Yes, the AMA is Still Anti-Patient and Anti-Doctor

The rumor that the AMA rescinded its March statement discouraging the use of Hydroxychloroquine for COVID-19 had gone viral. But the sad truth of the matter is that the rumor isn’t true. The AMA refuses to stand for patients and agree to let doctors be doctors.

So what happened?

A brave group of physicians led by Atlanta rheumatologist John Goldman, MD were compelled to try to reverse the AMA’s dangerous position against early treatment. So they drafted a resolution and took it to the AMA House of Delegates for consideration.

Unfortunately AMA Leadership decided to make sure the resolution failed. In the committee hearings at the meeting the “AMA Board of Trustees (BOT) provided testimony in opposition of this Resolution and supportive of the AMA statement.”

The result? The resolution brought by Dr. Goldman and his colleagues was defeated.

It is clear more than ever that AMA decisions are based on a political agenda. It the organization’s decisions were evidence based then the bad policy would never have been put in place to begin with. Because the evidence is clear, HCQ and other common inexpensive medications are saving lives (https://c19study.com/.)

https://c19study.com

More Evidence HCQ is Beneficial in Treating COVID-19?

WSJ article from earlier this week, about “COVID Long Haulers” is generating a lot of discussion.

One point it makes: “Another possibility [for the cause of chronic COVID] is that the virus causes some people’s immune systems to attack and damage their own organs and tissues, researchers said. A June study found roughly half of 29 hospitalized ICU patients with Covid-19 had one or more types of autoantibodies.”

Also getting some attention in MSM (mainstream media) this week is this recent paper published in Science Translational Medicine:

Prothrombotic autoantibodies in serum from patients hospitalized with COVID-19

“Antiphospholipid syndrome is an acquired and potentially life-threatening thrombophilia in which patients develop pathogenic autoantibodies targeting phospholipids and phospholipid-binding proteins (aPL antibodies).  … These findings suggest that half of patients hospitalized with COVID-19 become at least transiently positive for aPL antibodies and that these autoantibodies are potentially pathogenic [e.g. drive thrombosis].”
https://stm.sciencemag.org/content/early/2020/11/02/scitranslmed.abd3876

Is mitigating the autoantibody problem one potential reason hydroxychloroquine (HCQ) helps in COVID-19?

Maybe that’s what’s already been suspected but the Science paper helps backup the use of HCQ.

For instance the literature on SLE includes these observations:

“data indicate that hydroxychloroquine may play a role in decreasing APL antibody levels in APL positive patients and maintaining low APL levels in APL negative patients.”
https://ard.bmj.com/content/69/Suppl_2/A10.3

“In patients with SLE and persistently positive aPL, we recommend HCQ for the primary prevention of thrombosis”
https://ashpublications.org/hematology/article/2016/1/714/21142/What-is-the-role-of-hydroxychloroquine-in-reducing

In other words, the evidence that HCQ helps continues to build.

The Uncertainty of the Path Ahead

By Katarina Lindley, D.O.

This past year has brought up many issues head on. The fear of the pandemic has changed the way this country has been governed for many years.  As we enter the ballot box next week the choice is clear.  One vote is for liberal, progressive, socialism driven agenda that will bring us closer to the government lead society and the other is for liberty and freedom of a nation that was born from an idea that all men are created equal and deserve success and happiness.

I grew up in a small Balkan country, relatively happy child who did not really understand the dynamics of the life we lived, until I was told not to tell people we went to church because it could cost my dad his job.  It took me many years to realize that Yugoslavia was not the utopian society we were lead to believe and ultimately fear, as all actions were controlled by the government and the freedom of thought was highly discouraged.  I “credit” the socialized medicine with the death of my mother many years ago due to bureaucratic lead healthcare system where ultimately patient is just a number on an endless list of cases and diseases.

This past year has shown me that even a country as free as USA is not free from the attacks within.  The idea of socialism that Bernie Sanders has successfully infiltrated in the halls of our nation capitol has spread within the ranks of Democratic party and its progressive leaders.  The system of government that liberals are trying to push on us is based on an ideology with the ultimate goal of eliminating private property and redistribution of wealth. They are interested in government-controlled education, healthcare and labor, central banking system, as well as the government ownership of transportation and agriculture, making us more dependent on them.  As a physician I believe that Biden’s private option is a socialized takeover of our biggest economical entity which will bring us closer to national socialism.  What many people are not aware of is that socialism does not live in a vacuum and is an extension of communism which many immigrants as myself have fled from.

Watching unrests, riots, attacks on Pro-Trump voters, Jewish Trump caravan and blatant hate of anyone who disagrees with liberal agenda, has given me some flashbacks.  One of my favorite subjects has always been history, and as I was seeing Minneapolis, L.A and closer to home, Austin, defund or decrease police budgets, I remembered studying about Hitler.  In 1933 he ordered “nazification” of the police force by changing the organizational structure, leadership, training and the values of German’s police force. As some view toppling of this nations monuments as an outcry to injustice of Confederate leaders, I view this as a monumental error in trying to erase the history that shaped this nation.  I do not want to forget Stalin or his persecution of Christians and political enemies, or Aushwitz where many Jews where killed because Hitler deemed then inferior.  Few years ago, I visited Tiananmen square and standing there seeing a huge Chinese flag across from it, all I could remember is many lives lost.  History has its placed and should not be forgotten.

This election has become a referendum of the beliefs and values that United States was founded on.  As an immigrant like many others that fled communist regimes, USA is a beacon of hope.  USA is not just a nation but an idea where life, liberty and pursue of happiness are not ideals but a reality; a place where the American dream is alive or it used to be.   My fear for my children is that we will forget, forget 1776, wars fought, 9/11, lives lost.  A nation that does not remember its failures and its wins can never be a free nation.

NIH Limiting Early Treatment, Says America’s Frontline Doctors

America’s Frontline Doctors warns: “The National Institutes of Health (NIH) recently announced that the federal agency would take the radical step of prohibiting early treatments nationwide for COVID-infected patients, except those already hospitalized and requiring oxygen. America’s Frontline Doctors (AFLDS) founder, Dr. Simone Gold, M.D., J.D., FABEM, released the following statement in response to the decision.”

Read the Full Statement: https://www.americasfrontlinedoctors.com/nih-limiting-early-treatment/

Let NJ Kids Go Back to School – Don’t Cave to Unions

While millions of Americans, including doctors and nurses, truck drivers, grocery store workers, and many more, are working at jobs that expose them to potential SARS-Cov-2 infection, unions that represent one group at lower risk are fighting to not have to go back to work.

Is it dangerous to send teachers back in to the classroom? It turns out that it is significantly more dangerous to NOT send them back to teach.

“The greater risk to our society is to have schools closed,” warns CDC Director Dr. Robert Redfield, July 7, 2020:

And even the American Academy of Pediatrics, the principal medical society representing 67,000 pediatricians, concluded that it is not safe for children to be denied full-time classroom instruction:

“With the above principles in mind, the AAP strongly advocates that all policy considerations for the coming school year should start with a goal of having students physically present in school. The importance of in-person learning is well-documented, and there is already evidence of the negative impacts on children because of school closures in the spring of 2020. Lengthy time away from school and associated interruption of supportive services often results in social isolation, making it difficult for schools to identify and address important learning deficits as well as child and adolescent physical or sexual abuse, substance use, depression, and suicidal ideation. This, in turn, places children and adolescents at considerable risk of morbidity and, in some cases, mortality.”

Source:
https://committeetounleashprosperity.com/wp-content/uploads/2020/07/CTUP_NotSafeToKeepSchoolsClosed_Study-1.pdf

It is clearly unsafe to prevent kids from school. But what about safety for teachers? Yes it is. The Foundation for Research on Equal Opportunity reports:

“In Europe, reopening schools has not led to a rise in COVID-19 cases. Denmark reopened schools on April 15, the first Western country to do so. But “you cannot see any negative effects from the reopening of schools,” said Peter Andersen of the Danish Serum Institute. Norway reopened schools on April 20, and cases there continue to trend downward. Austria reopened schools on May 18, and has not seen an increase in infections. Similar trends hold in Germany and Finland. A study of 541 students in northern France found zero cases of an infection transmitting from student to teacher.”https://freopp.org/reopening-americas-schools-and-colleges-during-covid-19-bdb35e3e32c4

You know how critical public and private schools are to the entire fabric of society in New Jersey and across the country. Public school teachers unions are sending the message that teachers are no more important than Walmart workers. The NJEA “reopening plan,“ is “Orwellian speak” for how to close your school using an impossible-to-achieve checklist.

The Union is also distributing action steps for union leaders to use to bind the districts up with minutia like proving when they “calibrated dampers.”

There are many common sense solutions to improving ventilation in classrooms, like opening windows and using inexpensive fans. But the unions do not seem interested in solutions as much as stalling and obstruction.

So folks, do not cave to the Union’s propaganda. Send teachers and kids back to school.

The Tale of Two Drugs: A Case for Allowing Patients Right-to-Try #HCQ #hydroxychloroquine for #COVID19 #Coronavirus Prophylaxis

Nowadays Gilead’s Truvada, PrEP (Pre-Exposure Prophylaxis) for HIV, is considered essentially a right for anyone who wants it. Medicaid covers it in many if not every state as does Medicare Part D. TV ads for it are ubiquitous. This is a drug that reportedly costs $2000 per patient per month and it’s the most prescribed specialty drug in the state of California and perhaps other states too.

But meanwhile HCQ PrEP for COVID at $10 a month is not meaningfully allowed in many states even if patients want to pay out of pocket.

Wait there’s more:

Truvada, is available without a prescription from a physician in California:
https://abcnews.go.com/Health/hiv-prevention-drugs-prescription-california/story?id=66132808

Oregon and Colorado are considering following California’s lead:
https://www.poz.com/article/prep-may-available-without-docs-prescription-two-states

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FALSE EQUIVALENCE: Government lockdown vs Coronavirus

Authors:  Parvez Dara, MD, MBA and Craig M. Wax, DO

There is a powerful force in humans that drives their destinies. This force asserts itself in the form of Liberty. In the Declaration of Independence, the statement “Life, Liberty and the Pursuit of Happiness,” is the most powerful of those liberating words ever written. The absence of subjugation to power and the right to act, speak, or think as one wants, are the tenets of what makes us all Americans. When these basic rights are threatened, the ire of freedom loving people is raised.

 The current COVID-19 pandemic seems to have roiled the tranquil waters. In this chaos many a voice seems to invoke falsehoods and render them as truths. There is a false equivalency between disparate ideas that rule the minds of the policy makers and in attempting to rule the minds of the citizens.

 Let us look at the past 6 weeks and gather reality from this recent past. As the pandemic broke across the Pacific and Atlantic shores simultaneously there was a sense of urgency and panic. The urgency was implied by some very poor models that were based on hypotheticals that failed to materialize. Large quantities of beds were made available and larger numbers of ventilators were built to respond to a threat that never materialized. Most of the beds remained empty and ventilators are being diverted to other countries.

 Yet, the virus continues to move through the United State from both coasts into the middle taking thousands of lives in its wake. The tally of the infections and deaths has become the daily mantra of the experts. In fact, some seem to thrive in reporting such numbers, and take delight in the fact that the worst is seemingly yet to come. Even in the face of a slow and steady decline, these experts continue to feed the beast of public fear. Caught in the trap are politicians that have a lesser sense of what is real. The louder the drumbeat, the more deference is paid to the experts. Policies are made to counter this beast of an epidemic. No one seems to pause and reflect for a moment as to what is at stake with each policy or mandate they conjure. No one!

 One such policy is the “lockdown” of private commerce in its many forms. Closure of hotels, airlines, shops and even short distance travel is frowned upon. So much so, that drones have been utilized by police precincts to command and control and command citizen movements through virtual means. In West Texas, the police SWAT Team was summoned to close down a bar. The loudest voices seem to be repeating the phrase, “We must flatten the curve.” By that they mean they imply,  “Social distancing,” from one another and, “shelter at home,” the spread of the virus will be contained, and the healthcare system will not be overburdened. Meanwhile dubious policies take flight; Prisoners are released while law abiding citizens are imprisoned for walking with their children.

 But within this “shelter in place” and other such terms, is a sinister mechanism that has raised its ugly head and seems to hover over us as the Sword of Damocles. The thinking goes that if private businesses are opened too soon, then we will have many hundreds of thousands of more deaths. That specter shakes the core of any human being. But time is passing, and more and more information is being revealed. The virus seems to not like living under sunlight and moist air. Yet even armed with this knowledge, the powerful governing forces have shut down parks and beaches, albeit a few have been reluctantly opened due to pressure from citizen protests. Small businesses still are forced to remain closed. Among small businesses,  physician office closures  are having a deleterious effect on medical care of the infirmed and ailing fellow citizens. There are estimates of over 6,000 early deaths among cancer patients alone, with 80,000 missed diagnoses of cancer. Other specialties are also seeing fewer patients with heart disease, diabetes, lung disease and kidney disease. All these patients have been furloughed from healthcare due to fears of hospitalization and close contact with others for fear of contracting COVID-19. How many people will die from such an action?  The number will most certtainly exceed deaths from COVID-19.

 False equivalency exists between the control of the virus and the shelter in place concept.  Although shelter in place may have, “flattened the curve,” it still remains in dispute given the data from Sweden, certain states, and other parts of the world, where shelter in place was not undertaken by  government force. The essence of this virus suggests that it will find “parity” with its surroundings and eventually die off. “Parity,” here means herd immunity. Scientists have since the beginning said that it will take infection of 70% or more of the population for the virus to finally die off. But some epidemiologists have models that suggest only 25-30% of infected population shuts the virus down. Further evidence suggests that between 40% to as much as 65% of the deaths were from Nursing Home patients. In fact, the Swedish Health Minister stated  that the increased deaths in Sweden were from poor infection control in nursing homes. The incomprehensibility of some enforced policies of moving patients with COVID-19 into the nursing homes in New York, New Jersey and California are counterfactual to scientific reality. Governors’ policies directly increased morbidity and loss of life. It would therefore be prudent to allow the country to open for business and people over 65 years of age with co-morbidities might continue, “physical distancing,” as preventative measure against the virus. The younger population meanwhile can begin the process of normal living with recommended good hygiene standards. The herd will get itself immunized and the virus will become a distant memory, and limit further economic, emotional and health damage caused by the capricious government lockdown.

 While Aristotle suggested that desire can be subjugated to reason and Plato stated that all desire must be postponed for a higher ideal, the current ideal threatens the economic welfare of everyday workers in every country, as the economic collapse continues from these unbridled restrictions. Socrates meanwhile argued, “that happiness and personal growth were a major purpose of life, and a central goal of education.” If that is true, and it is, then the current actions by some governors are a direct assault on individual human liberty and freedom to pursue happiness.

 It is therefore imperative that Governors exerting undue force of their incomprehensible logic, should undo their dictates and open the civil activities of daily life, so that for the time being those aged 18 to 60 years of age can work and provide for their families. Government subsidies cannot sustain life as has been evidenced throughout history. The United States Constitution states, “Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people peaceably to assemble, and to petition the Government for a redress of grievances.”

 As the New Hampshire flag and automobile license moniker states, “Live Free or Die.” Let us throw off the chains of government lockdown and assume our rightful individual rights and responsibilities. We must demand our freedom to continue to live under that banner of liberty.

#PriorAuthorization Should be Illegal

They harm patients and steal valuable resources for third-party profit. 

A recent example:

A patient needed an MRI. The physician spoke to @evicorehc @Aetna @MedicareGov to get #Precertification.

Dr. M called back for a “peer to peer” and approved the procedure.

A half-hour later the doctor was called by Vanessa V, who said “the peer to peer was for educational purposes only. The procedure was denied and, since it was a Medicare Advantage patient, no appeal was possible.”

The doctor then spoke with supervisor Christine H. at Evicore and she echoed the same. The doctor explained to Christine that she was practicing medicine without a license, harming the patient, and consuming valuable patient care resources.

The doctor demanded approval for the MRI and hung up. 

 #free2care #nomiddlemen #disintermediate #healthcare  #medicare

Personal Health is a Personal Responsibility to Enable National Health

By Paul Kempen, MD, PhD

It really amazes me as a physician and health care expert,  that while the government and general population EXPECT doctors, Nurses-yes ALL hospital employees down to the janitor (Health care workers=HCW)- to go to work  EVERY day to care for severely and clearly infected patients, the expectation that  the general population cannot even perform daily tasks in low risk environments seems severely misplaced. Being out of doors has of recent note, apparently even become “illegal”.  We have seen the country “closed for business” and production capabilities, lives and personal welfare, decimated. If all HCWs are able to work in clearly infected environments, why are citizens unable to protect themselves in low risk environments? Why are there not clear and effective educational and production mechanisms for ensuring regular daily living activities promoted in all media at this time? I have NEVER seen a public educational clip on HOW to correctly wear a mask-but  have repeatedly seen “experts” without and improperly wearing masks. Are factories and businesses still (really) unable to provide PPE and distancing between workers? WHY? If we can put a man on the moon……….we cannot provide education and PPE?

 Of course, the LACK of Personal Protective Equipment (PPE) has been the serious issue. Government/CDC/WHO “Expert Action” has been unable to address to date THE singular outstanding shortage of N95 masks and hand disinfectant, or provided ACCURATE and specific instruction/education on PERSONAL protective measures. Instead, concentrating on ventilator production (to TREAT disease) and “Testing” to identify infections remains “the answer”. In Medicine, we typically test to identify infection based on symptoms-as a healthy, negative tested individual is not protected by the test and can become infected by those providing tests to hundreds per hour!

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The overwhelming mismanagement of the COVID-19 Crisis

By Paul Kempen, MD, PhD

We saw SARS and MERS as severe Corona infections in the past, and COVID19 is also known as SARS-2:

The 2002–2004 SARS outbreak was an epidemic involving severe acute respiratory syndrome (SARS) caused by SARS-CoV. The outbreak was first identified in FoshanGuangdong, China in November 2002. Over 8,000 people from 29 different countries and territories were infected, and at least 774 died worldwide. We watched it in Torono, Canada, just across the border.

Middle East Respiratory Syndrome (MERS) is an illness caused by a virus (more specifically, a coronavirus) called Middle East Respiratory Syndrome Coronavirus (MERS-CoV). Most MERS patients developed severe respiratory illness with symptoms of fever, cough and shortness of breath. About 3 or 4 out of every 10 patients reported with MERS have died. Health officials first reported the disease in Saudi Arabia in September 2012.  https://www.cdc.gov/coronavirus/mers/about/index.html

The past epidemics didn’t kill enough Americans to create enough interest in solving the problem. The current SARS or COVID19 pandemic was first documented on January 10, 2020, while the name itself identifies the pandemic as starting in 2019. We are now 3 months INTO the epidemic, with an anticipated death rate of 5% and are still only reacting! Instead of closing down the country, we should have been ramping up industry to provide for THIS EXPECTED pandemic and providing the PPE, drugs material and manpower. The current plan to “self-quarantine” serves only to spread out the ultimate number of infections over time,  to allow the available facilities to be able to “cope” with the expected severe infections. But please remember, that the USA has been reducing total numbers of hospital beds and closing hospitals for decades. It will also remain to be seen if this COVID19 pandemic will equal or exceed the deaths from those yearly Flu season’s infections (epidemics) which KILL 30-60 THOUSAND each year in the USA.

Oddly enough, we never have seen this sort of  PPE response to the flu in  spite of the significant mortality-so why are we treating COVID19 as if it were EBOLA, when it is a respiratory infection just like the FLU? Or will we now be responding to flu seasons like the Covid-shutting down the country, especially if the flu actually kills more people than the covid virus? Why are nurses suddenly utilizing PPE with such high level of protection, exceeding that required for flu season? Why are we seeing nurses crying on TV that “they never signed up for this”. “This” comes EVERY YEAR! The vast majority of flu and COVID patients do NOT die, as many have minimal or no symptoms, especially the young and healthy. Yes, be safe, but in which “War” did this country shut down the industries? Most workers in industry are easily 6 feet from each other.

The LAST place anyone should be going now-if they are healthy, is to a HOSPITAL -why join the infected if YOU are not-stay home!!! All this wasted “news” on testing has been counter-productive. A Test does not save anyone, it does not insure citizens are not infective for a number of reasons-more importantly, you could BECOME infected getting the test in a hospital. Getting yourself tested in your car from a person who is reaching into test hundreds of patients an hour is not someone I want to encounter as they may be infected. Why risk to “see” if I am infected driving up and opening my mouth and possibly GETTING the virus (my test will be negative and I will be positive a day later).  The emphasis on daily declarations of the total number of “cases” rather than DEATHS serves to maintain the hysteria in the population, facilitating and exploiting the fear, to force all citizens to comply with whatever the “Current recommendation” is issued,  being true or false. Testing only provides access for numerators and denominators in the tracking of epidemiology-but this is also an effective way to scare the populace into “following orders”. No person without symptoms needs testing as a matter of acute care. The overwhelming of facilities with hysterical people wanting testing and treatment for “possible” (not probable or symptomatic disease) is counterproductive, helping to spread the disease and tying up those health care workers and facilities need to care for the sick.

The CDC has failed us by stating “civilians should not wear masks”, and should be reversing this statement soon,  because it is WRONG. If it is useful to doctors and nurses, why would it not be true for citizens out in public? Sure, the statement was a political based decision and NOT a doctor-patient decision. The CDC wanted to conserve PPE. Sure, the epidemiologists also have “recommended” for decades to change your face mask after EVERY use before the Covid hit (i.e. every time you leave the operating room)-but no one does this in real life because THAT too is wasteful and excessive. Now we are reusing and prolonged using of PPE because of a shortage, which after 3 months since the first warning, should NOT have occurred.

We as health care professionals-Doctors KNOW what masks do and this is important and is NOT being disseminated via the news. Surgical masks contain YOUR secretions during normal operations from falling into the wound. N95 masks are not the same and prevent other’s aerosol infections from being transmitted to you! A Mask is NOT “a mask”. There are different types, uses and functions. Hand made cloth masks are NOT N95 and protect those around you from your secretions but do not reliably protect you from theirs. Everyone should be wearing surgical masks in public, and “high risk” civilians should have N95 if they NEED to leave their homes to go to the doctor or grocery store. People should not need to reuse masks, but they could be disinfected with rubbing alcohol 70% in a plastic bag overnight and air dried (or even baked at 200 degrees) prior to reuse.

I have YET to see any information on the “NEWS” to explain the use of masks to the public to date. Yet, every hospital health care worker must comply with OSHA guidelines and submit to an “N95 Fitting session” to LEARN how to use this type of “duckbill” N95 mask for PPE!  Because of the misinformation presented on the “daily news” it is high time for these issues to be presented. It is high time for EVERY person appearing on TV to WEAR a surgical mask, whenever there are more than 2 people present! We need the RIGHT messaging sent out to the population and the right example projected!

I have personally Worked on the USNS Comfort twice during missions to South America, once after the Haiti earthquake. ALL patients were screened for Tuberculosis-a  severe respiratory infection- to insure no one with TB was brought onto the ship, because of the danger of widespread infection once on board. The current presence and use of these warship hospitals appear to me to be primarily one of “reassurance” or some political statement in this pre-election period. In this PANdemic however, the likelihood that COVID patients will NOT become apparent onboard-even if they bring only “non-covid tested patients onboard to “relieve landside facilities” is highly unlikely.,  After the 800 workers and first 800 patients are brought onboard, the infection may become apparent after days.  Testing is not able to exclude latent infection and the COVID is extremely infectious-especially if the patients are coming from a high risk zone=i.e. a HOSPITAL. The size of patient bays on those ships is small, the ventilation is “common” and cross infection will be a given, after the first Covid infection manifests onboard. Our experience with quarantine on cruise ships and COVID is,  well…….. nobody is going on a cruise until Covid is over! The resources (personnel and materials) of these two hospital ships would be better placed landside, in a converted mall or convention center with adequate space and ventilation. The shortage is one of material and personnel-NOT floating sardine cans,  which are known to be at risk for dissemination of respiratory infections. These military health care workers should be used landside in this “War on Covid”. We need an army and not a navy today.

The government has made many decisions to allow “compassionate care” approval of drugs. It has been STANDARD PRACTICE to allow doctors to prescribe medicine for “off label” use-prescription for  conditions other than those formally studied and allowed to be advertised under FDA “labeled” guidelines. Almost ALL use of drugs in children was initiated as “off label” for decades. IN the face of an epidemic, the use of hydroxychloroquine had been curtailed and in spite of information from as early as 2004,  suggesting effectiveness in slowing viral reproduction in SARS as a treatment and therapy. Of course the scientists at the CDC “want further study”………….but people are DYING NOW. But the political agenda is to now build thousands of ventilators, instead of releasing drugs. The drugs are quickly and easily marketed, are very low risk in the young and healthy, but alias, as generics these drugs were unlikely to find the financial incentives noted with complex machine products. They may well be able to specifically prevent and treat the disease,  as opposed to fight the symptoms of disease (with ventilators). SARS is not new-it has been there for study for over a DECADE. The lessons of the flu season (epidemics) EVERY YEAR are the same as COVID. Are we learning or even asking these questions? Why not?

Many questions remain in this War and cannot be answered until addressed, unlike most of the preceding matters discussed. Because the young, healthy population is resistant to severe symptoms, should they be restricted from service in this war? Should the elderly and infirm?  Should ALL TV persons be WEARING MASKS to promote the “war effort”? When will educational, instead of hysterical “news” be screened to teach the population what is TRUE and effective? Why are the drugs not in high priority production and dissemination for prescription by physicians to PATIENTS who desire them?

COVID19 is a form of virus (Corona), one which usually causes about 20% of the yearly common colds.  We have not developed testing or immunization for corona virus in the past BECAUSE it is benign. Are children and non-geriatric people less affected, because of their yearly exposures to the similar, yet innocuous corona virus? We know that immunizations for Smallpox, polio and other viral disease prevented these serious diseases by inoculations of similar and less deadly live virus. Infections are typically one pathogen and competition with others may reduce pathogen’s  disease-we know eugenic bacteria exist in the bowel and if destroyed by antibiotics, allow pathogens to become deadly there.  Should we be passing out “Common cold virus” now to compete and possibly prevent severe COVID? Can it “compete” in cell cultures or animals/humans? Should we stop publishing daily “Corvid cases” on the news channels-sticking to deaths and promulgation of useful information like safe and correct mask use for all?

It is time for medical and not political decision making. We should be anticipating needs for now AND the next decade, and not be awaiting each crisis.

Pau Kempen, MD, PhD

213 Vista Dr
Weirton, WV 26062

412 860 6827

“Gee, Jim, I wish I would have run for congress after graduating high school like you! I could have saved myself 12 years of grinding medical education to become an expert in health care like you and your many colleagues in congress!”                                                       From a late night joke on TV

Head of China CDC: 

“The big mistake in the U.S. and Europe, in my opinion, is that people aren’t wearing masks. This virus is transmitted by droplets and close contact.”

https://www.sciencemag.org/news/2020/03/not-wearing-masks-protect-against-coronavirus-big-mistake-top-chinese-scientist-says

A physician in Michigan sent this to me last night. 

And separately these Korean modelers concluded that these strategies were working:

“To early end of the COVID-19 epidemic, efforts to reduce the spread of the virus such as social distancing and mask wearing are absolutely crucial with the participation of the public, along with the policy of reducing the transmission period by finding and isolating patients as quickly as possible through efforts by the quarantine authorities.”

https://www.e-epih.org/journal/view.php?doi=10.4178/epih.e2020011

“Estimating the reproductive number and the outbreak size of Novel Coronavirus disease (COVID-19) using mathematical model in Republic of Korea

Sunhwa Choi Choi  , Moran Ki ,  Graduate School of Cancer Science and Policy, National Cancer Center, Goyang, Korea, Goyang, Korea