•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.
I agree with everything you put down in your post. One thing I would add is that a protocol list of SOC procedures totally neglects that space that can exist between doctor and patient that contains the wisdom, attention, intention and care of the physician and the trust of the patient. Those things can be just as important a part of the treatment as any medication/procedure. I'm retired but was lucky to train with a couple of doctors that appreciated the power inherent in the relationship itself. That relationship has become a threesome with the government agencies muzzling physicians and dictating what can be said and what cannot be said.
I noticed excessive "standardization" began after Obamacare was passed. I recall from the insurance notices I got as a patient the increase in codes required to identify the reason for treatment and the issues doctors had getting reimbursement through. While one can make the argument that better data can lead to more personalized care or identification of trends that might lead to better care, IMO that has not been the case. Instead it has served to handcuff doctors from using their experience that may go outside the codes.
IMO there is a criminal enterprise at the top of this trend. This enterprise, as with other things we have seen from the push for universal IDs to censorship, is about power, control, and wealth. It is not about patients.
Doctors can get caught in this trap when they work for large medical concerns. I recall the traumatic exchange I had with one doctor who pressed me to take the jab. I argued with him I'd had covid and had natural immunity, which he rejected. I argued with him the jab (at that time) was for the first covid version, not the current one. And so on. I hate going to him, but will have to for a while. He is very good in his area, but IMO not outside it. I have no trust in him and, because I was concerned my good doctor could get in trouble for giving me Ivermectin, I never told him about it.
The doctor I trust left this cabal and takes no insurance (but will fill out the codes for you to submit) and maintains contact with other independent doctors. I tell him everything. I read some doctors have banded together to work, having patients pay an annual fee to their group. Many are building a parallel system from banks, social media, and so on. I believe creating parallel medical systems is the only way for high quality patient care to survive.
Health insurance is a scam. We pay them to obfuscate cost of treatment, tell us what treatment we can and can’t have, and multiply in insane amounts overall cost of treatment (cash pay sometimes 10% of what people with insurance pay).
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!
I am glad you are harnessing your badass energy ( which apparently you have a lot of... energy that is) to continue to educate people on Covid and expose the underbelly of the accepted medical establishment. Thank you!
Dr. Kory, may I say I ❤️ you and the FLCCC. My Dr. when I had Delta (very sick but not vaxed due to multiple adverse medical reactions to multiple drugs) was Dr. Miguel Antonatos. He kept me out of hospital. Total GIT NO lung, purple toes, asomnia, fever 101.5, diarrhea and vomiting for 14 days. Fluvoxamine asap but couldn't get "Loofymectin " as followers of Dr. Mobeen Sayed call Ivermectin until day 14. Ivermectin turned me around asap. I'm unemployed (again) I won't take the vax and the actors unions insist on them .I will purchase your book when I can. Prayers for you, Dr. Paul Merik and all those who thought "Something is rotten in the state of Denmark " to rephrase Shakespeare's Hamlet.
Your good endless efforts to resurrect the Hippocratic Oath and Nuremberg Code, and constitutional rights are appreciated. Having retired early out of healthcare due to the demonization of the truth and the legal exposure associated with expressing it here in Chinada, we share a camaraderie heretofore unknown. 🇨🇦🙏🏽
Part 1 was a great story. I often wonder what the backgrounds are of the very few courageous doctors who stood up for Medical Common Sense during the Covid Era. Perhaps it’s the attraction of being Medical Badass vs. being comfortable and rich. Thank you for all you do!
I am a biologist, worked as a vet tech many years ago, & I am not an MD...but I can vouch that the "standard of care" has killed more people that I have known than their diseases. People, as you so elegantly note, are not machines and must be attended to as individuals with unique histories. I also teach in a university (one more year!) and yes, it is a cult, and it is beholden to those freaking NIH grants. It has gotten infinitely worse in the past three years.
Above all you have already done to protect us from Covid and the jabs, thank you for your honesty, courage and transparency. You give me hope that as long as there are people like you in the world, Dr. Kory, we have a fighting chance against big Pharma/Gov/Tech tyranny.
Started listening to you and Paul after jab # 2 and just before heart failure diagnosis (afib). Recovered. Have learned so much from you. Can not thank you enough. Go FLCCC!
Wow! What a fabulous life story and history, so many mountains climbed and so much life learned to be shared. I have worked with doctors, years ago but it was all not such a compromised business as it would now appear to be. And probably I never saw the layers then either. But thanks for your transparency and a fascinating look back to your present life. Congratulations and we hope you will continue to fight for all of us, and the world
Dec 17, 2022·edited Dec 17, 2022Liked by Pierre Kory, MD, MPA
Great story of your life so far! I have the utmost respect for those who take their time seeing the world and experiencing all the highs and lows that life offers, making up their minds about what to do and then going about it as it becomes more clear. You have much more worldly experience - which makes you a wiser human being than most doctors! Congratulations on a life well lived! Great windsurfing photos! You should try Rockport, Texas sometimes when you need a vacation!
Dec 17, 2022·edited Dec 17, 2022Liked by Pierre Kory, MD, MPA
The "protocol" was determined many years ago when the Rockerfellers and Andrew Carnegie sent some scouts to see what was being taught in med schools. I am thinking doctors were using more herbal meds. There wasn't any money in it for the Rockerfellers/Carnegie that way. So they gave doctors/hospitals some money to sit on the hospital board, then pushed their drugs and down played any herbal remedies. Since then any herbal or non-profitable remedies was pushed aside and their drugs were "propaganda" in. Fast forward till today and not much has changed, but pharma influence over so many of our organizations.
Love your writing. I thought my premedical career was interesting, but yours is more colourful by far!
Just one small point to make - you continue to be an “academic,” in the sense of devotion to seeking and sharing medical knowledge. The difference is that your audience has expanded beyond the boundary fencing your medical discipline off from the rest of the world.
I suspect your path represents the evolution of the physician’s role in society…
I had a surgery in an American hospital and the experience was traumatic as I was given benzos before I went under and I react badly to them (this was the second time and how I figured out what had happpened) and the surgeon patronized me when I asked questions. Her behavior was not reassuring. I thought there had to be a better way and went to Costa Rica to check out a lump on my finger I thought was a cysts and for routine care. The lump turned out to be a large cell tumor of the ganglion sheath and the experience could not have been more different. The ultrasound tech turned to screen toward me when I was done and told me exactly what he had found on the spot and who the best surgeon was. I hunted down this surgeon. He had 9 years of advanced surgical training at Harvard, NYU and in Switzerland. He told me straight up that I did not need to surgery and 20% of the time it would come back. I got it because it inhibited dexterity and I play piano. I asked him why he came back to Costa Rica when he had a thriving practice in Boston (Google search). He said they had him doing so many surgeries per day that he did not think he was maintaining quality and he never saw his family. He went from one surgery to the next with no break at all. He required I get a blood test before surgery to make sure I was healthy and my blood was clotting correctly. This was not done for my US surgery and I did not even have an ultrasound prior. The US surgeon said she was surprised at what she found when she went in. Now I get all my care in Costa Rica.
Another example from my CR surgery, I asked the anesthesiologist if I could please not have a Benzo. He said they do not give them there as they are too dangerous and unnecessary. He told me I would have a full nerve block, but after that he would do whatever I wanted. I could have no sedation at all, go under, just let him know. I am hyper so I asked for full awareness with physical sedation and he gave it to me. After surgery when I was recovered enough they wheeled me to the cafeteria so I could eat, then I hopped in a taxi, went to my hotel, and was on my plane in the morning. A friend took my stitches out and the surgeon gave me his personal phone number to call with any concerns or questions.
Bottom line, I felt like a person in charge of my own decisions. I now get everything I can done down there. We went for colonoscopies and my husband was also wowed. I use their private system. They are so much freer in how they practice than doctors in the US and way more humane. When I got a blood draw before I saw the GP, they handed me the results and emailed my doctor. They were surprised when I told them in the US the doctor usually will not let you see them before they have looked at them first. The response was, "But you paid for them". The entire mindset is a different world. Medical tourism needs to take off.
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.
I agree with everything you put down in your post. One thing I would add is that a protocol list of SOC procedures totally neglects that space that can exist between doctor and patient that contains the wisdom, attention, intention and care of the physician and the trust of the patient. Those things can be just as important a part of the treatment as any medication/procedure. I'm retired but was lucky to train with a couple of doctors that appreciated the power inherent in the relationship itself. That relationship has become a threesome with the government agencies muzzling physicians and dictating what can be said and what cannot be said.
I noticed excessive "standardization" began after Obamacare was passed. I recall from the insurance notices I got as a patient the increase in codes required to identify the reason for treatment and the issues doctors had getting reimbursement through. While one can make the argument that better data can lead to more personalized care or identification of trends that might lead to better care, IMO that has not been the case. Instead it has served to handcuff doctors from using their experience that may go outside the codes.
IMO there is a criminal enterprise at the top of this trend. This enterprise, as with other things we have seen from the push for universal IDs to censorship, is about power, control, and wealth. It is not about patients.
Doctors can get caught in this trap when they work for large medical concerns. I recall the traumatic exchange I had with one doctor who pressed me to take the jab. I argued with him I'd had covid and had natural immunity, which he rejected. I argued with him the jab (at that time) was for the first covid version, not the current one. And so on. I hate going to him, but will have to for a while. He is very good in his area, but IMO not outside it. I have no trust in him and, because I was concerned my good doctor could get in trouble for giving me Ivermectin, I never told him about it.
The doctor I trust left this cabal and takes no insurance (but will fill out the codes for you to submit) and maintains contact with other independent doctors. I tell him everything. I read some doctors have banded together to work, having patients pay an annual fee to their group. Many are building a parallel system from banks, social media, and so on. I believe creating parallel medical systems is the only way for high quality patient care to survive.
Health insurance is a scam. We pay them to obfuscate cost of treatment, tell us what treatment we can and can’t have, and multiply in insane amounts overall cost of treatment (cash pay sometimes 10% of what people with insurance pay).
Let us all thank FDR (employee medical insurance "fringe benefit" was an evasion of wage and price controls) and LBJ (Medicare).
Did UC Boulder have a PhD organic chemistry program?
Got me. It's a large university so it might.
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!
I am glad you are harnessing your badass energy ( which apparently you have a lot of... energy that is) to continue to educate people on Covid and expose the underbelly of the accepted medical establishment. Thank you!
Thanks DrV!!
Dr. Kory, may I say I ❤️ you and the FLCCC. My Dr. when I had Delta (very sick but not vaxed due to multiple adverse medical reactions to multiple drugs) was Dr. Miguel Antonatos. He kept me out of hospital. Total GIT NO lung, purple toes, asomnia, fever 101.5, diarrhea and vomiting for 14 days. Fluvoxamine asap but couldn't get "Loofymectin " as followers of Dr. Mobeen Sayed call Ivermectin until day 14. Ivermectin turned me around asap. I'm unemployed (again) I won't take the vax and the actors unions insist on them .I will purchase your book when I can. Prayers for you, Dr. Paul Merik and all those who thought "Something is rotten in the state of Denmark " to rephrase Shakespeare's Hamlet.
Your good endless efforts to resurrect the Hippocratic Oath and Nuremberg Code, and constitutional rights are appreciated. Having retired early out of healthcare due to the demonization of the truth and the legal exposure associated with expressing it here in Chinada, we share a camaraderie heretofore unknown. 🇨🇦🙏🏽
Part 1 was a great story. I often wonder what the backgrounds are of the very few courageous doctors who stood up for Medical Common Sense during the Covid Era. Perhaps it’s the attraction of being Medical Badass vs. being comfortable and rich. Thank you for all you do!
I am a biologist, worked as a vet tech many years ago, & I am not an MD...but I can vouch that the "standard of care" has killed more people that I have known than their diseases. People, as you so elegantly note, are not machines and must be attended to as individuals with unique histories. I also teach in a university (one more year!) and yes, it is a cult, and it is beholden to those freaking NIH grants. It has gotten infinitely worse in the past three years.
Above all you have already done to protect us from Covid and the jabs, thank you for your honesty, courage and transparency. You give me hope that as long as there are people like you in the world, Dr. Kory, we have a fighting chance against big Pharma/Gov/Tech tyranny.
Psychos in high authorative positions. Evil will lose, just takes time. Thank You Dr. for all you do...
I just read part 1 & 2.
Started listening to you and Paul after jab # 2 and just before heart failure diagnosis (afib). Recovered. Have learned so much from you. Can not thank you enough. Go FLCCC!
Wow! What a fabulous life story and history, so many mountains climbed and so much life learned to be shared. I have worked with doctors, years ago but it was all not such a compromised business as it would now appear to be. And probably I never saw the layers then either. But thanks for your transparency and a fascinating look back to your present life. Congratulations and we hope you will continue to fight for all of us, and the world
Great story of your life so far! I have the utmost respect for those who take their time seeing the world and experiencing all the highs and lows that life offers, making up their minds about what to do and then going about it as it becomes more clear. You have much more worldly experience - which makes you a wiser human being than most doctors! Congratulations on a life well lived! Great windsurfing photos! You should try Rockport, Texas sometimes when you need a vacation!
The "protocol" was determined many years ago when the Rockerfellers and Andrew Carnegie sent some scouts to see what was being taught in med schools. I am thinking doctors were using more herbal meds. There wasn't any money in it for the Rockerfellers/Carnegie that way. So they gave doctors/hospitals some money to sit on the hospital board, then pushed their drugs and down played any herbal remedies. Since then any herbal or non-profitable remedies was pushed aside and their drugs were "propaganda" in. Fast forward till today and not much has changed, but pharma influence over so many of our organizations.
Love your writing. I thought my premedical career was interesting, but yours is more colourful by far!
Just one small point to make - you continue to be an “academic,” in the sense of devotion to seeking and sharing medical knowledge. The difference is that your audience has expanded beyond the boundary fencing your medical discipline off from the rest of the world.
I suspect your path represents the evolution of the physician’s role in society…
agree, agree, agree - thanks my friend
I had a surgery in an American hospital and the experience was traumatic as I was given benzos before I went under and I react badly to them (this was the second time and how I figured out what had happpened) and the surgeon patronized me when I asked questions. Her behavior was not reassuring. I thought there had to be a better way and went to Costa Rica to check out a lump on my finger I thought was a cysts and for routine care. The lump turned out to be a large cell tumor of the ganglion sheath and the experience could not have been more different. The ultrasound tech turned to screen toward me when I was done and told me exactly what he had found on the spot and who the best surgeon was. I hunted down this surgeon. He had 9 years of advanced surgical training at Harvard, NYU and in Switzerland. He told me straight up that I did not need to surgery and 20% of the time it would come back. I got it because it inhibited dexterity and I play piano. I asked him why he came back to Costa Rica when he had a thriving practice in Boston (Google search). He said they had him doing so many surgeries per day that he did not think he was maintaining quality and he never saw his family. He went from one surgery to the next with no break at all. He required I get a blood test before surgery to make sure I was healthy and my blood was clotting correctly. This was not done for my US surgery and I did not even have an ultrasound prior. The US surgeon said she was surprised at what she found when she went in. Now I get all my care in Costa Rica.
Another example from my CR surgery, I asked the anesthesiologist if I could please not have a Benzo. He said they do not give them there as they are too dangerous and unnecessary. He told me I would have a full nerve block, but after that he would do whatever I wanted. I could have no sedation at all, go under, just let him know. I am hyper so I asked for full awareness with physical sedation and he gave it to me. After surgery when I was recovered enough they wheeled me to the cafeteria so I could eat, then I hopped in a taxi, went to my hotel, and was on my plane in the morning. A friend took my stitches out and the surgeon gave me his personal phone number to call with any concerns or questions.
Bottom line, I felt like a person in charge of my own decisions. I now get everything I can done down there. We went for colonoscopies and my husband was also wowed. I use their private system. They are so much freer in how they practice than doctors in the US and way more humane. When I got a blood draw before I saw the GP, they handed me the results and emailed my doctor. They were surprised when I told them in the US the doctor usually will not let you see them before they have looked at them first. The response was, "But you paid for them". The entire mindset is a different world. Medical tourism needs to take off.
Oh, and the wind surfing!! Holy (Wisconsin) cow! 😉
Gotta share that video some Wednesday night....
Standard of Care is the most dangerous concept of corporate health care ever.
RUN WHEN YOU SEE IT.