The End of Authority

I Am Part of the Resistance Inside the Trump Administration.”  ~  Anonymous

When does authority end? Well, authority ends when people believe that it no longer exists. That is because authority is not a thing one possesses; authority is a relationship in which the members of a system acknowledge the holder of power as legitimate. Power can be held without authority but is inherently weaker and unstable when illegitimate. Power without legitimacy can be exercised only by force.

For example, in a formally democratic constitutional political system, such as that in the U.S.A., the very election of a president is the agreed upon process for installing a president in office. It is the only legitimate means by which the man (or someday woman) can assume the office. The inauguration is the ritual that legitimizes the turning over of the executive authority of incumbency to the person who won the election.

Chaos Central

Of course, we have experienced growing concerns over the legitimacy of the electoral process itself, but most people view the process as legitimate even though flawed. Yet, the flaws seem to have grown significantly in recent years, with the more extreme gerrymandering and voter suppression. Still, most people accept the results, if grudgingly.

Once in office, a president has a wide range of options as to his behavior in executing the duties of the office. The three-branch system of government allows a lot of interpretation in the administration of laws. Administrative policies may even twist the meaning in how a president implements a law, with little consequence beyond complaints.

In the present instance, the president appointed the “principal officers of the executive departments” (Section 4, Amendment XXV, U.S. Constitution) that is, the members of his cabinet, with the sole purpose of having those officers dismantle the administration of existing laws that do not favor the corporations and the rich.

Naturally, many people have challenged the legitimacy of such actions. Many current lawsuits challenge the actions of Trump’s cabinet members on the basis that they have violated rather than administered the laws passed by Congress. That is because such actions are the equivalent of re-writing or nullifying such laws, which, of course, is the sole prerogative of the Congress.

When a president routinely takes such illegitimate actions, the government may experience a constitutional crisis. That is because presidential actions meant to avoid or roll back the implementation of laws passed by Congress violate the constitutional principle of separation of powers. As we all know, such practices have become extremely commonplace in the presidential administration of Donald J. Trump.

Our current president evidently views the office he holds as equivalent to that of a CEO of a private family business, a patriarch, or a mob boss. But, of course, that is just the tip of the iceberg. Unfortunately, too many citizens also have little knowledge or respect for these constitutional principles.

Decay of Authority

This president has taken so many illegitimate actions that I will not list them here. Putting aside the perverse peculiarities of personality, a strong sense has grown that the man is incapable of exercising the powers of the office without putting the nation in great danger, especially in international relations, domestic security, and in denying climate science.

Bob WoodwardBob Woodward’s new book, Fear: Trump in the White House,” (already widely quoted before reaching the bookstores) has already caused great consternation by revealing numerous instances that indicate several grounds for considering the president to be unfit for office. Of course, Trump proclaimed it a work of fiction, despite Woodward’s long-standing solid reputation for basing his books on strong evidence and multiple reliable sources.

Far more damning, however, is the anonymously authored op-ed piece in the New York Times, titled, “I Am Part of the Resistance Inside the Trump Administration.” Written by one or more high-level members of the administration, the author(s) claim that “I work for the president but like-minded colleagues and I have vowed to thwart parts of his agenda and his worst inclinations.’ It describes a White House in full disarray as members of the administration try to cover, block, or undo many “dangerous impulses” and erratic actions of a man who is out of control in too many ways to enumerate. We can safely assume that The Times would not have taken such an unprecedented step without fully vetting the source.

Whatever one’s political viewpoint, the question of whether the man is unfit, recklessly dangerous, just too mentally unstable, or otherwise “unable to discharge the powers and duties of his office,” (Amendment XXV, Section 4, U.S. Constitution) then some means of removing him from power is necessary. When the inner circle of the White House finds it necessary to remove papers from his desk, diffuse his attempts to lash out at the world in various ways, or when a top general just does not follow orders given on a dangerous whim, a genuine constitutional crisis is already in play.

So far, the Republican right in Congress has gotten its legislative way because the president consistently and with mean spirit unwinds many laws an regulations meant to protect citizens and environments while affording the super-rich and giant corporations obscene tax cuts. But at some point, the present trend of increasing chaos will force their hand.

The End of the Line

Whether before or after the mid-term elections, the outrage of ordinary Republicans, independents and Democrats alike will force the hand of self-absorbed politicians in Congress. They will by then see the end of their free ride on the horizon as voters protest their continued inaction. The talk of annulling Trump’s election is building as Mueller indicts more of Trump’s associates. “Anonymous” even mentions invoking the 25th Amendment to the Constitution to remove him from office. Impeachment would be the weaker approach since it would replace him with Pence, the corrupt henchman elected along with him, and leave cabinet members and all the insane executive orders and dangerous actions in place.

Annulment of the election would be the more difficult path, but the best way to reverse much of the damage already done. The growing evidence of illegal tampering with the election, not only by the Russians but by Republican campaign officials, cries out for annulment. After all, the authority of this president has ended.

Now it is time to rise to the occasion of this unprecedented constitutional crisis and clean up the president’s mess. Many politicians will have to break out of their established habits and act like statesmen. Taking the right path will not be easy, but it may save the republic.

Patsy Trollop Trumpery

The GOP Pimps are playing Trollop Trump, like no other patsy in history. In that sense, you could say that they are colluding with the Russians. They still despise him but hide it since he has become their cash cow. But Trump is a double patsy, after all. The Russians have played him ever since his disastrous casino failures of the 1970s left him on the brink of bankruptcy when no legitimate bank would touch his toxic financial mess. That left the Kremlin-linked Russian Mafia and their front banks a great opportunity to “rescue” and indebt him to them simultaneously. David Kay Johnson has documented Trump’s brash blunders and blatant corruption for decades including his more recent escapades in The Making of Donald Trump (2016). Johnson describes his ‘presidential’ destruction of American Democracy in It’s Even Worse Than You Think: What the Trump Administration Is Doing to America (2018).

A Hustler’s Trail

Trump.Putin Press Conference-BBCNow, Craig Unger compiles diverse historical sources documenting Trump’s corrupt history with his own current research on Trump’s subservience to Putin in his new book, House of Trump, House of Putin: The Untold Story of Donald Trump and the Russian Mafia (2018). U.S. Trumpists, who have fallen for his demagoguery and seem more like reality-show fans than political actors, dismiss the overwhelming historical record of corruption as mere liberal bias as they revel in the brash violation of political norms by the Fake Outsider.

Trollop Trump and his Republican pimps and enablers have one thing in common and it is not patriotism, it is plunder. They are collecting the booty from his prostitution of the presidency. It is true that Trump was a political outsider. Multiple independent sources confirm that he was (and is) despised by the financial and real-estate elites of New York, who find his narcissistic mob-boss pretensions to status among its elite distasteful. But that does not diminish his impulse to act in the interests of the American plutocracy (to which he so fervently aspires) against the American people.

Both Trollop Trump and the Republican Party elite, as well as his Russian Mafia handlers, brazenly engage in high-stakes Trumpery. (“Trumpery,” if you had not heard, derives from the Middle English “trumpery” and ultimately from the Middle French “tromper,” meaning “to deceive.” See https://www.merriam-webster.com/dictionary/trumpery.)

Trump is a patsy for the Russians. We do not know all the details yet, but his behavior is a clear giveaway. Helsinki is but the most obvious of a consistent pattern of defensive subservience to Putin and his regime. Just because the Hillary Democrats are obsessed with blaming the Russians for her failure, does not make the Russians any less guilty of manipulating the American electorate through hacking, trolls, bots, and conspiring with the Trump campaign. Russian coordination with Manifort, Gates, and now revealed with Republican operative and lobbyist W. Samuel Patten who just plead guilty to acting as an unregistered foreign agent, is undeniable. Of course, claims of “witch hunt” will continue as the evidence accumulates.

The Republican House and Senate pimp out Trump’, who cons the status-anxious men of the downwardly Mobil white working and former middle classes, while he plays them all in service to the oligarchs and mobsters of Wall Street and Moscow he admires so.

Triangle of Trumpery

Never mind the narcissism. Never mind the psychopathy/sociopathy. Never mind the sexual predation. Never mind the traitorous personality disorders of the man who demands absolute loyalty from associates whom he routinely throws under the bus. Never mind even his pandering to Putin and his Kremlin-connected oligarch benefactors — neither Manifort nor Cohen can cover for him now. After all, they are really just like him, though without as much brash bluster, bumbling, and lack of impulse control. And, after all, it is he who is doing the bidding of both GOP plutocrats and Russian Oligarchs. Never mind the Republican and Kremlin pimps who own this puppet of power. They are the smooth talking pimps and he is their garish Trollop. Instead, think of the global human consequences of this political tragic comedy.

So, who wins in this insane high-stakes international-casino puppet show?

So far. the American plutocrats, the Russian dictatorship and affiliated oligarch-mob, and the international criminal corporate conspiracy to plunder the planet’s remaining resources before climate chaos, political pandemonium, and societal collapse put an end to it all. That’s who.

But, never mind all that. Just sip your Starbucks mega-latte, read the sports page, and drive off in your SUV, pretending you live in a democracy because you still have all those consumer choices.

Chaos, Contagion, Hatred and Compassion

One way to gain control over institutions and violate laws is to take unprecedented actions to generate societal chaos. Demagogues know that chaos is contagious and susceptible to manipulation through fear and hatred.

We tend to think that a stable society results from the existence of laws and their enforcement by police. The facts are quite the opposite. Laws reflect social stability, to the extent that the people generally honor and follow them. That is because belief in moral and ethical behavior lead to the comfort of predictability, and thereby produce stable social control. Official malevolence, cruelty, and a perverse will to power can institutionalize immoral behavior, as the new normal, even to the extent of abusing children by tearing them away from their parents and locking them in cages, indifeently inflicting trauma that won’t go away.

Sociopaths, fascists, totalitarians, and racists find opportunity in fomenting chaos, fear, anxiety and the hatred they enable. Scapegoating and the denigration of vulnerable groups allows them to manipulate enough of the people to extend their political power.

The will to power knows neither limits nor compassion. Abusers and sociopaths enjoy the suffering of others, even sometimes the suffering of their allies. They escalate their violence to the extent that people tolerate them.

Sociopaths often become racists simply because they have no empathy or compassion. Their will to power is all that matters to them. They take pleasure in creating an enemy to hate. They reserve all empathy for themselves and maybe their closest associates, unless they find it expedient to turn on allies or subordinates despite the loyalty they demanded and received from cronies or underlings.

Fear and loathing are contagious. Authoritarian enabling brings hesitant haters, otherwise constrained by a culture of civility, out into the open. Explicit taunting and calls to discriminate against vulnerable groups is a classic fascist technique for fomenting hatred and mobilizing collective cruelty.

Trump.Huff.PostBuild the Wall!

“Throw ‘em out of here!”

“They are all criminals, rapists and M-13 gangsters!”

The resentful victims of the economy of exclusion are easy targets of authoritarian propaganda and are emboldened by such prejudicial, if coded, encouragement of racist hatred.

“This hurt is going to last a long time” lamented Dr. Marsha Griffin, member of the American Academy of pediatrics, practicing along the Texas border.

Suffer the Children for the Politics of Evil

On a flight home from Los Angeles, I sat next to a young woman, a millennial apparently, who busied herself the whole flight reading a very slick fashion magazine. I notice a book in the back-of-the-seat pouch in front of her. The title was Buddha’s Brain.

I had seen that title somewhere, but could not remember. I asked the millennial to describe the subject of the book. She replied with clear conviction that it was the answer to, well, everything.. Naturally, I had to find out what this and perhaps other millennials might think is “the answer to, well, everything.” As we disembarked, I vowed to myself to look up this book.

Meanwhile, like everyone, I continued feeling bombarded with additional revelations about “the Feds” arbitrary separation of young children from their parents. These folks’ only “crime” was openly to cross our border at official crossings to request asylum from violence in Honduras, Guatemala, El Salvador, or some other dictatorship where we support any totalitarian despot willing to go along with U.S. foreign policy.

When Evil Goes Around, Suffering Comes Around

The U.S. trained many Central American officials in the use of secret police, assassination squads, etc., at an institution once called “The School of the Americas,” located in the U.S. Some earlier refugees from political violence ended up on our urban poverty zones. Some of their children fell into local street gangs. MS-13, which originated in Los Angeles, California, in the 1980s, was one of them. Then we deported them to their home nation where those same gangs took hold.

Now, threatened by street gangs or government kill squads, some parents flee from those countries with their children under threat of torture or death. The new federal response is to ignore all legal procedure for assessing and adjudicating requests for asylum. They throw parents in jail after taking their children, some infants and toddlers, from their parents under false pretenses, such as claims they are taking them to give them a shower.

This political ploy may be the worst Trumpery of all (the word trumpery derives from the Middle English trompery and ultimately from the Middle French tromper, meaning “to deceive“). The current administration variously claims to use this family torture as a deterrent to others intending to seek asylum (true, and evil), that they are only following some law the Democrats passed (lie, there is no such law), or that it is complying with a biblical admonition from God (lie, in the form of selective biblical misquotation).

In fact, Trump administration practices violate both international and U.S. law and custom in their gross and violent actions resulting entirely from the administration’s own choice. These people are committing gross abuses of the human rights of the families involved. Sessions has the unmitigated gall to claim that if the parents did not want that to happen, they should not come to our borders seeking asylum. We have laws and procedures for asylum seekers, which the administration routinely and cavalierly violates, just like so many others. The Attorney General of the U.S. refuses to carry out our laws, in order to achieve a frankly racist and definitely evil political purpose.

Cultural Consensus and Compassion in America

Ralph Nader has argued that if Americans could just get past their partisan debates about abstract political ideology and discuss only the dangers or benefits to their communities by a given action or policy, they could easily come to agreement in their mutual interests. That might not be true in all cases, especially where special economic interests in the outcome are at stake.

However, when the lives and sanity of innocent children are at stake, almost every American would stand up and object to the cruel and unusual, and entirely illegitimate abuse of children that our government is currently conducting in the name of “law and order.” Most Americans are compassionate when they see suffering. Wake up!

Learning from Buddha’s Brain

The book, Buddha’s Brain, is a compilation of principles for living well that result from the integration of the recent findings of neuro-science with 2000 years of Buddhist meditation practice. This remarkable convergence demonstrates the value of practicing mindfulness (clarity and focus of attention on what is important in any moment) and the compassion that results when we are able to widen our circle of “us” to include all of humanity, and even the world. That is when violence, abuse, and torture wane. Do not dismiss all millennials because some were raised with too much sense of entitlement. Some millennials are clearly paying attention.

Call your Senator and your Representative today and demand that they pass a law immediately, explicitly forbidding the separation of children from their parents by any government agency, unless and until the parent is convicted of a crime, sentenced, and imprisoned.

On this matter, a national consensus without compromise is the only way to redeem the moral standing of the American people by our mindfulness of the evil that confronts us so that we can exercise human compassion by demanding that caring for children must overcome petty politics. If we do not act to demand compassion, we are complicit in the torture of children.

The Eccentric Lipidologist Revealed

What’s a lipidologist? Well, immediately we can see that the term’s Latin roots indicate that a lipidologist is someone who studies lipids. Ah, lipids: the dreaded cholesterol, et al. That seemed simple enough. A friend told me that a lipidologist practiced in Santa Fe, the only one in the whole state of New Mexico.

Okay, it’s a small state, population around 2 million, about half that of the city of Los Angeles, California. Only about 400 lipidologists work in the entire U.S. Why are they so rare? After all, blood lipids are a big deal these days. Interestingly, there is very little information in Wikipedia’s entry on Lipidology.

Despite its simple bad reputation, cholesterol is far more complicated than a mere matter of suppressing “bad” cholesterol and supporting “good” cholesterol in the bloodstream. The drug companies have worked hard to popularize the idea that cholesterol is “bad.” We produce cholesterol in the liver and we ingest it in the food we eat.

So, why do they cast cholesterol in such a bad light? Think drug company profits. I won’t get into the complex disputes over the efficacy and dangers of statin drugs in attempting to control cholesterol in the bloodstream. Or the role statins play in minimizing the risk of plaque building up in the coronary arteries. Suffice it to say, it is not all science.

artery.crossectionPicture to the left is a  Micrograph of an artery that supplies the heart showing significant atherosclerosis and marked luminal narrowing. Tissue has been stained using Masson’s trichrome. As Dr. M. explained, old plaque is scar tissue, and may not necessarily cause such blockage. High performance on a stress test indicates no blockage of cornonary arteries. Unlike new plaque, old plaque does not flake off, risking heart attack or stroke, unlike new plaque. However, both contain calcium, so measures of plaque do not distinguish between the two. So, you can have a very high score for plaque, pass the stress test indicating no blockage, and have low risk. Yet most cardiologists don’t make such distinctions; they just prescribe statins. If my arteries looked like the one in the picture here, I could not have passed the stress test with ease, as I did.

Dr. M. occupies a modest office in the local cluster of medical practices near the only hospital in Santa Fe. When I went to see him, he seemed in no hurry and spent an hour and a half with me. We had a very informative (for me) conversation about heart disease, medical practice, and the flaws of scientific practice in medicine in the U.S., where so many decisions are controlled by the insurance companies and where medical practices are dominated by the drug companies – otherwise known as “Big Pharma.”

When Dr. M. described the complex of bio-chemical, genetic, environmental, and behavioral elements that are involved with the multiple variable factors in the way cholesterol acts, I was impressed. No cardiologist had ever mentioned any of this stuff to me. It had always been a simple, “if your LDL is too high, take [the latest statin drug].” End of story.

The practice of medicine is too often a high-volume assembly-line operation that executes the “standard of care” in conformity to the specifications of Big Pharma and the medical insurance industry. Dr. M. does not play that game. He and a few other practicing medical scientists carefully measure the complex of interacting factors that may be at play in each individual and adjust treatments based on re-testing of bio-chemical and genetic factors and patient characteristics. Such doctors epitomize the scientific practice of medicine.

Medicine, it seems to me, should involve the scientific study and practice of treatments, traditional as well as modern, of potential benefit to patients. It requires carefully testing the efficacy of each treatment for a particular problem and adjusting treatment to the conditions of the individual patient. It is far more labor intensive than simple prescribing pills in accordance with the “standard of care.” I know only one lipidologist, but if he is representative of others in the specialty, then lipidology represents the best practices in medicine.

Lipidology is to the “standard of care” in cardiology as prostate oncology is to the “standard of care” among urologists, who are surgeons.

The “Standard of Care” and Facts of Life

It had been a shock to be told a few years ago that I had so much plaque in my coronary arteries that I was in imminent danger of a heart attack or stroke. The cardiologist told me that I must immediately follow the protocols of the “standard of care” in cardiology and begin a course of treatment using a strong statin drug or risk the grave consequences of the failure to do so, that’s all. “Stat!” Crestor was the latest highly promoted statin, widely prescribed around the time doctors began recommending statins as “preventive” treatments for suppressing the dreaded cholesterol.

Yet, I still had questions. Why, as I mentioned previously, had I performed so well on the standard stress test? I had walked the accelerating tread-mill, climbing its increasing incline, while monitored by multiple instruments tied to me by a dozen wired sensors. I had done fine; no anomalies whatsoever. And, why had the multiple imaging methods shown no arterial blockage at all? The answer: “you’re lucky.” It was assumed that ‘so far’ the dreaded plaque was so evenly spaced that blockage had not occurred – an unlikely scenario, it seemed to me.

Now isn’t this just the typical thing a man is likely to encounter in his mid-seventies? Medical challenges abound, as do anomalous events. We don’t usually expect what we don’t want to happen.

We take our Vizsla puppy to a nearby dog park every day because she has so much energy. By nature she is a major runner and loves to play with the other dogs. Most of the dog owners there are retired too. As the dogs run and play, we sit around and chat – no, we don’t run and play, we’re not pups anymore. I’ve noticed that conversation often turns from politics to health issues. Experiences with failed diagnoses, spouse’s failing health, our own, etc., are routine. Various “alternative” health practices are a common topic of conversation. “I hate doctors,” is often heard.

But the dog park conversations were not the source of my hint of another approach to what is commonly called cardiology. Apparently, there is more to it than meets the cardiologist’s eye. One friend, a retired obstetrician, told me that he had been seeing a “lipidologist,” who had an approach to cholesterol, plaque, and heart disease in general, unlike that of the cardiologists. “I get thousands of dollars worth of advanced lab testing, and it is all covered by Medicare or is written off by the lab as part of their research.” My ears perked up. I’m always looking for some good science in medicine as an antidote to the stagnation of the “standard of care.”

Another friend who is a consummate researcher and whose wife was doing well despite having been diagnosed with stage 4 lung cancer metastasized to her brain four years before, recommended that I see the same lipidologist my other friend had mentioned. This friend had been tracking all the latest clinical trials of new experimental cancer treatments and jumping through all the hoops to get his wife into the most efficacious ones. Cancer treatment techniques are fast approaching the ability to target specific cell mutations and kill only cancer cells. If he and his wife had simply listened to the “authority” of the local oncologist and gone with the “standard of care,” (chemotherapy and radiation) I am convinced that she would have died years before she did. Even the latest treatments cannot stop some cancers. But many diseases characteristic of aging can be prevented, moderated, or delayed by wise choices, which have little to do with the “standard of care.”

Next time: the Mad Jubilado encounters the Eccentric Lipidologist.

Seeking Sanity in Science within the Medical Establishment

About ten years after being diagnosed with a non-aggressive prostate cancer and narrowly escaping the surgeon’s knife by finding a real prostate oncologist who shared all the treatment alternatives with me, then undergoing non-invasive yet pretty darn effective treatment, something entirely unrelated happened, or so it seemed.

Self-Serving Medical Practice

I recall the urologist who had diagnosed the cancer with strong distain. He was a surgeon and had glibly said, “Don’t worry, it’s not that aggressive; give me a call and we can schedule surgery in the next couple of weeks.” His conflict of interest coincided with a complete lack of objectivity as well as indifference to the risks for the patient – me. He failed even to mention alternatives to surgery. I was lucky to find a prostate oncologist, escape the knife, and find an effective non-invasive treatment.

Then, once again, a decade after that narrow escape from unnecessary surgery, by finding the right information and dodging routine medical practice – the so-called “standard of care” – I was able to choose a better path than passive acceptance of self-serving medical “authority” would have allowed.

After a few years living in Northern New Mexico, what had been rather ordinary springtime allergies gradually morphed into full-blown year-round allergy symptoms. I was tested, and sure enough, I had become allergic to most grass and tree pollens in the area. After about four years of weekly allergy shots, my symptoms seemed moderately reduced, but far from eliminated. Then, following a particularly strong winter flu, I sustained a major sinus infection. My sinuses had become almost fully blocked. Sinus surgery followed; the result was wonderful. I was breathing clearly through my nose for the first time in years. And my allergy symptoms were reduced to occasional minor irritations.

The Arrogance of Authority

However, during the pre-op testing, EEG and EKG measures revealed a small heart valve anomaly. Of course, nobody tells you why you are getting extra tests or what the findings are. Finally, after the pre-op physician’s assistant sent me for a full abdominal ultrasound in search of a non-existent aneurysm, she scheduled me to see a cardiologist. “I don’t know why they did the ultrasound; maybe they thought you had an aneurism. But the good news is, you don’t,” said the cardiologist standing over me with a smug air of authority. He said the heart valve anomaly was minor and simply should be checked once a year. If it didn’t change, no problem.

But the cardiologist insisted that I begin taking Lipitor to keep my cholesterol numbers below their slightly elevated level. When I began to inquire about the “side effects” of statin drugs, he became indignant. “I’ve heard all those arguments. You need to take it to prevent more plaque buildup in your coronary arteries to prevent a heart attack or stroke.” He thereupon wrote a prescription for a strong dose of the generic form – Lipitor’s brand-name patent had expired. The man was over-the-top arrogant. To discuss a patient’s concern was apparently below his self-defined authoritarian dignity. I resolved to never see him again.

I was more concerned about the heart valve anomaly and didn’t like what I knew about statin drugs. So, I decided to visit the cardiologist in Beverly Hills that my oncologist had sent me to for a checkup and stress test over a decade before. He was a very bright guy, affiliated with Cedars-Sinai Hospital, and clearly part of what I would call the “high-end” medical establishment.  Back then I’d had stress tests and imaging a year apart and the year of regular gym workouts with a trainer in the interim had made the initially difficult stress test easy. All clear back then.

Knowledge Overcomes “Standard of Care”

“Oh, we saw that heart-valve anomaly ten years ago; it’s nothing to worry about.” He reported that I’d done perfectly on the stress test. “But you are off the charts on your arterial plaque. You must begin strong doses of Crestor immediately.” He gave me a handful of samples, insisting that I was in serious danger, based on such a strong score on arterial plaque. I did wonder why, if it was so bad, I had performed perfectly on the stress test and the imaging showed no obstructions at all.

Well, as it turned out with further research on my part and consulting with a lipidologist, my puzzlement with the inconsistency between the stress test and the “plaque score,” was well founded. Things were not as they seemed to the high-end cardiologist. So, next time I will report, as Paul Harvey used to say, “the rest of the story.”