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👇EPS and Ventricular Stimulation Testing in the Diagnosis of Narrow Complex Tachycardia: Understanding VA Conduction👇 For #EP_Fellows — simple tricks packed with valuable information! Electrophysiology is logical. Understanding is better than memorizing!!! 👉 Ventriculoatrial (VA) Conduction Patterns: A. VA Dissociation (even with isoproterenol) → Rules out AVRT and AVNRT...

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El Hamriti Mustapha

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19,782 次观看 • 1 年前 •via X (Twitter)

健康养生科学技术教育#EP_Fellows
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ScarelatedVT1 年前

Excellent , thank you for your efforts

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Nasiff Associates1 年前

How Computer Cardio-Diagnostics Improve Outcomes in Cardiovascular Care #Cardiology #HeartHealth #Cardiovascular #HeartDisease #CardiologyNews #HealthyHeart #CardioCare #CardiovascularHealth #HeartAttack #Cardiologist #HeartFailure #ECG #CardiacHealth

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👇Mahaim tachycardia: EPS, mapping, and ablation overview in less than 1 minute👇 1- SR without delta wave 2- Maximum preexcitation with normal PR interval 3- If Mahaim, always wide-complex tachycardia!!! 4- Long RP tachycardia/ VA conduction constant 5- PPI-TCL < 100 ms from RV 6- Decremental VA conduction 7- Typical His-like Mahaim potentials in the area of the lateral TV annulus 8- The latest atrial activation in the lateral TV Philipp Sommer Christian Sohns Moneeb Khalaph Martin Braun Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA @AleSpoken Stephan H. Winnik @YounDgk AGEP Andreas Müssigbrodt #CardioTwitter #EPeeps
0:54

👇Mahaim tachycardia: EPS, mapping, and ablation overview in less than 1 minute👇 1- SR without delta wave 2- Maximum preexcitation with normal PR interval 3- If Mahaim, always wide-complex tachycardia!!! 4- Long RP tachycardia/ VA conduction constant 5- PPI-TCL < 100 ms from RV 6- Decremental VA conduction 7- Typical His-like Mahaim potentials in the area of the lateral TV annulus 8- The latest atrial activation in the lateral TV Philipp Sommer Christian Sohns Moneeb Khalaph Martin Braun Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA @AleSpoken Stephan H. Winnik @YounDgk AGEP Andreas Müssigbrodt #CardioTwitter #EPeeps

El Hamriti Mustapha

10,123 次观看 • 2 年前

👇 Typical AVNRT: EPS Findings in 45 Seconds 👇 #EPeeps huge thanks to Nadica Trajkovska for her amazing videos, dedication, and passion for the fundamentals of rhythmology! 🫡🫡 Just like young doctors are the future of medicine, mastering the basics of rhythmology is the future of EP! 👉 Dual AV Node Physiology: Presence of an AH jump — antegrade conduction switches from the fast pathway (FP) to the slow pathway (SP) once the FP’s refractory period is reached. 👉 AVN Echo Beats: Antegrade conduction goes to the ventricle via SP and retrograde back to the atrium via FP (A → SP → V → FP → A = the complete AVNRT reentry circuit 🔄). 👉 Typical AVNRT: Short RP tachycardia (VA interval < 70 ms) due to the fast retrograde VA conduction via FP 👉 1:1 conduction: V = A. 👉 Decremental VA conduction. Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Maxim Didenko, MD PhD FESC FEHRA Gregor Nageler Arash Arya Sam Ghali, M.D. Dr. Andreas Roeschl Pedram Milan Koštek Mohammad Ebrahim Arab HRS - Heart Rhythm Society ALBERTO ALFIE د.فهد المحمادي Fahad Almehmadi MD, MPH, FHRS Abhishek Maan Haseeb Raza FACC, FHRS, FESC, CEPS-A, FCPS EP 色々自粛中復活🌟 #CardioTwitter Young DGK Andreas Müssigbrodt
0:44

👇 Typical AVNRT: EPS Findings in 45 Seconds 👇 #EPeeps huge thanks to Nadica Trajkovska for her amazing videos, dedication, and passion for the fundamentals of rhythmology! 🫡🫡 Just like young doctors are the future of medicine, mastering the basics of rhythmology is the future of EP! 👉 Dual AV Node Physiology: Presence of an AH jump — antegrade conduction switches from the fast pathway (FP) to the slow pathway (SP) once the FP’s refractory period is reached. 👉 AVN Echo Beats: Antegrade conduction goes to the ventricle via SP and retrograde back to the atrium via FP (A → SP → V → FP → A = the complete AVNRT reentry circuit 🔄). 👉 Typical AVNRT: Short RP tachycardia (VA interval < 70 ms) due to the fast retrograde VA conduction via FP 👉 1:1 conduction: V = A. 👉 Decremental VA conduction. Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Maxim Didenko, MD PhD FESC FEHRA Gregor Nageler Arash Arya Sam Ghali, M.D. Dr. Andreas Roeschl Pedram Milan Koštek Mohammad Ebrahim Arab HRS - Heart Rhythm Society ALBERTO ALFIE د.فهد المحمادي Fahad Almehmadi MD, MPH, FHRS Abhishek Maan Haseeb Raza FACC, FHRS, FESC, CEPS-A, FCPS EP 色々自粛中復活🌟 #CardioTwitter Young DGK Andreas Müssigbrodt

El Hamriti Mustapha

14,433 次观看 • 11 个月前

👇WPW Syndrome (Part 4 and Final): Antegrade Conduction and Antidromic AVRT👇 1. Antegrade conduction through the accessory pathway causes the Delta wave seen on an ECG. 2. The Easy-WPW algorithm is a simple way to locate the accessory pathway. 3. Antidromic AVRT always appears as a wide-complex tachycardia due to maximal pre-excitation. 4. The Maximal Pre-excitation Algorithm helps identify the accessory pathway during antidromic AVRT. 5. Ablation targets the earliest ventricular signal during either antegrade conduction or antidromic AVRT with AV fusion. 6. After ablation, the ECG no longer shows a Delta wave because conduction from the atrium to the ventricle now goes through the AV node. 7. Adenosine causes both AV and VA block. Philipp Sommer Christian Sohns Martin Braun Vanessa Sciacca Moneeb Khalaph Maxim Didenko, MD PhD FESC FEHRA 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 Arnel Carmona #EPeeps #CardioTwitter AGEP Young DGK
0:47

👇WPW Syndrome (Part 4 and Final): Antegrade Conduction and Antidromic AVRT👇 1. Antegrade conduction through the accessory pathway causes the Delta wave seen on an ECG. 2. The Easy-WPW algorithm is a simple way to locate the accessory pathway. 3. Antidromic AVRT always appears as a wide-complex tachycardia due to maximal pre-excitation. 4. The Maximal Pre-excitation Algorithm helps identify the accessory pathway during antidromic AVRT. 5. Ablation targets the earliest ventricular signal during either antegrade conduction or antidromic AVRT with AV fusion. 6. After ablation, the ECG no longer shows a Delta wave because conduction from the atrium to the ventricle now goes through the AV node. 7. Adenosine causes both AV and VA block. Philipp Sommer Christian Sohns Martin Braun Vanessa Sciacca Moneeb Khalaph Maxim Didenko, MD PhD FESC FEHRA 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 Arnel Carmona #EPeeps #CardioTwitter AGEP Young DGK

El Hamriti Mustapha

16,771 次观看 • 1 年前

👇WPW Syndrome (Part 1) Overview of the Basics: Delta Wave, Maximal Pre-excitation, Orthodromic and Antidromic AVRT, and FBI Tachycardia👇 👉 Antegrade conduction through the AVN and accessory pathway leads to fusion. 👉 Orthodromic AVRT: Antegrade conduction through the AVN → narrow QRS complex. 👉 Antidromic AVRT: Antegrade conduction through the AP → consistently wide QRS complex. 👉 FBI Tachycardia: Complete chaos → Medical emergency! The AP must be ablated before the patient leaves the hospital 🙏🙏#EPeeps Philipp Sommer Christian Sohns Vanessa Sciacca Martin Braun Moneeb Khalaph Maxim Didenko, MD PhD FESC FEHRA 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 Arnel Carmona #CardioTwitter Johnson & Johnson MedTech | Electrophysiology Abbott BostonSci Cardiology
0:37

👇WPW Syndrome (Part 1) Overview of the Basics: Delta Wave, Maximal Pre-excitation, Orthodromic and Antidromic AVRT, and FBI Tachycardia👇 👉 Antegrade conduction through the AVN and accessory pathway leads to fusion. 👉 Orthodromic AVRT: Antegrade conduction through the AVN → narrow QRS complex. 👉 Antidromic AVRT: Antegrade conduction through the AP → consistently wide QRS complex. 👉 FBI Tachycardia: Complete chaos → Medical emergency! The AP must be ablated before the patient leaves the hospital 🙏🙏#EPeeps Philipp Sommer Christian Sohns Vanessa Sciacca Martin Braun Moneeb Khalaph Maxim Didenko, MD PhD FESC FEHRA 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 Arnel Carmona #CardioTwitter Johnson & Johnson MedTech | Electrophysiology Abbott BostonSci Cardiology

El Hamriti Mustapha

23,472 次观看 • 2 年前

👇Typical AVNRT: Overview of EP Findings in 45 Seconds👇 Overview for young #EPeeps , cardiologists, and internists on typical AVNRT (slow-fast variant): 👉 Short RP Tachycardia: VA interval < 70 ms 👉 1:1 Conduction: V = A 👉 Dual AV Node Physiology: Presence of an AH jump 👉 Retrograde Fast Pathway Conduction: AVN echo beats observed 👉 Decremental VA Conduction Philipp Sommer Christian Sohns Vanessa Sciacca Moneeb Khalaph Martin Braun Karen Harutyunyan Maxim Didenko, MD PhD FESC FEHRA @AleSpoken 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 Arnel Carmona #CardioTwitter Young DGK AGEP
0:45

👇Typical AVNRT: Overview of EP Findings in 45 Seconds👇 Overview for young #EPeeps , cardiologists, and internists on typical AVNRT (slow-fast variant): 👉 Short RP Tachycardia: VA interval < 70 ms 👉 1:1 Conduction: V = A 👉 Dual AV Node Physiology: Presence of an AH jump 👉 Retrograde Fast Pathway Conduction: AVN echo beats observed 👉 Decremental VA Conduction Philipp Sommer Christian Sohns Vanessa Sciacca Moneeb Khalaph Martin Braun Karen Harutyunyan Maxim Didenko, MD PhD FESC FEHRA @AleSpoken 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 Arnel Carmona #CardioTwitter Young DGK AGEP

El Hamriti Mustapha

11,896 次观看 • 2 年前

👉 Typical vs. Atypical AVNRT – Mechanistic Overview 👈 👉 Typical AVNRT (slow–fast): Impulse conduction: Atrium → Slow Pathway → Ventricle → Fast Pathway (retrograde) •This produces a short RP tachycardia, because the retrograde atrial activation from the ventricle back to the atrium occurs via the fast pathway. •Consequently, the P wave is inscribed at the terminal part of the QRS complex on the ECG. 👉 Atypical AVNRT (fast–slow): Impulse conduction: Atrium → Fast Pathway → Ventricle → Slow Pathway (retrograde) •This produces a long RP tachycardia, because the retrograde atrial activation from the ventricle back to the atrium occurs via the slow pathway. •Therefore, the P wave appears after the QRS complex on the ECG. #EPeeps This post was created in collaboration Nadica Trajkovska Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Maxim Didenko, MD PhD FESC FEHRA Gregor Nageler Dr. Andreas Roeschl Pedram Arnel Carmona Milan Koštek ALBERTO ALFIE 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 Nelson Polo Taborda Pablo Sánchez Millán Christian-H. Heeger JMC Melda Yesilyurt Johnson & Johnson Abbott BostonSci Cardiology #CardioTwitter Tobias Reichlin Arash Arya
0:28

👉 Typical vs. Atypical AVNRT – Mechanistic Overview 👈 👉 Typical AVNRT (slow–fast): Impulse conduction: Atrium → Slow Pathway → Ventricle → Fast Pathway (retrograde) •This produces a short RP tachycardia, because the retrograde atrial activation from the ventricle back to the atrium occurs via the fast pathway. •Consequently, the P wave is inscribed at the terminal part of the QRS complex on the ECG. 👉 Atypical AVNRT (fast–slow): Impulse conduction: Atrium → Fast Pathway → Ventricle → Slow Pathway (retrograde) •This produces a long RP tachycardia, because the retrograde atrial activation from the ventricle back to the atrium occurs via the slow pathway. •Therefore, the P wave appears after the QRS complex on the ECG. #EPeeps This post was created in collaboration Nadica Trajkovska Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Maxim Didenko, MD PhD FESC FEHRA Gregor Nageler Dr. Andreas Roeschl Pedram Arnel Carmona Milan Koštek ALBERTO ALFIE 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 Nelson Polo Taborda Pablo Sánchez Millán Christian-H. Heeger JMC Melda Yesilyurt Johnson & Johnson Abbott BostonSci Cardiology #CardioTwitter Tobias Reichlin Arash Arya

El Hamriti Mustapha

20,892 次观看 • 1 年前

👇 WPW Syndrome (Part 2): How to Differentiate Between a Right-Sided or Left-Sided Accessory Pathway During Orthodromic AVRT Based on ECG?👇 👉 Long RP tachycardia with a VA interval > 70 ms 👉 Narrow complex tachycardia with a 1:1 atrioventricular relationship 👉 A negative P wave in lead I indicates a left-sided AP 👉 A positive P wave in lead I indicates a right-sided AP 👉 Septal accessory pathways are often associated with a biphasic P wave in lead I Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA Arnel Carmona 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 Johnson & Johnson MedTech | Electrophysiology BostonSci Cardiology Abbott Medtronic #Cardiotwitter
0:26

👇 WPW Syndrome (Part 2): How to Differentiate Between a Right-Sided or Left-Sided Accessory Pathway During Orthodromic AVRT Based on ECG?👇 👉 Long RP tachycardia with a VA interval > 70 ms 👉 Narrow complex tachycardia with a 1:1 atrioventricular relationship 👉 A negative P wave in lead I indicates a left-sided AP 👉 A positive P wave in lead I indicates a right-sided AP 👉 Septal accessory pathways are often associated with a biphasic P wave in lead I Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA Arnel Carmona 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 Johnson & Johnson MedTech | Electrophysiology BostonSci Cardiology Abbott Medtronic #Cardiotwitter

El Hamriti Mustapha

25,859 次观看 • 1 年前

👇Mahaim Tachycardia (Part 1): Basics of Mahaim Fiber Behavior in SR, Atrial Stimulation, and Afib👇 👉 Sinus Rhythm: No delta wave 👉 Atrial Stimulation: Maximum preexcitation with normal PR interval and LBBB morphology 👉 Mahaim Tachycardia: Always wide-complex due to exclusive antegrade conduction through Mahaim fibers 👉 Mahaim + Afib: Broad QRS (from Mahaim) with some narrow QRS (via AV node); irregular rhythm but not tooo fast Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA Abbott Johnson & Johnson MedTech | Electrophysiology BostonSci Cardiology 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 Arnel Carmona #EPeeps #CardioTwitter Young DGK AGEP
0:50

👇Mahaim Tachycardia (Part 1): Basics of Mahaim Fiber Behavior in SR, Atrial Stimulation, and Afib👇 👉 Sinus Rhythm: No delta wave 👉 Atrial Stimulation: Maximum preexcitation with normal PR interval and LBBB morphology 👉 Mahaim Tachycardia: Always wide-complex due to exclusive antegrade conduction through Mahaim fibers 👉 Mahaim + Afib: Broad QRS (from Mahaim) with some narrow QRS (via AV node); irregular rhythm but not tooo fast Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA Abbott Johnson & Johnson MedTech | Electrophysiology BostonSci Cardiology 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 Arnel Carmona #EPeeps #CardioTwitter Young DGK AGEP

El Hamriti Mustapha

12,649 次观看 • 1 年前

👇Parahisian Atrial Tachycardia: Tips and Tricks for Better Diagnosis and Safer Ablation👇 👉 A biphasic P wave in multiple leads suggests that the PAC/AT originates from the atrial septum. 👉 ATs arising from the region above the His bundle can be safely ablated in the NCC without risk of AV block. #EPeeps The NCC is designed for electrophysiologists to ablate parahisian arrhythmias safely. There are no coronary arteries in this area, and the ablation catheter often lands there directly without extensive maneuvering. This post was created in collaboration with Nadica Trajkovska and Maxim Didenko, MD PhD FESC FEHRA Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Vanessa Sciacca Syamkumar Christian-H. Heeger Johnson & Johnson Arnel Carmona Dr. Andreas Roeschl Pedram 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 Julian Chun Arash Arya #CardioTwitter Andreas Müssigbrodt @JNJ_ch Koichi Nagashima@EP Univ. Ablation School Evgeny Lian Vera Maslova Young DGK AGEP
0:27

👇Parahisian Atrial Tachycardia: Tips and Tricks for Better Diagnosis and Safer Ablation👇 👉 A biphasic P wave in multiple leads suggests that the PAC/AT originates from the atrial septum. 👉 ATs arising from the region above the His bundle can be safely ablated in the NCC without risk of AV block. #EPeeps The NCC is designed for electrophysiologists to ablate parahisian arrhythmias safely. There are no coronary arteries in this area, and the ablation catheter often lands there directly without extensive maneuvering. This post was created in collaboration with Nadica Trajkovska and Maxim Didenko, MD PhD FESC FEHRA Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Vanessa Sciacca Syamkumar Christian-H. Heeger Johnson & Johnson Arnel Carmona Dr. Andreas Roeschl Pedram 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 Julian Chun Arash Arya #CardioTwitter Andreas Müssigbrodt @JNJ_ch Koichi Nagashima@EP Univ. Ablation School Evgeny Lian Vera Maslova Young DGK AGEP

El Hamriti Mustapha

12,792 次观看 • 1 年前

👇 Incessant Fascicular VT – Terminated in Just 18 Minutes! 👇 👉 A young patient with wide-complex tachycardia refractory to medication and cardioversion — no prior medical history, normal labs, and reduced EF (30%) during tachycardia. #EPeeps Emergency ablation confirmed fascicular ventricular tachycardia. In only 18 minutes, the incessant VT was terminated and sinus rhythm restored for the first time. Just 3 hours in sinus rhythm — and the EF already improved to 45%! 👉 We are pleased to offer this therapeutic option — the only one of its kind available in the Zürich Oberland region. 👉 The Easy-PVC algorithm accurately localized the exit site of the VT. ( Philipp Sommer Nadica Trajkovska Gregor Nageler Martin Braun Moneeb Khalaph Maxim Didenko, MD PhD FESC FEHRA Christian Sohns Dr. Andreas Roeschl Pedram Milan Koštek Arash Arya Arab HRS - Heart Rhythm Society Mohammad Ebrahim Philipp Lucas Johnson & Johnson Abhishek Maan #CardioTwitter
0:31

👇 Incessant Fascicular VT – Terminated in Just 18 Minutes! 👇 👉 A young patient with wide-complex tachycardia refractory to medication and cardioversion — no prior medical history, normal labs, and reduced EF (30%) during tachycardia. #EPeeps Emergency ablation confirmed fascicular ventricular tachycardia. In only 18 minutes, the incessant VT was terminated and sinus rhythm restored for the first time. Just 3 hours in sinus rhythm — and the EF already improved to 45%! 👉 We are pleased to offer this therapeutic option — the only one of its kind available in the Zürich Oberland region. 👉 The Easy-PVC algorithm accurately localized the exit site of the VT. ( Philipp Sommer Nadica Trajkovska Gregor Nageler Martin Braun Moneeb Khalaph Maxim Didenko, MD PhD FESC FEHRA Christian Sohns Dr. Andreas Roeschl Pedram Milan Koštek Arash Arya Arab HRS - Heart Rhythm Society Mohammad Ebrahim Philipp Lucas Johnson & Johnson Abhishek Maan #CardioTwitter

El Hamriti Mustapha

19,278 次观看 • 11 个月前

👇Easy-PVC App : Localization of PVCs with R/S Morphology in V1 on ECG👇 When the QRS polarity in leads II and III is positive and the QRS complex in V1 exhibits an R/S morphology, the most likely PVC origin is: •r S → PVC from the LCC or AMC #EPeeps This post is in collaboration with Nadica Trajkovska Philipp Sommer Christian Sohns Gregor Nageler Moneeb Khalaph Martin Braun Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA Arnel Carmona Dr. Andreas Roeschl ECGs ECG.Hacks 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 🫀EcgOxford Johnson & Johnson MedTech | Electrophysiology Abbott BostonSci Cardiology Koichi Nagashima@EP Univ. Ablation School ALBERTO ALFIE Christian-H. Heeger #CardioTwitter
0:21

👇Easy-PVC App : Localization of PVCs with R/S Morphology in V1 on ECG👇 When the QRS polarity in leads II and III is positive and the QRS complex in V1 exhibits an R/S morphology, the most likely PVC origin is: •r S → PVC from the LCC or AMC #EPeeps This post is in collaboration with Nadica Trajkovska Philipp Sommer Christian Sohns Gregor Nageler Moneeb Khalaph Martin Braun Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA Arnel Carmona Dr. Andreas Roeschl ECGs ECG.Hacks 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 🫀EcgOxford Johnson & Johnson MedTech | Electrophysiology Abbott BostonSci Cardiology Koichi Nagashima@EP Univ. Ablation School ALBERTO ALFIE Christian-H. Heeger #CardioTwitter

El Hamriti Mustapha

21,427 次观看 • 1 年前

👇 ECG and PAC/EAT Localization (Part 1): RA Lateral vs. LA Lateral 👇 •P wave positive in lead I and negative in V1: Suggests the PAC/AT originates in the RA lateral region (consider the Crista Terminalis or the lateral Tricuspid Valve annulus). •P wave negative in lead I and positive in V1: Suggests the PAC/AT originates in the LA lateral region (consider the LAA or the LPVs). 👉 #EPeeps Analyzing P waves in PACs and EATs is incredibly exciting—it’s like chasing triggers! 🤩🤩 This post is created in collaboration with Nadica Trajkovska 🙏🙏 Philipp Sommer Christian Sohns Moneeb Khalaph Martin Braun Maxim Didenko, MD PhD FESC FEHRA Vanessa Sciacca Stephan H. Winnik Johnson & Johnson MedTech | Electrophysiology Abbott Boston Scientific Medtronic Arnel Carmona 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 Dr. Andreas Roeschl Pedram Arash Arya Matters of the Heart 🫀 #CardioTwitter AGEP
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👇 ECG and PAC/EAT Localization (Part 1): RA Lateral vs. LA Lateral 👇 •P wave positive in lead I and negative in V1: Suggests the PAC/AT originates in the RA lateral region (consider the Crista Terminalis or the lateral Tricuspid Valve annulus). •P wave negative in lead I and positive in V1: Suggests the PAC/AT originates in the LA lateral region (consider the LAA or the LPVs). 👉 #EPeeps Analyzing P waves in PACs and EATs is incredibly exciting—it’s like chasing triggers! 🤩🤩 This post is created in collaboration with Nadica Trajkovska 🙏🙏 Philipp Sommer Christian Sohns Moneeb Khalaph Martin Braun Maxim Didenko, MD PhD FESC FEHRA Vanessa Sciacca Stephan H. Winnik Johnson & Johnson MedTech | Electrophysiology Abbott Boston Scientific Medtronic Arnel Carmona 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 Dr. Andreas Roeschl Pedram Arash Arya Matters of the Heart 🫀 #CardioTwitter AGEP

El Hamriti Mustapha

20,984 次观看 • 1 年前

👇Bundle Branch Reentry Tachycardia: The Beauty of EP Findings👇 1. The earliest potentials are observed in the right bundle branch. Here, excitation travels from the proximal ablation catheter to the distal catheter, then reaches the apex where the RVa is located. This reflects antegrade propagation of the excitation from proximal to distal within the right bundle branch. 2. During a VT with a LBBB morphology, I would typically expect the ventricular signals to show concentric activation in the CS. However, in this case, the activation is eccentric—CS 1/2 is earlier than CS 9/10, suggesting retrograde conduction through the LAF is faster than through the RV lateral free wall 🤔🤔 3. The excitation travels antegrade through the RBB and retrograde through the LBB in a counterclockwise pattern. 4. PPI-CL in the RVa is +19 ms. Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA Johnson & Johnson 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 Arnel Carmona #EPeeps #CardioTwitter
0:28

👇Bundle Branch Reentry Tachycardia: The Beauty of EP Findings👇 1. The earliest potentials are observed in the right bundle branch. Here, excitation travels from the proximal ablation catheter to the distal catheter, then reaches the apex where the RVa is located. This reflects antegrade propagation of the excitation from proximal to distal within the right bundle branch. 2. During a VT with a LBBB morphology, I would typically expect the ventricular signals to show concentric activation in the CS. However, in this case, the activation is eccentric—CS 1/2 is earlier than CS 9/10, suggesting retrograde conduction through the LAF is faster than through the RV lateral free wall 🤔🤔 3. The excitation travels antegrade through the RBB and retrograde through the LBB in a counterclockwise pattern. 4. PPI-CL in the RVa is +19 ms. Philipp Sommer Christian Sohns Martin Braun Moneeb Khalaph Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA Johnson & Johnson 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 Arnel Carmona #EPeeps #CardioTwitter

El Hamriti Mustapha

23,817 次观看 • 2 年前

👇Typical Atrial Flutter: Clockwise vs. Counterclockwise👇 👉 Typical atrial flutter on the ECG: favorite sign is the discordance between V1 and the inferior leads (II, III, and aVF). 2.The direction of activation across the atrial septum determines the polarity of the flutter waves in the inferior leads (see blue arrows in the video). 👉 Counterclockwise typical atrial flutter: flutter waves are negative in II, III, and aVF, but positive in V1. 👉 Clockwise typical atrial flutter: flutter waves are positive in the inferior leads but negative in V1. 👉 The therapy of choice and first-line treatment is ablation (cavotricuspid isthmus line). Antiarrhythmic drugs have only moderate and temporary effectiveness. #EPeeps This video was created by Nadica Trajkovska 🫡🫡 Philipp Sommer Christian Sohns Moneeb Khalaph Martin Braun Gregor Nageler Maxim Didenko, MD PhD FESC FEHRA Dr. Andreas Roeschl Pedram 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 Milan Koštek Arash Arya Johnson & Johnson Abbott BostonSci Cardiology Young DGK AGEP Tobias Reichlin HAIDER AL TAII ALBERTO ALFIE Fergie J. Losiniecki, MD, FACC, FHRS Yuri Bocchini Vera Maslova #CardioTwitter
0:29

👇Typical Atrial Flutter: Clockwise vs. Counterclockwise👇 👉 Typical atrial flutter on the ECG: favorite sign is the discordance between V1 and the inferior leads (II, III, and aVF). 2.The direction of activation across the atrial septum determines the polarity of the flutter waves in the inferior leads (see blue arrows in the video). 👉 Counterclockwise typical atrial flutter: flutter waves are negative in II, III, and aVF, but positive in V1. 👉 Clockwise typical atrial flutter: flutter waves are positive in the inferior leads but negative in V1. 👉 The therapy of choice and first-line treatment is ablation (cavotricuspid isthmus line). Antiarrhythmic drugs have only moderate and temporary effectiveness. #EPeeps This video was created by Nadica Trajkovska 🫡🫡 Philipp Sommer Christian Sohns Moneeb Khalaph Martin Braun Gregor Nageler Maxim Didenko, MD PhD FESC FEHRA Dr. Andreas Roeschl Pedram 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 Milan Koštek Arash Arya Johnson & Johnson Abbott BostonSci Cardiology Young DGK AGEP Tobias Reichlin HAIDER AL TAII ALBERTO ALFIE Fergie J. Losiniecki, MD, FACC, FHRS Yuri Bocchini Vera Maslova #CardioTwitter

El Hamriti Mustapha

11,818 次观看 • 1 年前

👇Rare VT Mechanism: Bundle Branch Reentry VT with Exit in the LV and RV. 2 VTs treated with 1 burn👇 👉 A 40-year-old patient with no known preexisting conditions presents with incessant tachycardia over the past two days, refractory to both pharmacological therapy and electrical cardioversion. 👉 During the EPS, two VT morphologies were identified: BBR-VT with a clockwise reentry circuit and exit in the LV, presenting as RBBB, and BBR-VT with a counterclockwise reentry circuit and exit in the RV, presenting as LBBB. 👉 A single burn at the right bundle branch terminated the arrhythmic storm🤩🤩 #EPeeps If you find my first depiction of the two reentry circuits correlated with the ECG interesting, I can prepare additional overviews of tachycardias and EPS findings. Philipp Sommer Moneeb Khalaph Martin Braun Christian Sohns Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA Vanessa Sciacca @AleSpoken Syamkumar Dr. Andreas Roeschl Arnel Carmona 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 #CardioTwitter AGEP Young DGK European Society of Cardiology Journals #ESCCongress2024
0:24

👇Rare VT Mechanism: Bundle Branch Reentry VT with Exit in the LV and RV. 2 VTs treated with 1 burn👇 👉 A 40-year-old patient with no known preexisting conditions presents with incessant tachycardia over the past two days, refractory to both pharmacological therapy and electrical cardioversion. 👉 During the EPS, two VT morphologies were identified: BBR-VT with a clockwise reentry circuit and exit in the LV, presenting as RBBB, and BBR-VT with a counterclockwise reentry circuit and exit in the RV, presenting as LBBB. 👉 A single burn at the right bundle branch terminated the arrhythmic storm🤩🤩 #EPeeps If you find my first depiction of the two reentry circuits correlated with the ECG interesting, I can prepare additional overviews of tachycardias and EPS findings. Philipp Sommer Moneeb Khalaph Martin Braun Christian Sohns Vanessa Sciacca Maxim Didenko, MD PhD FESC FEHRA Vanessa Sciacca @AleSpoken Syamkumar Dr. Andreas Roeschl Arnel Carmona 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 #CardioTwitter AGEP Young DGK European Society of Cardiology Journals #ESCCongress2024

El Hamriti Mustapha

63,909 次观看 • 2 年前

BOOM!!! 💥💥💥 Dr. Aseem Malhotra's testimony was delivered in the Helsinski District Court on April 12, 2024, with the understanding that any deviation from the truth would constitute perjury. This clip was immediately banned by YouTube so please share widely. I've trimmed the clip, removing the interpreter's segment for a smoother listening experience. Here's the first hour of the testimony. ---------------------------------- My name is Doctor Aseem Malhotra. I am a consultant cardiologist. I've been a qualified doctor since 2001. I have held various roles both in academic health policy. In England, in the United Kingdom, and of the various roles, I won't bore you with all the details. I think three of the most relevant and prominent are the fact that I was an ambassador for the Academy of Medical Royal Colleges for six years, which represented every doctor in the UK. I served a full term of six years as a trustee of the King's fund. I was the youngest member to be appointed to this body which advises government on health policy. I was a founding member of Action on Sugar and a first science director. And through that role I'm considered the lead campaigner on bringing about a sugary drinks tax in the UK. And also, finally I served for five years as visiting professor of evidence based medicine at the Bahiana School of Medicine in Salvador, Brazil. In early 2020, at the beginning of the pandemic I was most vocal doctor on the mainstream, making the link very early on between COVID and those who are vulnerable to suffering serious complications from COVID In fact, in March 2020, I was asked to go on Sky News to explain my initial research findings of the link between especially obesity and COVID, but also to give people an opportunity and to suggest to the government this was a great time for them to implement public health policy to help people enhance or optimise their immune system, which could happen within just a few weeks of dietary changes and optimising vitamin D. This was later also backed up by medical journal publications a few months later. And I was first to mention on the back of an article I published in the Daily Telegraph newspaper, which became a front page commentary and was picked up by BBC News and Good Morning Britain, where I had said that it's likely our prime minister, Boris Johnson, was hospitalised because of his weight. As a result of that, the then secretary for health, Matt Hancock, and this was publicised in the news, had asked me to advise him on the link between COVID and obesity. ...before I explain my journey and in many ways U-turn on my understanding in terms of the benefits and harms of the COVID vaccine, my experience in this area over the last couple of years has made me realise more than ever that even for that the greatest barrier to the truth are not factual or intellectual barriers, but psychological. I think all of us as human beings are vulnerable to these psychological barriers and we should have compassion for ourselves. And I will just very briefly summarise those three psychological barriers before I get into my detailed account of what I was involved in in regards to the COVID vaccine. The first psychological barrier is one of fear. And many of us understandably, and I still remember from early on in the pandemic, we were all scared. We did not know what we were dealing with. The issue with fear is that when people and populations are in a state of fear, we are less likely to engage in critical thinking and we are more likely to be compliant. Although COVID was particularly devastating for vulnerable groups in the elderly and I even have managed and still manage people with long COVID, the fear was grossly exaggerated. And one of the examples of that is that when we had good information on the mortality rate of COVID in the United States, one survey in 2020 revealed that 50% of Americans believed that if they caught COVID, the risk of 19 hospitalisation was 50% one and two, when the actual figure, certainly an average for people in middle age, was less than 1%. The second barrier to the truth, which I think is very relevant to the situation we find ourselves in now, is one called willful blindness. This is when human beings, all of us, are vulnerable to this, turn a blind eye to the truth in order to feel safe, avoid conflict, reduce anxiety and to protect prestige and fragile egos. Some examples of this include, on a personal level, willful blindness can occur when a spouse turns a blind eye to the affair of their partner. On an institutional level, some great examples of willful blindness include Hollywood and Harvey Weinstein, the Catholic Church and child molestation. I believe the current situation we find ourselves in, with much of the mainstream narrative and the medical establishment and policy makers not acknowledging quite horrific, serious and common harms from this vaccine, is another example of willful blindness. And I also say this with full empathy, because I was one of those people that was for a very long time, willfully blind to the harms of the COVID vaccine. In January 2021, I was one of the first people to take two doses of the COVID mRNA vaccine because I volunteered in a vaccine centre. I still believe that traditional vaccines are some of the safest amongst all pharmacological interventions in medicine and I could not conceive of any possibility whatsoever of this vaccine causing harm. As a public figure and respected doctor in the UK, I have built relationships across the board with many other public figures, including celebrities and politicians, who often come to me for medical advice. One of those people was film director Gurinder Chadha, who you may be familiar with some of her work, including the movie "Bend It like Beckham", who had asked me whether or not she should take the vaccine and had sent me blogs which I dismissed and regarded as anti vax nonsense. I was then asked to go on good morning, Britain because Gurinder Chadha, the director herself tweeted that I had convinced her to take the vaccine. The main reason for this TV appearance was to help tackle vaccine hesitancy, which was very prominent amongst people from ethnic minority groups in the UK. I made the point on that programme that I understand where vaccine hesitancy was coming from because of the history that I have been involved with over many years in highlighting the shortcomings of pharmaceutical industry influence over medicine. And I even made the point, if I remember correctly, that they have been found guilty of fraud on many occasions, that the third most common cause of death, prepandemic after heart disease and cancer, is prescribed medications. I, however, reassured the public and said that despite these figures, of everything we do in medicine, traditional vaccinations are amongst the safest. I still believe this to be the case. A few months later, in April 2021, I met with a colleague and friend of mine who I regard as one of the brightest cardiologists in the United Kingdom. I was surprised when he told me that he had not taken the COVID vaccine. He explained to me that he had concerns because he had seen in the supplementary appendix of Pfizer's original trial that there were four cardiac arrests in the vaccine group and only one in the placebo. These numbers were small and did not reach statistical significance. So this could be random chance, or his concern was it could represent a signal of problems in the future. And if this was the case, we are going to have a huge problem. He said he'd rather wait and see what happens before taking the vaccine. On July 26, 2021, my father, aged 73, who was a very prominent, well known doctor in the UK, including being the honorary vice president of the British Medical Association and had received honours from the Queen of England with an OBE, suffered an unexpected sudden cardiac arrest. I was particularly devastated by this happening and I was also I find it difficult to understand why my father, who was a fit and well man, I knew his cardiac history and his cardiac status, would suffer a cardiac arrest. But also my initial investigation was to try and understand why there had been a 30 minutes ambulance delay arriving to his apartment. Two weeks later, the deputy chief nurse of NHS England, a government health body, called me up. She was very upset, she knew my father very well and she was crying and she told me, Aseem, there's something I need to tell you. She in effect told me that throughout the country, for the last two months prior to my father's cardiac arrest in most regions of the UK, ambulances were not getting to patients in time for heart attacks and cardiac arrests. And there had been a deliberate, and I will use these words because I mentioned it, I've mentioned it before, a cover up involving the government and the Department of Health to withhold this information from doctors and the public. I worked with an investigative journalist with the I newspaper in the UK to write an article and a news story that became BBC News headlines a few months later, exposing this. Just before I exposed this, I messaged a professor of cardiology who I trust in the UK. He has a leadership role to explain to him what had happened and what I was about to do. I have text message evidence of this. He told me not to do this because it would make me enemies. I explained to him that I had a duty to patients and the public. I'm highlighting this as one example and I'll give you more examples of a cultural problem within medicine. The next part of this story is the post mortem findings of my father. They did not make any sense to me. I am considered a leading expert, maybe in the world, on the development and progression of coronary artery disease. My father had two severe blockages in his coronary arteries. There was no actual evidence of heart attack and likely there was a rhythm disturbance because of reduced blood supply that led to his cardiac arrest. Then in, within the space of a few weeks, around October and November, 3, different sources of information was brought to my attention that made me realise that there was probably a significant problem with the COVID mRNA vaccine. The first in October 2021. I remember I was giving lectures in Stockholm. I was contacted by a journalist with a Times newspaper who reported to me and said, Dr Malhotra, we have reports of an unexplained 25% increase in heart attacks in hospitals in Scotland and asked me what I thought was going on. I explained to her that at that time, with the evidence I knew in my own experience, I said that two likely contributory factors were lockdown stress. We know that when populations undergo severe stress after war, for example, there is an increase in heart attacks and strokes that can last for many years. She asked me whether I thought that there was a contribution. I was surprised when she asked me whether I thought there may be a contribution of the COVID vaccine to these heart attacks. I said to her, a good scientist should never exclude any possibility. But I felt at the time it was unlikely to be related to the COVID vaccine. But we should watch this space and keep our eyes open. A few weeks later, a publication appeared in the Journal Circulation, which is considered the highest impact cardiology journal in the United States that revealed a potentially very strong link between the COVID mRNA vaccines and acceleration in heart attack risk. Very specifically, in several hundred people of middle age, there was a plausible mechanism, by use of inflammatory markers in the blood, that increased the baseline risk of those people having a heart attack in five years, from 11% to 25%, just within two months of having the COVID mRNA vaccines. Of course, this is one bit of data, but even if partially true, that is a huge increase in risk in a very short space of time. And for me now made me think and link back to why my father may have suffered a cardiac arrest six months after having two doses of the vaccine. I remember thinking and speaking to a colleague, that if this was true, then we were going to see an increase in cardiac arrests, heart attacks and excess deaths in heavily vaccinated countries for the next few years. Then within a few weeks, I was called up by a whistleblower at a very prestigious british institution. I will name that institution, which I have not done publicly before as a University of Oxford. This cardiologist explained to me that a group of researchers in his department had accidentally found, through the use of very specialised imaging of the heart, that there was a signal of increased inflammation of the heart arteries, which was there in the vaccinated, but not there in the unvaccinated. The lead researcher of that group had sat down, the juniors, and had said that we are not going to explore these findings any further because it may affect our funding from the pharmaceutical industry. At that point, with these three bits of information, I then felt it was my ethical duty to speak out. And I went on GBNews to talk about what I'd found what I'd heard and I'd asked for the Vaccine Committee of the UK on TV to investigate this, to see whether there was a real problem with the vaccine in relation to heart issues. Around the same time which I found very strange is that the Secretary of State for Health at that stage, who was not Matt Hancock, was Sajid Javid, had announced in parliament that we are going to introduce legislation to ensure that all healthcare workers are mandated to have the COVID vaccine. For me, this, by that stage had no ethical or scientific justification, because certainly after the summer of 2021, it had become very apparent that the COVID mRNA vaccine was not stopping infection and it certainly was not stopping transmission. It was understood that approximately 80,000 NHS workers had refused at this stage to have the COVID vaccine. And now they were threatened with losing their job if by April the following year they had not been fully vaccinated. Many of these people were very concerned and contacted me around that time, I was also conducting many interviews, both through the BBC and Sky News and GBNews in regards to what happened with my father's ambulance delay. And I used it as an opportunity on the mainstream media to call for Sajid Javid, the secretary for health, to U-turn on the introduction of a mandate for healthcare workers based upon the fact that I felt it was not scientific and it was unethical. I also received my own personal backlash from these comments where I was contacted by the Royal College of Physicians who I had an affiliation with, and they asked me to respond to anonymous complaints from doctors that I was spreading, in quotes, antivax disinformation. I felt with my own knowledge and experience of the healthcare system that this was a direct response probably fueled by a combination of willful blindness and institutional corruption. To elaborate a bit further, when I say institutional corruption, I mean that my view was that the complaints were likely being fueled by academics with financial ties to the pharmaceutical industry. I felt very concerned about the potential introduction of the vaccine, well, the vaccine mandate. And therefore I decided there were two things that I decided to do. The first was I made a phone call to the chairman of the British Medical Association in December 2021. I had a good relationship with him and he respected my opinion. And I spent 2 hours on the phone explaining to him everything that I knew up to that stage about my concerns of the COVID mRNA vaccine. He said to me, "Aseem, nobody appears to critically appraise the evidence on the COVID mRNA vaccine as well as you have from our conversation, he said, most of my colleagues are getting their information on the benefits and harms of the vaccine from the BBC". This was replicated by the former chair of the CDC in the United States, Rochelle Walensky, who in an interview later on had said that her initial optimism of the vaccine benefits came from CNN News report. I say this just to emphasise that we should all accept our vulnerabilities to where we receive health information. Even doctors, policymakers, judges and lawyers are all influenced on the public massively by mainstream media. The chairman of the BMA also agreed with me. There was no ethical or scientific justification for mandating the COVID vaccine. He said the BMA also did not support it. And he said because of my conversation with him, he would speak directly to the secretary for health, Sajid Javid. One month later, at the end of January 2022, the COVID vaccine mandate for healthcare workers was overturned. I at that stage, given the fact that there was some backlash happening towards me, I realised that because this is a very big issue and area, and not my initial area of expertise, I needed to carry out my own critical analysis of the COVID mRNA vaccines. I spent six to nine months critically appraising the data, including speaking to two Pfizer whistleblowers, three investigative medical journalists and eminent scientists from the University of Oxford, Stanford and Harvard. The most critical bit, the most critical research that was published on this issue, which I think the whole court should acknowledge in August 2022, was published in the journal Vaccine. That research was conducted by some of the world's top independent of drug industry influence academics. That research, we was able to reanalyze the original randomised control trials conducted by Pfizer and Moderna. They were able to do this because new information was made available on the FDA's website and Health Canada's website. The conclusions of that paper were really very disturbing. The original trials that led to the drug regulatory approval of these vaccines revealed that you were more likely to suffer serious harm from taking the vaccine, specifically hospitalisation, life changing event or disability, than you were to be hospitalised with COVID That rate of harm at two months was very high at 1 in 800. Just to give you some perspective, historically we have suspended other vaccines for much less. In 1976, the swine flu vaccine was pulled because it was found to cause a neurological syndrome called Guillain-Barre syndrome In one in 100,000 people. In 1999, the rotavirus vaccine was suspended because it was found to cause a form of bowel obstruction in children affecting 1 in 10,000. This was 1 in 800. In my view, it was very clear that given this information, published in the highest impact Vaccine journal in the world, peer reviewed, and has not had any significant rebuttals, that this vaccine now, in my view, should never have been approved for use in a single human being in the first place. In my view, this very important court case in some ways, actually is a distraction from the much bigger issue, which is there should be court cases around the world with a full inquiry into the pharmaceutical industry and an inquiry as to how we got this so very wrong. Of course, one could argue this is just one bit of research, but actually, unfortunately, there are different, many different strands of research that are showing a signal of considerable and common serious harm from these vaccines. From pharmacovigilance data that is reporting what we call yellow card reports from the public. We have plausible biological mechanism of harm. We have other research called observational data. We have autopsy data also confirming that certainly with the majority of people who died within a short space of time of having the vaccine in relation to the heart, was definitively caused by the vaccine. This is really a very, very, very horrific situation we find ourselves in. One would hope and expect that the regulators should be independently evaluating all medications. But of course, the evidence reveals this is far from true. There was an investigation by the BMJ, also published in the summer of 2022, which revealed that most of the major regulators across the world were taking most of their money from the drug industry. For example, the MHRA in the UK receives 86% of its funding from the drug industry, and the FDA in America receives 65% of its funding from the drug industry, A fact that most doctors do not know. And therefore, I would not expect members of the court to know this either, is that very, very rarely do drug industry sponsored research get independently evaluated. Clinical trial data can often involve thousands of pages of information on individual patients. The drug companies hold onto that raw data. They then give summary results to the regulator, who are then paying, who have an incentive to approve the drugs, and the drugs are then approved. I made these points in my peer reviewed article published in the Journal of Insulin Resistance in September 2022, where I concluded that we should pause and investigate the issue around the COVID mRNA vaccines. I have since then been campaigning and advocating for a return to ethical evidence based medical practise around the world. Some of the clear solutions moving forward would be changes in the law that are required so that patients, doctors, members of the public can have greater confidence in the information they receive to make decisions about their health. Two very clear, low hanging fruit solutions, which are both ethical, scientific and democratic, would be that the drug industry should be allowed to develop drugs, but they shouldn't be allowed to test them themselves. And they certainly shouldn't be allowed to design their own research to and hold onto the raw data. Their information needs to be independently evaluated. One other clear solution would also be that the medical regulators, again, should not be taking any money from the industry, as this is a gross conflict of interest. I also want to highlight for people to understand the bigger picture. Prior to the pandemic, I had realised that there was a big problem with the reliability of clinical research, where invariably the results of clinical trials on all drugs sponsored by the drug industry, grossly exaggerate their safety and benefits. I have taken this information to the European Parliament, where I spoke in 2019, and I spoke to very senior politicians in the UK government. But although they were sympathetic, they felt that the issue was much bigger than them as individuals, and therefore it also needed media attention to get public awareness on the importance of such an inquiry. Before we continue with further questions, as I've been speaking for quite a long time now I'll just finish with two references just for the court and the judges to understand just how bad this problem is. Prepandemic the man who I call the Stephen Hawking of medicine is Professor John Ioannidis from the University of Stanford. The reason I call him the Stephen Hawking of Medicine is he's the most cited medical researcher in the world and is a mathematical genius. In 2006, he published a paper which was entitled why most published research findings are false. In that paper, he makes a point that the greater the financial interests in a given field, the less likely the research findings are to be true. I say this in context of the Pfizer mRNA vaccine which has made the company $100 billion. The other point that he makes in a further paper in 2017 is, again, the reason the system continues as it is is most doctors are unaware of the information they receive when they make clinical decisions has been corrupted by commercial influence. The other credible name I will mention is the editor of the Lancet, Richard Horton, who I personally know. In 2015, he wrote an article in the Lancet in relation to a secret meeting that had taken place with himself and some of the world's top medical academics. In that, he wrote that possibly half of the medical published literature may simply be untrue. And he said that science has taken a turn towards darkness. But who's going to take the first step to clean up the system? I believe in this case and in this court today, this is going to be a very pivotal potential moment in history for that first step. ---------------------- Dr Aseem Malhotra H/T: Tiina Keskimäki 🇫🇮
29:17

BOOM!!! 💥💥💥 Dr. Aseem Malhotra's testimony was delivered in the Helsinski District Court on April 12, 2024, with the understanding that any deviation from the truth would constitute perjury. This clip was immediately banned by YouTube so please share widely. I've trimmed the clip, removing the interpreter's segment for a smoother listening experience. Here's the first hour of the testimony. ---------------------------------- My name is Doctor Aseem Malhotra. I am a consultant cardiologist. I've been a qualified doctor since 2001. I have held various roles both in academic health policy. In England, in the United Kingdom, and of the various roles, I won't bore you with all the details. I think three of the most relevant and prominent are the fact that I was an ambassador for the Academy of Medical Royal Colleges for six years, which represented every doctor in the UK. I served a full term of six years as a trustee of the King's fund. I was the youngest member to be appointed to this body which advises government on health policy. I was a founding member of Action on Sugar and a first science director. And through that role I'm considered the lead campaigner on bringing about a sugary drinks tax in the UK. And also, finally I served for five years as visiting professor of evidence based medicine at the Bahiana School of Medicine in Salvador, Brazil. In early 2020, at the beginning of the pandemic I was most vocal doctor on the mainstream, making the link very early on between COVID and those who are vulnerable to suffering serious complications from COVID In fact, in March 2020, I was asked to go on Sky News to explain my initial research findings of the link between especially obesity and COVID, but also to give people an opportunity and to suggest to the government this was a great time for them to implement public health policy to help people enhance or optimise their immune system, which could happen within just a few weeks of dietary changes and optimising vitamin D. This was later also backed up by medical journal publications a few months later. And I was first to mention on the back of an article I published in the Daily Telegraph newspaper, which became a front page commentary and was picked up by BBC News and Good Morning Britain, where I had said that it's likely our prime minister, Boris Johnson, was hospitalised because of his weight. As a result of that, the then secretary for health, Matt Hancock, and this was publicised in the news, had asked me to advise him on the link between COVID and obesity. ...before I explain my journey and in many ways U-turn on my understanding in terms of the benefits and harms of the COVID vaccine, my experience in this area over the last couple of years has made me realise more than ever that even for that the greatest barrier to the truth are not factual or intellectual barriers, but psychological. I think all of us as human beings are vulnerable to these psychological barriers and we should have compassion for ourselves. And I will just very briefly summarise those three psychological barriers before I get into my detailed account of what I was involved in in regards to the COVID vaccine. The first psychological barrier is one of fear. And many of us understandably, and I still remember from early on in the pandemic, we were all scared. We did not know what we were dealing with. The issue with fear is that when people and populations are in a state of fear, we are less likely to engage in critical thinking and we are more likely to be compliant. Although COVID was particularly devastating for vulnerable groups in the elderly and I even have managed and still manage people with long COVID, the fear was grossly exaggerated. And one of the examples of that is that when we had good information on the mortality rate of COVID in the United States, one survey in 2020 revealed that 50% of Americans believed that if they caught COVID, the risk of 19 hospitalisation was 50% one and two, when the actual figure, certainly an average for people in middle age, was less than 1%. The second barrier to the truth, which I think is very relevant to the situation we find ourselves in now, is one called willful blindness. This is when human beings, all of us, are vulnerable to this, turn a blind eye to the truth in order to feel safe, avoid conflict, reduce anxiety and to protect prestige and fragile egos. Some examples of this include, on a personal level, willful blindness can occur when a spouse turns a blind eye to the affair of their partner. On an institutional level, some great examples of willful blindness include Hollywood and Harvey Weinstein, the Catholic Church and child molestation. I believe the current situation we find ourselves in, with much of the mainstream narrative and the medical establishment and policy makers not acknowledging quite horrific, serious and common harms from this vaccine, is another example of willful blindness. And I also say this with full empathy, because I was one of those people that was for a very long time, willfully blind to the harms of the COVID vaccine. In January 2021, I was one of the first people to take two doses of the COVID mRNA vaccine because I volunteered in a vaccine centre. I still believe that traditional vaccines are some of the safest amongst all pharmacological interventions in medicine and I could not conceive of any possibility whatsoever of this vaccine causing harm. As a public figure and respected doctor in the UK, I have built relationships across the board with many other public figures, including celebrities and politicians, who often come to me for medical advice. One of those people was film director Gurinder Chadha, who you may be familiar with some of her work, including the movie "Bend It like Beckham", who had asked me whether or not she should take the vaccine and had sent me blogs which I dismissed and regarded as anti vax nonsense. I was then asked to go on good morning, Britain because Gurinder Chadha, the director herself tweeted that I had convinced her to take the vaccine. The main reason for this TV appearance was to help tackle vaccine hesitancy, which was very prominent amongst people from ethnic minority groups in the UK. I made the point on that programme that I understand where vaccine hesitancy was coming from because of the history that I have been involved with over many years in highlighting the shortcomings of pharmaceutical industry influence over medicine. And I even made the point, if I remember correctly, that they have been found guilty of fraud on many occasions, that the third most common cause of death, prepandemic after heart disease and cancer, is prescribed medications. I, however, reassured the public and said that despite these figures, of everything we do in medicine, traditional vaccinations are amongst the safest. I still believe this to be the case. A few months later, in April 2021, I met with a colleague and friend of mine who I regard as one of the brightest cardiologists in the United Kingdom. I was surprised when he told me that he had not taken the COVID vaccine. He explained to me that he had concerns because he had seen in the supplementary appendix of Pfizer's original trial that there were four cardiac arrests in the vaccine group and only one in the placebo. These numbers were small and did not reach statistical significance. So this could be random chance, or his concern was it could represent a signal of problems in the future. And if this was the case, we are going to have a huge problem. He said he'd rather wait and see what happens before taking the vaccine. On July 26, 2021, my father, aged 73, who was a very prominent, well known doctor in the UK, including being the honorary vice president of the British Medical Association and had received honours from the Queen of England with an OBE, suffered an unexpected sudden cardiac arrest. I was particularly devastated by this happening and I was also I find it difficult to understand why my father, who was a fit and well man, I knew his cardiac history and his cardiac status, would suffer a cardiac arrest. But also my initial investigation was to try and understand why there had been a 30 minutes ambulance delay arriving to his apartment. Two weeks later, the deputy chief nurse of NHS England, a government health body, called me up. She was very upset, she knew my father very well and she was crying and she told me, Aseem, there's something I need to tell you. She in effect told me that throughout the country, for the last two months prior to my father's cardiac arrest in most regions of the UK, ambulances were not getting to patients in time for heart attacks and cardiac arrests. And there had been a deliberate, and I will use these words because I mentioned it, I've mentioned it before, a cover up involving the government and the Department of Health to withhold this information from doctors and the public. I worked with an investigative journalist with the I newspaper in the UK to write an article and a news story that became BBC News headlines a few months later, exposing this. Just before I exposed this, I messaged a professor of cardiology who I trust in the UK. He has a leadership role to explain to him what had happened and what I was about to do. I have text message evidence of this. He told me not to do this because it would make me enemies. I explained to him that I had a duty to patients and the public. I'm highlighting this as one example and I'll give you more examples of a cultural problem within medicine. The next part of this story is the post mortem findings of my father. They did not make any sense to me. I am considered a leading expert, maybe in the world, on the development and progression of coronary artery disease. My father had two severe blockages in his coronary arteries. There was no actual evidence of heart attack and likely there was a rhythm disturbance because of reduced blood supply that led to his cardiac arrest. Then in, within the space of a few weeks, around October and November, 3, different sources of information was brought to my attention that made me realise that there was probably a significant problem with the COVID mRNA vaccine. The first in October 2021. I remember I was giving lectures in Stockholm. I was contacted by a journalist with a Times newspaper who reported to me and said, Dr Malhotra, we have reports of an unexplained 25% increase in heart attacks in hospitals in Scotland and asked me what I thought was going on. I explained to her that at that time, with the evidence I knew in my own experience, I said that two likely contributory factors were lockdown stress. We know that when populations undergo severe stress after war, for example, there is an increase in heart attacks and strokes that can last for many years. She asked me whether I thought that there was a contribution. I was surprised when she asked me whether I thought there may be a contribution of the COVID vaccine to these heart attacks. I said to her, a good scientist should never exclude any possibility. But I felt at the time it was unlikely to be related to the COVID vaccine. But we should watch this space and keep our eyes open. A few weeks later, a publication appeared in the Journal Circulation, which is considered the highest impact cardiology journal in the United States that revealed a potentially very strong link between the COVID mRNA vaccines and acceleration in heart attack risk. Very specifically, in several hundred people of middle age, there was a plausible mechanism, by use of inflammatory markers in the blood, that increased the baseline risk of those people having a heart attack in five years, from 11% to 25%, just within two months of having the COVID mRNA vaccines. Of course, this is one bit of data, but even if partially true, that is a huge increase in risk in a very short space of time. And for me now made me think and link back to why my father may have suffered a cardiac arrest six months after having two doses of the vaccine. I remember thinking and speaking to a colleague, that if this was true, then we were going to see an increase in cardiac arrests, heart attacks and excess deaths in heavily vaccinated countries for the next few years. Then within a few weeks, I was called up by a whistleblower at a very prestigious british institution. I will name that institution, which I have not done publicly before as a University of Oxford. This cardiologist explained to me that a group of researchers in his department had accidentally found, through the use of very specialised imaging of the heart, that there was a signal of increased inflammation of the heart arteries, which was there in the vaccinated, but not there in the unvaccinated. The lead researcher of that group had sat down, the juniors, and had said that we are not going to explore these findings any further because it may affect our funding from the pharmaceutical industry. At that point, with these three bits of information, I then felt it was my ethical duty to speak out. And I went on GBNews to talk about what I'd found what I'd heard and I'd asked for the Vaccine Committee of the UK on TV to investigate this, to see whether there was a real problem with the vaccine in relation to heart issues. Around the same time which I found very strange is that the Secretary of State for Health at that stage, who was not Matt Hancock, was Sajid Javid, had announced in parliament that we are going to introduce legislation to ensure that all healthcare workers are mandated to have the COVID vaccine. For me, this, by that stage had no ethical or scientific justification, because certainly after the summer of 2021, it had become very apparent that the COVID mRNA vaccine was not stopping infection and it certainly was not stopping transmission. It was understood that approximately 80,000 NHS workers had refused at this stage to have the COVID vaccine. And now they were threatened with losing their job if by April the following year they had not been fully vaccinated. Many of these people were very concerned and contacted me around that time, I was also conducting many interviews, both through the BBC and Sky News and GBNews in regards to what happened with my father's ambulance delay. And I used it as an opportunity on the mainstream media to call for Sajid Javid, the secretary for health, to U-turn on the introduction of a mandate for healthcare workers based upon the fact that I felt it was not scientific and it was unethical. I also received my own personal backlash from these comments where I was contacted by the Royal College of Physicians who I had an affiliation with, and they asked me to respond to anonymous complaints from doctors that I was spreading, in quotes, antivax disinformation. I felt with my own knowledge and experience of the healthcare system that this was a direct response probably fueled by a combination of willful blindness and institutional corruption. To elaborate a bit further, when I say institutional corruption, I mean that my view was that the complaints were likely being fueled by academics with financial ties to the pharmaceutical industry. I felt very concerned about the potential introduction of the vaccine, well, the vaccine mandate. And therefore I decided there were two things that I decided to do. The first was I made a phone call to the chairman of the British Medical Association in December 2021. I had a good relationship with him and he respected my opinion. And I spent 2 hours on the phone explaining to him everything that I knew up to that stage about my concerns of the COVID mRNA vaccine. He said to me, "Aseem, nobody appears to critically appraise the evidence on the COVID mRNA vaccine as well as you have from our conversation, he said, most of my colleagues are getting their information on the benefits and harms of the vaccine from the BBC". This was replicated by the former chair of the CDC in the United States, Rochelle Walensky, who in an interview later on had said that her initial optimism of the vaccine benefits came from CNN News report. I say this just to emphasise that we should all accept our vulnerabilities to where we receive health information. Even doctors, policymakers, judges and lawyers are all influenced on the public massively by mainstream media. The chairman of the BMA also agreed with me. There was no ethical or scientific justification for mandating the COVID vaccine. He said the BMA also did not support it. And he said because of my conversation with him, he would speak directly to the secretary for health, Sajid Javid. One month later, at the end of January 2022, the COVID vaccine mandate for healthcare workers was overturned. I at that stage, given the fact that there was some backlash happening towards me, I realised that because this is a very big issue and area, and not my initial area of expertise, I needed to carry out my own critical analysis of the COVID mRNA vaccines. I spent six to nine months critically appraising the data, including speaking to two Pfizer whistleblowers, three investigative medical journalists and eminent scientists from the University of Oxford, Stanford and Harvard. The most critical bit, the most critical research that was published on this issue, which I think the whole court should acknowledge in August 2022, was published in the journal Vaccine. That research was conducted by some of the world's top independent of drug industry influence academics. That research, we was able to reanalyze the original randomised control trials conducted by Pfizer and Moderna. They were able to do this because new information was made available on the FDA's website and Health Canada's website. The conclusions of that paper were really very disturbing. The original trials that led to the drug regulatory approval of these vaccines revealed that you were more likely to suffer serious harm from taking the vaccine, specifically hospitalisation, life changing event or disability, than you were to be hospitalised with COVID That rate of harm at two months was very high at 1 in 800. Just to give you some perspective, historically we have suspended other vaccines for much less. In 1976, the swine flu vaccine was pulled because it was found to cause a neurological syndrome called Guillain-Barre syndrome In one in 100,000 people. In 1999, the rotavirus vaccine was suspended because it was found to cause a form of bowel obstruction in children affecting 1 in 10,000. This was 1 in 800. In my view, it was very clear that given this information, published in the highest impact Vaccine journal in the world, peer reviewed, and has not had any significant rebuttals, that this vaccine now, in my view, should never have been approved for use in a single human being in the first place. In my view, this very important court case in some ways, actually is a distraction from the much bigger issue, which is there should be court cases around the world with a full inquiry into the pharmaceutical industry and an inquiry as to how we got this so very wrong. Of course, one could argue this is just one bit of research, but actually, unfortunately, there are different, many different strands of research that are showing a signal of considerable and common serious harm from these vaccines. From pharmacovigilance data that is reporting what we call yellow card reports from the public. We have plausible biological mechanism of harm. We have other research called observational data. We have autopsy data also confirming that certainly with the majority of people who died within a short space of time of having the vaccine in relation to the heart, was definitively caused by the vaccine. This is really a very, very, very horrific situation we find ourselves in. One would hope and expect that the regulators should be independently evaluating all medications. But of course, the evidence reveals this is far from true. There was an investigation by the BMJ, also published in the summer of 2022, which revealed that most of the major regulators across the world were taking most of their money from the drug industry. For example, the MHRA in the UK receives 86% of its funding from the drug industry, and the FDA in America receives 65% of its funding from the drug industry, A fact that most doctors do not know. And therefore, I would not expect members of the court to know this either, is that very, very rarely do drug industry sponsored research get independently evaluated. Clinical trial data can often involve thousands of pages of information on individual patients. The drug companies hold onto that raw data. They then give summary results to the regulator, who are then paying, who have an incentive to approve the drugs, and the drugs are then approved. I made these points in my peer reviewed article published in the Journal of Insulin Resistance in September 2022, where I concluded that we should pause and investigate the issue around the COVID mRNA vaccines. I have since then been campaigning and advocating for a return to ethical evidence based medical practise around the world. Some of the clear solutions moving forward would be changes in the law that are required so that patients, doctors, members of the public can have greater confidence in the information they receive to make decisions about their health. Two very clear, low hanging fruit solutions, which are both ethical, scientific and democratic, would be that the drug industry should be allowed to develop drugs, but they shouldn't be allowed to test them themselves. And they certainly shouldn't be allowed to design their own research to and hold onto the raw data. Their information needs to be independently evaluated. One other clear solution would also be that the medical regulators, again, should not be taking any money from the industry, as this is a gross conflict of interest. I also want to highlight for people to understand the bigger picture. Prior to the pandemic, I had realised that there was a big problem with the reliability of clinical research, where invariably the results of clinical trials on all drugs sponsored by the drug industry, grossly exaggerate their safety and benefits. I have taken this information to the European Parliament, where I spoke in 2019, and I spoke to very senior politicians in the UK government. But although they were sympathetic, they felt that the issue was much bigger than them as individuals, and therefore it also needed media attention to get public awareness on the importance of such an inquiry. Before we continue with further questions, as I've been speaking for quite a long time now I'll just finish with two references just for the court and the judges to understand just how bad this problem is. Prepandemic the man who I call the Stephen Hawking of medicine is Professor John Ioannidis from the University of Stanford. The reason I call him the Stephen Hawking of Medicine is he's the most cited medical researcher in the world and is a mathematical genius. In 2006, he published a paper which was entitled why most published research findings are false. In that paper, he makes a point that the greater the financial interests in a given field, the less likely the research findings are to be true. I say this in context of the Pfizer mRNA vaccine which has made the company $100 billion. The other point that he makes in a further paper in 2017 is, again, the reason the system continues as it is is most doctors are unaware of the information they receive when they make clinical decisions has been corrupted by commercial influence. The other credible name I will mention is the editor of the Lancet, Richard Horton, who I personally know. In 2015, he wrote an article in the Lancet in relation to a secret meeting that had taken place with himself and some of the world's top medical academics. In that, he wrote that possibly half of the medical published literature may simply be untrue. And he said that science has taken a turn towards darkness. But who's going to take the first step to clean up the system? I believe in this case and in this court today, this is going to be a very pivotal potential moment in history for that first step. ---------------------- Dr Aseem Malhotra H/T: Tiina Keskimäki 🇫🇮

aussie17

799,172 次观看 • 2 年前

🚨 EXTREMELY ALARMING: DARPA'S N3 PROGRAM, Non Surgical Mind Reading, Brain Control, and The END of Free Thought as WE Know it! 🚨 This is NOT conspiracy. This is DOCUMENTED, FUNDED and Operational Reality. DARPA Official N3 Program Page: DARPA 2019 Announcement of N3 Funding to Six Teams: From the original 1950s-1970s RF experiments, through MKULTRA continuations, to today's nanoscale neurogenetic weapons systems. I hold the full map. What follows is the complete exposure, every player, every technology, every intent, every lie, and every question the world must answer BEFORE IT'S TOO LATE! DARPA's N3 (Next-Generation Nonsurgical Neurotechnology) Program: Launched 2018, Still Active in Outcomes In 2018, DARPA publicly announced N3: high-performance, bidirectional brain-machine interfaces for able-bodied service members (and beyond) that require no surgery. Goals: read/write to 16+ independent channels in a 16mm³ brain volume in under 50 milliseconds. Sub-millimeter spatial and temporal precision rivaling implanted electrodes, but wearable, portable, and scalable to populations. Technologies explicitly pursued (per DARPA and funded teams): - Neurogenetics: Genetically engineering neurons to express light-sensitive proteins (optogenetics) for infrared or light-based control. - Nanoscale engineering: Nanotransducers, nanoparticles, aerosolized nanomaterials that cross the blood-brain barrier when inhaled or injected non-surgically. These act as implantable electrodes/sensors/transmitters without scalpels. - Infrared sensing & light: Near-infrared beams to read/write neural activity through skull/scalp. - Ultrasound & acoustics: Focused ultrasound to guide signals or stimulate neurons. - Electromagnetics & RF: Pulsed fields for non-invasive modulation. - Minutely invasive track: Temporary nano-transducers delivered without surgery. Funded teams (2019, millions each): - Battelle Memorial Institute - Carnegie Mellon University (Pulkit Grover et al., $19M+) - Johns Hopkins University Applied Physics Lab - Palo Alto Research Center (PARC) - Rice University - Teledyne Scientific These are not fringe labs. These are core defense contractors and elite universities building the future of thought-controlled drones, instant team cognition, "active cyber defense" via brain links, and unstated population scale neural influence. The Video You Just Watched Ties Directly In: Historical RF/microwave mind control research (Moscow Signal era) showing decades of precedent. The U.S. Embassy in Moscow was irradiated with microwaves 1953-1976. Result: cancers, blood disorders, neurological issues in ambassadors and staff. U.S. responded with its own programs (PANDORA, BIZARRE) exploring behavioral effects of modulated RF. This is the foundation N3 builds upon... now refined to nanoscale precision. From MKULTRA to N3 and Beyond: - 1950s-1970s: CIA MKULTRA, OPERATION ARTICHOKE - LSD, hypnosis, electroshock, sensory deprivation on unwitting citizens. Parallel DoD RF studies on embassy staff and primates. - Moscow Signal: Soviets beamed microwaves at U.S. diplomats. U.S. studied effects secretly while developing countermeasures/weapons. - 1980s-2000s: Continued classified neuro-weapons research (memory modulation, crowd control via EM). - 2010s-Now: N3 + related programs (INI - Intelligent Neural Interfaces, NESD, SUBNETS, etc.). Public "for soldiers" framing hides dual-use: offensive neurowarfare, surveillance, behavioral modification. Key Players Exposed: - DARPA Biological Technologies Office - Architects. - Program Managers: like Al Emondi (N3). - Advisers like Dr. James Giordano (public admissions on nanoscale brain disruption as weapons). - Contractors: Battelle, Teledyne, PARC (Xerox), universities weaponizing academia. - Overarching: U.S. DoD, with likely Five Eyes/ international partners. Private sector bleed-over (Neuralink et al. are the civilian cover story). This is not "for veterans" or "helping paralyzed people." Primary focus: able-bodied warfighters for superhuman command of swarms, instant intel fusion, thought-speed hacking. Civilian applications = total surveillance/control. Nanoparticles can be aerosolized; breathed in unknowingly. They lodge in brain tissue and turn neurons into transceivers. Infrared/light can then read thoughts in real-time or write commands (insert images, emotions, "voices," behavioral urges). Combine with 5G/6G terahertz networks for remote activation. Genetic edits make brains "compatible" at population scale. This enables: - Remote mind reading (thought surveillance). - Behavior modification without consent. - "Havana Syndrome" on steroids... targeted neurological disruption. - End of privacy of thought. End of free will as we define it, as professed by Yuval Noah Harari at the World Economic Forum (WEF). - Weaponized neuroscience: neurowarfare where enemies "decide" to surrender via neural influence. WE NEED to be Demanding Answers for RIGHT NOW, or You, Your Children, Loved Ones, Friends, Family, you name it... Will not exist in the next 3-5 years, this is OPEN GENOCIDE on populations globally. The Georgia guidestones are starting to make a bit more sense now arent they? I won't even bother diving down the rabbit hole of how the real true genuine numbed of souls in this world was around the 730m, about 2 years ago... So that number is now much likely to be closer to around 660m. They are speeding up their human eradication plans, because they don't wish to be held accountable for their heinous, generational, outright satanic crimes that they have committed, are committing and will continue to commit to... If we fail to awaken to what is happening around us, and if we fail to stand together with courage, discernment, and unity, we risk surrendering the future of our species to forces that thrive on division, distraction, and indifference. This is not a work of fiction. This is not a screenplay. This is not a distant possibility reserved for some imagined future. This is REAL LIFE. AND THESE ARE REAL PEOPLE that are affected by the systems, institutions, incentives, and decisions that shape the world around us every single day. Throughout history, countless men, women, and children have suffered under structures that viewed human beings not as sacred and sovereign individuals, but as resources to be managed, exploited, controlled, or discarded. The question before us is whether we will remain passive observers, or whether we will choose to become informed, engaged, and united in defense of human dignity, freedom, and the future we leave to those who come after us. The time to pay attention is NOW! When did N3 achieve operational capability? 2020s? Earlier in black programs? How many citizens worldwide have already received nanotransducers via vaccines, aerosols, food/water, or "shedding"? Which governments/contractors are deploying this against their own populations for "social control"? Why the secrecy if it's purely benevolent? Giordano and others have admitted weaponization potential, What if the greatest illusion ever sold was not a product, a policy, or a political movement, but the belief that power is fully accountable to the people it governs? We are told that rights are sacred. We are told that laws apply equally to all. We are told that institutions exist to protect the public. Yet throughout history, countless examples reveal a different reality. Those entrusted with authority have often violated the very principles they were sworn to uphold. Too often, power protects itself. Too often, wealth purchases influence. Too often, those responsible for the consequences of their decisions remain insulated from the suffering those decisions create. This is not a condemnation of every individual within every institution. It is an observation about a recurring pattern throughout human history. When power becomes concentrated, accountability diminishes and when accountability diminishes, corruption flourishes. The challenge before humanity is not merely to replace one group with another... It is to create a society in which truth matters more than propaganda, principles matter more than profit, and human dignity matters more than power. A free society cannot survive on blind trust alone. It requires informed citizens willing to question, investigate, challenge authority, and hold every institution to the standards it claims to represent. The future belongs to those who refuse to surrender their capacity for independent thought. WE MUST EDUCATE OURSELVES. There comes a moment in every human life when the identities we have inherited, the assumptions we have accepted, and the countless narratives imposed upon us by family, culture, institutions, and society begin to reveal themselves as incomplete representations of who we truly are. At that moment, a choice presents itself... We may continue moving through life according to expectations that were handed to us by others, or we may begin the far more demanding process of discovering what remains when every borrowed certainty is stripped away. Approach God with complete honesty and without reservation. Abandon the need to appear strong, knowledgeable, spiritually accomplished, or self-sufficient. Speak openly of your confusion, your failures, your fears, your doubts, your exhaustion, your grief, your shortcomings, and your deepest questions. Acknowledge that despite all of humanity's achievements, despite all accumulated knowledge, despite every title, accomplishment, possession, and ambition, there remain mysteries that cannot be conquered through intellect alone... Admit where your own understanding has reached its limits and ask sincerely for wisdom beyond yourself. Then withdraw from distraction and remain present long enough to listen. The modern world has become extraordinarily skilled at monopolizing attention, filling every moment with noise, stimulation, entertainment, conflict, urgency, and endless streams of information that leave little room for contemplation. Yet beneath that noise exists a depth that can only be encountered through stillness. It is often within periods of silence, reflection, prayer, and sincere self-examination that many discover insights, convictions, direction, and understanding that could never have emerged amid constant distraction. What answers arrive may not always come as words. They may arrive as conviction, clarity, intuition, compassion, understanding, or an unmistakable awareness of the next step that must be taken. Understand that you have not become the person you are by accident. Every hardship you have endured has contributed to your formation. Every disappointment has shaped your perspective. Every loss has expanded your capacity for empathy. Every mistake has carried a lesson. Every success has revealed something about your character. Every betrayal, every setback, every period of loneliness, every moment of despair, every obstacle that seemed impossible to overcome, and every occasion upon which life reduced you to your lowest point has participated in the continual process of your becoming. Nothing has been wasted. If you are willing, release the assumptions that have convinced humanity that the sacred must always remain distant, unreachable, and separated from daily existence. Release the belief that truth belongs exclusively to institutions, authorities, hierarchies, or those who claim unique access to the divine. Release the notion that the presence of God is confined to specific locations, specific rituals, specific traditions, or specific individuals. Instead, consider the possibility that the divine presence permeates existence itself, expressing through every dimension of creation, through every act of compassion, through every sincere pursuit of truth, through every expression of love, through every lesson hidden within suffering, and through every living thing that has ever participated in the unfolding story of life. Consider the possibility that God is Not absent from the Human experience but Intimately Present within it, experiencing existence alongside US, sharing in Every Joy, Every sorrow, Every triumph, Every wound, Every question, and Every struggle that has accompanied Humanity from the beginning of recorded history until this present moment. The task before US is therefore Not merely to believe more deeply, but to seek more Honestly, to learn more diligently, to question more courageously, to listen more carefully, to Love More Completely, and to become ever more Aligned with the highest truth we are capable of perceiving. Accept Nothing Less than the Fullest Realization of the purpose for which You were created, and devote Yourself to that pursuit with every faculty of mind, Heart, and Soul that has been entrusted to You. and DO NOTHING LESS. Furthermore, What is the full integration with AI (predictive neural control loops)? How do we detect and neutralize these systems in ourselves and Loved ones? Who ultimately controls the master kill-switch on global neural networks? If thoughts are readable/writable, what remains of "human rights"? Are you already affected? How would you even know? Continue through the comprehensive thread below and explore the interconnected material in its entirety. Each post serves as part of a larger body of research, analysis, observations, and supporting information that cannot be fully understood in isolation. The broader picture emerges only through careful examination of the complete sequence and the relationships between the ideas presented throughout. Take your time. Follow the references. Examine the evidence. Consider competing perspectives. Draw your own conclusions. The deeper you venture into the material, the more context becomes available, allowing individual pieces of information to connect into a far more expansive understanding of the subjects being discussed. This Constitutes Crimes Against Humanity on a Planetary Scale! The desecration of the sovereign mind... the last true sanctuary. SHARE THIS THREAD RELENTLESSLY. Demand full declassification of N3 and all neurotech programs... IMMEDIATELY! Support independent researchers exposing dual-use Psinergy-solafide. Protect your mind: minimize EM exposure, detox protocols (research zeolite, saunas, etc. though incomplete), awareness as first defense, = Cures to cancer and all diseases, FREE BOOKS. The era of invisible tyranny is here. They can read your mind. And they can change it. Will you let them? Or do we rise as sovereign consciousness and shut this down NOW? Check my Page or Reach out to me via DM, to Join Thousands of Readers that have already chosen to Embark on the New, Un-forseen way forward. Get yourself a FREE copy of The Book of God's Grief, and The Book of God's Joy, Repost. Research. Resist. The Future of Humanity Depends on it. Related content for you to look in to: - CMU Team: - Historical Moscow/RF: Search declassified archives on PANDORA project. - Giordano clips and papers widely available. Let me know what you think, and SHARE THIS so that others may too! And if You see This post, Reposted... Click on it, Unpost and then Repost again. The knowledge is now yours. Use it. And if you're not already following Noah B. Price... What the heck are you doing?! I Agape You ALL, 🫂 - Noah B. Price 🤍 🪽 If you possess relevant information, research, documentation, personal experiences, data, or credible sources relating to any of the subjects discussed throughout this thread, please feel free to contribute them. Meaningful progress is often achieved through the collective sharing of knowledge, and thoughtful contributions from others can help expand, refine, challenge, or strengthen our understanding of complex issues. Likewise, if you ever find yourself in need of someone to speak with, whether regarding the material presented here or for any other reason, please do not hesitate to reach out. While I cannot promise an immediate response, I will do my best to reply as soon as circumstances permit and to offer whatever guidance, perspective, or assistance I am able to provide. If You or someone You know is facing significant health challenges, including serious illnesses such as cancer, You are also welcome to reach out. While I do not claim to possess all the answers, I have spent the past 2 decades studying a broad range of subjects related to health, wellness, research, and human biology, and I will gladly share any information, resources, or avenues of investigation that may be worthy of further exploration. No one is meant to carry every burden alone, and there is often value in sharing knowledge, experiences, and perspectives in the sincere hope of helping one another move toward greater understanding, healing, and well-being.
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🚨 EXTREMELY ALARMING: DARPA'S N3 PROGRAM, Non Surgical Mind Reading, Brain Control, and The END of Free Thought as WE Know it! 🚨 This is NOT conspiracy. This is DOCUMENTED, FUNDED and Operational Reality. DARPA Official N3 Program Page: DARPA 2019 Announcement of N3 Funding to Six Teams: From the original 1950s-1970s RF experiments, through MKULTRA continuations, to today's nanoscale neurogenetic weapons systems. I hold the full map. What follows is the complete exposure, every player, every technology, every intent, every lie, and every question the world must answer BEFORE IT'S TOO LATE! DARPA's N3 (Next-Generation Nonsurgical Neurotechnology) Program: Launched 2018, Still Active in Outcomes In 2018, DARPA publicly announced N3: high-performance, bidirectional brain-machine interfaces for able-bodied service members (and beyond) that require no surgery. Goals: read/write to 16+ independent channels in a 16mm³ brain volume in under 50 milliseconds. Sub-millimeter spatial and temporal precision rivaling implanted electrodes, but wearable, portable, and scalable to populations. Technologies explicitly pursued (per DARPA and funded teams): - Neurogenetics: Genetically engineering neurons to express light-sensitive proteins (optogenetics) for infrared or light-based control. - Nanoscale engineering: Nanotransducers, nanoparticles, aerosolized nanomaterials that cross the blood-brain barrier when inhaled or injected non-surgically. These act as implantable electrodes/sensors/transmitters without scalpels. - Infrared sensing & light: Near-infrared beams to read/write neural activity through skull/scalp. - Ultrasound & acoustics: Focused ultrasound to guide signals or stimulate neurons. - Electromagnetics & RF: Pulsed fields for non-invasive modulation. - Minutely invasive track: Temporary nano-transducers delivered without surgery. Funded teams (2019, millions each): - Battelle Memorial Institute - Carnegie Mellon University (Pulkit Grover et al., $19M+) - Johns Hopkins University Applied Physics Lab - Palo Alto Research Center (PARC) - Rice University - Teledyne Scientific These are not fringe labs. These are core defense contractors and elite universities building the future of thought-controlled drones, instant team cognition, "active cyber defense" via brain links, and unstated population scale neural influence. The Video You Just Watched Ties Directly In: Historical RF/microwave mind control research (Moscow Signal era) showing decades of precedent. The U.S. Embassy in Moscow was irradiated with microwaves 1953-1976. Result: cancers, blood disorders, neurological issues in ambassadors and staff. U.S. responded with its own programs (PANDORA, BIZARRE) exploring behavioral effects of modulated RF. This is the foundation N3 builds upon... now refined to nanoscale precision. From MKULTRA to N3 and Beyond: - 1950s-1970s: CIA MKULTRA, OPERATION ARTICHOKE - LSD, hypnosis, electroshock, sensory deprivation on unwitting citizens. Parallel DoD RF studies on embassy staff and primates. - Moscow Signal: Soviets beamed microwaves at U.S. diplomats. U.S. studied effects secretly while developing countermeasures/weapons. - 1980s-2000s: Continued classified neuro-weapons research (memory modulation, crowd control via EM). - 2010s-Now: N3 + related programs (INI - Intelligent Neural Interfaces, NESD, SUBNETS, etc.). Public "for soldiers" framing hides dual-use: offensive neurowarfare, surveillance, behavioral modification. Key Players Exposed: - DARPA Biological Technologies Office - Architects. - Program Managers: like Al Emondi (N3). - Advisers like Dr. James Giordano (public admissions on nanoscale brain disruption as weapons). - Contractors: Battelle, Teledyne, PARC (Xerox), universities weaponizing academia. - Overarching: U.S. DoD, with likely Five Eyes/ international partners. Private sector bleed-over (Neuralink et al. are the civilian cover story). This is not "for veterans" or "helping paralyzed people." Primary focus: able-bodied warfighters for superhuman command of swarms, instant intel fusion, thought-speed hacking. Civilian applications = total surveillance/control. Nanoparticles can be aerosolized; breathed in unknowingly. They lodge in brain tissue and turn neurons into transceivers. Infrared/light can then read thoughts in real-time or write commands (insert images, emotions, "voices," behavioral urges). Combine with 5G/6G terahertz networks for remote activation. Genetic edits make brains "compatible" at population scale. This enables: - Remote mind reading (thought surveillance). - Behavior modification without consent. - "Havana Syndrome" on steroids... targeted neurological disruption. - End of privacy of thought. End of free will as we define it, as professed by Yuval Noah Harari at the World Economic Forum (WEF). - Weaponized neuroscience: neurowarfare where enemies "decide" to surrender via neural influence. WE NEED to be Demanding Answers for RIGHT NOW, or You, Your Children, Loved Ones, Friends, Family, you name it... Will not exist in the next 3-5 years, this is OPEN GENOCIDE on populations globally. The Georgia guidestones are starting to make a bit more sense now arent they? I won't even bother diving down the rabbit hole of how the real true genuine numbed of souls in this world was around the 730m, about 2 years ago... So that number is now much likely to be closer to around 660m. They are speeding up their human eradication plans, because they don't wish to be held accountable for their heinous, generational, outright satanic crimes that they have committed, are committing and will continue to commit to... If we fail to awaken to what is happening around us, and if we fail to stand together with courage, discernment, and unity, we risk surrendering the future of our species to forces that thrive on division, distraction, and indifference. This is not a work of fiction. This is not a screenplay. This is not a distant possibility reserved for some imagined future. This is REAL LIFE. AND THESE ARE REAL PEOPLE that are affected by the systems, institutions, incentives, and decisions that shape the world around us every single day. Throughout history, countless men, women, and children have suffered under structures that viewed human beings not as sacred and sovereign individuals, but as resources to be managed, exploited, controlled, or discarded. The question before us is whether we will remain passive observers, or whether we will choose to become informed, engaged, and united in defense of human dignity, freedom, and the future we leave to those who come after us. The time to pay attention is NOW! When did N3 achieve operational capability? 2020s? Earlier in black programs? How many citizens worldwide have already received nanotransducers via vaccines, aerosols, food/water, or "shedding"? Which governments/contractors are deploying this against their own populations for "social control"? Why the secrecy if it's purely benevolent? Giordano and others have admitted weaponization potential, What if the greatest illusion ever sold was not a product, a policy, or a political movement, but the belief that power is fully accountable to the people it governs? We are told that rights are sacred. We are told that laws apply equally to all. We are told that institutions exist to protect the public. Yet throughout history, countless examples reveal a different reality. Those entrusted with authority have often violated the very principles they were sworn to uphold. Too often, power protects itself. Too often, wealth purchases influence. Too often, those responsible for the consequences of their decisions remain insulated from the suffering those decisions create. This is not a condemnation of every individual within every institution. It is an observation about a recurring pattern throughout human history. When power becomes concentrated, accountability diminishes and when accountability diminishes, corruption flourishes. The challenge before humanity is not merely to replace one group with another... It is to create a society in which truth matters more than propaganda, principles matter more than profit, and human dignity matters more than power. A free society cannot survive on blind trust alone. It requires informed citizens willing to question, investigate, challenge authority, and hold every institution to the standards it claims to represent. The future belongs to those who refuse to surrender their capacity for independent thought. WE MUST EDUCATE OURSELVES. There comes a moment in every human life when the identities we have inherited, the assumptions we have accepted, and the countless narratives imposed upon us by family, culture, institutions, and society begin to reveal themselves as incomplete representations of who we truly are. At that moment, a choice presents itself... We may continue moving through life according to expectations that were handed to us by others, or we may begin the far more demanding process of discovering what remains when every borrowed certainty is stripped away. Approach God with complete honesty and without reservation. Abandon the need to appear strong, knowledgeable, spiritually accomplished, or self-sufficient. Speak openly of your confusion, your failures, your fears, your doubts, your exhaustion, your grief, your shortcomings, and your deepest questions. Acknowledge that despite all of humanity's achievements, despite all accumulated knowledge, despite every title, accomplishment, possession, and ambition, there remain mysteries that cannot be conquered through intellect alone... Admit where your own understanding has reached its limits and ask sincerely for wisdom beyond yourself. Then withdraw from distraction and remain present long enough to listen. The modern world has become extraordinarily skilled at monopolizing attention, filling every moment with noise, stimulation, entertainment, conflict, urgency, and endless streams of information that leave little room for contemplation. Yet beneath that noise exists a depth that can only be encountered through stillness. It is often within periods of silence, reflection, prayer, and sincere self-examination that many discover insights, convictions, direction, and understanding that could never have emerged amid constant distraction. What answers arrive may not always come as words. They may arrive as conviction, clarity, intuition, compassion, understanding, or an unmistakable awareness of the next step that must be taken. Understand that you have not become the person you are by accident. Every hardship you have endured has contributed to your formation. Every disappointment has shaped your perspective. Every loss has expanded your capacity for empathy. Every mistake has carried a lesson. Every success has revealed something about your character. Every betrayal, every setback, every period of loneliness, every moment of despair, every obstacle that seemed impossible to overcome, and every occasion upon which life reduced you to your lowest point has participated in the continual process of your becoming. Nothing has been wasted. If you are willing, release the assumptions that have convinced humanity that the sacred must always remain distant, unreachable, and separated from daily existence. Release the belief that truth belongs exclusively to institutions, authorities, hierarchies, or those who claim unique access to the divine. Release the notion that the presence of God is confined to specific locations, specific rituals, specific traditions, or specific individuals. Instead, consider the possibility that the divine presence permeates existence itself, expressing through every dimension of creation, through every act of compassion, through every sincere pursuit of truth, through every expression of love, through every lesson hidden within suffering, and through every living thing that has ever participated in the unfolding story of life. Consider the possibility that God is Not absent from the Human experience but Intimately Present within it, experiencing existence alongside US, sharing in Every Joy, Every sorrow, Every triumph, Every wound, Every question, and Every struggle that has accompanied Humanity from the beginning of recorded history until this present moment. The task before US is therefore Not merely to believe more deeply, but to seek more Honestly, to learn more diligently, to question more courageously, to listen more carefully, to Love More Completely, and to become ever more Aligned with the highest truth we are capable of perceiving. Accept Nothing Less than the Fullest Realization of the purpose for which You were created, and devote Yourself to that pursuit with every faculty of mind, Heart, and Soul that has been entrusted to You. and DO NOTHING LESS. Furthermore, What is the full integration with AI (predictive neural control loops)? How do we detect and neutralize these systems in ourselves and Loved ones? Who ultimately controls the master kill-switch on global neural networks? If thoughts are readable/writable, what remains of "human rights"? Are you already affected? How would you even know? Continue through the comprehensive thread below and explore the interconnected material in its entirety. Each post serves as part of a larger body of research, analysis, observations, and supporting information that cannot be fully understood in isolation. The broader picture emerges only through careful examination of the complete sequence and the relationships between the ideas presented throughout. Take your time. Follow the references. Examine the evidence. Consider competing perspectives. Draw your own conclusions. The deeper you venture into the material, the more context becomes available, allowing individual pieces of information to connect into a far more expansive understanding of the subjects being discussed. This Constitutes Crimes Against Humanity on a Planetary Scale! The desecration of the sovereign mind... the last true sanctuary. SHARE THIS THREAD RELENTLESSLY. Demand full declassification of N3 and all neurotech programs... IMMEDIATELY! Support independent researchers exposing dual-use Psinergy-solafide. Protect your mind: minimize EM exposure, detox protocols (research zeolite, saunas, etc. though incomplete), awareness as first defense, = Cures to cancer and all diseases, FREE BOOKS. The era of invisible tyranny is here. They can read your mind. And they can change it. Will you let them? Or do we rise as sovereign consciousness and shut this down NOW? Check my Page or Reach out to me via DM, to Join Thousands of Readers that have already chosen to Embark on the New, Un-forseen way forward. Get yourself a FREE copy of The Book of God's Grief, and The Book of God's Joy, Repost. Research. Resist. The Future of Humanity Depends on it. Related content for you to look in to: - CMU Team: - Historical Moscow/RF: Search declassified archives on PANDORA project. - Giordano clips and papers widely available. Let me know what you think, and SHARE THIS so that others may too! And if You see This post, Reposted... Click on it, Unpost and then Repost again. The knowledge is now yours. Use it. And if you're not already following Noah B. Price... What the heck are you doing?! I Agape You ALL, 🫂 - Noah B. Price 🤍 🪽 If you possess relevant information, research, documentation, personal experiences, data, or credible sources relating to any of the subjects discussed throughout this thread, please feel free to contribute them. Meaningful progress is often achieved through the collective sharing of knowledge, and thoughtful contributions from others can help expand, refine, challenge, or strengthen our understanding of complex issues. Likewise, if you ever find yourself in need of someone to speak with, whether regarding the material presented here or for any other reason, please do not hesitate to reach out. While I cannot promise an immediate response, I will do my best to reply as soon as circumstances permit and to offer whatever guidance, perspective, or assistance I am able to provide. If You or someone You know is facing significant health challenges, including serious illnesses such as cancer, You are also welcome to reach out. While I do not claim to possess all the answers, I have spent the past 2 decades studying a broad range of subjects related to health, wellness, research, and human biology, and I will gladly share any information, resources, or avenues of investigation that may be worthy of further exploration. No one is meant to carry every burden alone, and there is often value in sharing knowledge, experiences, and perspectives in the sincere hope of helping one another move toward greater understanding, healing, and well-being.

Noah B. Price

20,426 次观看 • 3 个月前

I spent 10 years in burnout. I've finally figured it all out. Understanding Burnout: The Five Interlocking Systems Burnout is a complex syndrome that affects millions of people, yet remains poorly understood by mainstream medicine. This comprehensive guide explores what burnout really is - not simply "being tired" or "needing a vacation," but a profound physiological state involving five interconnected bodily systems. By understanding these systems and how they interact, you can better navigate your path to recovery. What Burnout Really Feels Like If you've experienced burnout, you know it's far more than just feeling tired. You might have days where you feel relatively normal, followed by days where getting off the couch seems impossible. Your body might suddenly develop strange sensitivities - foods you've enjoyed your whole life now cause digestive distress, or you find yourself constantly too hot or too cold. Sleep becomes elusive despite extreme fatigue. Your thinking becomes foggy, your memory unreliable, and your emotions more volatile. These aren't just random symptoms - they're the result of multiple bodily systems being thrown into dysfunction by prolonged stress. Many people with burnout report unexplained physical symptoms: diffuse pain throughout the body, inflammation in unexpected places (like chronic sinus issues), dizziness when standing up (POTS), and a general sense that their body simply isn't working correctly. If these experiences sound familiar, you're not imagining things, and you're not alone. Why Burnout Is So Misunderstood Modern medicine excels at addressing acute problems with clear causes and treatments, but struggles with complex multi-system conditions like burnout. Most doctors receive minimal training on chronic conditions, and virtually none on how different bodily systems interact in states of prolonged stress. When you visit a specialist, they examine only their area of expertise - a gastroenterologist looks at digestive issues, a neurologist at brain symptoms - but rarely does anyone look at the full picture. This fragmented approach leads to medical gaslighting - being told "your labs are normal, it must be stress" or "this sounds like depression" without investigating the underlying physiological causes. Some providers dismiss "adrenal fatigue" as pseudoscience, despite extensive research on HPA axis dysfunction (the medical term for what many call adrenal fatigue). Others will acknowledge only the most extreme manifestations like Chronic Fatigue Syndrome, missing opportunities for earlier intervention. The Five Systems Behind Burnout Burnout involves five primary overlapping systems that become dysfunctional or dysregulated. Understanding these systems is key to addressing the root causes rather than just managing symptoms. 1. HPA Axis Dysfunction The hypothalamic-pituitary-adrenal (HPA) axis is your body's main stress response pathway. This system connects your brain to your adrenal glands and regulates energy, stress hormones, and your ability to adapt to challenges. When chronically activated, this system eventually loses its ability to respond appropriately. This dysfunction manifests as cortisol irregularities - either producing too little overall, or producing it at the wrong times. If you struggle to wake up in the morning, you might have insufficient morning cortisol. If you wake too early and can't fall back asleep, you might have inappropriate early cortisol spikes. Recovery from HPA axis dysfunction typically takes 6 months to 2 years, with severe cases taking 3-5 years. 2. Autonomic Nervous System (ANS) Dysfunction Your autonomic nervous system controls unconscious bodily functions like heart rate, blood pressure, digestion, and temperature regulation. Burnout can cause dysautonomia - a state where your sympathetic ("fight-or-flight") system becomes dominant, while your parasympathetic ("rest-and-digest") system becomes underactive. Symptoms include heart palpitations, dizziness when standing up, temperature regulation problems, digestive motility issues (feeling like food sits in your stomach for hours), and heightened sensitivity to environmental stimuli. Getting "stuck" in sympathetic dominance keeps your body in a state of hypervigilance, preventing proper rest and recovery. 3. Gastrointestinal System Dysfunction Your digestive system is often called your "second brain" for good reason - it produces 90% of your serotonin and houses its own nervous system (the enteric nervous system). The gut plays a critical role in immune function and overall health. Burnout can affect your gut through several mechanisms: chronic stress can impair the gut lining (leading to "leaky gut"), infections like H. pylori can cause inflammation, and your microbiome (the trillions of bacteria in your digestive system) can become imbalanced. When your gut is compromised, the effects ripple throughout your entire body, causing nutrient deficiencies, systemic inflammation, immune dysregulation, and altered neurotransmitter production that affects mood and cognition. 4. Mitochondrial Dysfunction Mitochondria are the power plants of your cells, producing the energy currency (ATP) that fuels all cellular activities. During burnout, these vital organelles become damaged and less efficient. Their internal structures (cristae) can physically deform, and they shift to less efficient energy production methods. The result is profound fatigue at a cellular level - your body literally cannot produce enough energy to function optimally. Every tissue, organ, and system feels the effects of this energy deficit. The good news is that mitochondria can recover with proper support, as they contain their own DNA and can regenerate when given the right conditions. 5. Immune System Dysfunction Your immune system becomes dysregulated during burnout, often becoming simultaneously overactive in some ways and underactive in others. This paradoxical state can manifest as frequent infections (showing immune weakness) alongside inflammatory conditions and hypersensitivities (showing immune overactivity). Chronic inflammation becomes a persistent problem, creating a constant state of low-grade immune activation that further drains your energy resources and affects brain function, healing ability, and overall wellbeing. Many people with burnout develop new sensitivities to foods, chemicals, or environments that never bothered them before. The Vicious Cycle and Downward Spiral What makes burnout particularly challenging is how these five systems interact and reinforce each other's dysfunction. HPA axis problems disrupt sleep, which impairs mitochondrial recovery. Gut issues create inflammation that triggers immune responses and stresses the HPA axis further. Mitochondrial dysfunction means less energy for healing and proper system function. Minor burnout can resolve on its own with sufficient rest and stress reduction. However, once a certain threshold is crossed, these systems keep each other sick in a self-perpetuating cycle. Without targeted interventions addressing each affected system, recovery becomes extremely difficult or impossible. This explains why some people remain burned out for years or decades despite their best efforts to rest and reduce stress. Navigating Medical Support Unfortunately, most healthcare providers aren't equipped to address burnout as a multi-system condition. This means you must often become your own health advocate and case manager. Some strategies include: When seeking medical help, speak the language of the specialist you're consulting. Instead of saying "adrenal fatigue" (which many doctors dismiss), use terms like "HPA axis dysfunction" or "dysautonomia" that align with medical terminology. Request appropriate testing. Standard bloodwork often misses the markers of burnout. More specialized tests like comprehensive stool analyses, organic acid tests, or cortisol rhythm testing can reveal the underlying issues. Consider working with integrative or functional medicine practitioners who are more likely to understand complex, multi-system conditions. However, be cautious, as quality varies widely in these fields. Remember that your experience is real and valid, even when healthcare providers can't immediately identify the cause. Persistent advocacy may be necessary to get the support you need. Recovery Is Possible But Takes Time Recovering from burnout is a gradual process that cannot be rushed. In fact, trying to accelerate recovery through sheer willpower often backfires, causing setbacks and prolonging the journey. The first rule of burnout recovery is "don't make it worse" - which means avoiding overexertion, respecting your body's current limitations, and prioritizing rest and healing above productivity. Recovery requires addressing all affected systems simultaneously through a combination of lifestyle changes, targeted supplements, stress management, diet modifications, and sometimes medications. This process is highly individualized - what works for one person may not work for another due to genetic differences, varying dietary needs, different lifestyle factors, and unique personal circumstances. The journey to recovery often requires significant changes to how you live and work. It may mean rethinking career choices, relationship dynamics, living situations, and fundamental priorities. While challenging, this process can ultimately lead to a more sustainable and fulfilling life built on a deeper understanding of your body's needs. Conclusion Burnout is not a character flaw or a sign of weakness - it's a complex physiological condition involving multiple bodily systems. By understanding the five key systems involved and how they interact, you can begin to address the root causes rather than just managing symptoms. Recovery is possible, but it requires patience, persistence, and a willingness to make meaningful changes. The path forward involves supporting your body's natural healing processes while avoiding the patterns that led to burnout in the first place. With the right approach, you can not only recover from burnout but emerge with greater resilience and a more balanced relationship with stress.
44:21

I spent 10 years in burnout. I've finally figured it all out. Understanding Burnout: The Five Interlocking Systems Burnout is a complex syndrome that affects millions of people, yet remains poorly understood by mainstream medicine. This comprehensive guide explores what burnout really is - not simply "being tired" or "needing a vacation," but a profound physiological state involving five interconnected bodily systems. By understanding these systems and how they interact, you can better navigate your path to recovery. What Burnout Really Feels Like If you've experienced burnout, you know it's far more than just feeling tired. You might have days where you feel relatively normal, followed by days where getting off the couch seems impossible. Your body might suddenly develop strange sensitivities - foods you've enjoyed your whole life now cause digestive distress, or you find yourself constantly too hot or too cold. Sleep becomes elusive despite extreme fatigue. Your thinking becomes foggy, your memory unreliable, and your emotions more volatile. These aren't just random symptoms - they're the result of multiple bodily systems being thrown into dysfunction by prolonged stress. Many people with burnout report unexplained physical symptoms: diffuse pain throughout the body, inflammation in unexpected places (like chronic sinus issues), dizziness when standing up (POTS), and a general sense that their body simply isn't working correctly. If these experiences sound familiar, you're not imagining things, and you're not alone. Why Burnout Is So Misunderstood Modern medicine excels at addressing acute problems with clear causes and treatments, but struggles with complex multi-system conditions like burnout. Most doctors receive minimal training on chronic conditions, and virtually none on how different bodily systems interact in states of prolonged stress. When you visit a specialist, they examine only their area of expertise - a gastroenterologist looks at digestive issues, a neurologist at brain symptoms - but rarely does anyone look at the full picture. This fragmented approach leads to medical gaslighting - being told "your labs are normal, it must be stress" or "this sounds like depression" without investigating the underlying physiological causes. Some providers dismiss "adrenal fatigue" as pseudoscience, despite extensive research on HPA axis dysfunction (the medical term for what many call adrenal fatigue). Others will acknowledge only the most extreme manifestations like Chronic Fatigue Syndrome, missing opportunities for earlier intervention. The Five Systems Behind Burnout Burnout involves five primary overlapping systems that become dysfunctional or dysregulated. Understanding these systems is key to addressing the root causes rather than just managing symptoms. 1. HPA Axis Dysfunction The hypothalamic-pituitary-adrenal (HPA) axis is your body's main stress response pathway. This system connects your brain to your adrenal glands and regulates energy, stress hormones, and your ability to adapt to challenges. When chronically activated, this system eventually loses its ability to respond appropriately. This dysfunction manifests as cortisol irregularities - either producing too little overall, or producing it at the wrong times. If you struggle to wake up in the morning, you might have insufficient morning cortisol. If you wake too early and can't fall back asleep, you might have inappropriate early cortisol spikes. Recovery from HPA axis dysfunction typically takes 6 months to 2 years, with severe cases taking 3-5 years. 2. Autonomic Nervous System (ANS) Dysfunction Your autonomic nervous system controls unconscious bodily functions like heart rate, blood pressure, digestion, and temperature regulation. Burnout can cause dysautonomia - a state where your sympathetic ("fight-or-flight") system becomes dominant, while your parasympathetic ("rest-and-digest") system becomes underactive. Symptoms include heart palpitations, dizziness when standing up, temperature regulation problems, digestive motility issues (feeling like food sits in your stomach for hours), and heightened sensitivity to environmental stimuli. Getting "stuck" in sympathetic dominance keeps your body in a state of hypervigilance, preventing proper rest and recovery. 3. Gastrointestinal System Dysfunction Your digestive system is often called your "second brain" for good reason - it produces 90% of your serotonin and houses its own nervous system (the enteric nervous system). The gut plays a critical role in immune function and overall health. Burnout can affect your gut through several mechanisms: chronic stress can impair the gut lining (leading to "leaky gut"), infections like H. pylori can cause inflammation, and your microbiome (the trillions of bacteria in your digestive system) can become imbalanced. When your gut is compromised, the effects ripple throughout your entire body, causing nutrient deficiencies, systemic inflammation, immune dysregulation, and altered neurotransmitter production that affects mood and cognition. 4. Mitochondrial Dysfunction Mitochondria are the power plants of your cells, producing the energy currency (ATP) that fuels all cellular activities. During burnout, these vital organelles become damaged and less efficient. Their internal structures (cristae) can physically deform, and they shift to less efficient energy production methods. The result is profound fatigue at a cellular level - your body literally cannot produce enough energy to function optimally. Every tissue, organ, and system feels the effects of this energy deficit. The good news is that mitochondria can recover with proper support, as they contain their own DNA and can regenerate when given the right conditions. 5. Immune System Dysfunction Your immune system becomes dysregulated during burnout, often becoming simultaneously overactive in some ways and underactive in others. This paradoxical state can manifest as frequent infections (showing immune weakness) alongside inflammatory conditions and hypersensitivities (showing immune overactivity). Chronic inflammation becomes a persistent problem, creating a constant state of low-grade immune activation that further drains your energy resources and affects brain function, healing ability, and overall wellbeing. Many people with burnout develop new sensitivities to foods, chemicals, or environments that never bothered them before. The Vicious Cycle and Downward Spiral What makes burnout particularly challenging is how these five systems interact and reinforce each other's dysfunction. HPA axis problems disrupt sleep, which impairs mitochondrial recovery. Gut issues create inflammation that triggers immune responses and stresses the HPA axis further. Mitochondrial dysfunction means less energy for healing and proper system function. Minor burnout can resolve on its own with sufficient rest and stress reduction. However, once a certain threshold is crossed, these systems keep each other sick in a self-perpetuating cycle. Without targeted interventions addressing each affected system, recovery becomes extremely difficult or impossible. This explains why some people remain burned out for years or decades despite their best efforts to rest and reduce stress. Navigating Medical Support Unfortunately, most healthcare providers aren't equipped to address burnout as a multi-system condition. This means you must often become your own health advocate and case manager. Some strategies include: When seeking medical help, speak the language of the specialist you're consulting. Instead of saying "adrenal fatigue" (which many doctors dismiss), use terms like "HPA axis dysfunction" or "dysautonomia" that align with medical terminology. Request appropriate testing. Standard bloodwork often misses the markers of burnout. More specialized tests like comprehensive stool analyses, organic acid tests, or cortisol rhythm testing can reveal the underlying issues. Consider working with integrative or functional medicine practitioners who are more likely to understand complex, multi-system conditions. However, be cautious, as quality varies widely in these fields. Remember that your experience is real and valid, even when healthcare providers can't immediately identify the cause. Persistent advocacy may be necessary to get the support you need. Recovery Is Possible But Takes Time Recovering from burnout is a gradual process that cannot be rushed. In fact, trying to accelerate recovery through sheer willpower often backfires, causing setbacks and prolonging the journey. The first rule of burnout recovery is "don't make it worse" - which means avoiding overexertion, respecting your body's current limitations, and prioritizing rest and healing above productivity. Recovery requires addressing all affected systems simultaneously through a combination of lifestyle changes, targeted supplements, stress management, diet modifications, and sometimes medications. This process is highly individualized - what works for one person may not work for another due to genetic differences, varying dietary needs, different lifestyle factors, and unique personal circumstances. The journey to recovery often requires significant changes to how you live and work. It may mean rethinking career choices, relationship dynamics, living situations, and fundamental priorities. While challenging, this process can ultimately lead to a more sustainable and fulfilling life built on a deeper understanding of your body's needs. Conclusion Burnout is not a character flaw or a sign of weakness - it's a complex physiological condition involving multiple bodily systems. By understanding the five key systems involved and how they interact, you can begin to address the root causes rather than just managing symptoms. Recovery is possible, but it requires patience, persistence, and a willingness to make meaningful changes. The path forward involves supporting your body's natural healing processes while avoiding the patterns that led to burnout in the first place. With the right approach, you can not only recover from burnout but emerge with greater resilience and a more balanced relationship with stress.

David Shapiro (L/0)

14,173 次观看 • 1 年前

The outgoing American ambassador to Zambia, Michael C. Gonzales, has accused President Hakainde Hichilema’s government of corruption and dishonesty, stating that Hichilema’s fight against corruption is bogus and is selectively used to arrest and persecute political opponents. He made these remarks while delivering his farewell speech. He said Zambia loses over US$4 billion annually through illicit or dirty financial flows, money leaving the country and not benefiting the Zambian people. Full speech below Remarks by Amb. Michael Gonzales Farewell Reception – April 30, 2026 Good evening. For decades, the U.S. relationship with Zambia was one centered around aid. The United States has provided billions of dollars of assistance to Zambia, helping the country reach HIV epidemic control, contributing to a 20-year increase in life expectancy, slashing malaria deaths, and truly impacting the lives of every Zambian alive today. When we paused funding to review our assistance programs last year, so much of Zambia’s health system began to crumble almost overnight. Despite over $7 billion in U.S. health assistance since 2000 and the hard work of many Zambians alongside us, that crumbling system revealed that while we thought we were building capacity, successive Zambian governments had not built systems. Too often, Zambian officials and leaders abdicated their responsibilities, letting the United States pay for healthcare while officials diverted government funds to their own pockets. Last year I shed tears before the world when I announced a $50 million cut in US health assistance. After years of pleading, I could no longer stand by while the Zambian government refused to stop or take action to hold people accountable for the systematic and nationwide theft of U.S. provided medicines while the Zambian citizens for whom those were intended went without. One year later, not a single notable person has been arrested since last February. Not a single notable prosecution has even begun. After last year’s pause, we resumed almost all of our health assistance, over $400 million including over $75 million in medication. We continue to pay the salaries for over 23,000 healthcare workers, as we have for decades. Such is the legacy of America’s support to the Zambian people. Now, I know there have been alarmist allegations recently. But let me be clear, any suggestion that the United States would withhold critical life-saving healthcare support from those Zambians whose lives and health depend on it unless we get critical minerals is disgusting and patently false! In reality, since October, my government has offered over $2 billion in additional health and economic assistance to Zambia. But we can no longer accept empty promises. The future must look different. The Zambian government must also increase Zambian funding, staffing, and genuine ownership of its systems. This is not to impose our will, it is the only way we know for Zambia to truly own a sustainable healthcare system and to enable robust growth. It is the only way we know to ensure that system serves the people while finally breaking the cycle of foreign aid dependency. Since January, however, like with so many of our other overtures to the Zambian government, we have had effectively zero substantive engagement from Zambian officials to move these efforts forward. Our calls go ignored, questions unanswered, meetings cancelled, leaving us without even opportunities to speak, much less engage in substantive deliberations. Instead of continuing to languish without engagement, the actual funding under our Health MOU should have started this month. Instead, we have reached April 30 still cobbling together funds for mismatched projects without an implementation plan to guide us forward under Zambian leadership, much less a finalized MOU that guides our strategic approach. We know that the Zambian budget cannot even afford to pay for public services today, not to mention the increased healthcare funding or the myriad other huge budget commitments that seem to get pledged daily. So, something has to change if Zambia will ever meet its full potential or be able to sustainably provide services to its own people. At the same time, the Zambian government’s own reports reveal that every year Zambia loses over $4 billion in dirty money flows to East Asia. That is Zambian money that does not benefit the Zambian people or contribute to the budget. If taxed, that would bring an additional $1 billion for the government to fund healthcare, education, social services, and development. Every year, hundreds of millions of dollars of government funds are lost to the Zambian people through corruption. Certainly, it is not just U.S. taxpayers’ support that is stolen. Every year, the country loses out on hundreds of millions of dollars in new investment and growth because they are hijacked by unmitigated petty corruption, blocked because law-abiding investors refuse to pay kickbacks to Zambian bureaucrats or leaders who are never held accountable. The narrative of the U.S.-Zambia relationship is adorned with flowery words of “partnership,” “collaboration,” “strategic,” or “mutual.” Regrettably, the reality of our unrequited relationship for decades has been starkly different. For years, the United States funded programs and sent technical advisors to help achieve Zambia’s development objectives. As we have for these past four months, we have often struggled to get successive governments to even bother answering the phone. It takes months to get a meeting that yields nothing. Officials draft policies they have no intention of implementing, invoking them only in speeches to sound like they are taking action. MOUs decay on the shelf among the others before the signing ceremony even ends, never to be implemented because the ministry will not even meet to discuss implementation. Why? Because generations of Zambian officials and leaders gain from the dysfunction. The non-responsiveness on our availed funding and efforts to truly build a Zambian-owned health system that serves the Zambian people is sadly the norm. The theatre of commissioning a report to get a scandal out of the news cycle but taking no substantive action on accountability is all too common. Of course, the systematic theft of public resources is not unique to American-provided medicines. Attacking the messenger who dares to name these dynamics out loud is not limited to targeting the U.S. ambassador and asking Washington for his removal. Today, 10% of my diplomats have family members who still have not received basic residency permits from the Zambian government. Several have received court summonses as a result. Like Zambians themselves experience, ZRA staff shake down my departing diplomats for fees that do not apply to them too. When elevated, their supervisors double down on the demand. Zambia’s institutionalised and refined corruption does not only dissuade transparent and law-abiding investors from the United States. The inaction, corruption, and intimidation of opponents also harms American citizens, it undermines American organisations, NGOs, companies, and philanthropies. Zambians and so many other global friends of Zambia are also hampered by these very same dynamics, often bearing far more of the brunt of their effects. America’s support to Zambia is long-standing. Our goodwill runs through the veins, the hearts, and the dreams of millions of Zambians. Our hands remain open, outstretched in a genuine, transparent offer of true, tangible, and meaningful collaboration for mutual benefit. But there must be change. Going forward, the benefits of our relationship must be mutual. Empty promises must be replaced with tangible action. Commitments must be honoured, laws must be implemented and enforced consistently and equally. The decades of paying for healthcare while national resources are pocketed must give way to ownership and systematic improvements that enable growth, development, and accountability. Since President Hichilema and I committed to reset the U.S.-Zambia relationship last July, America has redoubled our efforts to support robust Zambian agency. We have availed billions of dollars to support tangible investments and reforms to catalyse Zambia’s success. We have offered expert support to inform reforms that would systematically benefit both the Zambian people and their many friends from around the world, without bias or favour. Sadly, so many of our overtures and goodwill have been met with, to use the most persistent and notorious of the Zambian government’s responses, “Noted. With thanks.” But appointing a Director General of the Anti-Corruption Commission who was actively under investigation by the ACC, and her admonishment to her intentionally under-resourced agency not to investigate senior government officials, only cripples hopes that clean business can be done. Last May, multiple senior government officials shared with me and have confirmed that the government has a 500-page expert report detailing the irreversible harm and risk of generations of birth defects, cancers, heart and liver disease caused by carcinogenic heavy metals unleashed into the Kafue River ecosystem by last year’s Sino Metals tailings dam disaster. But my heart broke when on July 29 last year, one of the country’s senior-most leaders vehemently denied that the government even had the report, much less would act on it until the polluter themselves provided it. I pleaded with her to take action to protect the Zambian people and I again offered U.S. assistance, which the Foreign Ministry had already formally declined. While so many American prospective investors leave, put off by bureaucratic drudgery, inaction, and corruption, the Zambian government recently approved Sino Metals to expand its operations. Did this happen in the face of Zambia’s myriad impediments, or because of them? Today, Sino Metals is scarring game management areas abutting the Kafue National Park. When that tailings dam breaks, I will not be alone shedding tears. Punctuating this, apart from the truly exceptional cases, too many American companies cannot get licences, approvals, or action on basic administrative matters without being shaken down to give brown envelopes of cash. The Zambian people suffer the consequences of these dual offences, exploitation and foregone opportunity. When Parliament ignores the Constitutional Court’s ruling that the process used to ram through a constitutional amendment was itself unconstitutional, investors rightly ask, “If they can do that to the constitution, what does that mean for the sanctity of my contract?” They rightly wonder if the next constitutional amendment which the Attorney General has already announced is really just a guise for resetting term limits. Even the Chinese government convicted AVIC’s Chairman to death for corruption. AVIC’s Chingola-Chililabombwe Road was washed out last month, its negligence disrupting Zambia’s trade with the region. AVIC’s fraud in a $320 million police housing tender in 2014 is well documented. Despite that, this government ignored the competitive bid by renowned Zambian investors only to award AVIC the $650 million Lusaka-Ndola Dual Carriageway project, subsidising this notoriously fraudulent and corrupt company with $300 million from the public pension scheme. How does this happen? Can law-abiding investors do clean business here? Will donors be asked to backfill the loss when the pension money too is wiped out? The rhetoric of “no sacred cows” is rubbish when there are not any cows except those who are deemed to be disloyal. When only opponents are arrested, but not those in office engaged in the very same practices, the hollow rhetoric of “rule of law” only further keeps investors away, preventing the creation of growth, jobs, and tax revenues to pay for public service commitments. Zambia does not need money. It needs leaders who govern for the people with integrity. It needs the political will to put Zambia first. But, of course, you do not need me to say this. Dambisa Moyo, herself a daughter of the soil, made these same arguments 17 years ago. What America is trying to do here is both bolster Zambia’s sovereignty and catalyse Zambia’s growth. We are offering a transparent and open hand to join the Zambian people for mutual progress. We know that while you pursue a Zambia First agenda and we pursue America First, we are still able together to achieve something notably better for both of our countries, and we can do so without it coming at anyone’s expense, anyone’s exclusion, fully transparently, and legally. Now, of course, the United States will absolutely continue to honour our long-standing commitment to the Zambian people to provide critical life-saving healthcare support. We will not leave Zambians without access to ARVs. We are redoubling our support to ensure that babies are not born HIV-positive. But, against the unmitigated systematic theft of U.S. assistance, against the refusal by the Zambian government to engage and to own or enable a sustainable healthcare system that serves the people, in an environment where only the most exceptional of American investors can do clean business, and where Zambian government officials often can scarcely be bothered to take meetings with American officials or companies, not to mention capture the billion dollars of its own money secreted out of the country to East Asia or hold accountable the company that unleashes generations of cancer and birth defects onto the people, without fundamental change, as the American Ambassador to the Republic of Zambia, how can I ask American taxpayers, Congress, or President Trump to continue the massive aid budgets that have been the hallmark of our relationship for decades? The United States remains intent to work with Zambia toward our mutual objectives, but how Washington responds to silence, inaction, aversion to accountability, and lack of ownership remains to be seen. That said, I am confident that it will depend on fundamental changes by the Zambian government to take action to do right by the Zambian people. It will depend on actions to foster and enable the Zambian people, and their partners who abide by the rule of law, to be able to tangibly contribute to a mutually beneficial future. Washington’s hand remains open and outreached for transparent, accountable collaboration enabling tangible action to benefit both of our countries. But we can no longer own the projects more than the Zambian government. We cannot justify continuing to prioritise funding where the Zambian government also does not deploy its own resources. No longer will we lead while Zambian officials sit back unresponsively. Quite simply, America can best support Zambia’s sovereignty, agency, and success if we finally abide by the maxim and refrain from wanting development more than the Zambian government does. That said, what happens between governments and embassies is important, but it is only a small fraction of the broader relationship between countries. The ties between Zambia and America are profound, strong, and everlasting. The connections between churches and civil society, the linkages between students, artists, and researchers, the bonds between communities, the union of our peoples, these are the essence of the U.S.-Zambia relationship, and these will never fade. Too often people hope for change. They note what others should do. But hope is not a strategy, and we cannot control the actions of others, only our own. So, as I prepare to leave this country that I love, I ask those of you whose country it is, is this the Zambia you want? Are you on course to achieve it? If not, what action will you take to contribute to making that become a reality? I first stepped foot in Zambia in 1995. My daughter took her first steps in Livingstone. As I prepare to depart, I take with me beautiful memories of Zambia and the Zambian people, but I depart with a heavy heart wondering if realisation of the Zambian dream will be deferred for yet another 64 years while even more Zambians fall into poverty instead of being able to rise into the brilliant future that is possible. But my role here is not about this little guy with a big heart for Africa. It is about America and Zambia. America will continue reaching out to the people of Zambia, offering our support, seeking as much to learn as to share, doing so openly and transparently, and eager to help enable the realisation of that Zambian dream and the creative future that benefits, and can only be discovered through, our sincere partnership. I thank you.
22:35

The outgoing American ambassador to Zambia, Michael C. Gonzales, has accused President Hakainde Hichilema’s government of corruption and dishonesty, stating that Hichilema’s fight against corruption is bogus and is selectively used to arrest and persecute political opponents. He made these remarks while delivering his farewell speech. He said Zambia loses over US$4 billion annually through illicit or dirty financial flows, money leaving the country and not benefiting the Zambian people. Full speech below Remarks by Amb. Michael Gonzales Farewell Reception – April 30, 2026 Good evening. For decades, the U.S. relationship with Zambia was one centered around aid. The United States has provided billions of dollars of assistance to Zambia, helping the country reach HIV epidemic control, contributing to a 20-year increase in life expectancy, slashing malaria deaths, and truly impacting the lives of every Zambian alive today. When we paused funding to review our assistance programs last year, so much of Zambia’s health system began to crumble almost overnight. Despite over $7 billion in U.S. health assistance since 2000 and the hard work of many Zambians alongside us, that crumbling system revealed that while we thought we were building capacity, successive Zambian governments had not built systems. Too often, Zambian officials and leaders abdicated their responsibilities, letting the United States pay for healthcare while officials diverted government funds to their own pockets. Last year I shed tears before the world when I announced a $50 million cut in US health assistance. After years of pleading, I could no longer stand by while the Zambian government refused to stop or take action to hold people accountable for the systematic and nationwide theft of U.S. provided medicines while the Zambian citizens for whom those were intended went without. One year later, not a single notable person has been arrested since last February. Not a single notable prosecution has even begun. After last year’s pause, we resumed almost all of our health assistance, over $400 million including over $75 million in medication. We continue to pay the salaries for over 23,000 healthcare workers, as we have for decades. Such is the legacy of America’s support to the Zambian people. Now, I know there have been alarmist allegations recently. But let me be clear, any suggestion that the United States would withhold critical life-saving healthcare support from those Zambians whose lives and health depend on it unless we get critical minerals is disgusting and patently false! In reality, since October, my government has offered over $2 billion in additional health and economic assistance to Zambia. But we can no longer accept empty promises. The future must look different. The Zambian government must also increase Zambian funding, staffing, and genuine ownership of its systems. This is not to impose our will, it is the only way we know for Zambia to truly own a sustainable healthcare system and to enable robust growth. It is the only way we know to ensure that system serves the people while finally breaking the cycle of foreign aid dependency. Since January, however, like with so many of our other overtures to the Zambian government, we have had effectively zero substantive engagement from Zambian officials to move these efforts forward. Our calls go ignored, questions unanswered, meetings cancelled, leaving us without even opportunities to speak, much less engage in substantive deliberations. Instead of continuing to languish without engagement, the actual funding under our Health MOU should have started this month. Instead, we have reached April 30 still cobbling together funds for mismatched projects without an implementation plan to guide us forward under Zambian leadership, much less a finalized MOU that guides our strategic approach. We know that the Zambian budget cannot even afford to pay for public services today, not to mention the increased healthcare funding or the myriad other huge budget commitments that seem to get pledged daily. So, something has to change if Zambia will ever meet its full potential or be able to sustainably provide services to its own people. At the same time, the Zambian government’s own reports reveal that every year Zambia loses over $4 billion in dirty money flows to East Asia. That is Zambian money that does not benefit the Zambian people or contribute to the budget. If taxed, that would bring an additional $1 billion for the government to fund healthcare, education, social services, and development. Every year, hundreds of millions of dollars of government funds are lost to the Zambian people through corruption. Certainly, it is not just U.S. taxpayers’ support that is stolen. Every year, the country loses out on hundreds of millions of dollars in new investment and growth because they are hijacked by unmitigated petty corruption, blocked because law-abiding investors refuse to pay kickbacks to Zambian bureaucrats or leaders who are never held accountable. The narrative of the U.S.-Zambia relationship is adorned with flowery words of “partnership,” “collaboration,” “strategic,” or “mutual.” Regrettably, the reality of our unrequited relationship for decades has been starkly different. For years, the United States funded programs and sent technical advisors to help achieve Zambia’s development objectives. As we have for these past four months, we have often struggled to get successive governments to even bother answering the phone. It takes months to get a meeting that yields nothing. Officials draft policies they have no intention of implementing, invoking them only in speeches to sound like they are taking action. MOUs decay on the shelf among the others before the signing ceremony even ends, never to be implemented because the ministry will not even meet to discuss implementation. Why? Because generations of Zambian officials and leaders gain from the dysfunction. The non-responsiveness on our availed funding and efforts to truly build a Zambian-owned health system that serves the Zambian people is sadly the norm. The theatre of commissioning a report to get a scandal out of the news cycle but taking no substantive action on accountability is all too common. Of course, the systematic theft of public resources is not unique to American-provided medicines. Attacking the messenger who dares to name these dynamics out loud is not limited to targeting the U.S. ambassador and asking Washington for his removal. Today, 10% of my diplomats have family members who still have not received basic residency permits from the Zambian government. Several have received court summonses as a result. Like Zambians themselves experience, ZRA staff shake down my departing diplomats for fees that do not apply to them too. When elevated, their supervisors double down on the demand. Zambia’s institutionalised and refined corruption does not only dissuade transparent and law-abiding investors from the United States. The inaction, corruption, and intimidation of opponents also harms American citizens, it undermines American organisations, NGOs, companies, and philanthropies. Zambians and so many other global friends of Zambia are also hampered by these very same dynamics, often bearing far more of the brunt of their effects. America’s support to Zambia is long-standing. Our goodwill runs through the veins, the hearts, and the dreams of millions of Zambians. Our hands remain open, outstretched in a genuine, transparent offer of true, tangible, and meaningful collaboration for mutual benefit. But there must be change. Going forward, the benefits of our relationship must be mutual. Empty promises must be replaced with tangible action. Commitments must be honoured, laws must be implemented and enforced consistently and equally. The decades of paying for healthcare while national resources are pocketed must give way to ownership and systematic improvements that enable growth, development, and accountability. Since President Hichilema and I committed to reset the U.S.-Zambia relationship last July, America has redoubled our efforts to support robust Zambian agency. We have availed billions of dollars to support tangible investments and reforms to catalyse Zambia’s success. We have offered expert support to inform reforms that would systematically benefit both the Zambian people and their many friends from around the world, without bias or favour. Sadly, so many of our overtures and goodwill have been met with, to use the most persistent and notorious of the Zambian government’s responses, “Noted. With thanks.” But appointing a Director General of the Anti-Corruption Commission who was actively under investigation by the ACC, and her admonishment to her intentionally under-resourced agency not to investigate senior government officials, only cripples hopes that clean business can be done. Last May, multiple senior government officials shared with me and have confirmed that the government has a 500-page expert report detailing the irreversible harm and risk of generations of birth defects, cancers, heart and liver disease caused by carcinogenic heavy metals unleashed into the Kafue River ecosystem by last year’s Sino Metals tailings dam disaster. But my heart broke when on July 29 last year, one of the country’s senior-most leaders vehemently denied that the government even had the report, much less would act on it until the polluter themselves provided it. I pleaded with her to take action to protect the Zambian people and I again offered U.S. assistance, which the Foreign Ministry had already formally declined. While so many American prospective investors leave, put off by bureaucratic drudgery, inaction, and corruption, the Zambian government recently approved Sino Metals to expand its operations. Did this happen in the face of Zambia’s myriad impediments, or because of them? Today, Sino Metals is scarring game management areas abutting the Kafue National Park. When that tailings dam breaks, I will not be alone shedding tears. Punctuating this, apart from the truly exceptional cases, too many American companies cannot get licences, approvals, or action on basic administrative matters without being shaken down to give brown envelopes of cash. The Zambian people suffer the consequences of these dual offences, exploitation and foregone opportunity. When Parliament ignores the Constitutional Court’s ruling that the process used to ram through a constitutional amendment was itself unconstitutional, investors rightly ask, “If they can do that to the constitution, what does that mean for the sanctity of my contract?” They rightly wonder if the next constitutional amendment which the Attorney General has already announced is really just a guise for resetting term limits. Even the Chinese government convicted AVIC’s Chairman to death for corruption. AVIC’s Chingola-Chililabombwe Road was washed out last month, its negligence disrupting Zambia’s trade with the region. AVIC’s fraud in a $320 million police housing tender in 2014 is well documented. Despite that, this government ignored the competitive bid by renowned Zambian investors only to award AVIC the $650 million Lusaka-Ndola Dual Carriageway project, subsidising this notoriously fraudulent and corrupt company with $300 million from the public pension scheme. How does this happen? Can law-abiding investors do clean business here? Will donors be asked to backfill the loss when the pension money too is wiped out? The rhetoric of “no sacred cows” is rubbish when there are not any cows except those who are deemed to be disloyal. When only opponents are arrested, but not those in office engaged in the very same practices, the hollow rhetoric of “rule of law” only further keeps investors away, preventing the creation of growth, jobs, and tax revenues to pay for public service commitments. Zambia does not need money. It needs leaders who govern for the people with integrity. It needs the political will to put Zambia first. But, of course, you do not need me to say this. Dambisa Moyo, herself a daughter of the soil, made these same arguments 17 years ago. What America is trying to do here is both bolster Zambia’s sovereignty and catalyse Zambia’s growth. We are offering a transparent and open hand to join the Zambian people for mutual progress. We know that while you pursue a Zambia First agenda and we pursue America First, we are still able together to achieve something notably better for both of our countries, and we can do so without it coming at anyone’s expense, anyone’s exclusion, fully transparently, and legally. Now, of course, the United States will absolutely continue to honour our long-standing commitment to the Zambian people to provide critical life-saving healthcare support. We will not leave Zambians without access to ARVs. We are redoubling our support to ensure that babies are not born HIV-positive. But, against the unmitigated systematic theft of U.S. assistance, against the refusal by the Zambian government to engage and to own or enable a sustainable healthcare system that serves the people, in an environment where only the most exceptional of American investors can do clean business, and where Zambian government officials often can scarcely be bothered to take meetings with American officials or companies, not to mention capture the billion dollars of its own money secreted out of the country to East Asia or hold accountable the company that unleashes generations of cancer and birth defects onto the people, without fundamental change, as the American Ambassador to the Republic of Zambia, how can I ask American taxpayers, Congress, or President Trump to continue the massive aid budgets that have been the hallmark of our relationship for decades? The United States remains intent to work with Zambia toward our mutual objectives, but how Washington responds to silence, inaction, aversion to accountability, and lack of ownership remains to be seen. That said, I am confident that it will depend on fundamental changes by the Zambian government to take action to do right by the Zambian people. It will depend on actions to foster and enable the Zambian people, and their partners who abide by the rule of law, to be able to tangibly contribute to a mutually beneficial future. Washington’s hand remains open and outreached for transparent, accountable collaboration enabling tangible action to benefit both of our countries. But we can no longer own the projects more than the Zambian government. We cannot justify continuing to prioritise funding where the Zambian government also does not deploy its own resources. No longer will we lead while Zambian officials sit back unresponsively. Quite simply, America can best support Zambia’s sovereignty, agency, and success if we finally abide by the maxim and refrain from wanting development more than the Zambian government does. That said, what happens between governments and embassies is important, but it is only a small fraction of the broader relationship between countries. The ties between Zambia and America are profound, strong, and everlasting. The connections between churches and civil society, the linkages between students, artists, and researchers, the bonds between communities, the union of our peoples, these are the essence of the U.S.-Zambia relationship, and these will never fade. Too often people hope for change. They note what others should do. But hope is not a strategy, and we cannot control the actions of others, only our own. So, as I prepare to leave this country that I love, I ask those of you whose country it is, is this the Zambia you want? Are you on course to achieve it? If not, what action will you take to contribute to making that become a reality? I first stepped foot in Zambia in 1995. My daughter took her first steps in Livingstone. As I prepare to depart, I take with me beautiful memories of Zambia and the Zambian people, but I depart with a heavy heart wondering if realisation of the Zambian dream will be deferred for yet another 64 years while even more Zambians fall into poverty instead of being able to rise into the brilliant future that is possible. But my role here is not about this little guy with a big heart for Africa. It is about America and Zambia. America will continue reaching out to the people of Zambia, offering our support, seeking as much to learn as to share, doing so openly and transparently, and eager to help enable the realisation of that Zambian dream and the creative future that benefits, and can only be discovered through, our sincere partnership. I thank you.

Hopewell Chin’ono

99,068 次观看 • 4 个月前