<\/p>\n\n\n\n \u201cMedicine became highly politicized in COVID due to ‘misinformation being amplified by public figures, including some physicians<\/strong> (<\/em>Ed: moi? oh no!<\/strong>) and the President.<\/strong><\/em><\/p>\n<\/blockquote>\n\n\n\n Elected leaders and popular personas<\/strong> encouraged people to doubt science and disregard public health advice \u201caimed at protecting their health.\u201d<\/em><\/p>\n<\/blockquote>\n\n\n\n I am about to throw up here. Recall that the new head of the FDA, Dr. Marty Makary, testified in a Congressional hearing that \u201cthe biggest purveyor of misinformation during Covid\u2026 was the government<\/em>.\u201d Yet the APHA blames me and others instead of captured government agencies and officials working in the service of the criminal syndicate otherwise known as \u201cBig Pharma.\u201d<\/p>\n\n\n\n Am I being grandiose in thinking I was personally being referred to in that article? Sadly, no. In the below JAMA article (look at the title), they analyzed the biggest physician purveyors of misinformation on social media<\/strong>, and a number of my tweets showed up (red circles):<\/p>\n\n\n\n If you can\u2019t read my tweets above, here they are:<\/p>\n\n\n\n \u2026 ever wonder whether this anti-ivermectin onslaught on TV, in newspapers, medical journals, medical societies, and health agencies\u2026 is to keep the market open for Pfizer and Merck\u2019s oral anti-viral pills rushing through the pipeline?<\/em><\/p>\n<\/blockquote>\n\n\n\n Umm, how is that misinformation? I was just asking a question! Another one:<\/p>\n\n\n\n Attorney Ralph Lorigo has gone to court to force hospitals to give ivermectin to ventilated patients\u2026 12 times. He won court orders 11 times. Nine of those patients are home; the 10th is recovering rapidly. I guess this country needs more lawyers and fewer doctors.<\/em><\/p>\n<\/blockquote>\n\n\n\n Clever tweet, right? That was also factual and not misinformation. One of the saddest datasets in Covid was Ralph’s ultimate track record in those lawsuits, which I covered in a chapter called \u201cA Legal Legend\u201d in my book, \u201cThe War On Ivermectin<\/a>,\u201d and will repost here again:<\/p>\n\n\n\n Ralph received 200 consultations to sue hospitals for patients being denied ivermectin. Eighty went to court. He won 40 and lost 40 (the hospitals started heavily lawyering up, and the judges began turning on him, especially in blue districts). Of the 40 he won, 38 survived. Of the 40 he lost, two survived.<\/strong><\/em><\/p>\n<\/blockquote>\n\n\n\n Could you let that sink in for a second? Like the \u201cmeasles cases,\u201d that data still enrages me (literally) to this day. Here is yet another tweet of mine that the study authors categorized as \u201cmisinformation\u201d:<\/p>\n\n\n\n \u201cWHO\u2019s ivermectin research team lead…independently publishes on 24 ivermectin RCTs in a major journal\u2014reports large decreases in mortality, hospitalization, time to recovery, viral clearance.\u201d<\/em><\/p>\n<\/blockquote>\n\n\n\n Again, this is a 100% true statement (at least until that same WHO team lead, Dr. Andrew Hill, later \u201cself-retracted\u201d the paper, threw out a number of the trials originally included, and then re-analyzed it as negative for mortality). Important context: Hill depends on grant funding from major national and international health care organizations for a living.<\/p>\n\n\n\n The comic relief of the JAMA paper is when the authors provided their definitions of what constituted misinformation in COVID-19. Try not to laugh:<\/p>\n\n\n\n The virus was concocted in a lab (Ed: true<\/strong>), natural immunity is equal or better than vaccine immunity (Ed: true)<\/strong>, ivermectin and hydroxychloroquine are effective (Ed: true<\/strong>), the vaccines are ineffective, toxic and lethal (Ed: true, true, and true)<\/strong>, that federal agencies were working directly in the service of Pharma (Ed: true but I would also include the Dept. Of Defense as well<\/strong>).<\/em><\/p>\n<\/blockquote>\n\n\n\n Clown world. The article then ends in typical fashion: \u201cFurther research should delve into understanding the lack of trust in doctors and hospitals, the researchers suggested.\u201d<\/p>\n\n\n\n As you can see from the above, the media articles that covered the study made little serious or honest attempt at identifying the true causes of the loss of trust. Here are mine (note this list is not meant to be comprehensive, just a \u201ctop ten\u201d):<\/p>\n\n\n\n The culmination of all of the above policies in the U.S:<\/p>\n\n\n\n My next question is whether, in addition to the reasons I gave above for the loss of trust, how much of it is also being driven by a deterioration in the quality of care in U.S hospitals?<\/p>\n\n\n\n I have over 15 years of experience reviewing law firms’ medical malpractice cases. In my review of the medical records of Daisy Hillebrand and Kaley Fehr<\/a> (the two girls in Texas who died of inept medical care, not measles), I found unprecedented missteps, errors, incompetence, and a lack of critical (or clinical) reasoning skills. The abysmal care I witnessed led me to question whether there has been a significant drop in the quality of care in the U.S.<\/p>\n\n\n\n Lo and behold, I quickly discovered that the quality of care in the U.S has deteriorated rapidly compared to other countries, timed with the onset of the pandemic. The data below was sourced from the non-profit organization Peterson-KKF Health\u2019s System Tracker<\/a>, where I found the following:<\/p>\n\n\n\n As you can see above, since 2019, the quality of medical care in the United States has resulted in pronounced increases in in-hospital mortality (for injury, surgical, medical, and especially mental health), age-adjusted mortality, and hospital-acquired infections, while life expectancy has plummeted<\/strong>. The latter finding is one of the most disturbing because it can only be caused by sudden rises in deaths among the young (older adults dying cannot impact average life expectancy as drastically).<\/p>\n\n\n\n A commenter on my prior post reviewing the two records of the two \u201cmeasles\u201d deaths<\/a>, Aleph<\/a>, wrote:<\/strong><\/p>\n\n\n\n “… hospital care is deteriorating nationwide, not just in pediatrics. I expect death rates to rise and life expectancy to decrease.\u201d<\/em><\/p>\n\n\n\n Care is ruled by convenience under the “least effort” principle. Hospitals are like a fragmented assembly line with the “product”, in fact a CLIENT, in one spot (a bed) and the workers moving along, each to do their “thing” but nothing else.<\/em><\/p>\n<\/blockquote>\n\n\n\n The two Texas girls’ deaths are examples of 1) preventable in-hospital mortality, 2) increased hospital-acquired infections, and 3) increased age-adjusted mortality rates (6 and 8-year-old generally healthy American girls should almost never die of a typical or even atypical infection in modern times). Further, as per this article by KFF<\/a>:<\/p>\n\n\n\n \u201cThe country continues to have the highest rates of preventable hospitalizations, avoidable mortality, maternal and infant mortality, and chronic disease burden among high-income countries.\u201d<\/em><\/p>\n<\/blockquote>\n\n\n\n The KFF report<\/a> goes even further:<\/p>\n\n\n\n \u201cPatient safety remains a concern, with medical errors contributing to significant morbidity and mortality. Low-quality care includes medication errors, diagnostic errors, and healthcare-associated infections that can adversely impact health outcomes.\u201d<\/em><\/p>\n<\/blockquote>\n\n\n\n All of the above happened in the Texas measles cases. However, I refuse to believe that those cases were unique. Instead, I fear they result from disturbing trends impacting the healthcare workforce over the pandemic years.<\/p>\n\n\n\n I formulated ten dynamics within healthcare that I believe represent the \u201croot causes\u201d of the deteriorating quality of care.<\/p>\n\n\n\n I’d like to invite my readers to submit any additional thoughts on drivers of poor care quality beyond those I discuss below. Hang in and hold on, because I paint a pretty miserable picture of what is happening in Medicine. Disclaimer: I almost certainly \u201ccherry-picked\u201d data below to support my arguments, but that is OK I am happy to evaluate any contrary or contradicting data or opinions that have merit.<\/p>\n\n\n\n *Please consider a paid subscription if you appreciate the time and effort I put into performing these extensive case reviews and researching and writing my posts.<\/p>\n\n\n\n It should be evident that physicians, nurses, and nurse practitioners were among this country’s most highly vaccinated subpopulations due to Biden\u2019s Federal CMS mandates.<\/p>\n\n\n\n Just this week, a WSJ article<\/a> highlighted the \u201cmillions of Americans,<\/strong>\u201d both old and young, with new cognitive impairments due to \u201cLong COVID\u201d (which we know from what I bear witness to each day in my vaccine injury and Long COVID specialty practice\u2014it is a euphemism for \u201cLong Vax\u201d – 70+% of my patients’ issues started in temporal association with vaccination, not COVID).<\/p>\n\n\n\n In addition, as per AMD, \u201cthe COVID vaccines were sold with the most aggressive marketing campaign in history, using healthcare workers as the initial cohort to promote the vaccines since it would be easy to;<\/p>\n\n\n\n 1) manipulate them into fully vaccinating<\/p>\n\n\n\n 2) have the public trust in their endorsement<\/p>\n\n\n\n 3) make them less likely to publicize the side effects of the shots<\/p>\n\n\n\n Because of this, doctors and nurses were some of the most highly vaccinated Americans, and in turn had some of the highest rates of injury.<\/p>\n\n\n\n This is important because cognitive impairment is one of the most common side effects of the COVID vaccines, <\/strong>something not only shown by the data but also in my patients – neurological and cognitive injuries are the rule. The data supporting this reality is overwhelming:<\/p>\n\n\n\n <\/a><\/p>\n<\/blockquote>\n\n\n\n I own a small business and deal with many people and other small businesses. Most provide reliable service, remember appointments, follow up on issues, and so on. I noticed that lately, some people have become less cognitively capable. They forget essential appointments, cannot concentrate, make crazy-stupid mistakes, and so on.<\/em><\/p>\n<\/blockquote>\n\n\n\n The latest quarterly research update from the GOR Network shows that in the first quarter of 2023, there was a 24% increase in GP [general practitioner] visits related to memory and concentration problems among adults (age 25 years and older) compared to the same period in 2020.<\/em><\/p>\n\n\n\n More specifically, they found: \u201cYes, this is huge. Lots of internal cases of death and disabilities. They quit posting internal obits for staff. The comments underneath them showed that people knew why everyone was dropping dead for baffling reasons. So those went away.\u201d<\/em><\/p>\n<\/blockquote>\n\n\n\n In a recent conversation with A Midwestern Doctor<\/a>, they reminded me that we both know numerous doctors who have become impaired or disabled from the COVID vaccines, many of whom then had to enter early retirement, or sadly, died prematurely from a vaccine side effect. Many doctors are still in denial about this.<\/p>\n\n\n\n Physician \u201cburnout\u201d rates increased significantly during the COVID-19 pandemic, from 38.2% in 2020 to 62.8% in 2021<\/a>. This spike marked an all-time high<\/a> and ended a previous six-year decline in burnout rates.<\/p>\n\n\n\n In the articles I read about surging burnout rates, the above examples from OSUMC were evidenced by data findings (all references hyperlinked below).<\/p>\n\n\n\n These factors combined to create an unprecedented level of occupational distress among physicians during the pandemic, with many considering leaving the profession or reducing their clinical hours.<\/p>\n\n\n\n This is probably a good time to mention that, although I was shocked by the inept medical care in the two non-measles deaths, the above may provide some forgiving context for their actions. Providers are now up against many adverse dynamics while caring for patients, so some grace must be shown. I prefer to think of the doctors as \u201cdoing the best they could,\u201d against the many stresses preventing them from delivering the quality of care patients expect and deserve.<\/p>\n\n\n\n The implications of the rising cognitive issues, deaths, and burnout are that they are leading to an increased physician attrition rate in the United States. Lo and behold:<\/p>\n\n\n\n Now, although attrition has risen, the overall physician workforce has grown. However, that is almost certainly being driven by recruiting less experienced, younger, and\/or international doctors with varied training. Most physicians who leave the field do so for retirement between the ages of 60 and 69. Thus, the older, wiser, veteran doctors are leaving at unprecedented rates. If the most knowledgeable and experienced docs are leaving, who is going to \u201cteach\u201d what used to be called \u201cthe art of medicine?\u201d<\/p>\n\n\n\n If you thought the rising attrition rates of doctors were bad, it gets way worse with the nurses. Since the onset of COVID-19, the annual nurse attrition (turnover) rate in the U.S. has also increased significantly<\/strong>. The numbers are eye-popping – multiple studies and workforce reports have documented a sharp rise in both departures and nurses\u2019 intentions to leave the profession.<\/p>\n\n\n\n One-fifth of the U.S. nursing workforce is expected to leave the profession in the next two years? We have to stay out of the hospitals, folks.<\/p>\n\n\n\n Based on the above data showing that healthcare providers likely suffered some of the highest rates of cognitive impairment, neurological conditions, cancers, and sudden deaths, which then caused skyrocketing burnout and massive workforce departures, it should come as no surprise that there is a disturbing data trend regarding \u201csentinel events\u201d in hospitals. First, let\u2019s go over the definition of a sentinel event:<\/p>\n\n\n\n A \u201csentinel event\u201d is an unexpected occurrence in a healthcare setting that results in:<\/p>\n\n\n\n These events are unrelated to the natural course of the patient\u2019s illness and are often caused by major mistakes or negligence by healthcare providers<\/strong>. Sentinel events are closely investigated by healthcare regulatory authorities to identify root causes and implement corrective actions to prevent similar incidents from occurring in the future.<\/p>\n\n\n\n There are 58 total types of sentinel events, with the most prevalent being:<\/p>\n\n\n\n Check out the data chart below from the Joint Commission\u2019s 2023 review<\/a> of sentinel events, which shows a steep rise in sentinel events concurrent with the rollout of the mRNA platform (obviously, other factors likely contribute, but the temporal association should give serious pause):<\/p>\n\n\n\n So, what sentinel events drove this rapid rise?<\/p>\n\n\n\n Answer: FALLS!<\/p>\n\n\n\n The average number of falls in 2019 and 2020 nearly tripled in 2021 and then quadrupled the pre-pandemic rate in 2022 and 2023. Admittedly, this can be due to the increasing cognitive impairment of patients, but it also likely represents less monitoring\/care\/training of nurses (issues discussed in my previous post here<\/a>). But the real shock is how the Joint Commission addressed this issue in their report:<\/p>\n\n\n\n Conclusion: Reported sentinel events remained consistent with<\/strong><\/em> previous reporting patterns. <\/strong><\/em>Consistent with prior years, patient falls were the leading event type reviewed (48%).<\/p>\n<\/blockquote>\n\n\n\n I no longer am shocked by \u201cauthorities\u201d so blatantly and willfully peddling lies, misrepresentations, and distortions. But this takes the cake. Yes, the highest percentage of sentinel events were falls in \u201cprevious years.\u201d However, if you look below to see what percent were falls before the jab campaign, only 18-21%. They are almost 50%, and the absolute number of falls reported has skyrocketed. \u201cConsistent with previous years\u201d my ass.<\/p>\n\n\n\n<\/a><\/figure>\n\n\n\n<\/a><\/figure>\n\n\n\n\n
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<\/a><\/figure>\n\n\n\nDETERIORATING QUALITY OF CARE IN AMERICAN MEDICINE<\/h3>\n\n\n\n
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\n\n\n\nHypotheses As To Why The Quality Of Medical Care In The U.S Is Deteriorating<\/h3>\n\n\n\n
1. Widespread Cognitive Impairment In the Wake of the Covid mRNA Campaign (and Covid)<\/h4>\n\n\n\n
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<\/figure>\n\n\n\n\n
<\/a><\/figure>\n\n\n\n\n
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\u2022No increase was observed in adults under 25 years old.
\u2022A 31% increase was observed in those 24-44.
\u2022A 40% increase was observed in those 45-74 years old.
\u2022 An 18% increase was observed in those over 75 years old.<\/em><\/p>\n<\/blockquote>\n\n\n\n2. Workforce Shortages In The Wake Of The mRNA Campaign<\/h3>\n\n\n\n
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3. Physician, NP, and Nurse \u201cBurnout\u201d Rates Are Increasing<\/h3>\n\n\n\n
<\/a><\/figure>\n\n\n\n\n
4. Attrition Of Physicians From The Workforce<\/h3>\n\n\n\n
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5. Attrition of Nurses From The Workforce<\/h3>\n\n\n\n
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6. Increases in \u201cSentinel Events\u201d Within Hospitals<\/h3>\n\n\n\n
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<\/a><\/figure>\n\n\n\n<\/a><\/figure>\n\n\n\n\n