PETITION: Tell NJ Governor to Rescind Order Blocking Patient Access to Hydroxychloroquine (609) 292-6000

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NEW ACTION ITEM: Sign the petition to NJ Governor Murphy to repeal his prohibition of physician prescriptions for patients impacted by the #COVID19 #Coronavirus #Pandemic.

https://www.change.org/p/phil-murphy-covid-19-nj-gov-murphy-cease-your-prohibition-of-physician-prescriptions

After you sign the petition: Call New Jersey’s governor Murphy (609) 292-6000 to rescind his rule restricting early treatment of COVID-19 coronavirus patients. His rule is dangerous and likely would make people sicker and worsen the death toll. Call him, email or web page contact him and demand he reverse his rule. Let doctors be doctors.

Email: constituent.relations@nj.gov

https://www.nj.gov/governor/contact/

Join the physicians who are speaking out! The below letter from physicians explains the urgency for this request.


Doctor’s Letter to Governor

Dear Governor Murphy,

Based on the current circumstances of an extremely contagious deadly COVID19 virus that is creating chaos in our state and the world, your order to restrict physicians from writing prescriptions to treat their patients with Hydroxychloroquine (HCQ), we believe, is contrary to the best practices of medical care. We, as perhaps you, believe in the sanctity of the patient-physician relationship in personalized individual management and care, and that it must lie in the knowledge and wisdom between those two entities and not artificially imposed by others.

Your administration’s order of restriction to use HCQ, prevents patients’ access to a potential life-saving medicine, especially when administered in the early phase of the disease. (1) Creating such a mandate may risk the lives of many New Jersey residents.

Timely access to these medications may mean the difference between life or death for patients facing the battle of their lives. We respectfully suggest that working with New Jersey’s robust pharmaceutical industry to increase the supply of these drugs, both for NJ and the rest of America would benefit the residents of New Jersey and across the country.

Early treatment is crucial for keeping patients out of the hospital and off ventilators. Delaying treatment results in the opposite, more sick patients ending up in overburdened facilities.
HCQ prevents the virus from gaining access to the human cell and in doing so it prevents the infection. Additionally, in those patients who already have infection in their system, HCQ prevents access to the cellular structure called Endoplasmic Reticulum where it replicates. Preventing such replication, reduces the viral load and hence allows the human immune system to fight off the infection. Without this drug, many valuable human lives will be cut short with such an order as proposed and promulgated by your administration. (2)

Other State Governors of Nevada and Michigan formulated similar mechanisms of restrictions to the use of Hydroxychloroquine but seeing the burgeoning loss of life quickly reversed course. If restriction is to prevent hoarding of the medication, then perhaps using the Texas model of limiting the drug dosing for 10 days (20 pills) might be more appropriate. It prevents harm to our vulnerable, sick and infirmed patients. (3)

HCQ has many decades of history as used in the care of patients with Malaria and Rheumatoid Arthritis. Knowing its very low toxicity and it poses very little if any threat to the patient, clinicians in New York, Kansas, elsewhere are reportedly preventing deaths and ARDS/ventilator dependent long ICU stays. Waiting for placebo-controlled trials is not a wartime battlefield strategy, given the urgency of treatment.

As physicians it is our duty to treat patients with the best available therapy and available evidence to circumvent disease at its earliest phase, so as to prevent the loss of life and any future morbidity. It is with that wisdom and acquired knowledge that we respectfully ask you to reconsider this restrictive mandate.

That these drugs are effective against COVID-19 has been proven in laboratory experiments. (4) And now evidence is mounting that these drugs are working to decrease viral load in patients. Decreased viral loads means patients not only avoid the hospital but are less infectious to others.(1) There is growing evidence that early administration even in mild cases of COVID-19 prevents progression to worse disease, likely attenuating the need for ventilators and ICU beds and improves symptoms. (5) This will decrease the burden on the healthcare system and upon the doctors and nurses that bear the ultimately responsibility of the patient’s care.

The information available from across the world suggests that the prudent course of action is not to put hurdles in the path of patient care by restricting most valuable medications that can protect a human life. In fact, India is officially recommending health care professionals and family members of sick patients prophylactically take HCQ. (6) The New York Times reports of a recent study: “Cough, fever and pneumonia went away faster, and the disease seemed less likely to turn severe in people who received hydroxychloroquine than in a comparison group not given the drug.” (7)

We respectfully ask that you review this decision, given the influence of such overwhelming evidence to the contrary. It is with great respect and urgency that we ask you to reconsider this decision that can potentially cause a significant loss of life in the state of New Jersey. Each patient care decision is unique to an individual and their own personal situation and value system. Patients and their physicians must carefully weigh the risks and benefits of every potential intervention. The confidential patient-physician relationship must be held sacrosanct for this purpose.

Best health,

Craig M. Wax DO, Family Medicine
Parvez Dara, MD, Hematology/Oncology
Jim Thomas, MD, Interventional Radiology
Theresa Thomas, MD
Joeseph J. Fallon, Jr., MD, Endocrinology
Carl J. Minniti Jr., MD Medical Oncology & Hematology
Charles Dietzek, DO Vascular Surgery
Indrani Sen Hightower, MD, Neurology
Alieta Eck, MD, Family Medicine
Kelly Victory, MD, Trauma and Emergency Medicine,
Disaster Preparedness and Response
Christine Saba, MD, Pediatrics
Kim Legg Corba, DO, Family Medicine
Marion Mass, MD, Pediatrics
Katerina Lindley, DO, Family Medicine
Theresa Thomas, MD, Internal Medicine
Thomas W Kendall, MD
Family Medicine
Robert Campbell MD
Anesthesiology
Pain Management
Jane Hughes, MD, Ophthalmology
Kris Held, MD, Ophthalmology
Michael J. A. Robb, M.D., Oto-Neurology

Marilyn M. Singleton, MD, Anesthesiology

Kenneth A. Fisher, M.D. Nephrologist

Marlene J. Wust-Smith, M.D., Pediatrician

Leah Huston, MD, Emergency Medicine

Karladine Graves, DO, Family Medicine

Elaina George, MD, Ear Nose Throat

Scott Stevens, MD, Ophthalmology

N. Lois Adams, B. Pharm, MBA, CRPh

Joel L. Strom, D.D.S.,M.S., General Dentistry
Independent Physicians for Patient Independence

References:

  1. Efficacy of hydroxychloroquine in patients with COVID-19: results of a randomized clinical trial
  2. COVID-19 Drug Therapy – Potential Options
  3. Gov. Whitner reverses course on coronavirus drugs
  4. Remdesivir and chloroquine effectively inhibit the recently emerged novel coronavirus (2019-nCoV) in vitro
  5. Efficacy of hydroxychloroquine in patients with COVID-19
  6. Recommendation for empiric use of hydroxy-chloroquine for prophylaxis of SARS-CoV-2 infection
  7. Malaria Drug Helps Virus Patients Improve, in Small Study

https://www.senatenj.com/index.php/pennacchio/growing-number-of-doctors-agree-with-senator-pennacchio/47292

ACTION ALERT: STOP Legislators from Delaying Patient Access to Physicians and Facilities of Their Choice

NO To New Jersey Assembly Bill A5369 & S3816!

Following the example of Congress, the NJ Legislature has introduced a “Patient Protection Act” (A5369 / S3816) that is anything but protective of patient rights.

According to NJ Spotlight, “the proposal has drawn criticism from patient advocates and other healthcare experts who suggest that, in an effort to protect the business interests of Garden State hospitals, it could put patients in danger.”

What does this bill do? It erects a number of bureaucratic requirements that physicians would be required to fulfill before referring a patient to an out-of-state colleague or facility for needed medical care.

Here’s how Joe Nessa, Esq. explains it:

If passed, this legislation could have a devastating effect on patient care. Currently, physicians in New Jersey are free to refer their patients to world-renowned hospitals in Philadelphia, New York City, and across the nation for treatment. New rules imposed by the bill would require physicians to inform patients of the availability of in-state facilities even if they think their patient can receive better care elsewhere, notify the patient’s insurance company of the out-of-state transfer, and report the transfer or referral to the Department of Health. This addition of paperwork and red-tape will force physicians to make the easier, time-friendly decision of keeping their patients in-state, regardless of their thoughts on quality of care. Additionally, as if the above requirements aren’t enough, physicians would also be required to send quarterly reports of each out-of-state referral to their licensing board, accompanied by an explanation of the clinical necessity.

Earlier this summer, this bad legislation was being fast-tracked through the legislative process, and was quickly passed by the Assembly and a Senate Committee. It “has yet to be approved by the [full] Senate,” reports the Fall 2019 Edition of MDAdvisor. However, “[t]he sponsors are continuing to work on this legislation….”

Your help is needed to help STOP A5369 & S3816!  Here’s what you can do:

Call your NJ State Senator and Assembly Members. Tell them you are depending on them to stand up for patient rights and vote NO on A5369 and S3816. Patient care should not be put at risk to benefit the bottom line of special interests.

You can find their phone contact information here:
https://www.njleg.state.nj.us/members/abcroster.asp

If you don’t know who represents you, the legislature has tools to help you find out here:
https://www.njleg.state.nj.us/members/legsearch.asp

Medical facilities in NY and PA have put together a tool for sending e-mail messages to legislators which you might also consider using:
https://actnow.io/Y1rtnGO

Thank you for speaking out! Your voice makes a difference.

Stop the Rush to Legalize Cannabis/Marijuana

Dear Governor Murphy:

I am opposed to the rush to legalize cannabis or marijuana in New Jersey, without research, trials, adequate review of history, and consideration of risk of collateral damage. With the current heroin, fentanyl, opiate crisis, it is foolhardy to rush into legalization of a gateway drug like cannabis or marijuana. At this time the hurry seems to be all about tax revenue, with no concern for the heath and welfare of the citizens of New Jersey.

https://nypost.com/2019/03/19/stop-ignoring-the-brutal-downside-of-legal-pot/

Please feel free to contact me with any questions or for ongoing discussion.

Best wishes for good health,
Craig M. Wax, DO
Family Physician

P.S. Please see below note in agreement from my fellow NJ physician colleague, Dr. Rob Pedowitz.


The Legalization of Marijuana Is All about the Money!

Dear Fellow Physician,

As a concerned physician and NJ Resident, I am writing today to ask for your assistance on defeating a very significant legislative bill, “The Legalization of Recreational Marijuana,” S2703, due for a floor vote on Monday, March 25, 2019 in Trenton.

Regardless of your political affiliation or personal beliefs, the decision by the legislature to move forward quickly with trying to pass this bill without consulting the medical community, or without fully exploring the legal, social, psychological, financial, and medical aspects of this issue may have significant repercussions. We have fought hard the last few years to battle the opioid epidemic, and though marijuana has many benefits for medicinal purposes, there are very little proven benefits when used recreationally. To legalize marijuana and make it readily available to the public, would only provide an easier gateway for people to desire stronger drugs, including prescribed opiates, heroin, and other psychoactive drugs. There are recent reports of other countries and in several states in the U.S. where people who smoke marijuana are now seeking more potent forms of cannabis, which are causing serious psychoactive complications. Treating mental illness has been difficult in NJ and the rest of this country, and if not properly regulated, we can have a worsened mental health crisis. We also may have to deal with worsened air pollution, which is already a problem in NJ as we have very high rates of asthma and other respiratory conditions.

Additional concerns for the medical community include determining evaluating employees and potential new hires for whether they may be under the influence of marijuana. Since the metabolites of marijuana can stay in the body for at least 72 hours, drug tests may be positive, even if a person did not use marijuana on the day of question. However, we may not be able to fully determine whether or not an employee is under the influence or not. Better testing and better guidance is needed for both the medical community and for employers.

Since there is much still to discuss and much more that needs to be decided, we need to defeat this bill. It is imperative that you call your local State Senator AND Assembly Representative today or Friday. There is still a lot of legislators on the fence and the vote can sway one way or the other. From my discussions with numerous legislators, they were very honest and said that this issue is “ONLY ABOUT MONEY.” They were very clear that the decision to pass this bill only comes down to money – taxes and revenue. In addition to contacting your local legislators, I also urge you to contact a few “key” State Senators who are on the fence but leaning to vote against the bill.

Please call:

Declan O’Scanlon (R) – Holmdel, (732)444-1838
Vin Gopal (D) – Freehold/Ocean/Tinton Falls, (732)695-3371
Paul Sarlo (D) – Passaic, Wood-Ridge, (201)804-8118
Joseph Lagana (D) – Paramus, (201)576-9199

You do not need to have a political background to contact a legislator. Just look up their contact information and call them up. Tell them who you are and that you are a physician, and if you are in their voting district (this matters A LOT!). Please do NOT state you represent any organization or hospital or group, as this will not be helpful or necessarily accurate.

Please contact me individually if you have any questions.

Thank you for your assistance on this vital issue!

Sincerely,

Rob Pedowitz, DO