An open reply to Mr. John Crisp, on the subject of Sgt Bergdahl – William Lehman

Amen Brother.

According To Hoyt

An open reply to Mr. John Crisp, on the subject of Sgt Bergdahl – William Lehman

In this season of Christmas, Chanukah, Yule, and so on, when most major religions recognize a time of love, faith and forgiving, I would like to echo those sentiments. But sadly, this isn’t that sort of post.

John Crisp is an op-ed columnist for Tribune news service (it’s interesting to note that my spell check wanted to make that communist, I think the machine knows more than I do) and teaches in the English department at Del Mar College, says the little bio that accompanies his column. This explains a lot, when you start to read his various opinions. (I’m semi surprised he holds the opinions he has while living in Texas, but well he is in the ivory towers, oh excuse me ivied halls of academia) Yes, this is pertinent, as I’ll get…

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Source: Cancer

Cancer of the body and cancer of the body politic.

Addressing Responsibilities

Zubin Damatia’s ZDoggMD rap and his companion article at set me to thinking about the greater lack of addressing or sharing responsibility rampant in society and families that complicates my personal and professional life.

I see time and time again a spouse, usually the man, who has controlled every decision and choice in the family, become mentally disabled from acute or chronic illness and leave their partner and progeny adrift in taking on momentous end-of-life decisions.  And taking up the reins of responsibility for their own lives.  Sometimes its a train wreck, sometimes a rewarding life experience of growth.  Sadly preventible if the controller had taken the real responsibility of planning for the future and developed strengths in family members rather than enabling dependency.

The greater picture of out political and societal dysfunction we see crashing down around us at this time is a larger example of the personal and family crisis of end-of-life decisions that started this train of thought.  I pray but am sadly afraid we are in the midst of an end-of-life situation for our Republic with everyone including the patient in dread denial insisting on continuing their self-destructive and enabling behaviors.  Too many times I’ve seen this not end well in the small scope to believe there’s no chance it will not end well in the larger picture.

Conduct Unbecoming a Professional

I lost my filters of civility a while back. I’m not sure if it was right after signing another premature Death Certificate, at the funeral of some folks who died doing their job ( and left me wondering if there was anything I could have done to prevent their demise ), finding my father sitting alone in a darkened hospital ER waiting room 12 hours after his wife died in his arms waiting for me to travel the 1000 miles it took to get to him, or years later just hearing one more doctor complain how busy they are and they don’t have the time to call me and coordinate care at that very same ER.  But I sure didn’t exhibit much filtering after the last example.  And it did replay all those other examples from my memory banks.

This result came after a hostile call berating me for unprofessional behavior: sending a fax to ER letting them know they had seen my patient [who had identified me as her physician] and prescribed two medications inappropriately and potentially dangerous to the patient’s health, and referred her to follow up to another physician instead of me, requesting yet again that I be contacted to provide pertinent information to the ER and coordinate care when my patients are seen there for more than trivial issues.

Apparently I used the wrong fax line – the one I use for all my faxes to the ER of pertinent medical information.  That was very unprofessional, apparently.  Lazy negligence, by the treating ER providers, apparently is not.  At least that’s what I was told by the scolding ER Director.

I’ve spent all day wondering why I don’t just retire and say to Hell with it.


Monday is less than 6 hours away. I’ve spent Friday through now just organizing and doing stuff that most weekends entail. Tomorrow is for remembrance.

On a very personal level, there are a number of veterans of World War II and the Cold War who I have to thank for where I am and what I am able to be doing at this time. They are my parents and their close friends, who were also their colleagues, in uniformed and intelligence services for well over a hundred years combined service. They raised me, taught me important values and were role models. They left me some money, and a house. They left me books, pictures, diaries, letters and what is best lumped together as STUFF.

Sadly however, they have all left me and this world.

For my parents and their closest best friend couple, I am the only heir.

So I do feel a weight of responsibility to honor them. I am trying.

There is what I do for a living and a purpose; there is what I try to teach and share with my children, step-children, and anyone else who will listen; and there is my partnership in marriage that will carry through my final years.



Picture worth a Thousand Waivers

Which one is lame?


Tread On Obama!

Tread On Obama!

Protect the Staff of Asclepius

Protect the Staff of Asclepius


Give this one FAME!

B-Side of Something Better, according to Faithful

Sister Sebelius

Here I sit at my Computer Screen
Tell me, Sister Sebelius, when are you coming round again?
Oh, I don’t think I can wait that long
Oh, you see that I’m not that strong
The whine of the POTUS is sounding in my ears
Tell me, Sister Sebelius, how long have I been sitting here?
Why did your promises about-face?
Why is my doctor not in place?
Oh, your site crawls across the screen
Ah, can’t you see, Sister Sebelius, I need more caffeine?
Well it just goes to show
Things are not what O shares
Fees, Sister Sebelius, turn my dreams into nightmares
Oh, can’t you see I’m losing faith
And the ACA is just a wraith?
Sweet Cousin Carney, lay your cool cool schtick on our dread
Ah, come on, Sister Sebelius, we’ll take you to the woodshed
‘Cause you know and I know we’ll be tweeting what you said
Yeah, and we can sit around, yeah and you can watch all the
Old Blue States turn red.

Political Oncology

A while back I penned a speech to give at a TP meeting.  I never had a chance to give it as the meeting was cancelled.  With very little updating, it seems relevant, so I share it here.

I have been a doctor for 38 years. Half of that time I spent treating cancer with chemotherapy. It was a terrible experience to use deadly chemicals. They threatened the life and health of each patient, not only making them feel bad, but look bad too. I strived to use only proven treatments with a published track record of success. It took a lot of time reading and discussing matters with colleagues daily to be able to choose the best treatments to recommend and use.

One of my challenges was fighting the charlatans peddling their false cures while bad-mouthing the efforts of doctors like myself. They wooed their victims with promises of cures with their useless and sometimes harmful treatments while fleecing patients and their families of their life savings. Some of my patients couldn’t believe they had a potentially fatal illness. Mountebanks would manipulate patient denial to support fraudulent and costly treatment. Others were afraid, and would seek the solace of these swindlers, soothing the fears with false but expensive therapy. All to often these folks who refused conventional treatment would show up on their own, or dragged in by relatives, when it was too late to offer them more than hospice and comfort care.

Fortunately, great strides have been made, and we now see treatments for cancers that are directed at the problem which do not attack the vital organs and the rest of the patient. They convince the cancer cells to stop their bad behavior, and return to normal function.

Our country, this great experiment in democracy, this rich society of many cultures, is threatened by a cancer of elitism, entitlement and taxation that is eating away at our spirit, our financial and physical security, and our freedoms. In the last decades the promises of Hope and Change all too much resembling the “alternative” treatments of Cancer Quacks have been chosen over the more conventional but less convenient pathway of personal and moral responsibility.

We are seeing what happens when the charlatans are in control. Our economy is failing, our political and military stature in the world is seriously challenged, and our population is torn by divisive bitterness encouraged by government-approved words and actions. Any attempts to point out their failures are buried in fabrications, distortions, personal attacks and distractions, just as those who challenge cancer woo-meisters are countered today.

We don’t have to resort to violence – like chemotherapy, radiation therapy or radical surgery – to treat this cancer. The risk to the United States of America is too great. We have treatments that our Founding Fathers left us more than two centuries ago – Free Speech and the Ballot Box – that we can use reform this malignancy.

We’ve heard from some candidates who are offering to be part of the cure for America. But just as we should research and question our doctor before embarking on a treatment regimen for cancer, we need to see more than words and assurances. We need to identify and avoid the charlatans and well-meaning incompetents. We need to see a record of accomplishment, and we need to hold every candidate who is elected accountable for their promises and actions every day of their service to their electorate.

The Tea Party movement is not about Republicans or Democrats. It is about people challenging the false cures of taxation and entitlement that has stripped our country of economic and social vitality. It rejects false cures, designed to enrich those in control with money and power, that both parties have failed in the past to successfully challenge. Some of these “special interests” are using planned violence, disinformation and propaganda, backed by the money in their treasure chests of campaign contributions, to inactivate this movement.

We can not let this happen.

We can not succumb to violence, mis- and dis- information, inflammatory and divisive rhetoric or actions.

We can not blindly support candidates based on their Party affiliations, and keep re-electing them without a critical review of their actions.

We can use our Free Speech to inform our community. We can use our free speech to inform our candidates and elected officials, daily, that we want intelligent actions and will not tolerate less than excellence and integrity. We can live our lives in support of the principles that formed our Union.

We can use our Votes wisely every chance we can get. Or we’ll lose the chance to use them.

Cranberry Juice for Politics

OK, so drinking cranberry juice is supposed to help prevent urinary tract infections. So I’ve discovered that Sailor Jerry’s in Oolong Tea prevents me from caring about who is the Samuel J. Tilden of 2008 or 2012.

          Sailor Jerry ‏@SailorJerry        


WH Spam


Just got this straight from the White House.  Note at the bottom:


Do not [bother] to respond to this e-mail.


Arrogance and Evil lives at 1600 Pennsylvania Avenue.