NDA Journal Spring 2023

NDA Journal 2 Dr. Orr practices Anesthesiology and OMS in Las Vegas, is an Adjunct Professor (Surgery) at UNLV SM and Touro University SM (Jurisprudence), Professor Emeritus at UNLV SDM, and a member of the CA Bar and Ninth Circuit Court of Appeals. Editor’s Message Daniel L. Orr II, DDS, MS (anesth), PhD, JD, MD EditorNDA@nvda.org NDAJ Exclusive Rethinking History and Physical Examinations in the Age of Covid Experimental Formulations Recently a fascinating paradigm has surfaced nationwide, and that is when politicians, administrators, regulators, and other non-doctor types deign to opine, even command, what doctors should be doing. That model is not new and historically rarely ends well for citizens interested in their health, such as with the military anthrax vaccinations of decades past.1,2 On January 01, 2018 then Governor Brian Sandoval signed into effect a new controlled substance (CS) prescribing law, AB 474.3 The law’s promotional apparatchiks promised to make CS writing safer for patients in Nevada. Predictably, the law made things worse, far worse, including documented increases in illegal drug use, ER visits, overdose deaths, pet abuse, and more.4 Many doctors and the NDAJ had preemptively warned about these potentiated side effects of the proposed law, but to no avail. To put teeth into their feckless legislation, politicians sought to control the rascally doctors (remember the fake news “prescription opioid crisis”?5), by passing laws that made it virtually impossible to legally prescribe CS in Nevada. This of course prompted a huge number of doctors, formerly drug diversion watchdogs but now categorically grouped as drug diversion targets, to stop writing for CS.6 However, illicit drug dealers, the actual problem in the first place, benefited immensely from less competition. Taking a cue from Sandoval, subsequent Governor Steve Sisolak decided to tell health professionals what to do during the non-emergency Covid non-crisis. 99+% of individuals that contract Covid recover with no side effects, and most of those never knew they had the disease. But this didn’t stop Sisolak from mandating this and that. In Nevada we were told to mask-up, social distance, what to prescribe or not to prescribe, and what surgical procedures were allowed…all without any evidence at all supporting the mandates. There has not been one study to date that shows masking does anything at all to limit the spread of the virus,7 which can march through mask fibers 10-abrest. No study has been shown that 6' of social distancing, an arbitrarily made-up prophylaxis, does anything to prevent the spread of Covid. And anyway, if 6' is so great why not command 7'?8 Then, of course, there were the Coo-coo for Co-co poke promoters, layers upon layers of financially and otherwise conflicted, ingenuous, or intentionally deceitful politicians, doctors, regulators, administrators, and investors who routinely assured us the injections were “safe and effective.”9 Sadly, we now know that neither descriptor was remotely true. A few of the former pro-experimental formulation crowd are now anxiously backpedaling,10 perhaps realizing that the legal immunity the federal government granted to itself and Big Pharma does not extend to others. In fact, lawsuits have already been filed and grand juries impaneled.11 Legal immunity is generally a non-starter if a crime is proven (perhaps fraud or conspiracy to start?). Remember that on September 1, 2021, mid-level CDC staff intentionally mislabeled the experimental Covid formulations as “vaccines,” by changing the definition

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