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COVID-19 Out-Patient Treatment

Discussion in 'Type 2 Diabetes' started by Winnie53, Jul 3, 2020.

  1. Winnie53

    Winnie53 Type 2 · Well-Known Member

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    On Monday, July 27th, a group of American physicians traveled to Washington, D.C. to meet with Vice-President Mike Pence about use of the medication hydroxychloroquine (HCQ). On the same day, they also held a press conference organized and sponsored by the Tea Party Patriots Foundation which was live streamed by Breitbart News, whose news crew, I believe, just happened to be there covering another news event on Capitol Hill.

    I knew nothing about it until that night when I saw an explosion of mainstream media efforts to discredit the doctors and their message that the medication, hydroxychloroquine, is a good treatment for COVID-19 during the first stage of the illness. This morning, I decided to learn more.

    Here's the video...
    "Silenced Frontline Doctors Hold Capitol Hill Press Conference to Challenge Big Tech"



    And here's the list of doctors who participated in the press conference...

    Simone M. Gold, MD, JD, Emergency Medicine Physician and Attorney, Burbank, California.
    https://www.linkedin.com/in/simone-gold-md-jd-4636a87
    https://thegoldopinion.com/
    https://twitter.com/drsimonegold?lang=en

    James Todaro, MD, Managing Partner of Blocktown Capital, Physician, Co-founder of MedX Protocol, greater Detroit, Michigan area. Wrote "paper on chloroquine in treatment of COVID-19 in "An Effective Treatment for Coronavirus (COVID-19)", and the first detailed exposé on Surgisphere and the Lancet study retraction in 'A study out of thin air'".
    https://www.linkedin.com/in/james-todaro
    https://twitter.com/jamestodaromd

    Teryn B. Clarke, MD, Neurology Specialist, Clarke Neurology, Southern California.
    https://www.clarkeneurology.com/meet-our-staff
    https://twitter.com/mdteryn?lang=en
    2-page handout on HCQ from the US Centers for Disease Control & Prevention (CDC) that Dr. Clarke referred to...
    https://www.cdc.gov/malaria/resourc..._crh1lro-BHlgFiqXT7sOP30lNVtTLvWCxZT5dcbB4MuM

    Richard G. Urso, MD, Opthalmology Specialist, Houston Eye Associates. His work includes 100+ hours per month for 6 years in the Emergency Room in General Medicine, served as head of Ocular Oncology at MD Anderson for 6 years, and head of Ocular Trauma for 12 years at Memorial Hermann Hospital, part of the cranial-facial team for 14 years, and in private practice for last 15 years.
    https://www.houstoneye.com/our-team/richard-urso/
    https://www.linkedin.com/in/richard-urso-66b95a136
    https://twitter.com/richardursomd?lang=en
    Refers to the work of Dr. Didier Raoult and his use of HCQ in France.
    Unrelated, but Dr. Urso was helped by eating a 95% carnivore diet and was interviewed for MeatRx...



    Stella Immanuel, MD, Pediatric Medicine Specialist, Emergency Medicine, Author, and Pastor, Houston, Texas. Originally from Cameroon. Attended medical school in Nigeria. Completed Pediatric Residency at Bronx-Lebanon Hospital Center in New York City.
    Reports treating 350+ patients with hydroxychloroquine - (regularly used in her home country) - azithromycin, vitamin C, and zinc successfully in Houston, Texas. Ridiculed by the media and others for her public spiritual beliefs in an attempt to discredit her; all other doctors were for the most part ignored.
    https://twitter.com/stella_immanuel?lang=en

    Scott Babour, MD, Othopaedic Surgeon, Atlanta, Georgia. Their five locations and surgery center are open. They also are treating their patients for COVID-19 as needed with good results.
    https://www.barbourortho.com/

    David K. Calderwood, MD, Family Medicine, Huntsville, Alabama.
    https://www.huntsvillehospital.org/find-a-doctor?view=profile&id=C3S90RJ430

    Mark McDonald, MD, Child Psychiatry, Los Angeles, California. His patient's are scared and their emotional health has worsened since the beginning of the COVID-19 shut down. No children in California have died from COVID-19. For the health of his patients, he believes re-opening the schools is in the best interest of his patients.
    https://www.markmcdonaldmd.com/

    Dr. Urso returned to the microphone to discuss masks, which are helpful, though limited in their ability to protect us if not using an N99 or N100 mask - (which do block viruses) - with goggles or a shield.

    What's most confusing for me is coming across more and more doctors in the US posting their success in using HCQ, azithromycin, and zinc to treat their patients, preventing hospitalization. And now states, Ohio specifically, are BANNING these medications use.

    Here's one posted in early April by James Bowers MD, Internal Medicine, Lynnwood, Washington, located near the first COVID-19 epicenter in the US. He is the Medical Director of two long term care facilities.



    ""While the world scrambles to find a cure, a Seattle internist working for Dr. James Bowers, MD, has discovered a 3-drug combination which successfully keeps COVID-19-positive patients alive. Working with a group of twenty-plus infected elderly residents at a North Seattle nursing home, Bowers and crew were shocked and delighted to find that in every case, administration of this cocktail prevents patients from dying or advancing to severe illness."

    And finally this from the Opinion page of Newsweek...
    The Key to Defeating COVID-19 Already Exists. We Need to Start Using It | Opinion
    BY HARVEY A. RISCH, MD, PHD ON 7/23/20 AT 7:00 AM EDT


    As professor of epidemiology at Yale School of Public Health, I have authored over 300 peer-reviewed publications and currently hold senior positions on the editorial boards of several leading journals. I am usually accustomed to advocating for positions within the mainstream of medicine, so have been flummoxed to find that, in the midst of a crisis, I am fighting for a treatment that the data fully support but which, for reasons having nothing to do with a correct understanding of the science, has been pushed to the sidelines. As a result, tens of thousands of patients with COVID-19 are dying unnecessarily. Fortunately, the situation can be reversed easily and quickly.
    Read the entire article here... https://www.newsweek.com/key-defeat...inion-1519535?amp=1&__twitter_impression=true

    I also am continuing to ask...how many more people will die because of the delay in using this treatment within 3 to 5 days of the onset of COVID-19 symptoms?

    On a brighter note, this man recovered. So inspirating...
    He battled Covid-19 for 128 days. This is what he wants you to know

     
    • Informative Informative x 1
    #21 Winnie53, Jul 30, 2020 at 8:50 AM
    Last edited: Jul 30, 2020
  2. Winnie53

    Winnie53 Type 2 · Well-Known Member

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    Hydroxychloroquine and Chloroquine Update

    The State of Ohio Board of Pharmacy has changed course on its ban of hydroxychloroquine and chloroquine as coronavirus treatments following the governor’s urging to do so.

    Beginning Thursday, pharmacies, clinics and other medical institutions were to be prohibited from dispensing or selling the drugs to treat COVID-19, according to regulations issued by the State of Ohio Board of Pharmacy. They could still be used in clinical trials, said Cameron McNamee, director of policy and communications for the board.

    That regulation change has since been pulled back by the board though. Instead, the board now plans to re-examine the issue with the assistance of the State Medical Board of Ohio, clinical experts, and other stakeholders to determine its next steps, according to an announcement

    The board’s shift came after Gov. Mike DeWine asked the state pharmacy board on Thursday morning to rescind its plan to ban hydroxychloroquine and chloroquine as treatments for the virus.

    DeWine said the decision of how to treat COVID-19 should instead be between patients and their doctors.


    “The Board of Pharmacy and the State Medical Board of Ohio should revisit the issue, listen to the best medical science, and open the process up for comment and testimony from experts,” DeWine said in a prepared statement.
    The full article can be read here... https://www.dispatch.com/news/20200...onavirus-treatment-after-dewinersquos-request
     
  3. Winnie53

    Winnie53 Type 2 · Well-Known Member

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    HCQ Reported Safe for Out-Patients without Major Pre-Existing Conditions
    JUL 30, 2020
    TrialSiteNews

    Based on new research in preprint, use of HCQ in out-patients without high-risk factors carries no substantial dangers. As stated by News Medical on July 27, “Clinical trials of hydroxychloroquine in COVID-19 outpatients reported as safe.” The research found that the most common side-effect was gastroenteseral issues, and there were no deaths. While HCQ is shown to have in vitro effects against SARS-CoV-2, “correspondingly strong evidence of its activity in the treatment or prevention of this disease has not been found so far.” WHO and other studies are looking at safety and efficacy, “in both asymptomatic or mildly symptomatic cases, as well as sicker patients in hospitals.”

    Read entire article here... https://www.trialsitenews.com/hcq-r...tients-without-major-pre-existing-conditions/

    More hydroxychloroquine articles from this site... https://www.trialsitenews.com/?s=hydroxychloroquine

    About

    TRIALSITE NEWS IS THE ONLY DIGITAL MEDIA DEDICATED 100% TO TRANSPARENT AND OPEN COVERAGE OF CLINICAL RESEARCH TRIAL SITES AROUND THE GLOBE. BASED IN THE SILICON SLOPES IN DOWNTOWN SALT LAKE CITY, UTAH, WE ARE FOUNDED BY A TEAM OF EXPERTS IN THE CLINICAL TRIALS INDUSTRY AND DEDICATED TO TRANSPARENCY, QUALITY AND CLINICAL TRIAL INNOVATION.
     
  4. Winnie53

    Winnie53 Type 2 · Well-Known Member

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    I'm continuing to follow the hydroxychloroquine story and came across this excellent interview with emergency physician Simone Gold, MD, published on July 22, 2020.

    As I listened to her tonight, I was so reminded of Nina Teicholz's work.

    What Dr. Gold has to say is so informing, so important, not just to the US, but the UK too. We are being lied to - (edited to add, this issue is NOT political for me, nor is it for Dr. Gold, this is about people needlessly dying in countries that are preventing access to this drug. Click forward through the commercials.)...

    The BIG Hydroxychloroquine Lie, Hypnotized by Fauci & MORE W/ Dr. Simone Gold

     
  5. DCUKMod

    DCUKMod I reversed my Type 2 · Master
    Staff Member Administrator

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    @Winnie53 - I appreciate you have been tracking COVID with some fervour, since he early days.

    In terms of the UK, in June 2020, the MHRA instructed all recruitment to trials into hydroxychloroquine for COVID to cease, and since then other reports have been made.

    In a very recent BMJ Best Practice publication (https://bestpractice.bmj.com/topics...00168/Coronavirus disease 2019 (COVID-19).pdf) there was a concession that hydroxychloroquine might hasten easing of symptoms.

    And in this article from the Pharmaceutical Society states is no treatment for COVID, but it may have mileage in prevention.

    https://www.pharmaceutical-journal....have-a-role-against-covid-19/20208233.article

    For anyone in UK living with COVID, for now, I cannot see a way they would receive hydroxychloroquine in their treatment, unless some Doc was willing to throw everything at it, s an absolutely last roll of the dice.
     
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  6. Winnie53

    Winnie53 Type 2 · Well-Known Member

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    @DCUKMod Thanks for the links. Will read and survey them further tonight.

    This needs to be stressed, again and again, hydroxychloroquine works best when started within 3 to 5 days of symptom onset. After that, other treatment strategies are needed. The EVMS Critical Care COVID-19 Management Protocol to date has a hospitalized mortality rate in the 6% range, which is impressive. Learn more here... https://www.evms.edu/media/evms_pub...cine/EVMS_Critical_Care_COVID-19_Protocol.pdf

    Here in the US, Dr. Simone Gold, who is also an attorney, with other doctors in the US are fighting to be able to prescribe hydroxychloroquine to patients. It's not known how long it will take for the case to proceed through the courts, but they're using every strategy available. If we can get this turned around in the US, my hope is that the UK and other countries withholding this treatment from patients will follow.

    Doctors and citizens here are also fighting here for the right to have access to hydroxychloroquine at the state level. And there has been some progress...

    MN Governor Quietly Reverses Course on Hydroxychloroquine
    August 17, 2020

    This past week Minnesota became the second state to reject regulations that effectively ban the controversial drug hydroxychloroquine for use by COVID-19 patients.

    The decision, which comes two weeks after the Ohio Board of Pharmacy reversed an effective ban of its own, was rightfully praised by local health care advocates. “We are pleased that Governor [Tim] Walz lifted his March 27 Executive Order 20-23 restrictions on chloroquine and hydroxychloroquine,” said Twila Brase, president of Citizens’ Council for Health Freedom.

    The reversal by Walz, a first-term Democrat, clears the way for doctors to prescribe hydroxychloroquine, a drug commonly used to treat malaria and other conditions but one the FDA has declined to recommend for COVID-19 treatment.

    -----------

    Dr. Harvey A. Risch, a professor of epidemiology at the Yale School of Public Health, said a full analysis of the literature suggests hydroxychloroquine may be the key to defeating the coronavirus.

    “Physicians who have been using these medications in the face of widespread skepticism have been truly heroic,” Risch wrote in Newsweek, adding that a full review of the COVID literature on the drug shows “clear-cut and significant benefits.”

    Prescribing hydroxychloroquine in the early stages of the virus is key, Risch said, and others agree. Steven Hatfill, a veteran virologist and adjunct assistant professor at the George Washington University Medical Center, says the literature supporting hydroxychloroquine is overwhelming.

    “There are now 53 studies that show positive results of hydroxychloroquine in COVID infections,” Hatfill wrote in RealClearPolitics. “There are 14 global studies that show neutral or negative results -- and 10 of them were of patients in very late stages of COVID-19, where no antiviral drug can be expected to have much effect.”

    One of the positive studies, published by Henry Ford Health System, was a large-scale retrospective of six hospitals. Analyzing 2,541 patients, it found that those treated with hydroxychloroquine alone died at about half the rate of patients not treated with it.

    ----------

    Dr. Scott Jensen, a Republican state senator...agrees that hydroxychloroquine is terribly misunderstood by the public and said politicians need to take a step back. “Hydroxychloroquine is one of the most studied drugs in the history of mankind,” Jensen said. “My wife was on hydroxychloroquine for 15 years. It’s been on the World Health Organization’s list of essential medicines for decades. It’s been in play since 1955, the year after I was born.”

    ----------

    The politics of hydroxychloroquine are unlikely to cool before November’s presidential election. Yet, if Walz’s decision is any indication, at least some leaders are starting to recognize the ethical dilemma of using the long arm of government to stand between suffering patients and a drug that may have the potential to save them.

    https://www.realclearpolitics.com/a...ses_course_on_hydroxychloroquine__143978.html
     
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  7. bulkbiker

    bulkbiker Type 2 · Oracle

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    Which is rather a shame as it would appear to be quite effective in the early stages.

    And then the NHS wonders why our deaths per million rate is so high... maybe HCQ rather than "paracetamol then oxygen" which I believe was Whitty's suggested treatment pathway would have saved a few lives...
    Still I'm sure we'll never be told.. too much cash in a "vaccine"
     
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  8. Winnie53

    Winnie53 Type 2 · Well-Known Member

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    The effect of 5-day course of hydroxychloroquine and azithromycin combination on QT interval in non-ICU COVID19(+) patients

    Journal of Electrocardiology
    Volume 62, September–October 2020, Pages 59-64

    Results
    Of the 109 patients included in the study, the mean age was 57.3 ± 14.4 years and 48 (44%) were male. Mean baseline PR interval was 158.47 ± 25.10 ms, QRS duration was 94.00 ± 20.55 ms, QTc interval was 435.28 ± 32.78 ms, 415.67 ± 28.51, 412.07 ± 25.65 according to Bazett's, Fridericia's and Framingham Heart Study formulas respectively. ∆PR was −2.94 ± 19.93 ms (p = .55), ∆QRS duration was 5.18 ± 8.94 ms (p = .03). ∆QTc interval was 6.64 ± 9.60 ms (p = .5), 10.67 ± 9.9 ms (p = .19), 14.14 ± 9.68 ms (p = .16) according to Bazett's, Fridericia's and Framingham Heart Study formulas respectively. There were no statistically significant differences between QTc intervals. No ventricular tachycardia, ventricular fibrillation or significant conduction delay was seen during follow-up. There was no death or worsening heart function.

    Conclusion
    The 5-day course of HCQ- AZM combination did not lead to clinically significant QT prolongation and other conduction delays compared to baseline ECG in non-ICU COVID19(+) patients.

    https://www.sciencedirect.com/science/article/pii/S0022073620305288
     
  9. Brunneria

    Brunneria Other · Moderator
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  10. bulkbiker

    bulkbiker Type 2 · Oracle

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  11. Winnie53

    Winnie53 Type 2 · Well-Known Member

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    Thanks Brunneria. My husband mentioned this to me just this afternoon. And thank you bulkbiker for digging that link out of Dr. Campbell's notes. He's asking good questions.

    This showed up in my mailbox this morning. It offers more encouraging news on hydroxychloroquine, which I believe is best taken with a zinc supplement, particularly if you don't regularly eat red meat, oysters, and dairy - (click on the link for the full article; it's an easy, quick read)...

    Italian Study Shows Hydroxychloroquine Works vs COVID-19
    New research suggests that hydroxychloroquine works to reduce the risk of death by 30% in hospitalized patients. Confused? We don't blame you.​

    A new observational study from Italy suggests that hydroxychloroquine can reduce the risk of death in hospitalized patients with COVID-19. The research was published in the European Journal of Internal Medicine (Aug. 25, 2020).

    The investigators reviewed the records of 3,451 coronavirus patients in 33 Italian hospitals between late February and late May, 2020. They all had laboratory-confirmed SARS-CoV-2 infection. Three fourths of these patients were given hydroxychloroquine while they were hospitalized. Most received the drug within one day after admittance. The rest got HCQ within three days. As far as we can tell, neither zinc or azithromycin were part of the standard drug regimens.

    The death rate per 1,000 patient days was 8.9 for people on hydroxychloroquine and 15.7 for those who did not get the drug. After adjustment for confounding variables, people who received HCQ had a 30% lower risk of death. Those who had high levels of the inflammatory marker, C-reactive protein, when they entered the hospital were especially likely to benefit from this old malaria drug.

    https://www.peoplespharmacy.com/articles/italian-study-shows-hydroxychloroquine-works-vs-covid-19?utm_source=The+People's+Pharmacy+Newsletter&utm_campaign=2ce3c37b1a-MC_D_2020-08-28&subscriber=1&utm_medium=email&utm_term=0_7300006d3c-2ce3c37b1a-221138729&goal=0_7300006d3c-2ce3c37b1a-221138729&mc_cid=2ce3c37b1a&mc_eid=a6d8bf463c
    Here's the retrospective observational study discussed in the article... https://www.ejinme.com/article/S0953-6205(20)30335-6/fulltext
     
    #31 Winnie53, Aug 29, 2020 at 2:22 AM
    Last edited: Aug 29, 2020
  12. Winnie53

    Winnie53 Type 2 · Well-Known Member

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    Paul E. Marik, MD, one of the developers of the MATH+ Hospital Treatment Protocol for COVID-19, was interviewed recently. In it, he reports a hospitalized mortality rate in the 6% range (that's a 93-94% survival rate) for COVID-19 patients at their hospital. Interview begins at minute 1:20...

    This is an excellent overview of the phases of COVID-19 and what needs to be done at each phase: incubation, symptomatic (home), early pulmonary phase (hospital), late pulmonary phase (hospital). Having an oximeter on hand during the symptomatic phase at home is useful to monitor the oxygen saturation rate because it can drop significantly without you knowing it.

    He also explains how vitamin D is protective for the lungs.




    If I'm ever hospitalized for COVID-19, in addition to requesting Dr. Marik's protocol, I'll be taking the appropriate nutritional supplements with me to the hospital if they can't or won't provide them.

    Resources for critical care doctors (and their patients)...

    2 page overview and 25 page protocol with graphics (that were included in this interview)...
    https://www.evms.edu/covid-19/covid_care_for_clinicians/

    https://covid19criticalcare.com/

    Informed and prepared is empowered.
     
    #32 Winnie53, Aug 29, 2020 at 2:43 AM
    Last edited: Aug 29, 2020
  13. Winnie53

    Winnie53 Type 2 · Well-Known Member

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    The MATH+ Hospital Treatment Protocol for COVID-19 has been published in the peer-reviewed, UK-based medical journal, "Expert Review of Anti-infective Therapy". My hope is that this treatment will eventually be made available in the UK...

    Frontline Covid19 Critical Care Alliance

    August 19 at 7:59 AM ·

    ***BREAKING NEWS***
    A monumental paper on our MATH+ protocol—authored by our Critical Care physicians— has just been published in the peer-reviewed, UK-based medical journal, "Expert Review of Anti-infective Therapy." Our paper in this journal—which has a very high-impact factor—means that now, our lifesaving protocol will be seen widely by physicians throughout the world. If you possibly can, we kindly ask that you share this link to your own social networks to ensure that existence of this paper in this prestigious journal is substantially amplified—and more lives can be saved. Thank you.
    Here is the link:
    https://covid19criticalcare.com/wp-content/uploads/2020/08/MATH-protocol-for-the-treatment-of-SARS-CoV-2-infection-the-scientific-rationale.pdf

    Link to the abstract... https://www.tandfonline.com/doi/full/10.1080/14787210.2020.1808462

    https://www.facebook.com/FrontlineCovid19CriticalCare/
     
  14. Winnie53

    Winnie53 Type 2 · Well-Known Member

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