2/ There has been a mix of results in state courts. Some judges have refused to order hospitals to give ivermectin. Others HAVE ordered medical providers to give the medication, despite concerns it could be harmful.
3/ NY State Supreme Court Judge Porzio wrote: “This court will not require a doctor to be placed in a potentially unethical position committing medical malpractice by administering a medication for an unapproved, alleged off-label purpose.”
4/ James Beck, an attorney in Philadelphia who specializes in drug and medical device product liability and has written about the influx of cases. “I’ve never seen anything like this before.”
5/ “The way medicine works is, they are the experts, the doctors and...the hospitals," said @ArthurCaplan, professor of bioethics @NYUgrossman. “When you go there, you’re not going to a restaurant. You don't order your own treatments."
6/ Ivermectin, as @MelanieGriffith famously said in Working Girl, “I’m not a steak, you cant just order me!”
I love that movie ✅
But…NY Lawyer Ralph Lorigo feels differently. He’s filed lawsuits for an 80 yo on ventilator & 65 yo in hospital who wanted it. Both times he won!
7/ Lorigo says. “Doctors are not gods because they wear white jackets, I take issue with their stance. I’m not accepting that as a rule of law.”
He’s actively hiring more lawyers to make money off this insanity!
8/ Show me ONE phase III study that supports Ivermectin? It’s not law we physicians are basing this on. It’s science, or the lack thereof.
My oath to you is first to “do no harm.” If a medicine isn’t helping, it can only hurt.
9/fin
Ivermectin is @US_FDA approved for roundworms & some parasites in humans. The FDA has tried to debunk claims that animal-strength versions can help #COVID19, warning that taking large doses can cause nausea, vomiting, diarrhea, seizures, #delirium and even death. 🛑
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2/ "I feel like I'm getting the silent treatment & it's killing me," #LongCOVID pt Pamela Bishop confided in me about her months-long interactions as she tried to get answers about a strange array of symptoms that have plagued her since recovering from #Covid19.
Pam then & now…
3/ Up to1 in 3 COVID survivors report experiencing #longCovid symptoms 3 to 6 months later. Their stories give me an extreme case of déjà vu because this is playing out similarly to the problem of long-term survivorship after non-COVID critical illness.
2/ I fully believe in #LongCOVID, and patients must be validated as the experts of their own narrative. BUT, absence of a billing code sent a terrible message to clinicians & pts.
This legitimizes the #PublicHealth catastrophe & facilitates pts being HEARD & SEEN 👁.
3/ Docs “believe” better when they can charge for testing & get pts covered, too. This also allows databases to track & analyze epidemiology of #LongCOVID. That means research can be carried out to answer questions, improve care & prepare for future pandemics. Read an anecdote👇
2/ #COVID pts return home after cutting-edge medical care but many survivors are now living with massive & likely life-long disabilities that include dementia, PTSD, depression & major weakness from muscle and nerve disease. #PICS#LongCOVID
3/ These two entities, #LongCOVID and #PICS, have many overlapping forms of suffering that must be acknowledged by healthcare professionals and loved one for survivors to feel validated & heard. People throughout society in all our communities will benefit.
1/🧵 People ask me, “What’s the main purpose of treating #COVID ICU pts with the #A2Fbundle? (a daily safety checklist of ⬇️ sedation & ⬆️ mobilization). It’s to prevent #PICS related dementia, PTSD, depression & reduce suffering in #LongCOVID.
HOW? What is the philosophy?
2/ For patients it’s about magnifying their #dignity and self-worth by liberating them sooner from us (our treatments that put them through a depersonalization chamber). For HCWs, it’s about purity of service, avoiding hypocrisy, and better self-sacrifice for our patients.
3/ Waking people up and walking them w family at their side in PPE (even inside a room if #COVID+) allows them to feel alive again. Repersonalized! Human. Seen. Drives away #delirium & #brainfog. Wouldn’t you want this?
For many, what they hear on Sunday drives behavior. The highest rates of #vaxx (75%-85%) are found in Catholics, Jews, Atheists, Agnostics & those not affiliated. The lowest rates are white evangelicals (57%).
2/ Non-medical exemptions are a big problem. See these states with the highest rates…this will continue to drive the pandemic, #Delta, and economic and personal hardship of #LongCOVID.
3/ We are intent on freedom of expression, freedom of speech & the desire to follow our own path. Good. But when that freedom impinges on the freedom of those standing next to you, what do we do? In mandatory vaxx programs, I believe exemptions should be few & far between.
3/🎥 I cared for 9/11 hero Colonel Victor Correa as he died in our @VA hospital years later. His story is told in #EveryDeepDrawnBreath. He carried men out of the Pentagon saving lives. Watch more of his testimonial…