What is Dr. Lanny Up To?

What am I up to?

“Not always this laid back”
“Not always this laid back”

Thank you for asking. I am asked this question so often. This phase may just be a salutation, but I have learned many have a curiosity about my various endeavors. A blog seemed like the best way to answer this question on a regular basis. In addition, this blog provides a means for me to keep track in an organized fashion of what I am up to.

The purpose is to record and relate what I am up to these days. The information will be in one place for recording memoirs and historical events. It will be a place to document the present and consider the future.
I expect to regularly make entries concerning various categories: physician/surgeon; medical research and development; the golf adventures and Life. You may see a recent post or follow the topic that might interest you.

Let me know what you think as this blog will becomes my “Lectronic Legacy” in what ever time remains.

Answering the frequently asked question (FAQ) of what am I up to now?

A BLOG seemed the best and most efficient means of answering the FAQs on a regular basis.  It might be said that I wear multiple hats or have many interests.  Discovery in medicine will always be the main topic.  However there are other categories; Golf Adventures, Inventions, and some Christian writings.  Hopefully the BLOG will be a format to tell what I am up to in each of these main endeavors.  It seems almost daily there are interesting events; at least to me. Perhaps the events may be of interest to others.

I want to make it clear, I am not retired.  Retirement it is bad for one’s health.  I concluded my clinical practice in 1995, but work regularly in these various endeavors.  I do not see anywhere in the Bible where retirement is to be desired or realized.  I have told my daughters that I will not be speaking at my retirement party.

From time to time I will answer publicly herein those questions that recently surfaced and may be of general interest.  I will not be recording what I had on my hot dog at a ball game, let alone focus on mundane events.

I trust I will accomplish the intended goal of answering “What am I up to?”

NEJM; Flush it!

The once prestigious New England Journal of Medicine recent publication on July 23, 2020 is misleading to say the least. “Hydroxychloroquine with or without Azithromycin in Mild-to-Moderate Covid-19 from study in Brazil resulted in news reports that this medication was not effective in mild to moderate cases of Covid-19. The news reporter likely read the title and not the manuscript. A reader of the news article would justifiably presume these were early cases of mild to moderated magnitude.
However, the news report read by more people than the manuscript was misleading to say the least. There was no mention about the patient cohort studied in this news publication. The inclusion criteria for the patient population in the NEJM study was a magnitude of infection such that it required hospitalization. Furthermore, some of the hospitalized patient’s conditions were such they required supplemental oxygen. Then the NEJM accepted the hospitalized patient as designated; mild to moderate classification.

I read the news report as mild to moderate condition of the patients studied being early cases. If I read only the NEJM title I would have come to a similar conclusion. The patients studied had mild to moderate condition, presumptively of early onset and not a group reported upon that were so sick they were hospitalized and some on oxygen.

In addition, follow up reports on clinical studies by reputable journals require at least a one to two years. The term of this study was just 15 days before gaining headlines. It is unlikely to find a competing world record short term report published by NEJM citing information to the contrary.

I am not privileged to the NEJM’s publication policies, bias or political agenda. I do not know if the news reporter read beyond the journal headline. I do not know their policies or agenda.
Whatever the reality, this is an all-time low in medical and news journalism. Flush it!

7/26/2020

New discovery

7/15/2020: I have now two independent contract laboratory studies showing a reagent I have coded as MYTGOD761 causes a 99%+ inactivation of the SARS CoV2 virus in 10 minutes following contact. It may inactivate (kill) at an early time but was first tested at 10 minutes. It is sustained at 60 minutes.

I am in process of making the patent and FDA applications.

Coronavirus in perspective.

7/9/2020: To date there have been 544,739 deaths due to the coronavirus.
https://covid19.who.int/?gclid=Cj0KCQjwgJv4BRCrARIsAB17JI59AtdDLhLPtxu0fad1zakLXArmfNrNmzXCXrFRxomaayLunQbmhlgaAvMgEALw_wcB

To put this in perspective see the following from:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6747855/#bibr6-1176934319876938

Influenza A is one of the deadliest infectious diseases in human history, and it can be ranked equally with the bubonic plague in the ability to create large-scale fear and terror despite the great effort of humans to control it.1-3 From the first outbreak in 1918, called the “Spanish flu” and caused by the H1N1 strain, influenza A has killed 4 to 5 times more people than the number of casualties in World War I.

The following site estimated 50 million died, one-third of the world’s population at that time.

https://www.livescience.com/spanish-flu.html

In 1957, the Asian flu, caused by influenza A H2N2, began in China and spread around the world, killing 1.1 million people in total.3

Ten years later, a new strain of H3N2 lead to the eruption of a new pandemic called the “Hong Kong flu” that caused the death of 1 million people.3

In 2009, the strain that caused a deadly pandemic in World War I returned with a new type called H1N1pdm09; the result was approximately 575,000 deaths.3 Along with the deadly strains that infect humans, other strains, like H5N1, cause problems that can indirectly and catastrophically effect humans.4 The H5N1 outbreak appeared in Vietnam in 2003 when a massive avian infection led to the forcible killing of poultries, crippling the agriculture industry.4

Le KP, Do PC, Amaro RE, Le L. Molecular Docking of Broad-Spectrum Antibodies on Hemagglutinins of Influenza A Virus. Evol Bioinform Online. 2019;15:1176934319876938. Published 2019 Sep 16. doi:10.1177/1176934319876938.

Any relevance to Today?

This ancient proverb may have some relevance today.

Cursed shalt thou be in the city, and cursed shalt thou be in the field.

Reference for the proverb, causation and the conditions thereof upon request.

Consider the Source

5/23/2020: Considering the Source is more important today than ever before. There seems to be more agenda driven information, hidden agenda stuff, conspiracy theories, deception, deceit and out right lying than ever before. One does not have to look very far for confirmation.

This has forced me to return to the common denominator; consider the source. I want to learn about the source and “where are they coming from?” Knowing the source allows me to put in perspective the information. Most false information has some plausible factual basis weaved into the story line. This serves as the “hook” to get us to buy into the argument. Discernment is necessary to avoid advancing to the “line and sinker” stage, the response the author is seeking.

We are searching for the “truth of the matter”. Interestingly, the ancient literature indicates that truth is a person. (John 14:6) Truth is not the end result of reason or scientific research. It is a person; really? Test the hypothesis and settle this for your self.

Jerry Sloan; one of my first famous athlete patients

5/22/2020: I saw in the press that Jerry Sloan, famous basketball player passed away.

https://www.msn.com/en-us/sports/nba/hall-of-fame-nba-coach-jerry-sloan-dies-at-78-he-led-utah-jazz-for-23-seasons/ar-BB14sWMI

He was one of my first famous athlete patients to undergo arthroscopy in the mid 70’s. I remember it well as I was lecturing at a meeting in Chicago suburb and his agent arranged for me to come down town and perform a diagnostic arthroscopy under local anesthesia. I did not tell anyone where I went and as my custom I created no publicity. I forgot about it until today.