Tips for Safe Hiking in the Southern Arizona Low Desert

Typical Sonoran Desert flora on the gently rolling terrain

Topics

  • Introduction
  • Weather
  • Water
  • Clothing and Gear
  • First Aid Kit
  • Navigation Aids
  • Animal Hazards
  • Plant Hazards
  • How to Request Emergency Help
  • Prepare for the Worst?

Introduction

Arizona is blessed with thousands of miles of beautiful trails. Most hikers complete their treks without injuries or other adverse events. However, you can get into serious trouble—even life-threatening—if you don’t know what you’re doing. The most common hazards are related to weather, water, and falls. Our goal with this guide is to help you thrive and survive on southern AZ’s low desert trails. It’s only a start; learn more on your own from authoritative sources.

“Low desert” refers to elevations of roughly 1,000-2,500 feet above sea level, although many low desert trails may take you up mountains to 3,500-4,500 feet. For instance, Scottsdale’s elevation is 1,200 feet and Tucson’s is 2,400 feet. In contrast, the Mogollon Rim (e.g., Payson, AZ) is around 6,000 feet and Flagstaff is 7,000. At these higher elevations the climate, flora, and fauna are often radically different from the low desert.

Before your trek, it’s critically important be honest about your physical coordination and fitness level. If you haven’t walked more than two miles non-stop during the last year, don’t try a four-mile hike. Learn all you can about your proposed trail before you start. Trail descriptions will often note whether it is easy, moderate, difficult, strenuous, or “expert level.” A “primitive trail” will be easier to get lost on and usually have worse footing. Also pay attention to “elevation gain”; a 500 foot or more gain in elevation increases the difficulty. Scottsdale’s famous Camelback Mountain peak is at 2,700 feet, but the Cholla trail starts 1,300 vertical feet below that. That’s not a stroll in the park.

The farther away you get from civilization, the potential adverse outcomes of hiking increase. For any but the easiest and crowded urban trails, tell someone which exact trail you will be on and when to expect a call from you after you finish. That way they know where to send the search party when you don’t check in. On remote or uncrowded trails, hike with a buddy who can help if you become injured or disabled.

Numerous rescues and several deaths occur yearly on AZ’s trails. Are you scared yet? Let’s alleviate that fear and minimize risks! What follows pertains mostly to day hikes on established trails, not bushwhacking or overnight backpacking.

Weather

Heat kills. From mid-May through late September, high temperatures in the low desert often hit 105 to 110° F or even higher. Low temps in summer may not drop below 95! Most Arizonans will NOT be on the trail in the sun when it’s above 95 degrees. We’ll hit the trail at sunrise and be off it by 10 AM. Memorize and avoid these signs of Heat Illness: muscle cramps, feeling faint (dizzy), goosebumps, unusually high pulse, extreme fatigue, nausea, headache, rapid breathing. If ignored, these can lead to heat stroke, which can be fatal. Adequate hydration and perhaps salty snacks or electrolyte packets help prevent Heat Illness.

Some trails will have almost no shade, so you should avoid them in summer after 10 AM unless high temps under 95° are predicted. 

High temps are not much of a problem in late fall, winter, and early spring. Low temps are easily manageable with the right clothing. But always check the forecast for temps, rain, snow, and thunderstorms before heading out. The higher the elevation, the cooler it tends to be.

AZ has a season called “monsoon” from June 15 to Sept 30 when overall humidity is higher than usual. It’s characterized by occasional violent storms with rain, high winds, lightning, and flash flooding. Don’t get caught outside in a monsoon storm. Be very careful to avoid creeks and dry creek beds (washes or arroyos) when rain is in the area or even miles away, or you could die in a flash flood. From the Centers for Disease Control : “Lightning often strikes outside of heavy rain and can strike as far as 10 miles away from any rainfall. Many lightning deaths occur ahead of storms or after storms seemingly have passed. Remember, if you can hear thunder, you might be in danger of a lightning strike.”

Water

Dehydration kills. Especially in the hot months. Adequate hydration will help prevent Heat Illness. How much water you carry with you depends on body weight, length of hike, humidity level, temperature, personal preference, etc. Everybody should start out well-hydrated and take more water than you think you’ll need. One rule-of-thumb is that, when a third of your water is gone, it’s time to turn around unless you’re half-way to your destination. For hot summer hikes, Arizona Hiking Shack (phone 800-964-1673) advises adults to take one liter of water for every hour you’ll be out, plus and an extra bottle “for whatever.”  There’s a fair chance you’ll run across someone on the trail who needs water. You may need water to cleanse abrasions or wet your neck’s cooling towel. Another rule-of-thumb from the Shack is: “When your water’s half done [gone?], your hike is half done.”

Clothing and Gear

Footwear:

If a trail is labelled as “easy,” you’ll probably be fine wearing sneakers. “Easy” usually means fairly flat and smooth. Avoid sandals because they don’t provide much protection against cactus needles, scorpions, rocks, etc. For a “moderate” level trail, you might get by with sneakers but specific hiking shoes or boots are better, which is what you’ll want for “difficult” trails. Moderate, difficult, and primitive trails usually have more rocks, and your feet need protection from them with a thicker or stiffer shoe sole.

Clothing:

Use your judgment and dress for the weather. You may fall or rub against bushes, cacti, and rocks, so sturdier clothes beat flimsy. White or light-colored clothing will keep you cooler in the summer. A broad-brimmed hat protects against the sun.  

Sun Protection Options:

Sunscreen, long pants, long-sleeve shirts, gloves, sunglasses, hat.

Backpack:

Size depends on individual needs and preferences. A comfortable one is worth the money. A pack with a hip belt will make heavy loads (water!) more comfortable by shifting some weight onto the hips. Built-in water-carrying bladders are popular.

Trekking poles (optional):
Helpful for maintaining balance on uneven, unstable, or slanted surfaces. They take pressure off arthritic or weak knees when moving downhill.

Miscellaneous:
First aid kit, communication devices, maps, navigation aids, multi-tool, cooling towel for neck (requires water).

First Aid Kit

Commercial kit or DIY (do it yourself). You need tweezers to remove cactus needles and splinters, an assortment of band-aids, antibiotic ointment, 1% hydrocortisone cream, antiseptic towelettes, steri-strips, 2-inch gauze wrap, “2nd Skin” or other blister remedy, medical tape, 4×4” gauze pads, 2×2” gauze pads, small scissors or paramedic shears, latex or nitrile gloves. Barebones kit: tweezers, band-aids, 4×4” gauze pads, 2-inch gauze wrap. Optional: acetaminophen, NSAID such as ibuprofen, Benadryl (for itching). [sterile needle or other device for help removing splinters?]

Navigation Aids

A few trails are so obvious and/or crowded that you won’t need any navigation aids. Unless you’re sure about that, be prepared to prevent getting lost. Use a trail map and keep track of your location on that map. If you are in a remote area, strongly consider a handheld GPS navigation device (Garmin brand is the market leader), topographic map, and a compass. Learn how to use the compass and map before you need it. Hiking with someone familiar with the area could be life-saving.

Animal Hazards

Lions and tigers and bears, Oh My! AZ has no wild tigers but there are a few jaguars. Here are some problematic critters you may run across:

  • Snakes. The commonest dangerous snake here is the rattlesnake. Most of them are not aggressive if left alone but give them a wide berth. A coiled rattler can strike a distance 2/3 of its length. If you hear the rattle, it’s a clear warning. Always keep your eyes open for snakes, except you can let your guard down a bit between roughly Dec 1 and mid-March.
  • Gila monsters. Much less commonly seen than rattlesnakes. They tend to move slowly and are not aggressive unless threatened.  The venomous bite is very painful but rarely serious. Stay away.
  • Scorpions. Stings can be painful but usually not serious in healthy adults. Young children and the elderly are at higher risk of serious effects.  
  • Mountain lions (aka cougar or puma). Attacks on humans are uncommon but do occur. Many avid hikers have never seen a lion. Sabino Canyon near Tucson seems to be a relative hot spot.
  • Coyotes. Common. Unless rabid, they tend to ignore or run from adult humans. Keep small dogs and children near you.
  • Bobcats. Uncommon. Unless rabid, they tend to ignore or run from adult humans.
  • Black Bears. Uncommon to rare. Do not get between a momma bear and cubs. In bear country, avoid encounters by hiking with others and make noise (e.g., talking, whistling, singing) periodically. If a bear sees you, walk slowly away, keeping eyes on the bear. If it starts walking toward you, talk to it calmly in a low tone. Alternatively, a powerful blow on your emergency whistle may scare it away. If it comes at you aggressively, do not run or play dead; stand your ground, yell, wave your arms to make yourself look larger. If attack is imminent, fight with all you’ve got: throw rocks or wood, use bear spray, hands, firearms. Aim for the face. (The approach to grizzlies is different.)
  • Javelinas. Common. Usually not aggressive toward humans unless startled, threatened, or javelina babies are nearby. Stay away. Bites can be severe.
  • Bees. A few bee stings are not dangerous unless you are seriously allergic to them. Our Africanized bees can team up and kill humans with hundreds of stings. May and June are the highest risk months. Bees attack when the nest is threatened. When you see or hear an unusual number of bees in an area, move away quickly yet calmly. One sting may alert the colony that a predator—you!—is nearby. An attack may start with one or a few bees “head bumping” you as a warning; move away quickly. Resist the urge to swat, flail arms, or kill one of these or other bees. You can cover your head with clothing but don’t obstruct your vision. Once the entire colony or swarm attacks, run as fast as you can to shelter such as a car or building. If none is available, run for at least a quarter mile (400 meters), preferably in a straight line. You may be able to outrun them.

From the list above, if you have a scary animal encounter it’s most likely to involve a rattlesnake, scorpion, or bees. Odds are, you won’t have any problem at all. Search for information at trailheads about which dangerous animals are in the area and advice on avoidance and defense.

Plant Hazards

The desert is home to many spikey and prickly plants that are not always obvious upon inspection. Be vigilant. Watch young children closely.

How to Request Emergency Help

A cell phone is the usual first option. But remote areas often lack cell phone service. If service is marginal, try moving to a higher location and/or send a text message. If you’re disabled by injury, someone in your party can hike back to civilization for help, if time allows.

Another option is an emergency whistle. The idea is to get the attention of someone in the area. The whistle is louder and will transmit farther than shouting, up to a mile or so, and takes less energy. A common distress signal from a whistle is three blasts (2-3 seconds each) in succession, rest for a bit then repeat. Or use the old Morse code for SOS: three short blasts, three long blasts, then three short blasts.    

After cell phones, a satellite phone is the next most reliable and quick-response option although financially out of reach for most of us. Less expensive options are PLBs (personal locator beacons) and satellite messengers. PLBs solely send an SOS with your location to rescue agencies via satellite and do not have a subscription fee. Alternatively, satellite messengers allow you to send SOS signals, plus text messages to friends or loved ones and have additional features like navigation. A subscription fee is required. Examples are Garmin inReach, SPOT, and Bivy Stick.

Prepare for the Worst?

Imagine planning on a four-hour afternoon hike alone on a remote trail, but you trip and fall into a ravine, fracturing your leg, losing your ability to walk. And you have no way to call for help. Assuming a search party is planned, they may not find you until 12-48 hours later. You’ll have to spend the night in the wild and it’s getting cold. Are you prepared? Items to consider packing: tarp for making a shelter, 550 paracord, flashlight, space blanket for warmth, knife, method for purifying water, method for making fire (matches, lighter), firearm for protection, warm clothes, and food. Before heading out on the trail, take a full-body photo of yourself in your hiking clothes and send it to a loved one; this will help rescuers quickly identify you.

Conclusion

Be prepared, not scared.

Steve Parker, M.D.

front cover of paleobetic diet

Click to purchase at Amazon.com. E-book also available at Smashwords. com.

Knee Osteoarthritis: When Is It Time for Knee Replacement?

Photo credit: Steven Paul Parker II

Dr. Howard J. Luks is an orthopedist who published a reasonable and fairly comprehensive article on knee osteoarthritis management. Thankfully, knee replacement surgery is a last resort for this surgeon. He discusses exercise, tai chi, diet, yoga, knee injections, NSAIDs, ice, heat, etc.

Osteoarthritis of the knee is a prevalent health issue.  Despite a diagnosis of arthritis of the knee, the majority of you can live an active, happy life.  But you’ve heard awful phrases used to describe your Xrays– phrases like Bone on Bone, bone spurs, degeneration, wearing away, etc. Those phrases scare you.  I get that! 

Life does not stop after a diagnosis of arthritis. Exercise is perhaps the best medicine for your arthritis.  Exercising a joint that you’ve been told is wearing out may seem counterintuitive.  Exercise is essential if your goal is to avoid surgery for as long as possible.  Being active will not cause your arthritis to worsen.  Not all pain implies harm


Click for Dr. Luks’ exercise recommendations for stronger legs.


Steve Parker, M.D.

front cover of paleobetic diet

Click to purchase at Amazon.com. E-book also available at Smashwords. com.

Recipe: Buttoni’s Indian Cabbage

From Peggy at Buttoni’s Low-Carb Recipes:

If you think you don’t like cabbage (like my husband) you have GOT to try this recipe!  You’ll swear you are not eating cabbage!!  No cabbage odor or strong taste whatsoever to this dish!  It is a delightfully crunchy side dish with grilled Tandoori Chicken or pork chops!  I order my nigella seeds (black onion seeds or kalongi seed) on-line, but you may be fortunate to have a spice supplier where you live.  I would not recommend omitting them, as you will miss out on a flavor layer that is quite nice.  Once you taste this recipe (without alterations) you’ll wish you had found this simple recipe long ago!  This dish is Atkins Induction, Primal and Paleo friendly.

I haven’t tried this yet but will someday. Filing it here so I don’t lose it. Click for details.

Check out Peggy’s other great recipes!

Steve Parker, M.D.

front cover of paleobetic diet

Click to purchase at Amazon.com. E-book also available at Smashwords. com.

The Most Profound Article I’ve Read This Year

Photo by Somchai Kongkamsri on Pexels.com

At the risk of being labelled a “domestic terrorist,” I share with you a document from The Rutherford Institute with their permission….


“In a time of deceit telling the truth is a revolutionary act.”— George Orwell

Let’s be clear about one thing: seditious conspiracy isn’t a real crime to anyone but the U.S. government.

To be convicted of seditious conspiracy, the charge levied against Stewart Rhodes who was sentenced to 18 years in prison for being the driving force behind the January 6 Capitol riots, one doesn’t have to engage in violence against the government, vandalize government property, or even trespass on property that the government has declared off-limits to the general public.

To be convicted of seditious conspiracy, one need only foment a revolution.

This is not about whether Rhodes deserves such a hefty sentence.

This is about the long-term ramifications of empowering the government to wage war on individuals whose political ideas and expression challenge the government’s power, reveal the government’s corruption, expose the government’s lies, and encourage the citizenry to push back against the government’s many injustices.

This is about criminalizing political expression in thoughts, words and deeds.

This is about how the government has used the events of Jan. 6 in order to justify further power grabs and acquire more authoritarian emergency powers.    

This was never about so-called threats to democracy.

In fact, the history of this nation is populated by individuals whose rhetoric was aimed at fomenting civil unrest and revolution.

Indeed, by the government’s own definition, America’s founders were seditious conspirators based on the heavily charged rhetoric they used to birth the nation.

Thomas Jefferson, Thomas Paine, Marquis De Lafayette, and John Adams would certainly have been charged for suggesting that Americans should not only take up arms but be prepared to protect their liberties and defend themselves against the government should it violate their rights.

“What country can preserve its liberties if their rulers are not warned from time to time that their people preserve the spirit of resistance. Let them take arms,” declared Jefferson. He also concluded that “the tree of liberty must be refreshed from time to time with the blood of patriots and tyrants.”

“It is the duty of the patriot to protect his country from its government,” insisted Paine.

“When the government violates the people’s rights,” Lafayette warned, “insurrection is, for the people and for each portion of the people, the most sacred of the rights and the most indispensable of duties.”

Adams cautioned, “A settled plan to deprive the people of all the benefits, blessings and ends of the contract, to subvert the fundamentals of the constitution, to deprive them of all share in making and executing laws, will justify a revolution.”

Had America’s founders feared revolutionary words and ideas, there would have been no First Amendment, which protects the right to political expression, even if that expression is anti-government.

No matter what one’s political persuasion might be, every American has a First Amendment right to protest government programs or policies with which they might disagree.

The right to disagree with and speak out against the government is the quintessential freedom.

Every individual has a right to speak truth to power—and foment change—using every nonviolent means available.

Unfortunately, the government is increasingly losing its tolerance for anyone whose political views could be perceived as critical or “anti-government.”

All of us are in danger.

In recent years, the government has used the phrase “domestic terrorist” interchangeably with “anti-government,” “extremist” and “terrorist” to describe anyone who might fall somewhere on a very broad spectrum of viewpoints that could be considered “dangerous.”

The ramifications are so far-reaching as to render almost every American with an opinion about the government or who knows someone with an opinion about the government an extremist in word, deed, thought or by association.

You see, the government doesn’t care if you or someone you know has a legitimate grievance. It doesn’t care if your criticisms are well-founded. And it certainly doesn’t care if you have a First Amendment right to speak truth to power.

What the government cares about is whether what you’re thinking or speaking or sharing or consuming as information has the potential to challenge its stranglehold on power.

Why else would the FBI, CIA, NSA and other government agencies be investing in corporate surveillance technologies that can mine constitutionally protected speech on social media platforms such as Facebook, Twitter and Instagram?

Why else would the Biden Administration be likening those who share “false or misleading narratives and conspiracy theories, and other forms of mis- dis- and mal-information” to terrorists?

Why else would the government be waging war against those who engage in thought crimes?

Get ready for the next phase of the government’s war on thought crimes and truth-tellers.

For years now, the government has used all of the weapons in its vast arsenal—surveillance, threat assessments, fusion centers, pre-crime programs, hate crime laws, militarized police, lockdowns, martial law, etc.—to target potential enemies of the state based on their ideologies, behaviors, affiliations and other characteristics that might be deemed suspicious or dangerous.

For instance, if you believe in and exercise your rights under the Constitution (namely, your right to speak freely, worship freely, associate with like-minded individuals who share your political views, criticize the government, own a weapon, demand a warrant before being questioned or searched, or any other activity viewed as potentially anti-government, racist, bigoted, anarchic or sovereign), you could be at the top of the government’s terrorism watch list.

Moreover, as a New York Times editorial warns, you may be an anti-government extremist (a.k.a. domestic terrorist) in the eyes of the police if you are afraid that the government is plotting to confiscate your firearms, if you believe the economy is about to collapse and the government will soon declare martial law, or if you display an unusual number of political and/or ideological bumper stickers on your car.

According to one FBI report, you might also be classified as a domestic terrorism threat if you espouse conspiracy theories, especially if you “attempt to explain events or circumstances as the result of a group of actors working in secret to benefit themselves at the expense of others” and are “usually at odds with official or prevailing explanations of events.”

In other words, if you dare to subscribe to any views that are contrary to the government’s, you may well be suspected of being a domestic terrorist and treated accordingly.

There’s a whole spectrum of behaviors ranging from thought crimes and hate speech to whistleblowing that qualifies for persecution (and prosecution) by the Deep State.

Simply liking or sharing this article on Facebook, retweeting it on Twitter, or merely reading it or any other articles related to government wrongdoing, surveillance, police misconduct or civil liberties might be enough to get you categorized as a particular kind of person with particular kinds of interests that reflect a particular kind of mindset that might just lead you to engage in a particular kinds of activities and, therefore, puts you in the crosshairs of a government investigation as a potential troublemaker a.k.a. domestic extremist.

Chances are, as the Washington Post reports, you have already been assigned a color-coded threat score—green, yellow or red—so police are forewarned about your potential inclination to be a troublemaker depending on whether you’ve had a career in the military, posted a comment perceived as threatening on Facebook, suffer from a particular medical condition, or know someone who knows someone who might have committed a crime.

In other words, you might already be flagged as potentially anti-government in a government database somewhere—Main Core, for example—that identifies and tracks individuals who aren’t inclined to march in lockstep to the police state’s dictates.

As The Intercept reported, the FBI, CIA, NSA and other government agencies have increasingly invested in corporate surveillance technologies that can mine constitutionally protected speech on social media platforms such as Facebook, Twitter and Instagram in order to identify potential extremists and predict who might engage in future acts of anti-government behavior.

Where many Americans go wrong is in naively assuming that you have to be doing something illegal or harmful in order to be flagged and targeted for some form of intervention or detention.

In fact, all you need to do these days to end up on a government watch list or be subjected to heightened scrutiny is use certain trigger words (like cloud, pork and pirates), surf the internet, communicate using a cell phone, limp or stutterdrive a car, stay at a hotel, attend a political rally, express yourself on social mediaappear mentally ill, serve in the militarydisagree with a law enforcement officialcall in sick to work, purchase materials at a hardware store, take flying or boating lessons, appear suspicious, appear confused or nervous, fidget or whistle or smell bad, be seen in public waving a toy gun or anything remotely resembling a gun (such as a water nozzle or a remote control or a walking cane), stare at a police officer, question government authority, or appear to be pro-gun or pro-freedom.

And then at the other end of the spectrum there are those such as Julian Assange and Chelsea Manning, for example, who blow the whistle on government misconduct that is within the public’s right to know.

In true Orwellian fashion, the government would have us believe that it is Assange and Manning who are the real criminals for daring to expose the war machine’s seedy underbelly.

Since his April 2019 arrest, Assange has been locked up in a maximum-security British prison—in solitary confinement for up to 23 hours a day—pending extradition to the U.S., where if convicted, he could be sentenced to 175 years in prison.

This is how the police state deals with those who challenge its chokehold on power.

This is also why the government fears a citizenry that thinks for itself: because a citizenry that thinks for itself is a citizenry that is informed, engaged and prepared to hold the government accountable to abiding by the rule of law, which translates to government transparency and accountability.

After all, we’re citizens, not subjects.

For those who don’t fully understand the distinction between the two and why transparency is so vital to a healthy constitutional government, Manning explains it well:

When freedom of information and transparency are stifled, then bad decisions are often made and heartbreaking tragedies occur – too often on a breathtaking scale that can leave societies wondering: how did this happen? … I believe that when the public lacks even the most fundamental access to what its governments and militaries are doing in their names, then they cease to be involved in the act of citizenship. There is a bright distinction between citizens, who have rights and privileges protected by the state, and subjects, who are under the complete control and authority of the state.

This is why the First Amendment is so critical. It gives the citizenry the right to speak freely, protest peacefully, expose government wrongdoing, and criticize the government without fear of arrest, isolation or any of the other punishments that have been meted out to whistleblowers such as Edwards Snowden, Assange and Manning.

The challenge is holding the government accountable to obeying the law.

A little over 50 years ago, the U.S. Supreme Court ruled 6-3 in United States v. Washington Post Co. to block the Nixon Administration’s attempts to use claims of national security to prevent The Washington Post and The New York Times from publishing secret Pentagon papers on how America went to war in Vietnam.

As Justice William O. Douglas remarked on the ruling, “The press was protected so that it could bare the secrets of government and inform the people. Only a free and unrestrained press can effectively expose deception in government. And paramount among the responsibilities of a free press is the duty to prevent any part of the government from deceiving the people and sending them off to distant lands to die of foreign fevers and foreign shot and shell.”

Fast forward to the present day, and we’re witnessing yet another showdown, this time between Assange and the Deep State, which pits the people’s right to know about government misconduct against the might of the military industrial complex.

Yet this isn’t merely about whether whistleblowers and journalists are part of a protected class under the Constitution. It’s a debate over how long “we the people” will remain a protected class under the Constitution.

Following the current trajectory, it won’t be long before anyone who believes in holding the government accountable is labeled an “extremist,” relegated to an underclass that doesn’t fit in, watched all the time, and rounded up when the government deems it necessary.

We’re almost at that point now.

Eventually, as I point out in my book Battlefield America: The War on the American People and in its fictional counterpart The Erik Blair Diaries, we will all be seditious conspirators in the eyes of the government.

We would do better to be conspirators for the Constitution starting right now.

WC: 2168


ABOUT JOHN W. WHITEHEAD

Constitutional attorney and author John W. Whitehead is founder and president of The Rutherford Institute. His most recent books are the best-selling Battlefield America: The War on the American People, the award-winning A Government of Wolves: The Emerging American Police State, and a debut dystopian fiction novel, The Erik Blair Diaries. Whitehead can be contacted at staff@rutherford.org. Nisha Whitehead is the Executive Director of The Rutherford Institute. Information about The Rutherford Institute is available at www.rutherford.org.

Shawn Ryan’s Memorial Day Message 2023

A Succession of Vaccine Dictators, Wanna-be Dictators, Liars, and Sycophants

Watch it before the Deep State censors it.

Congestive Heart Failure: You May Be Cutting Out TOO MUCH Salt

From DailyMail:

Salt has long been seen as enemy number one for people with heart problems, with doctors telling patients to cut down on the amount of sodium they consume.

But new research suggests that restricting salt too much may actually raise the risk of an early death in heart failure patients.

Their work builds upon a growing body of research that posits the benefits of cutting out salt to this subset of patients may be overblown. 

And the findings could mean a more exciting diet for the more than six million Americans with heart failure.


Compared to those CHF patients consuming over 2.5 grams of sodium daily, those eating below that limit were 80% more likely to die during the observation period. The Daily Mail article shares the sodium content of some common foods and will convince you that keeping sodium under 3 grams/day requires meticulous attention. If you have CHF, consult your personal physician before making significant dietary changes.

Steve Parker, M.D.

A Picture Is Worth a Thousand Words

h/t Bustednuckles

Nuff said.

Steve Parker, M.D.

front cover of paleobetic diet

Click to purchase at Amazon.com. E-book also available at Smashwords. com.

How to Manage GERD Without Proton Pump Inhibitors

I have nothing against Prilosec in particular. It can be very helpful. It’s one of several PPIs on the market.

I’ve written several blog posts on the risks of chronic use of PPIs (proton pump inhibitors) for gastro-esophageal reflux disease (GERD). By “chronic use” I mean daily or several days every week. In order to avoid the risks of PPI usage, a recent commenter asked me about non-PPI management options.

I’ll assume that occasional use of antacids, H2 blockers (histamine 2 receptor agonists like famotidine), and proton pump inhibitors is not an adequate remedy. At some point (sooner rather than later), you’ll also want to be sure the diagnosis truly is GERD and not something else. This may well require a consultation with a gastroenterologist.

BTW, having to pop a couple Tums antacids for heartburn once every 2-3 months is not a disease. It’s not GERD. It’s occasional heartburn. Untreated GERD symptoms are much more frequent and may be more intense or more prolonged.

So here are some non-PPI options for management of GERD in adults. Some of these will help one person but not the next, and experimentation may be in order.

  • Lose excess weight. Even common overweight can aggravate the condition.
  • Elevate head of bed on 6-8 inch bricks.
  • Avoid supine posture after meals.
  • No eating for 2-3 hours prior to bedtime.
  • Avoid tobacco and alcohol.
  • Low-carb diet.
  • Avoid tight-fitting garments over the abdomen.
  • Avoid common triggers: spicy food, carbonated beverages, onions (especially raw), chocolate, high-fat foods, caffeine. If you’re sure these don’t trigger your own GERD, then no particular need to avoid. A spicy meal one week ago doesn’t cause your GERD today. Your triggers will typically be ingested 30 minutes to 8 hours prior to symptom onset.

Medication alternatives to PPIs and H2 blockers (histamine 2 receptor agonists like famotidine):

  • Sucralfate if pregnant.
  • Metoclopramide if gastroparesis is present (delayed gastric emptying).
  • Sodium alginate.

Bothersome symptoms that are refractory to all usual treatment? Get EGD (esophagogastroduodenoscopy) and ambulatory esophageal pH-metry from a gastroenterologist.


Final options for refractory GERD:

  • Anti-reflux surgery
  • Transoral incisionless fundoplication

There are probably other options for GERD suppression that I haven’t mentioned.

Finally, I’m not your doctor and don’t know any of the details of your situation. For all you know, I may not even be a real doctor. Work with your personal physician!

Steve Parker, M.D.

front cover of paleobetic diet

Click to purchase at Amazon.com. E-book also available at Smashwords. com.

COVID-19 Link Dump: Vax Damage Prevention, Fauci Created the Virus, Metformin Prevents Long Covid, Kirsch: mRNA Vax Neither Safe Nor Effective (But Outright Dangerous), COVID Response Violated Medical Ethics

FLCCC Alliance has published a protocol to prevent damage from the mRNA vaccines. If you’re a year out from your last vax, maybe you don’t need it:

Most serious adverse events following vaccination occur in the two weeks immediately following a dose of the vaccine. However, evolving data suggest that some patients who otherwise had no adverse events from the vaccine appear to have delayed acute cardiac events (often leading to sudden death). This appears to peak between 4 to 6 months after the vaccine but may extend for at least one year. There has also been evidence of an emergence of “turbo” and relapsed cancers in the months following vaccination. We have developed this document to attempt to limit these complications and reassure those who have been vaccinated. Essentially, both cardiac and cancer-related complications are related to the persistence of spike protein. Therefore, any intervention that reduces the persistence and the ‘load’ of spike protein will likely be beneficial.


Paul Craig Roberts reports that Fauci funded the virus’s gain of function research:

Folks, this is a big deal. In Congressional testimony (March 8-9) Dr Robert Redfield, who was director of the Centers for Disease Control during the Covid pandemic, told Congress that Dr. Fauci financed the gain-of-function research that made the virus so contagious, that the virus was not natural and was engineered in a lab, and that Fauci excluded him from meetings and decisions because he, Redfield, was disturbed about what was going on.


Ivermectin and fluvoxamine didn’t prevent Long COVID, but metformin did. A preprint at The Lancet:

Interpretations: A 42% relative decrease and 4.3% absolute decrease in the Long COVID incidence occurred in participants who received early outpatient COVID-19 treatment with metformin compared to exact-matching placebo.


Here are some other direct quotes from the paper:

Steve Kirsch reported on a scientific analysis of the Australian vaccination experience. The journal he quotes is Clinical & Experimental Immunology, a peer-reviewed medical journal covering clinical and translational immunology. The editor-in-chief is Leonie Taams. It is published by Oxford University Press on behalf of the British Society for Immunology, of which it is the official journal. Some direct quotes from the journal:

  1. COVID-19 vaccines cause more side effects than any other vaccine
  2. Not only does spike protein produce unwanted side effects, but mRNA and nanoparticles do as well.
  3. Never in vaccine history have we seen 1011 case studies showing side effects of a vaccine (https://www.saveusnow.org.uk/covid-vaccine-scientific-proof-lethal).
  4. Again, it is inconceivable why it would be impossible to go through the study data in a few months, when it took the CDC less than 4 weeks to give the injections emergency use authorization – unless you want to entertain the idea that the study data were never actually read and scrutinised, a frightening perspective.
  5. The official public message is that the mRNA vaccines are safe. However, the Therapeutic Goods Administration (TGA), the medicine and therapeutic regulatory agency of the Australian Government, states quite clearly on their website that the large-scale trials are still progressing and no full data package has been received from any company
  6. The mRNA vaccines were supposed to remain at the injection site and be taken up by the lymphatic system. This assumption proved to be wrong. During an autopsy of a vaccinated person that had died after mRNA vaccination it was found that the vaccine disperses rapidly from the injection site and can be found in nearly all parts of the body [1]. … Research has shown that such nanoparticles can cross the blood-brain barrier and the blood-placenta barrier.
  7. Despite not being able to prove a causal link with vaccines, as no autopsies were performed, they still believed that a link with vaccination is possible and further analysis is warranted.
  8. In summary, it is unknown where exactly the vaccine travels once it is injected, and how much spike protein is produced in which (and how many) cells.
  9. The S1 subunit of the SARS-CoV-2 spike protein when injected into transgenic mice overexpressing human ACE-2 caused a COVID-19 like response. It was further shown that the spike protein S1 subunit, when added to red blood cells in vitro, could induce clotting.
  10. The authors found consistent alteration of gene expression following vaccinationin many different immune cell types.
  11. Seneff et al (2022) describe another mechanism by which the mRNA vaccines could interfere with DNA repair.
  12. It is an amazing fact that natural immunity is completely disregarded by health authorities around the world. We know from SARSCoV-1 that natural immunity is durable and persists for at least 12-17 years [17]. Immunologists have suggested that immunity to SARS-Cov-2 is no different
  13. Immunity induced by COVID infection is robust and long lasting.
  14. mRNA vaccines seem to suppress interferon responses. A literature review by Cardozo and Veazev [26] concluded that COVID-19 vaccines could potentially worsen COVID-19 disease.
  15. Natural immunity is still not accepted as proof of immunity in Australia.
  16. A study at the University of California followed up on infections in the workforce after 76% had been fully vaccinated with mRNA vaccines by March 2021 and 86.7% by July 2021. In July 2021 75.2% of the fully vaccinated workforce had symptomatic COVID.
  17. Acharya et al. (2021) and Riemersma et al. (2021) both showed that the vaccinated have very high viral loads similar to the unvaccinated and are therefore as infectious.
  18. Brown et al. (2021) and Servelitta et al (2021) suggested that vaccinated people with symptomatic infection by variants, such as Delta, are as infectious as symptomatic unvaccinated cases and will contribute to the spread of COVID even in highly vaccinated communities.
  19. Countries with higher vaccination rates have also higher caseloads. It was shown that the median of new COVID-19 cases per 100,000 people was largely similar to the percent of the fully vaccinated population.
  20. Multiple recent studies have indicated that the vaccinated are more likely to be infected with Omicron than the unvaccinated. A study by Kirsch (2021) from Denmark suggests that people who received the mRNA vaccines are up to eight times more likely to develop Omicron than those who did not [40]. This and a later study by Kirsch (2022a) conclude that the more one vaccinates, the more one becomes susceptible to COVID-19 infection [41].
  21. This has to be seen in context with the small risk of dying from COVID-19… The chances of someone under 18 years old dying from COVID is near 0%. Those that die usually have severe underlying medical conditions. It is estimated that children are seven times more at risk to die from influenza than from COVID-19. [Editor’s note: so why do colleges mandate the COVID vaccine instead of the influenza vaccine?]

——

More quotes from the journal article, not Kirsch:

Excerpts from the conclusion

  1. Never in Vaccine history have 57 leading scientists and policy experts released a report questioning the safety and efficacy of a vaccine. They not only questioned the safety of the current Covid-19 injections, but were calling for an immediate end to all vaccination. Many doctors and scientists around the world have voiced similar misgivings and warned of consequences due to long-term side effects. Yet there is no discussion or even mention of studies that do not follow the narrativeon safety and efficacy of Covid-19 vaccination.
  2. Medical experts that have questioned the safety of these vaccines have been attacked and demonized, called conspiracy theorists and have been threatened to be de-registered if they go against the narrative. Alternative treatments were prohibited and people who never practised medicine are telling experienced doctors how to do their job. AHPRA is doing the same here in Australia to the detriment and in ignorance of science.

The final paragraph sums it up

As scientists we put up hypotheses and test them using experiments. If a hypothesis is proven to be true according to current knowledge it might still change over time when new evidence comes to light. Hence, sharing and accumulating knowledge is the most important part of science. The question arises when and why this process of science has been changed. No discussion of new knowledge disputing the safety of the COVID-19 vaccines is allowed. Who gave bureaucrats the means to destroy the fundaments of science and tell scientists not to argue the science?


From Clayton J. Baker, M.D.:

Though it may be difficult to believe in the aftermath of COVID, the medical profession does possess a Code of Ethics. The four fundamental concepts of Medical Ethics – its 4 Pillars – are Autonomy, Beneficence, Non-maleficence, and Justice.

Autonomy, Beneficence, Non-maleficence, and Justice

These ethical concepts are thoroughly established in the profession of medicine. I learned them as a medical student, much as a young Catholic learns the Apostle’s Creed. As a medical professor, I taught them to my students, and I made sure my students knew them. I believed then (and still do) that physicians must know the ethical tenets of their profession, because if they do not know them, they cannot follow them.

These ethical concepts are indeed well-established, but they are more than that. They are also valid, legitimate, and sound. They are based on historical lessons, learned the hard way from past abuses foisted upon unsuspecting and defenseless patients by governments, health care systems, corporations, and doctors. Those painful, shameful lessons arose not only from the actions of rogue states like Nazi Germany, but also from our own United States: witness Project MK-Ultra and the Tuskegee Syphilis Experiment.

The 4 Pillars of Medical Ethics protect patients from abuse. They also allow physicians the moral framework to follow their consciences and exercise their individual judgment – provided, of course, that physicians possess the character to do so. However, like human decency itself, the 4 Pillars were completely disregarded by those in authority during COVID.

The demolition of these core principles was deliberate. It originated at the highest levels of COVID policymaking, which itself had been effectively converted from a public health initiative to a national security/military operation in the United States in March 2020, producing the concomitant shift in ethical standards one would expect from such a change. As we examine the machinations leading to the demise of each of the 4 Pillars of Medical Ethics during COVID, we will define each of these four fundamental tenets, and then discuss how each was abused.


Steve Parker, M.D.

front cover of paleobetic diet

Click to purchase at Amazon.com. E-book also available at Smashwords. com.