Thread by @DoctorTro

I am getting countless calls for ivermectin and I want to discuss some of the common issues I see with this

/rant 🚨

Most of these patients are highly invested in their health & are generally disenfranchised from traditional medicine

They see the medical reversals that have happened over the years and are cautious (thalidomide, vioxx, pharma fraud, right heart caths, unnecessary stents, etc)

Many of these patients don’t trust the pharmaceutical industry, medical organizations and question everything they hear (MSM, gov, etc)

Many of these people are HIGHLY intelligent but some common issues I have seen are as follows.

Many are extremely healthy people. But for some reason, wether family or peer pressure, threats of being fired from work or anxiety from new government regulations, these people are searching for “something more to do”

Many are turning to supplements, BUT with a temporary halt in their typical conspiratorial thinking…

The supplement industry is completely unregulated.

I commonly ask if they verify their supplement manufacturers & often people don’t.

We recommend using valisure, labdoor or consumerlabs to verify the integrity of the supplements you decide to use.

But the issue isn’t using the supplements… The issue is NOT thinking critically about supplements as a whole

(we very often recommend D3, magnesium, k2 etc)

This momentary lapse in typical critical thinking extends to other areas now in the era of COVID

For example, many are asking for Ivermectin.

often patients cite 1 or 2 met-analysis that seem compelling at first glance

But some deeper digging shows some problem areas.

Many of the positive trials in these meta analysis aren’t registered. Some of the most positive ones.

And the negative trials that stand against those positive trials are registered.

So overall if we look at Ivermectin as critically as we would say antibiotic use in URI or statin use in low risk primary prevention … if we look at its use critically, PARTICULARLY in prophylaxis I suspect most of these smart people wouldn’t be quick to use it.

I think excessive pressure on our society. The shaming, virtue signaling and coercion with the vaccine is driving seemingly smart and seemingly healthy people to adopt alternative approaches that have some slight positive signals but no clear efficacy.

Typically with infection in our practice, we are recommending, short term AC or ASA, vitamin d3, mAb, steroids if hypoxia, pulse oximetry monitoring.

For prophylaxis, being your best healthy, low-stressed self (anxiety is a major risk factor for COVID death)

SUMMATIVE POINT:

baseline skepticism & critical thinking mixed with disenfranchisement is met with coercion which is leading to fear, stress & anxiety

fear is leading to halting of critical thinking & leading to hope in some promising but unclear treatments

/end rant 🚨