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A Midwestern Doctor's avatar

Few key points:

•A primary why reason “standard of care” matters is because the bar for malpractice can only be met if amongst other things it is proven that the physician deviated from the “standard or care.” This is a major reason why physicians are so hesitant to question guidelines, and was a legal precedent I suspect was deliberately instituted so physicians would be forced to practice pharmaceutical based medicine.

•Breaking medical practices down into standardized algorithms is excellent for training AI systems to replace doctors.

•Anytime a system fails, people will try to “improve” it by reducing it to what caters to the lowest common denominator. Because there is so much variability in what people (especially complex patients need) this essentially synopsizes why the standard medical care fails for so many patients.

•I love to read medical journals from earlier eras, because at that time the physicians experimented without IRB approval, went with their best guess and had a lot of very useful insights I’ve been able to adopt into my modern medical practices (e.g., what was documented during the 1918 influenza helped me come up with many of my initial COVID-19 protocols).

•Patients really, really, appreciate when you educate them, but the way most doctors “educate” their patients is by telling them to copy/do some standard guideline without explaining why…which in my view is not teaching them.

•My best mentors were clinicians who felt an obligation to pass on their knowledge to me and were not locked into the academic/medical system. Because of what I own to them, I give a lot of energy to training younger doctors without receiving compensation for doing so.

•The physician scientists (also known as key opinion leaders) are routinely targeted for pharmaceutical bribes since they provide the best return on investment for promoting pharmaceutical drugs. The archetype of this archetype is Fauci, who has directed tho treatment of COVID-19 despite having almost no experience working with patients for decades.

•Totally makes sense that you went to UC Boulder. A lot of people who have jumped on this new political wave are hippies who realized the current political structure no longer supports many of the fundamental progressive values.

•I feel like almost every public health project revolves around increasing the coverage of standard medical interventions.

•“I would wake up, immediately thinking of the patient I was most worried about. Taking the train into work I would think research and google about my hypothesized reasons for their illness and trajectories which always precluding me from working on a paper or reading the news.”

This is probably why you ended up becoming a good CCU doctor. In my case, a lot of my knowledge has come from forcing myself to engage really challenging situations and learning from them.

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Vincent Stanger's avatar

Dr Kory, Thank you so much for sharing your personal story I knew immediately after watching your first Homeland Security testimony (at the behest of Sen. Ron Johnson), that you would be the Dr I would want treating any of my beloved family members. I shared the FLCCC MATH protocol with hospital staff in May of 2020 As my elderly Mom was being treated for a UTI. Your story makes you exactly who I thought you were and I hope others are willing to read it. Never, Never, Never give up!

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