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Missing the real outrage about Valerie Plame

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Earlier today, our boring Thursday got jolted by a reappearance from former United States spy Valerie Plame Wilson. On Twitter.

The one great thing about social media? It reveals so easily, what others try so hard to conceal.

As you might know by now, Valerie Plame’s bird droppings via Twitter would not, um, end well.

So that tweet started it. The surprise and backlash were predictable.

But the problem was that Plame, infamously outed as an American covert operative in 2003, forgot Lesson One of Crisis Management.

Namely: When you’re in a hole, STOP DIGGING!

So here goes with Excuse One (which Plame so thoughtfully numbered so as to foreshadow the excuses AND to indicate that, oh boy, did she really step in it!)

And Two: the I-Can’t-Be-Anti-Semitic-Because-I-Am-A-Jew Defense

But really…who misspells “descent”?

Here goes Three and the start of Excuse Four, in one tweet, don’t miss them, because Four isn’t a defense, it’s a Wait-You-Really-Oughta-Read-This-Garbage!

And the rest of Four follows

just erasing all doubt that Plame intended every bit of the original tweet.

Plame just demonstrated why the first rule of criminal defense for perps is: Shut The Hell Up!

The outrage here? It’s that someone so clueless in judgment to write this got into America’s foreign relations field corps.

But it gets even worse, because Plame can’t shut up, so she decides to dig out of the hole. But it’s too late. Like years too late.

But this “undercurrent” wasn’t just a one-time flirt with Jew-hatred. She’s been swimming in those currents for years.

The Internet never forgets, folks. And if there’s anyone in America more in need of deleting their Twitter account than @ValeriePlame, I can’t tell you who that would be.

I grieve for the intelligence community.

Conservative corporate lawyer, commentator, blockchain technology patent holder and entrepreneur. Headquartered in a red light district in the middle of a deep blue People's Republic.

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Opinions

Conservative Picks for the Oklahoma Primary

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Oklahoma is one of the more Conservative states in this country. The GOP has a stranglehold and the Democrats are on life support. This election cycle boast an opportunity to expand and maintain on the state’s decent Conservative record. Oklahoma has better incumbents than most red states, measuring by fiscal and social conservatism. The most exciting race in Oklahoma is the 1st District where Jim Bridenstine is leaving the seat.

Best Picks: Andy Coleman, Nathan Dahm, James Taylor
Worst Picks: Kevin Herns, Tom Cole
Best Race: District 1
Worst Race: District  3

District 1

There is a plethora of Conservative endorsements in this race. They are split between Andy Coleman and Nathan Dahm. Mark Meadows and Jim Jordan both favor Coleman who appears poised to be the newest inductee to the Freedom Caucus. Rand Paul, the Republican Liberty Caucus, and Thomas Massie are coming out in support of Nathan Dahm. Dahm has a more libertarian styled campaign and platform. Coleman boasts a strong military and legal background while also having a history of supporting persecuted Christians in the Middle East through Voice of the Martyrs. Nathan Dahm is likely less formidable.

The worst candidate in this race has the most funding. Kevin Herns is the businessman insider posing as an outsider. This race has big shoes to fill and he is least likely to fill them. Herns also is lying about his support from Jim Bridenstine, the current Rep. who is vacating the seat to head NASA. Bridenstine responded to this deception.

Ideally, Coleman and Dahm advance to the runoff. Realistically Herns is poised for the next round, so Conservatives will have to combine the vote. But of course this assumes that Herns’s funding has him ahead.

Conservative Pick: Andy Coleman

District 2

Markwayne Mullin is a decent Congressman, but not so much as to dismiss his opponents. His most serious threat is John McCarthy. There is nothing that really separates the two other than McCarthy’s populist style campaign language. He emphasizes keeping his word, but being an outsider, he doesn’t have a track record. Mullin isn’t a RINO nor has he been in the House for too long.

Conservative Pick: Markwayne Mullin

District 3

Frank Lucas is an unchallenged RINO.

District 4

Tom Cole is another incumbent RINO. He is being challenged by James Taylor. This man understands John Locke. He is a Conservative and with the low threshold of Cole to beat, he is the clear choice in this race.

Conservative Pick: James Taylor

District 5

Steve Russell has gotten more Conservative as time passes which is the opposite of many Republicans. He is challenged but faces no serious contender.

Conservative Pick: Steve Russell

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Opinions

Conservative Picks for Utah Primary

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Conservatism is under assault in Utah. Leading the assault is Mitt Romney, the carpetbagging fipflopper using his Mormon status to target a vacant seat in Utah. The Senate is finally rid of Orin Hatch. RINOs Jeff Flake and John McCain’s days are numbered and there are some solid Conservatives advancing to November in easier to win seats. But Conservatives in the Senate will face their newest opponent in Mitt Romney. Romeny will, no doubt, be a vocal vote. He is campaigning on “calling them as he sees it,” which is fine if you have a Conservative worldview. But this is Mitt Romney. He is the author of Obamacare’s framework. He ran one of the worst campaigns in modern history in 2012. He’s the first reason we have Trump. Should Romney win he will vote as any establishment player would: from the left of Trump.

Conservatism in Utah is at a critical point and will have to overcome celebrity politics. The convention tried and failed. It’s now up to the electorate.

Best Pick: Mike Kennedy, Chris Herrod
Worst Pick: Mitt Romney
Best Race: District 3
Worst Race: US Senate

US Senate

There literally could not be a worse candidate than Mitt Romney. He’s a rich carpetbagger riding the Salt Lake City Olympics, which shouldn’t matter. Mike Kennedy is the only chance for Conservatives in this race.

Conservative Pick: Mike Kennedy

District 1

Ron Bishop is unopposed. He’s a mediocre career politician.

District 2

Chris Stewart is decent and unopposed.

District 3

John Curtis is opposed after a single term that was the result of a special election. He hasn’t seen enough action to prove a RINO. In fact, he may be fiscally responsible. He voted against Omnibus. His opponent is Chris Herrod. Herrod is running as a fiscal hawk. What is unique about him is the depth of principle he comes with. His opposition to spending and socialized medicine along with his support for individual freedoms make him a more ideal Conservative and less likely to disappoint in the future than Curtis.

Conservative Pick: Chris Herrod

District 4

Mia Love went to DC with much fanfare and high expectations. So far she has been a huge disappointment boasting an F Liberty Score. She is unopposed.

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Healthcare

Minneapolis Police: Uses dangerous drug to sedate criminals

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Minneapolis has some creative people. Too creative for their own good. Somebody probably saw that the guys who take down large animals with tranquilizer darts use darts filled with ketamine. “Hey, if it will take down those animals, why don’t we use it on the animals our police are fighting?” And an immensely stupid program began. It was also illegal, but if we’re controlling bad guys, who cares?

Time for disclosure. I am a doctor. I do not play one on TV. Not only that, I’m an anesthesiologist and used ketamine in my practice. For certain things, it has no equal. But its proper uses are quite limited.

Ketamine comes from a class of drugs called phencyclidines. The street version is known as Angel Dust, and abusers are Dusters. Because ketamine causes profound analgesia (pain relief), Dusters are known for feats of superhuman strength. Broken handcuffs are just one relatively well-known example. At the same time, Dusters may break their own bones. The analgesic effect of ketamine keeps them from realizing the damage they are doing to themselves.

By now, it should be pretty clear that ketamine is no panacea for the problem of sedating troublesome persons being arrested. At the wrong dose in the wrong person, police can put themselves in worse difficulties than when they started. How do you control someone who feels no pain and wants to cause you harm? Flashback to the villain Renard in The World is Not Enough. He is almost impossible to defeat in a fight because he feels no pain. But I guess the Minneapolis wise guys don’t watch James Bond films.

I have to wonder if the police bothered to look at any references. Even Wikipedia would have been helpful. If they had, they’d discover that there are a lot of other problems with ketamine. The first one should have given them a real headache. The primary reason we don’t use ketamine a lot in anesthesia is that it has a high incidence of emergence delirium. In language even an inattentive civil servant can understand, that means that if you give someone ketamine, they can hallucinate. This happens often enough that we try to avoid ketamine except in those odd cases where its other effects make it the best drug available. Just to make a bad problem worse, there are a lot of times when there isn’t anything you can do to stop the delirium. Welcome to hell.

We’ve only scratched the surface. Since Minneapolis police officers obviously consulted Dr. Conrad Murray, we should expect that they got the same level of advice Michael Jackson got. That means that they missed the fact that ketamine can lead to airway obstruction and death. It releases adrenaline, so it can cause hypertension and tachycardia leading to death. Did I mention that it can kill you? And, unlike opioids, you can give all the naloxone you want and it won’t do a bit of good.

But the Minneapolis police officers are really interested in saving lives, so we can let them use this drug they simply don’t understand on patients who aren’t consenting and may suffer badly from its administration. No problem.

The track record is as bad as I suggested up front. Ketamine administration has led to multiple episodes of cardiac and breathing problems, with many patients requiring emergency intubation. Now for a skilled health care provider, intubation is generally no big deal. But you never deliberately put yourself in a position where you create an uncontrolled need for intubation. The moment you do that, you’ll find yourself looking at the impossible situation. With somewhere around fifty thousand intubations under my belt, the next one can still be the one where I have to call a partner in to give it a try. My practice had over eighty anesthesiologists and two hundred nurse anesthetists, so there was usually another set of hands available. But who is the paramedic in the field going to call? Ghostbusters has an unlisted number.

Let’s get one thing clear. Minneapolis police officers did not have a hand on the syringe. They asked the Hennepin County paramedics to administer ketamine. And if a cop asks, how is a paramedic supposed to refuse? But the paramedics are supposed to operate according to a strict protocol, and only give ketamine when a patient is “profoundly agitated, unable to be restrained, or a danger to themselves or others.” It’s clear that this guideline was violated on multiple occasions.

And this brings us to the nub of the matter. Ketamine is properly used only in the sort of situation described in the protocol. In anesthesia, we will also use it in autistic or severely mentally retarded patients who cannot be managed by breathing them to sleep with gases. In short, we mostly use it in the controlled medical equivalent of the field situation.

It’s likely that Dr. Jeffrey Ho (the director of Hennepin County EMS who happened to graduate from the same medical school I did!) is actually well aware of the proper use of ketamine. He’s a recognized expert in pre-hospital emergency care. And if ketamine is used in the very restricted fashion the policy describes, it’s probably better than most alternatives. But when police decide that they want a set of chemical handcuffs rather than doing their job, we have a problem.

Police work can be difficult and dangerous. But police are not allowed to place people in danger just to make their own life easier. Doing so exceeds the bounds of our social contract with police, and also violates a host of laws. For a paramedic to go along with such an improper request places that paramedic in violation of state laws on the practice of medicine. Their drivers’ license isn’t enough. You follow the protocol or get permission from the supervising ER doc by calling it in.

Hennepin County and the city of Minneapolis have a problem on their hands. Their best bet will be to quietly approach persons who were harmed by this cavalier misuse of ketamine and buy out their legal liability. Then the EMS and police persons involved should be invited to leave. Promptly. Do not pass Go. Do not collect $200.

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