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Another Opinion

2 months, 3 weeks ago

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Posted on Jul 29, 2020, 7 p.m.

Note: The original article was published on jefferdachmd on May 30. The author, Jeffrey Dach, MD is the director of TrueMedMD, a medical clinic in Florida that specializes in bioidentical hormones and natural thyroids as well as heart disease prevention. He has been in practice for over 20 years, with the specialty/subspecialities of radiology, general radiology, vascular and interventional radiology; he also likes to use provoking language, which should not deter you from the points he makes.

This is an opinion piece adopted from his website and it does not necessarily reflect that of WHN, this is merely a look at the current situation via a perspective/outlook different from what is being portrayed in the media. Every story has two sides, and it is of interest to listen to both as they may have valid points. Regardless of whether it is correct or not, it does make some good points, and it is, at the very least, a thought provoking interesting read.

Effective Early Treatment for CoronaVirus

Written by Jeffrey Dach, MD

If you have symptoms of fever, malaise, headache, and cough and runny nose, one might entertain the diagnosis of coronavirus. lternatively your symptoms could be due to one of hundreds of other “influenza-like” viruses. Contrary to what you are being told in the mainstream media, there is a very effective treatment for coronavirus and the others when treated early..

Dr. Harvey Risch Yale Medical School

Perhaps the best discussion comes from Yale Professor, Dr. Harvy Risch in the May 27 2020 American Journal of Epidemiology: “Early Outpatient Treatment of Symptomatic, High-Risk Covid-19 Patients that Should be Ramped-Up Immediately as Key to the Pandemic Crisis.”

Dr. Harvy Risch has amazing credentials.  He is Professor of Epidemiology in the Department of Epidemiology and Public Health at the Yale School of Public Health and Yale School of Medicine. Dr. Risch’s MD degree University of California and PhD from the University of Chicago.

Five Studies

Dr Risch writes that five studies have shown significant outpatient efficacy for the combination of hydroxychlorquine and azithromycin when used to treat coronavirus. He says the combination is safe and “These medications need to be widely available and promoted immediately for physicians to prescribe.”(1):

Here is the quote from his article:

“Five studies, including two controlled clinical trials, have demonstrated significant major outpatient treatment efficacy.  Hydroxychloroquine+azithromycin has been used as standard-of-care in more than 300,000 older adults with multicomorbidities, with estimated proportion diagnosed with cardiac arrhythmias attributable to the medications 47/100,000 users, of which estimated mortality is <20%, 9/100,000 users, compared to the 10,000 Americans now dying each week. These medications need to be widely available and promoted immediately for physicians to prescribe.” end quote Dr Risch.(1)

Dr. Phillip Carlucci NYU Medcical Center

Phillip Carlucci at NYU hospital writes the addition of Zinc massively improves efficacy of this combination, reduces mortality of hospitalized patients by 50% (fifty per cent):

The early addition of zinc to the hydroxychloroquine and azithromycin adds significant benefit to the protocol in hospitalized COV-19 patients according to a recent study by Phillip Carlucci at NYU hospital. Dr. Carlucci studied the hyroxychloroquine/azithromycin protocol with and without added zinc. The addition of zinc reduced the mortality or transfer to hospice by approxinately 50%. (2)

Dr Carlucci writes:

“zinc sulfate increased the frequency of patients being discharged home, and decreased the need for ventilation, admission to the ICU, and mortality or transfer to hospice for patients who were never admitted to the ICU….After adjusting for the time at which zinc sulfate was added to our protocol, an increased frequency of being discharged home (OR 1.53, 95% CI 1.12-2.09) reduction in mortality or transfer to hospice remained significant (OR 0.449, 95% CI 0.271-0.744).”(2)

Doctor’s Press Conference on HCQ July 27, 2020

A group of American doctors calling themselves “America’s Frontline Doctors” held a press conference on COVID-19, hydroxychloroquine, and more outside the Supreme Court. This video has been Deleted/Censored by FB, YOU-Tube and Twitter. This is information they do not want you to know!

Doctor’s Press Conference Drs. Simone Gold, Bob Hamilton, Stella Immanuel, Dan Erickson, James Todaro, Joe Ladapo on the steps of Supreme Court, Washington DC talking about HCQ, Z pack and ZINC for Covid 19. This video was censored/deleted by FB, YOUtube and Twitter.

America’s Frontline Doctors SCOTUS Press Conference Transcript of above video press conference.

Preventive Measures:

For prevention of flu-like illness, high doses of Vitamin A, Vitamin D3, Vitamin C are recommended by many integrative physicians such as David Brownstein MD.

Should I Wear a Mask ?

During my medical training years, I spent many long days and nights in the operating room wearing a mask, and gloves, and gown. Of course we followed an elaborate process of “scrubbing in” before donning the mask, gloves and gown in preparation for entering the sterile environment of the operating room. It was not unusual for the chief surgeon to change his gloves multiple times during an operation. All of this clothing was strictly removed and placed in the garbage upon leaving the operating room. Similarly, on the hospital floors, the masks and gloves are immediately removed and disposed of after leaving each patient's room.

Re-Using the Same Mask and Gloves

This is quite different from the re-used makeshift masks and gloves of the coronavirus pandemic. People are re-using and not disposing of the mask and gloves after leaving each place of business. This leads me to question this practice as being “inherently unhealthy”. The re-used gloves become contaminated with microbes and viruses, which are then spread around town. The mask wearer may have pathogenic microbial organisms in the oral cavity which recirculate from the mask back into the respiratory system, causing worsening symptoms for the mask wearer. Improperly discarded masks on the roadway or sidewalk become a biohazard.

Mask Fatigue

People who wear masks for a long time (including doctors) experience “mask fatigue”, and find themselves pulling at the mask to get better airflow. A quote on “mask fatigue” from Dr. Cheng (10)

“a factor contributing to non-adherence is “mask fatigue.” Most people (including some health professionals) cannot tolerate wearing a mask all day; others can but quickly develop resistance to using it further.”(10)

Masks by Administrative Emergency Order

During the height of the coronavirus pandemic, I think it made sense for people to wear a mask in public in heavily populated cities, on a voluntary basis, at the discretion of the use.  However, I do not think this practice should ever have been mandated by government order as was done in Broward County (where I live).  An Administrative Emergency Order by Bertha Henry on May 21, 2020 mandated wearing a mask while shopping in essential businesses (among other things). This is a typical response for a government administrator who is only trying to do the right thing with limited knowledge and understanding of medical science.

Masks Should be Voluntary, Not Mandatory

In my opinion, at this stage in the timing of the coronavirus outbreak, we are at the end of the outbreak. Therefore, the use of masks should not be mandatory. They should be voluntary for individual people who wish to do so. Some may have underlying health conditions posing greater risk, and may wish to wear a mask in public in buses, trains and planes etc.as a preventive measure. For healthy people, wearing a mask in public should be at the discretion of the individual, not mandated by emergency order from a  local county administrator. In agreement is Patricia Neuenschwander, MSN, RN, a board-certified pediatric nurse practitioner.(20)

Face masks to prevent community transmission of viral respiratory infections: Masks,  “Available Evidence is Equivocal”

Here is a quote from Dr. Olga Perski:

“Available evidence from RCTs (randomized trials) is equivocal as to whether or not wearing face masks in community settings results in a reduction in clinically- or laboratory-confirmed viral respiratory infections. No relevant studies concerned SARS-CoV-2 or were undertaken in community settings in the UK.” (8)

Fourteen Randomized Controlled Studies – Public Wearing of Face Masks Ineffective

In 2020, Dr Xiao reports that 14 randomized controlled trials found face masks worn by the public ineffective for mitigation of spread of influenza virus (laboratory confirmed influenza virus). Dr Xiao writes:

“Although mechanistic studies support the potential effect of hand hygiene or face masks, evidence from 14 randomized controlled trials of these measures did not support a substantial effect on transmission of laboratory-confirmed influenza.” (23)

Orwellian DoubleSpeak from the Lancet by Dr. Cheng in 2020:

Just because randomized controlled trials demonstrate masks are ineffective, doesn’t mean they are ineffective !!!!. George Orwell would be proud of Dr. Cheng writing in Lancet in 2020:

“But absence of evidence of effectiveness from clinical trials on mass masking should not be equated with evidence of ineffectiveness…. Dismissing a low-cost intervention such as mass masking as ineffective because there is no evidence of effectiveness in clinical trials is in our view potentially harmful.”(24)

Five Facts from JB Handley Blog (12)

Fact #1: The Infection Fatality Rate for COVID-19 is somewhere between 0.07-0.20%, in line with seasonal flu.

Fact #2: The risk of dying from COVID-19 is much higher for older people and those with co-morbidities, and much lower  for younger healthy people, and nearing zero for children.

Fact #3: People infected with COVID-19 who are asymptomatic (which is most people) do NOT spread COVID-19. (11)

Fact #4: Emerging science shows no spread of COVID-19 in the community (shopping, restaurants, barbers, etc.)

“There is no significant risk of catching the disease when you go shopping. Severe outbreaks of the infection were always a result of people being closer together over a longer period of time…” Quote from – Professor Hendrick Streek , University of Bonn

Fact #5: Published science shows COVID-19 is NOT spread outdoors.

Fact #6: Science shows masks are ineffective to halt the spread of COVID-19, and The WHO recommends they should only be worn by healthy people if treating or living with someone with a COVID-19 infection.

The Inside Story on Why Dr Anthony Fauci Condradicts President Trump on Efficacy of Hydroxychl9oroquine

In this video, Karladine Graves DO discusses Dr. Anthony Fauci’s conflicts of interest regarding use of hydroxychloroquine.  Dr. Karladine Graves, is a family medicine doctor who practices in North Kansas City, MO.

Conclusion: The Latest Outrage:  In the opinion of Dr Harvey Risch, Professor of Medicine at Yale, highly efficacious treatment is available for early coronavirus symptoms as described above.  The mass media has been suppressing this information, the result of which is causing untold suffering and death in the American Population.  This is an outrage.

At this stage of the pandemic, makeshift face masks used by the public may be causing more harm than good, should be changed to voluntary, and emergency mandates rescinded.

Opinion Disclaimer: This article is not intended to provide medical diagnosis, advice, treatment, or endorsement. The views, beliefs, and opinions expressed in this article are those of the author and do not necessarily reflect those of WHN. Any content provided the author is of their opinion and is not intended to malign any religion, ethic group, club, company, agency, entity, individual, or anyone or anything. As such WHN does not endorse and is not responsible or liable for any content, data, advertising, products, goods or services, statements, information or opinions expressed by the author.

Materials provided by:

Content may be edited for style and length.

This article is not intended to provide medical diagnosis, advice, treatment, or endorsement.

https://jeffreydachmd.com/2020/05/effective-early-treatment-for-corona-virus/

References:

1) Risch, Harvey A. “Early Outpatient Treatment of Symptomatic, High-Risk Covid-19 Patients that Should be Ramped-Up Immediately as Key to the Pandemic Crisis.” American Journal of Epidemiology (2020).

2) Carlucci, Philip, et al. “Hydroxychloroquine and azithromycin plus zinc vs hydroxychloroquine and azithromycin alone: outcomes in hospitalized COVID-19 patients.” medRxiv (2020).Hydroxychloroquine azithromycin plus zinc in hospitalized COVID19 patients Phillip Carlucci 2020

3) Mask mystery: Why are U.S. officials dismissive of protective covering?  By BEN SCHRECKINGER 03/30/2020 08:30 PM EDT

4) Should Americans Wear Masks Outside The House? Dr. Anthony Fauci Now Says Maybe  Marley Coyne Marley Coyne Forbes Staff Business

5) Masks Don’t Work: A review of science relevant to COVID-19 social policy. Technical Report (PDF Available) · April 2020 D. G. Rancourt Ontario Civil Liberties Association

6) Javid, Babak, Michael P. Weekes, and Nicholas J. Matheson. “Covid-19: should the public wear face masks?.” (2020).

7) Howard, Jeremy, et al. “Face masks against COVID-19: an evidence review.” (2020).

8) Perski, Olga, et al. “Face masks to prevent community transmission of viral respiratory infections: A rapid evidence review using Bayesian analysis.” Qeios (2020).

Conclusions: Available evidence from RCTs is equivocal as to whether or not wearing face masks in community settings results in a reduction in clinically- or laboratory-confirmed viral respiratory infections. No relevant studies concerned SARS-CoV-2 or were undertaken in community settings in the UK.

9) Greenhalgh, Trisha, et al. “Face masks for the public during the covid-19 crisis.” Bmj 369 (2020).

10) Cheng, Sheung-Tak. “Covid-19: are face masks a good long term strategy?.” BMJ 369 (2020).

a factor contributing to non-adherence is “mask fatigue.” Most people (including some health professionals3) cannot tolerate wearing a mask all day; others can but quickly develop resistance to using it further.

11) Gao, Ming, et al. “A study on infectivity of asymptomatic SARS-CoV-2 carriers.” Respiratory Medicine (2020): 106026.

455 contacts who were exposed to the asymptomatic COVID-19 virus carrier became the subjects of our research. They were divided into three groups: 35 patients, 196 family members and 224 hospital staff. We extracted their epidemiological information, clinical records, auxiliary examination results and therapeutic schedules.

Results The median contact time for patients was four days and that for family members was five days. Cardiovascular disease accounted for 25% among original diseases of patients. Apart from hospital staff, both patients and family members were isolated medically. During the quarantine, seven patients plus one family member appeared new respiratory symptoms, where fever was the most common one. The blood counts in most contacts were within a normal range. All CT images showed no sign of COVID-19 infection. No severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections was detected in 455 contacts by nucleic acid test.

Conclusion in summary, all the 455 contacts were excluded from SARS-CoV-2 infection and we conclude that the infectivity of some asymptomatic SARS-CoV-2 carriers might be weak.

Unquestionably, all cases tested negative for SARS-CoV-2 nucleic acid. This fact illustrated that there had been no cases of infection in a relatively dense space.

The result of this study may alleviate parts of the public concern about asymptomatic infected people.

12) J B Handley Blog Lockdown Lunacy

13) COVID-19 Anxiety Turns to COVID-19 Rage as We Figure Out Everything the Experts Got Wrong

By Stacey Lennox May 22, 2020 1:30 PM EST

14) Japan Ends Coronavirus Emergency With 850 Deaths and No Lockdown  By Jason Lemon On 5/25/20 at 11:26 AM EDT

15) CDC Reduces COVID-19 Fatality Rate to 0.26 Percent by TVR Staff Published June 1, 2020

16)  Forced face masking is a civil rights offense By Cheryl K. Chumley – The Washington Times Friday, May 1, 2020

17) Nothing can justify this destruction of people’s lives’

Yoram Lass, former director of Israel’s Health Ministry, on the hysteria around Covid-19.

18) The invisible pandemic Johan Giesecke Lancet Correspondence| Volume 395, ISSUE 10238, e98, May 30, 2020

Published:May 05, 2020

19) How Fear and Groupthink Drove UnNecessary Lock-downs Real Clear Politics

20) Healthy People Wearing Masks, Should They or Shouldn’t They?

Patricia Neuenschwander, MSN, RN, CPNP-PC, is a board-certified pediatric nurse practitioner.

21)  Outcomes of 3,737 COVID-19 patients treated with hydroxychloroquine/azithromycin and other regimens in Marseille, France: A retrospective analysis

Author:Jean-Christophe Lagier,Matthieu Million,Philippe Gautret,Philippe Colson,Sébastien Cortaredona,Audrey Giraud-Gatineau,Stéphane Honoré,Jean-Yves Gaubert,Pierre-Edouard Fournier,Hervé Tissot-Dupont,Eric Chabrière,Andreas Stein,Jean-Claude Deharo et al.

Publication:Travel Medicine and Infectious Disease

Publisher:Elsevier  Date:Available online 25 June 2020

results suggest that early diagnosis, early isolation and early treatment of COVID-19 patients, with at least 3 days of HCQ-AZ lead to a significantly better clinical outcome and a faster viral load reduction than other treatments.

22)     HCQ breakthrough:India  ICMR finds it’s effective in preventing coronavirus, expands its use. Three studies find that hydroxychloroquine reduces chances of contracting Covid, so ICMR allows more frontline workers to take it as a preventive drug. Himani Chandna 22 May, 2020 Based on the findings of the studies, the India government has decided to administer the drug as a ‘prophylaxis’ or preventive therapy to asymptomatic healthcare workers working in non-Covid hospitals as well as non-Covid blocks of hospitals earmarked for Covid treatment.

23) Xiao, Jingyi, et al. “Nonpharmaceutical measures for pandemic influenza in nonhealthcare settings—personal protective and environmental measures.” Emerging infectious diseases 26.5 (2020): 967.

“Although mechanistic studies support the potential effect of hand hygiene or face masks, evidence from 14 randomized controlled trials of these measures did not support a substantial effect on transmission of laboratory-confirmed influenza. We similarly found limited evidence on the effectiveness of improved hygiene and environmental cleaning.”

24) Cheng, Kar Keung, Tai Hing Lam, and Chi Chiu Leung. “Wearing face masks in the community during the COVID-19 pandemic: altruism and solidarity.” The Lancet (2020).

“But absence of evidence of effectiveness from clinical trials on mass masking should not be equated with evidence of ineffectiveness….

Dismissing a low-cost intervention such as mass masking as ineffective because there is no evidence of effectiveness in clinical trials is in our view potentially harmful.”

25) Doctors Press Conference Drs. Simone Gold, Bob Hamilton, Stella Immanuel, Dan Erickson, James Todaro, Joe Ladapo on the steps of Capital Bldg Washington DC talking about HCQ, Z pack and ZINC for Covid 19.  This video was censored/deleted by FB, U tube and Twitter.

26) America’s Frontline Doctors SCOTUS Press Conference Transcript of above video press conference

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