I'm wondering whether gag orders in the medical community are common (by old standards), and from what level they ultimately are ordered (the private hospital, or from higher up, within government?) in today's seemingly Orwellian age.

I found this a bit shocking and can't think of how a gag order can be justified:

After he had administered about 900 doses of the Moderna experimental mRNA COVID-19 injections, he sounded the alarm over the severe reactions he was observing in his patients who chose to get the shot (he chose NOT to get it himself), which included death.

The result of him sounding the alarm was a gag order issued against him by the medical authorities in his community. He defied this gag order and was interviewed by Laura-Lynn Tyler Thompson on her show where he sounded the alarm.

More from this link:

When Dr. Hoffe was given 900 doses of the Moderna experimental COVID-19 injections, he administered the doses through the Lytton Medical Clinic to those who wanted them.

He chose not to inject himself.

Dr. Hoffe reports that the result of injecting 900 people among the indigenous First Nations community was that 2 people went into anaphylactic shock, one person died, and several others have suffered what appear to be permanent disabilities. He relates how one of his patients is in so much pain now, that she prefers death to life.

By contrast, no one in the community died or became permanently disabled due to the COVID-19 virus for the past year.