I wrote the following to Dr. Scott Donaldson in response to his radio spots “Just Sayin” which play regularly on local radio stations in Western North Carolina. Dr. Donaldson states in these “public service” announcements from himself to the masses that we should wear masks to protect others. Notice he said not “ourselves”. This has never happened in medical history in public places and I knew something was terribly amiss. So, I took issue with this blanket recommendation and sent him the following letter (edited):
As a Physician, you should be ashamed of the advice you are giving on the radio which is not only incorrect but exactly the opposite advice you should be giving about masks if you actually want to improve people’s health. I will give you that presumption because I don’t know you and you seem a reasonable man.
I am a risk control consultant and safety engineer. I know about respiratory protection and am quite familiar with mask efficacy as well as the details found in the OSHA Respiratory Protection program [CFR 1910.134] largely assembled by certified Industrial Hygienists and the Medical Community. None of the requirements for OSHAs Respiratory Protection Program are being recommended by the government and people like yourself, which is odd since this is the Gold standard for protection from contaminated air. I want to discuss your “better than thou” virtue masking on your radio spots which just doesn’t pass the smell test (no pun). Your virtue signaling is nothing more than a political symbol that seems more important to you than your own profession.
On your radio spots, you state you wear a mask because you want to protect others from the CV19 virus, even though up to 80% will be asymptomatic if they were to get the virus from you directly. In a confined medical setting where there are sick people and open wounds, that is fine, but you make no such distinction and therefore are recommending general mask use by the public to protect them from a virus which is by even the medical community’s risk assessment several times less severe than other “Pandemics” based on mortality, of which CV 19 hardly qualifies. Your mask recommendations presumably applies even to open outdoor environments which are not saturated by airborne viruses in sufficient quantity to expose and infect anyone.
You should know that the general purpose “dust” or particulate masks worn by the public does very little to protect others. When you breathe out through a mask not properly fit tested in the first place (and facial hair with a mask will get you a fine from OSHA in a workplace environment) some of what you exhale will obviously escape the mask. That is what happens when you expel positive pressure into a mask which seals against your skin best when properly fitted and when you inhale, creating negative pressure.
Dust masks and even the more tight fitting N95 masks are not provided with a filtered air supply as you see in CDC BioSafety Labs. The masks you recommend are designated “air purifying respirators” not because they clean the air in the atmosphere, which you promote, but to clean the air that goes into your lungs.
General purpose masks do little to seal when you breathe out. If they did seal completely you would eventually suffocate on your own CO2 as the filter gets less porous. About the only possible benefit for generalized mask use walking down streets in the open is that a mask may retain viruses if you sneeze or cough. Well, nobody is doing that very much because if you had those symptoms you probably won’t be outside anyway in public areas. In the last 6 months I have only seen someone sneeze or cough a handful of times within six feet of people, certainly not enough to justify generalized and dehumanizing mask use when you go out. I would suggest too that people sneezing or coughing are doing that not so much because they are Covid carriers but because they are wearing masks. For uninformed CV infected carriers, generalized mask use by everyone could actually increase the chance of viral spread if they also increase the chance of someone sneezing or coughing and expelling droplets in the air to others. Even so, it is highly unlikely that the rare individual that sneezes in public places is also a carrier but even if he is a carrier it is likely he will then spread a virus to someone that will be asymptomatic. The odds of all that happening seem highly improbable to me. Yet you want a New Normal that the world has never seen before.
You might say that masks may stop an infinitesimal level of viruses entering the air just from your exhaled breath, even though they are too small to be trapped regardless. So, isn’t it better than not wearing a mask? I would suggest that this is bad medical advice when compared to the adverse health consequences by not allowing people to expel bacteria and viruses as humans are meant to do and have been doing for millennia.
I know that for most, getting sick involves being exposed to much more than a small quantity of viruses, whatever they may be. It’s the small Army fighting the big Army (your immune system). Trapping viruses in a mask only to grow and multiply that you will inhale again, especially if the mask is not properly disposed of and replaced which you know people are not doing, will likely MAKE PEOPLE SICKER THAN THEY WOULD BE WITHOUT A MASK.
You should also know about the myriad Long Term Flu studies (no such long term studies yet with Covid) that says generalized mask use is not a good public health recommendation for these very reasons.
You don’t have to be a Doctor to understand the logic in that. If masks are to be worn generally then why don’t you also call on disposal guidance that calls for handling of masks as Bio Waste which not a single health department in the country recommends? If you really believe that COVID is the Black Death you are then sentencing the Garbage man to death.
Perhaps the worst thing you have done is terrorizing elderly people to the point that they drive in cars alone with masks on and walk down the streets of Hendersonville in 95 deg heat barely breathing and that is your HEALTH recommendation? This is good advice? As an MD for you to still suggest people wear masks in public areas and places is simply not good health advice. OSHAs respiratory protection standard requires all users to be medically evaluated before mask use. I have yet to hear any Ad council or CDC guidance requiring that.
Your virtue signaling terrifies the public and says to fellow human beings that I think you might kill me. We cannot abide by your advice, nor should we for good health reasons and for our humanity.
It’s all a farce and your credibility may be forever questioned by towing a line and making Covid a political disease rather than a virus that will never likely be eradicated and one humans must live with as we have the Common Cold, and developed immunity resulting in the vast majority having runny noses (something that many with CV won’t even have as a symptom).
A hundred years from now what will be your profession’s Legacy? It will be a mass failing of the Hippocratic Oath and a stain on the profession that you can personally avoid if you forget your Politics and go back to being concerned with people’s health.
Group Captain Lionel Mandrake, RAF
Note: Since this letter was sent to Dr. Donaldson in August 2020 it has been confirmed even beyond my original projections that as of September 1 2020 that 94% of all recorded CV19 deaths involved “co-morbidity”, namely other real underlying causes of death. And in case you were wondering what happened to all of the “flu deaths”, influenza happened to be the #1 underlying “co-morbidity” cause. Yet even with this news, the media and the brainwashed masses keeps chugging along with CV19 terrorism. We have lost our collective minds and the medical profession that is in the best position to eliminate the terrorism are being silenced.
Sic Semper Tyrannis
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