Patients - ordinary people worried about having to be admitted and pay mega-bucks for treatment should they become really ill - are an important driver for #COVID19 #Overtreatment. They expect a treatment that will prevent deterioration, they want a pill - any pill.
In this situation if you say "no drug has been shown to delay deterioration, Steroids reduce the risk of death if given to those needing oxygen or on ventilators" the patient will think you are ignorant and look elsewhere. You're a Doctor! Do Something!! Prescribe something!!!
OTOH, If you say, "i've treated hundreds and most have never needed oxygen let alone admission to an ICU", then the patient will do what you ask. Get a CT scan? sure (a commission for you) do an MRI? (sure, this Dr is good, he can spell MRI in full; another kickback)
If you then prescribe 2 or 3 out of
Dexamethasone
Ivermectin
HydroxyChloroquine
Azithromycin
Vitamin D (add in Vitamin C too, why not, it cant reduce immunity, can it)
Favipiravir
Lopinavir–ritonavir (costly, but that merely enhances its appeal)
any old cox-2 inhibitor
Dexamethasone
Ivermectin
HydroxyChloroquine
Azithromycin
Vitamin D (add in Vitamin C too, why not, it cant reduce immunity, can it)
Favipiravir
Lopinavir–ritonavir (costly, but that merely enhances its appeal)
any old cox-2 inhibitor
Plus the obligatory omeprazole to 'counter' the gastric irritation caused by these drugs.
If you do all then
* p= 0.9 that patient gets better (it may have been 0.91 w/o ANY treatment)
* p= 0.1 he gets worse (that's ok, so long as he pays up before vanishing into Hospital
If you do all then
* p= 0.9 that patient gets better (it may have been 0.91 w/o ANY treatment)
* p= 0.1 he gets worse (that's ok, so long as he pays up before vanishing into Hospital
Not only has your reputation grown, so has your experience; and your bank balance.
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