Jackson Jambalaya

And, Tate continues to piecemeal the mask requirement for counties. Maybe one day, he will wake up and require a state-wide mask mandate. Until then, he will continue kissing up to Trump and fighting "Hollywood" and "the liberal media", instead of worrying about all Mississippians.

Where do the numbers need to be before Tate gets serious about doing something? Is he waiting for patients to pile up in the halls? It is inevitable we are going to cross 1,200 COVID patients and 400 ICU patients in the next two weeks. Deaths are following suit and won't peak for at least three weeks. This is just from the infections we already know about that have to run their course.

Bars and nightclubs are part of the problem, but certainly not all of it as shown by the video posted yesterday. Somehow Tate has to break up the large gatherings and block parties.

Start shutting down what you can. Bars, clubs, public parks, beaches, fraternities, competitive sports, etc. It won't stop it all, but every little bit helps. What we can't afford is to have exhausted our medical reserves going into school openings in three weeks. Cases will increase from school-based spread and we have to prepare for it.

When can we use some of 400 Covid 19 ICU beds for Mid-South patients sitting in the old Commercial Appeal bldg in Memphis? This is an emergency facility built with CARES Act funding.

It is still open and ready to admit its first patient.....as it has been since April.....kinda like the SS Comfort in the Hudson River.

The Lauderdale/Neshoba strain of the virus is deadly-

As I recall, until about 5-6 weeks ago we were only seeing about 250 new reported case per day. I trust someone will correct me if I'm off on this.

And it will be another two or three weeks before the " Westside/Nawfside" ( game of horse and pop up food vendors) are recorded in Emergency Room statistics.

The Mayor said such would not be allowed.


I'm truly in shock the Mayor's mandates are being ignored by Jacksonians.

Lauderdale's numbers haven't been that bad lately. They had a lot of nursing home outbreaks early on that drove their count up. At one point they had more deaths than Hinds County.

Neshoba is from all the Choctaws that have gotten the virus. They have a high proportion at risk with a much higher mortality rate than average. 252 cases with 42 deaths.

Meanwhile; Madison County Board of Supervisors has approved and is encouraging 'pop up food vendors'. No license, permit or nod of the head needed. Get on out and line up in a crowd and buy whatever these local grill-jockeys are cookin'. If you don't catch covid, maybe you'll hook up with salmonella.

"It is inevitable we are going to cross 1,200 COVID patients and 400 ICU patients in the next two weeks."

Optimist. There's a very good chance that we'll blow past those numbers by this weekend or we'll see the daily death rate really increase by then. Once you are dead you really aren't a "patient" anymore. Keep in mind that the last week's numbers of positives, especially those not in the hospitals, are on the low end of the actual positives because the testing labs are backed up about a week or so. And don't ignore the "patients with suspected infection" number because at this stage, most meds pretty much know it when they see it so folks can pretty much count on "suspected" meaning "99% certain."

Here's a tip: if you feel you are so sick (with COVID or anything else) that you need to go to the hospital, decide now whether you'd rather take your chances of dying at home with whatever family and friends you may have able to at least be nearby or dying alone in a facility (it may not be a hospital). No, obviously not everyone who goes to a facility will die but a shocking number will die, so better to be prepared for it. If you choose the facility route, say goodbye to whomever you wish, just in case, because your odds are getting worse and worse every day. Whether it is COVID or heart attack, there are only so many doctors, nurses, beds, and equipment to go around.

Here's the bad news: the die is pretty well cast for the next 10-21 days, so there is not much anyone (meds, the public, or the state) can do to prevent much of the inevitable in that time-frame. However, in the unlikely event that a whole lot of morons start acting like sensible people, there is still a small opportunity to prevent it from getting really bad. Compared to how bad it can and likely will get, the last few months have been nothing.

Great great job by Hinds County and the city of Jackson for stopping this deadly disease. Let's put them in charge statewide.

All those 4th of July gatherings are catching up with us now. It's time for Tate to bring the hammer down, mandate masks state wide and close some places. Time to be a big boy and make the hard decisions.

To provide some perspective from the doom and gloom, because that’s all our politicians and media are going to provide us, keep in mind that every single month, on average, 1200+ Mississippians die of heart disease and cancer. The two leading causes of death in our state. That’s every single month. Every year nearly 8,000 die of heart disease and 6000+ of cancer, per our health dept., and thousands more from other things.

So in the entirety of this pandemic we’ve had a little over a month’s worth of heart disease and cancer deaths.

Early intervention in the outpatient setting for treating Covid WOULD ABSOLUTELY SAVE LIVES and there are people in the hospital today who would have been cured with a few days treatment of HCQ/Zpack/zinc. Instead they will rot on ventilators because our leadership is too cowardly to do anything that would actually help and instead want us scared and hiding behind masks and shutdowns, as if that will stop the virus. Doing that will only delay the inevitable spread and wearing a mask for hours on end will suppress your immune system, because you aren’t breathing deeply and easily with your mouth covered and you’re not challenging your immune system which is how it stays strong to fight viruses—everyday interaction with people.

If you have a loved one who is high risk (elderly or pre-existing conditions) and he/she tests positive, please ask for treatment from your physician. If you can plan ahead with one that would be even better. Most are going to say no but there may be a few who will agree to prescribe HCQ, budesonide breathing treatments, or explore some other treatment options that may save your loved one’s life, like Dr. Reed Hogan’s treatment protocol.

Imagine how much panic and stress and anxiety and worry would go away if they simply allowed Drs to treat Covid patients before they became so sick they needed hospitalization!!

The vast majority of people will not be seriously ill with Covid. But for the small number who are, these treatments can prevent hospital stays and death because they are modern medicine and they work!!!

Side note, heard a clip of Tater on the radio today, fussing that labs/clinics weren’t reporting all of their positive Covid case numbers to the state, and that affects the federal funding we get. You know, the more cases we have... the more funding. Almost as if there was an incentive to having more cases... draw your own conclusion.

Other than you are pre-disposed to disliking Gov. Tate, why bash him? Try walking in his shoes!

He has to balance our constitutional rights vs. public safety.

This is about personal responsibility vs. implementing a over-reaching state, like in Kalifornia, where singing and chanting in a church are crimes.

What is so hard with wearing a mask on your own, minimizing group sizes, take-out vs. eating out, and distancing, vs. waiting for the governor to order you?

Grow up and quit being trolls!

Who cares

Everyone dies

Go bar hop and go to choir

Please for the love of Jesus all of you go to choir for weeks

Take your kids to church and choir you deserve it

4:01...what has Hinds County done so wrong compared to everybody else? Except be poor.

4:31...not seriously ill? Just because you don't require hospitalization does not mean you are not seriously ill. My next door neighbor had it a few weeks ago. Said she was sure she was going to die for a full 7 days. She is 40. Maybe you should volunteer to get it as a test case.

4:31 pm. The people that die of heart disease or cancer usually are aware they have it. They aren’t contagious. Their loved ones could be with them . They had time to “ get affairs in order“

They now are at risk of dying sooner if they aren’t already part of the count.

And, we are only 6 months into an unknown Virus that is mutating with no idea where the numbers will be or how it ( like heart disease or cancer could cause lasting disability or early death .

The problem with your post is1) There’s a difference between pessimism, optimism and realism. 2) you compare apples to oranges 3) you ignore this is an additional cause of death and illness putting Further strain on our healthcare system and likely will increase other death rates

And, in making this illogical comparison, you encourage the public to fail to take actions to mitigate the damage to public health and the economy.

Alright, 4:31PM, here's your chance. Please explain the pharmacology and pharmacokinetics of budesonide and hydroxychloroquine and explain how and why you feel both have efficacy as an all-inclusive treatment of COVID-19, as well as under what conditions, if any, you feel either are contraindicated. I would further ask that you counterpoint the information on these drugs currently out so a clear understanding can be had as to why you are correct and those with which you do not concur are mistaken. At this point, most of us will at least listen to any well-reasoned suggestion of a more-effective protocol, especially one from someone with an in-depth knowledge and deep understanding of the drug(s) and treatment(s) they are proposing.

Welcome to Zoom School 2020-2021+

@ 4:35 PM - Please know that no one is being a Tate basher.

Instead, Tate just needs to wake up and realize that we live in a mobile society. Many live in a county not under the mandate, but work in a county that is under the mandate.

Tate is only concerned about pleasing Trump, who is not going to be reelected, instead of taking care of Mississippi. Just look at Alabama, where the Republican governor issued a state-wide mandate for masks. She has already figured out that Trump is a one-term president.

" what has Hinds County done so wrong compared to everybody else? Except be poor. "

I hope that was satire.

If Hinds County and the City of Jackson hadn't been Hell bent on running all business out of town over the last 25 years, Hinds would still be a prosperous county.

But that's off topic, and a different debate.

A million or so people in the U.S. will die from this (mostly over 60 and with other health issues) or dozens of millions of people will be jobless, homeless, and hopeless. The choice is a no brainer to me.

6:32 I assume you have no hope a vaccine or effective treatment for the disease will ever be developed. Otherwise I would hope you would understand it is not an all-or-nothing choice and doing things to control the spread would save hundreds of thousands of lives without having to jeopardize the entire economy. Then again, maybe the choice isn't the only no-brainer around here.

@5:09 Wow. I’m advocating for treatment of people like your neighbor, who do get seriously ill from Covid, and your response is wishing illness on me. That’s pretty sick, and if that’s the state of your mind you need to get yourself checked. Pretty evil. That being said, yes the vast majority of people who do get Covid have mild or no symptoms. And for people like your neighbor, unfortunately they suffered unnecessarily bc our govt and FDA won’t allow physicians to easily prescribe Covid treatments without fear of liability.

@5:14 The point I made was simply to provide context. People are panicking over a death count that equals the same number of heart disease and cancer deaths in any given month in MS. By your logic we need as much panic as possible to scare people into the mitigation that you believe will save everyone. I don’t believe that shutting businesses down, closing parks and gyms, and sending everyone through the drive thru for two months in a state where heart disease is the leading killer was the best decision, and as the overflow into hospitals is showing, neither is shutting down preventative healthcare and procedures that end up creating sicker, unhealthier patients as we deal with Covid.

@5:28 The current FDA guidelines provide for no treatment of Covid, isolation only for 14 days. For high risk patients that allows the virus to do its dirty work throughout the body while the patient suffers with labored breathing, fever, body pains, malaise, chills, etc. which is a product of the body’s immune response to the virus.

Hydroxychloroquine belongs to the disease modifying class DMARDS that help with conditions like Lupus and rheumatoid arthritis. HCQ works in parasites like malaria by acidifying the cells which make the cells hostile to the malarial parasite (I.e. lysomal binding). In general, HCQ concentrates in the acidic compartments of cells such as lysosomes and inflamed tissues where it interferes with cellular signaling pathways and cellular transcription activities. HCQ inhibits the immune system’s activation by reducing the toll-like receptor signaling and cytokine production (inflammatory recruitment), which means it lessens the immune system’s response to the Covid virus. It decreases the chances that a Covid infection will progress to acute ARDS (acute respiratory distress syndrome) since the Covid virus preferentially binds to ACE sites in the lungs. Initial studies show Covid viral load is reduced within 2-3 days of beginning treatment.

Contraindication for HCQ are psoriasis, certain arrhythmias such as prolonged QT syndrome, eye problems such as retinal disease.

Budesonide breathing treatments relieve the inflammation in the lungs caused by Covid, which helps prevent progression to ARDS; I.e. runaway inflammatory reaction. These treatments are safe in all age groups and have been used in COPD patients, asthma patients, children, infants, and pregnant women with virtually no systemic side effects.

Covid takes about 8-10 days to go from onset of cough and fever to Dyspnea with infiltrates visible on x-ray, which gives ample opportunity during this time period for treatment before it progresses. This is especially critical for patients in high risk categories due to age (> 60), hypertension, diabetes, and patients with chronic lung diseases such as COPD.

Treatments for Covid-19 have unfortunately been suppressed for political reasons, which is why people should advocate for the early aggressive intervention of Covid in the outpatient settings which would reduce hospitalizations and death.

And speaking of large gatherings, they apparently are not limited to our Greater Jackson Metro Area, though that is where most seem to occur. The local leaders up in Greenwood are plowing ahead with their annual bicycle ride, though this year to accommodate the COVID,, they are "limiting" it to about 500 riders. What could possibly go wrong up there. At one time they were leading the State in COVID cases and possibly deaths. It seems that most everyone has lost their minds. Not a fan of Big Government, but it is time for a COVID Czar if people cannot use common sense.

None of the REAL numbers published by CREDIBLE sources, indicate that Covid-19 has led to a significant increase in All-cause Mortality. Once the exceptionally-low All-cause Mortality for 2018 and 2019 winter seasons is taken into account, any current rise can be seen as inevitable. The number of deaths officially attributed to Covid-19 can not be trusted, for various reasons.

However, we CAN expect the virus to continue to be PROMOTED, both in terms of propaganda and silencing of dissent, and in real terms, such as deliberately ineffective care protocols, and suppression of information which could lead to better outcomes. Along with the incessant mantra about washing hands and donning masks, we SHOULD be hearing that sugar and alcohol are powerful immunosuppressants, and to be avoided. Instead, liquor stores remained open (while gyms, valuable for maintaining metabolic viability, were closed), and there is actual debate over whether or not to close bars.

Making the situation as bad as is possible, while promoting MASS HYSTERIA and Confirmation Bias, will be what it takes, for entities to make money forcing vaccines, testing, and tracking (and maybe "Dignified Isolation Camps"), upon the public.

I'm going to sign on with FEDEX to accompany a load of volley balls and a pair of ice skates flying out of China over the Pacific. Y'all can have this shit. I wish you luck!

Not sure why Kingfish continues to publish these daily redundancies. The headlines are always very close to identical and the only difference in the stats is the anticipated escalation of a few numbers, day after day after day: Another record set. The sky continues to fall. You're about to enter the after-life.

And if he does continue this daily regurgitation of the same plate of chewed-peas, at least maybe he could copy and paste the forty responses since they're also always the identical responses from yesterday and three weeks ago.

6:11 You'd probably also be sick of the nightly news reports during the Vietnam era when they announced the number of American soldiers killed. That went on for years. Constant bad news is generally a sign we are doing something wrong. Of course Vietnam only cost the lives of 50,000 Americans over ten years so I guess you don't think that was a huge sacrifice at all if 150,000 dead in just six months doesn't faze you. Just the price of liberty, right?

Pretending there isn't a problem doesn't make it go away. You would think people would eventually wise up and realize there are simple things they could do to help that won't tank the economy.

9:07, not sure what you're trying to say, although it seems to be a clumsy variant of the standard GUILT & SHAME & SCARE tactics which paid Hysteriavirus Industry Shills are instructed to use. But I will remind you that around eight thousand people die, in the US, every single day - ANYWAY. Over six months, that's 1,440,000 (one million, four hundred forty thousand). Your "scary" 150,000 figure, is really puny, compared to the number of people who NORMALLY die, of all causes, within a similar time period. And no, that hundred-fifty-thousand is NOT "in addition to" the normal All-cause Mortality rate.

And no, things are NOT going to continue to get worse-and-worse, ad infinitum. Latest news from CREDIBLE experts in Sweden, is that they are FINDING more "cases", because of improved testing. But this does not mean there ARE more cases. Sweden's rate of Covid-19 deaths and hospitalizations, is PLUMMETING.

Congratulations, though, on EXPLOITING the Vietnam War, to add a veneer of nobility to your usual shame game.

Pitting the “cost” of people dying from COVID against its impact on the economy is a false narrative. Both people and the economy can be protected by a common sense, national strategy. Unfortunately there is not one.

Other than masks and social distancing, what prophylactic steps are the DOH and Se. Dobbs advocating? Studies have shown that insufficient amounts of vitamin D cause complications with COVID; why aren’t people being encouraged to take proper amounts of vitamin D as a precaution? There are diet strategies to prevent blood sugar spikes that is a complication of COVID; where is this information for people. Yesterday, a Yale epidemiology professor released a study that shows that the use of hydroxychloroquine given early, such as upon diagnosis, substantially decreases the likelihood of death; my understanding is that Dr. Dobbs does not agree and only advocates for the use of Remdesivir. Yes, we have a lot of elderly and people with additional risk factors that have contributed to our numbers, but there are others things that could be done that the DOH is not advocating or informing.

July 21, 2020 at 9:40 PM wrote:

"HCQ works in parasites like malaria by acidifying the cells which make the cells hostile to the malarial parasite (I.e. lysomal binding). In general, HCQ concentrates in the acidic compartments of cells such as lysosomes and inflamed tissues where it interferes with cellular signaling pathways and cellular transcription activities. HCQ inhibits the immune system’s activation by reducing the toll-like receptor signaling and cytokine production (inflammatory recruitment), which means it lessens the immune system’s response to the Covid virus."

I have a few minutes to respond and not much time to edit so I reserve the right of correction. Your answer is essentially non-responsive to my question. I'm also a bit surprised that a person experienced and knowledgeable in dealing with viruses and proposing a new protocol for a novel coronavirus would confuse the biology, organic chemistry, and pharmacology of a drug as it relates to a parasite versus a virus. Please answer the question as it was asked. Oh, and if you'll go back and re-read whatever you copied this from, you'll find it said *lysosomal* bonding. Among the things you might wish to reconsider are the prolonged QT issue, especially when combined with azithromycin, which also presents QT issues and the exponential QT issues with the combination being known for many years.

As to budesonide, while it is generally safe for many people, there are contraindications, especially in older patients with greater potential for a variety of health issues.

You may also wish to address the liver and spleen issues with COVID-19 and these drugs.

For reference, I'll repeat my question:

Please explain the pharmacology and pharmacokinetics of budesonide and hydroxychloroquine and explain how and why you feel both have efficacy as an all-inclusive treatment of COVID-19, as well as under what conditions, if any, you feel either are contraindicated. I would further ask that you counterpoint the information on these drugs currently out so a clear understanding can be had as to why you are correct and those with which you do not concur are mistaken."

While numerous existing drugs and protocols have shown some positive results, they have shown significant negative outcomes, including the death of the patient from the treatment. The bottom line is that responsible knowledgeable doctors will not just start experimenting wildly on patients and touting a few successes as "cures," "silver bullets," etc. for any and every patient. Many of these drugs require a thorough knowledge of the patient's history and current condition to allow for a carefully thought-out application when used for anything not well-tested and vetted. Anything else will - not could or might - unnecessarily injure or kill patients with the "cure," who would have survived or recovered with less negative effects had they not been given such a "cure." There is also the risk of causing a significant mutation in the viral strain being attacked if all sorts of drugs are being brought to bear, many with no general efficacy (or specific efficacy for that patient). All that said, if truly knowledgeable patients wish to be test cases for whatever treatment, that is certainly their right in my opinion. However, encouraging or facilitating patients with no knowledge to demand treatments they heard about "on the Internet" will lead to further tragedies. See both the complete misunderstanding of the efficacy of hydroxychloroquine, budesonide, and the Ivermectin situation in central and South American countries for examples of that very thing.

Just heard that Madison County schools are shut down for another month until September. Keep flouting the rules and pissing into the wind. Until the rates go down, nothing is going back to normal. No school, no football.

Washington Post has Mississippi at 5th highest in the nation for the COVID infection rate and 3rd highest for mortality rate. We could have been #1 if it weren't for that pesky Arizona steadily killing off their people at twice our rate. Ain't nobody going to catch them.

@2:40 PM

I simply explained the uses for HCQ for the average person reading this blog, I was not conflating a parasitical infection with Covid, which is obvious when you read through what I wrote.

I mentioned the prolonged QT syndromes specifically because that is a contraindication, maybe you missed this?

Where did you get your study information from that HCQ kills patients? There have been some rushed hospital studies done on dying Covid patients in order to disprove the efficacy of the drugs; including a retracted study that was widely circulated. Perhaps this is the information you’re drawing from? There have been numerous studies and physicians showing that HCQ/Zpack/zinc saves lives—do we ignore those? When society is in a pandemic with people’s lives on the line we don’t have time for fully funded and prolonged high powered studies to prove effectiveness and account for every adverse reaction to a course of treatment. This is a sad reality that we have to deal with at this time. However, if there are studies and some strong evidence of efficacy shown in certain treatment modalities then it is worth exploring to help save lives and reduce hospitalization rate; because currently there are no officially approved outpatient treatments for Covid patients other than self isolation at home.

I know personally 2 covid positive individuals who would have been hospitalized had their MD not treated them with HCQ and Budesonide. His decision to treat early saved them. Physicians practice on a case by case basis and take into account the individual patient’s history and comorbid conditions such as renal or diabetic complications. Once a treatment plan is developed the physician should be monitoring for the known and unknown complications by checking labs to include liver, renal and blood counts (i.e. white cell count, platelet levels and hemoglobin levels) blood sugar levels in diabetics, they also check EKGs assessing for heart arrhythmias and QTc interval prolongation. Physicians will also recommend these patients get dilated eye exams after HCQ treatment to check for retinopathy. As to your point on which patient groups should be treated and which patient contraindications would preclude treatment with HCQ and Budesonide see the following:

1. There are currently no officially approved treatments for Covid patients in the outpatient setting
2. The ideal patient for Covid treatment would be someone who has tested positive and is in the moderate to high risk category and at the first sign of increasing shortness of breath and malaise would start treatment with HCQ after careful discussion of risks and benefits with their physician. Explaining the basic science behind mechanisms of action of these medications is irrelevant to most people without an in-depth basic science background. The things that really matter to patients should be explained during the informed consent process prior to treatment which would include pertinent studies, risks, contraindications, lack of alternative treatment options and a plan of care to mitigate risk from treatment.
3. Contraindications to HCQ use would be any prior hypersensitivity reaction to HCQ, known heart problems, severe liver or renal complications, certain skin conditions such as psoriasis, retinopathy issues and certain GI problems and seizures, please note this list is not all inclusive.
4. Contraindications to Budesonide would include certain lung conditions such as fungal infections, TB infections, uncontrolled diabetes, glaucoma and seizure history.
5. As for alternatives, right now patients are told to self isolate at home until symptoms worsen enough to go to the hospital, however once in the hospital setting Remdesivir may or may not be given depending on O2 sats and renal disease.

I’m advocating for people to talk with their doctors about treatment before they need to be hospitalized. I’m giving actionable steps to help save lives.

9:07 - I'm pretending nothing. Just tired of the redundancy-saturation. And, yes, I watched Walter Cronkite recite Westmoreland's fictitious numbers every night just like you did, and he knew they were fictitious. I'd like to correct you though. It was just over 58,000 not counting MIA.

"Pitting the “cost” of people dying from COVID against its impact on the economy is a false narrative."

But, an even more blatant and discouraging false narrative is the governor's daily 'pitting' of the people dying from COVID against the impact on hospital beds.

Think about it. All we heard for two months was his concern for the health of those peons he represents, when, in reality, it was about nothing more than 'available beds'. That's not necessarily a 'bad thing', it was just a lie.

July 22, 2020 at 10:19 PM wrote:

"I know personally 2 covid positive individuals who would have been hospitalized had their MD not treated them with HCQ and Budesonide. His decision to treat early saved them.

and

The ideal patient for Covid treatment would be someone who has tested positive and is in the moderate to high risk category and at the first sign of increasing shortness of breath and malaise would start treatment with HCQ after careful discussion of risks and benefits with their physician."

Look, I'll assume you are competent at whatever it is that you do for a living, but these two statements clearly show that you really have no idea how any of this works "on the ground." I'll also assume that few if any other readers are following any of this at this point, so I won't comment point-by-point. You seem earnestly trying to make some sense of this, which is a great thing, but a lot of this is pretty complicated stuff that takes significant background education and experience to fully understand. It would be wonderful if every patient could have a TV show team of doctors and nurses to focus on nothing but that one patient (along with a script to follow, a director to say "cut" if anything went wrong, and unlimited equipment, supplies, and resources) but that just isn't reality. By all means, I'd encourage you and everyone else to read as much medical literature and learn as much as you can about all of this, but please don't repeat things you might come across in the general media just because it seems believable to an untrained person. The bottom line is that this is not a "one size fits all" situation and what might help some patients will injure or kill others.

If you or anyone else really wants to be an absolute help to both meds and your fellow citizens, wear a mask and practice distancing when out in public and encourage everyone you can to do the same. The fewer people infected, the less any method of treatment is needed.