Dr. Daniel Nagase Responds To College, Doctors and Nurses

On Oct 18, 2021, at 5:02 PM, Daniel Nagase <danielnagase@yahoo.com> wrote:

I’d like to post this along with the official pdf’s pf the college complaint I received today.

College Complaints against Dr. Daniel Nagase from 2 family physicians in Rimbey.

Dr. Cian Hackett’s complaint was over Dr. Nagase’s speech on October 1st, over 2 weeks after Dr. Nagase left Rimbey.

Dr. Jacqueline Wolf’s complaint was that Dr. Nagase administered medications that were “potentially unsafe / have little to no evidence to their efficacy”

Here is Dr. Nagase’s response to Dr. Cian Hackett and Dr. Jacqueline Wolf.

Dr. Cian Hackett,

you are a young doctor, and I too was once a young physician.  Now, as a physician with experience far beyond my actual years of practice, I offer this heartfelt advice.  Beware of practising ego based medicine.  You and I are here for the patient.  Not the other way around.  I do not personally know the colleagues you have in Rimbey, the doctors who you work beside day in and day out in clinic.  But I do know of their work.  It is essential to your integrity as a doctor to maintain independence, your academic honesty, not for you, but for your patients.  I cannot imagine the social pressures on you working beside Rimbey’s other physicians.  I do not know what it’s like to be next door neighbours and social acquaintances with them.  Having disagreements with close friends can be difficult.  It can be even more so in the professional sphere of medicine.  However, when integrity is at stake disagree you must, for your patients.

In practice with patients, you must be exact.  You must be observant.  Most importantly, you must always keep in the back of your mind that you may be wrong.  For that is how you catch your own mistakes, before they cause harm.  That is how you do your best for the patient.

When I say antibiotics for a viral pneumonia.  We are talking about pneumonia.  Fluid in the lungs.  Fluid that can develop a bacterial superinfection.  Neutrophilia is not always apparent at the onset of bacterial growth in a mucous serous accumulation within the lungs.  Without a fibreoptic bronchoscope samples and culture, it cannot be proven that a fluid accumulation is sterile.  Because cultures take days to complete, antibiotics are given.  The diagnosis of viral pneumonia is a best guess.  The astute physician keeps in the back of his mind that he may be wrong.  There may be a bacterial pneumonia hidden within.  This is why I advise you to remedy any tendencies to ego based medicine.  Always keep in mind that you may be wrong.  It increases your diagnostic accuracy, it improves your treatment efficacy.  It makes you a better doctor.

Your accusation that I advocate for antibiotics in viral infections is inexact.  It is imprecise.  It shows a lack of attention to detail.  I specifically said pneumonia.  That lack of accuracy can have devastating consequences for your patients.  You must maintain your clarity of mind.

You also accuse me of revealing patient identities because I mentioned 70 year olds.  Do you know the exact ages of the patients I treated?  They were both in their 70’s, but neither were exactly 70.

Again.  A lack of detail.  A lack of precision.

Patients lives depend on your mental clarity.  Your intelligence.  Your health.

But that is only the first part of living up to the title of Doctor.  Doctor comes from the Latin word Docere, which means teacher.

You must also learn philosophy, history and ethics.

For then you would understand the meaning of my Nuremburg speech.  To a Just soul there is no need for inquietude.  No need for complaint.  For justice, as Plato described, is the excellence of the soul.  It is the excellence of being a doctor.

Please read these words again in a year, and then in the middle of your career.  And again at the end of your career.

I wish you the best.

Dr. Daniel Nagase

Dr. Jacqueline Wolf,

Before you claim the medications I offered were dangerous and ineffective.  Please educate yourself regarding the science.

This is the most basic level of professionalism expected of doctors.

Also, you claim that you tried to resolve your complaint directly with me.  I have had no email from you, and no phone conversation.  The only conversation I had with a local Rimbey physician about the efficacy of Ivermectin was with Dr. Ellis, which was in the context of repeated demands and then an ultimatum to leave Rimbey hospital.

Please correct this inaccuracy or withdraw your complaint to the College of Physicians and Surgeons of Alberta.

You cite a nurse’s letter to add material to your brief one sentence complaint.

As a physician you are a part of the leadership within your hospital.  It is in your scope, nay your duty to review nursing complaints, and examine them for validity.  Deficiencies of professionalism are your responsibility to address.

For your benefit, I have already written to this nursing complaint.  Please review, as I am helping you with your role as a leader in Rimbey hospital to improve nursing professionalism.

See Below.

“Attention: Complaints Director

College and Association of Registered Nurses of Alberta

I am writing in reference to this letter written by a nurse.

This nurse, whose name has been redacted by AHS, practices in Rimbey AB, exhibits some behaviors of concern that both I witnessed and that she details herself in her letter.

   1. She escalated a quiet discussion behind the nursing station at the ER, made under the same voices where a physician and nurse would normally discuss the condition of patients in the ER, and escalated this discussion into an argument.

   2. On 2 occasions she describes herself as being unable to, or having difficulty administering liquid medication dosed in milligrams per Kilogram of bodyweight.

       a. First with being “uncomfortable” giving a medication that happened to be 10mg/mL ivermectin dosed at 0.5 mg/kg bodyweight

       b. Second giving Amoxil at 50 mg / kg / day divided into 3 doses.  She facetiously describes her second difficulty as “I wanted to confirm an antibiotic dosing”.  This is a task that an RN usually performs by looking up a medication on the Alberta Health Services formulary if she wishes to confirm a milligram per kilogram dosing range.

   3. Again, she frames this daily activity, well within an RN’s scope of practice, something she should be able to perform independently, as a “communication” problem, and a complaint.

   4. This is unprofessional.

   5. Criticism and disrespect for team members.  Between this RN and the colleague she references in her letter, she refuses to disclose the fact she was denying the validity of a pharmacist’s knowledge, and her denial of a physician’s knowledge.  She refused direct scientific evidence that was printed out and left in the ER for nurses to peruse in their spare time.  Then when she had spare time, she chose to escalate a collegial discussion about patient ethics into an argument devoid of reason and scientific fact.

These behaviors are concerning from a patient care perspective.  Importantly, her disregard for the consent and desires of the patients she claims to be advocating for come through in her letter.  Instead she overrules her patients with communications behind their backs to a physician who is not caring for them.  She overrules her patients with phone calls from a doctor who is not even in the hospital.

The skill of confirming and delivering a medication dosed by bodyweight is a skill all nurses should have upon graduation from nursing school.  This level of competence is expected.  Respect for the expertise of pharmacists and physicians is also expected.

But most importantly, the ability to reason and understand basic science is expected of all healthcare team members.

Please consider this notification as an issue within the purview of the College and Association of Registered Nurses of Alberta to remedy, to maintain standards of RN practice for this name redacted RN at Rimbey Hospital Alberta.

Sincerely,

Dr. Daneil Nagase

CCFP-EM

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13 thoughts on “Dr. Daniel Nagase Responds To College, Doctors and Nurses

    • In the UK perhaps, but not very many of the US States and as for Canada I asked my doctor over a year ago after doing research and seeing the test results for Ivermectin and well as Hydroxychloroquine and was told that they were no longer allowed to prescribe these. I realize some do but my doctor seemed rather cowed by what was going on. When I gave them my TAKE on what was going on (based on the research I had done up to asking them)…they twitched…silence…and then said ” Iwould have to say I agree with your analysis and this cannot stop soon enough”

      Now I am not going to judge a doctor for staying under the radar when a question only is asked and I do not believe that this doctor would throw me to the wolves as the doctors in Rimbey wanted Dr. Nagase to do with his patients but I do have sympathy for those doctors threatened with loss of their livelihood having not yet been put to any test of what they would do in a real life situation.

      Something else needs to be said, be honest when you realize that the only patients who died in the original Hydroxychloroquine test…or at least one of them (been a long time since I found the test results) were because their DOCTOR refused to use Hydroxychloroquine in the test. They did not pull their patients OUT of the test, they simply refused to use the product. And. Their. Patient. Died.

      The Lancet, one of, if not THE premier peer reviewed medical journal in history followed a report that Hydroxychloroquine caused heart attacks and MSM ran with it.

      Then the Lancet realized that they had been conned by a former science fiction writer and two other less than savory con men who made everything up so they could sell a fake data program for Covid to hospitals. When they were caught, Lancet did a retractions (good on THEM) but the MSM ignored that retraction and the reason for it and carried on smearing the use of it. It would appear that people are more than willing to believe someone who has a vested financial interest in keeping information away from consumers about a useful inexpensive drug rather than an expensive “new” experimental vaccine. Sheep are sheep whether they are called or choose to be sheep and as such will always be among us.

      I cannot speak to Ivermectin as I did not have the time to do the research on that as fully but would be willing to bet my next paycheck that since the rhetoric and ridicule around it sound eerily similar in nuance to that of Hydroxychloroquine, the same thing is happening there. Sometimes when you are not ALLOWED to draw a chair you can draw everything in a room BUT the char…and just GUESS what shows up???

      So, somewhere between Dr. Nagase and those who first started dialogue about what works and does not work (or between big business and simple belief in and adherence TO the Hippocratic oath) human character and human nature (and greed) are at war.

      Like

  1. The only reason Ivermectin is receiving such ridicule in MSM is political. IF we had an available (the human consumption ivermectin is “not available” through wholesalers in canada) product for treating covid the EUA for the vaccines would disappear. Many veterinary meds are the same as those for human consumption, just with a different trade name – generally the veterinary products are cheaper! Good doctors that choose to “do no harm” will often use products “off-label” because they will do anything to treat their patient – especially if the alternative is do nothing and let the patient die. I agree with Dr.Nagese when he says to step up and in front of your ego…there needs to be more of that in this country.

    Liked by 2 people

  2. Unfortunately, I now no longer have trust for doctors and the healthcare profession. While there are a few good, ethical, intelligent doctors, mostly they have been fired and in some cases had their licenses revoked. What remains? Cowards, mid-wits, and conformists. The same ones that refuse to embrace early treatment and therapeutics and instead send people home to wait until they are sick enough to be admitted and then try very hard to kill them with intubation and remdesivir. I feel for people without the means to travel for second and third opinions.

    Ivermectin and many other therapeutics can be sourced from the US, India, and other countries. We’re all our own doctors now.

    Liked by 1 person

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