Standard of care as a preventative medical treatment ?
Reviewing a post by a self proclaimed MD, PhD, physician-scientist, advocate for ethics, patient safety and women’s health.
Credit for helping me find the topic of this post goes to Rudolph Rigger in his post that was entitled, Trust me, I'm a Doctor. The opinions expressed below are mine alone….
I am not a MD, PhD or a physician-scientist and I didn’t stay at a Holiday Inn Express last night either but like Uncle Martin on My Favorite Martian (Duck Duck Go it for you younger readers) my antennae poked out of my head when I read the post by Hooman Noorchashm (full post here).
Dr. Noorchashm takes some middle ground and criticizes the failure of the government on 1) studying early treatments 2) dares to take a shot at Fauci (aka “SCIENCE”) 3) criticizes poor rollout and communication around the vax and 4) admits there are some adverse reactions to the vax and 5) even admits there is no reason to vax those with natural immunity (a little more about that in the next post). I seem to recall that is how Tony Soprano and his goons acted before knee capping people.
Well true to form, he then spends most of the remainder of the post calling out Drs. McCollough, Malone and Kory their treatment protocols/recommendations and disparaging their efforts as “marketing” a “scheme” even claiming what they are doing “ is best controversial and at worst ineffective, to infected Americans” (emphasis mine). I’d argue that sending people home until they degrade bad enough to be hospitalized is far more “ineffective” for infected Americans and results in FAR worse outcomes than using one of the many protocols being circulated.
Interestingly enough the good Doctor proudly proclaims early in the post that “Dr. McCollough knows well that my colleagues and I made a concerted effort in 2020 and 2021, with good success, to test the generic drug cyclosporine as treatment for COVID-19 disease. However, we stopped short of systematizing or marketing its off-label use to Americans, despite our belief that it is a highly effective drug. Because in medicine, acting on belief, gut feeling, or outrage, alone, to create a large-scale systematized treatment algorithms, without evidence from proper clinical trials, will get people harmed and killed.”
Note that he believes that he found a highly effective off label drug but without proper (my emphasis) clinical trials, people will be harmed and killed and Drs. McCollough, Malone and Kory have known this since mid/late 2020. Not sure about the side effects of cyclosporine, but the side effects of of the drugs on the protocols are well known as the drugs have been on the market and in use for many years.
As a side note, I am not sure whether he is using the term “proper clinical trials” to soften the blow of the Fauci preferred “Randomized Controlled Trials—the gold standard” which is extremely effective in ensuring effective early treatment will not be available until Big Pharma has found their proprietary compound and completed a RCT. This is exactly how we have allowed so many people to have died “of or with” Covid.
Here is an doozy too: “At a very fundamental level, what you are actually doing is to actively disparage and dissuade Americans from undergoing a preventative treatment that is not only vastly effective at preventing severe illness, but it is now a professional consensus practice — COVID-19 vaccination is now a standard of care as a preventative medical treatment!” Gotta love when a “professional uses exclamation points. I was expected so see a few “Dudes” and a crying emoji or two as well. Love the passion. However, when Dr. Koury expresses with similar passion that early treatments work, Dr. Noorchashm claims it as a “scheme” and systemizing or marketing hiding behind the standard of care curtain.
I will not even ask Dr. Noorchashm to explain how the medical profession arrived at determination that COVID-19 vaccination is now a standard of care as a preventative medical treatment or why they fail to explain the trial inadequacies identified by experts not affiliated with the “public” health empire.
Here is the part that rankles my backside and I quote: That our federal government did not efficiently focus its resources into developing generic drugs for treatment of COVID-19, does not justify their large-scale systematic off-label use, by any group of licensed medical practitioners, without reasonable evidence and real medical consensus.”
While he earlier in his post, he called for proper clinical trials justify the large-scale systematic off-label use, here he relies on reasonable evidence and real medical consensus. I’d argue that the reasonable evidence has been provided (via observational studies etc. admittedly not the Gold Standard) and that real medical consensus ought to be provided by front line medical providers that are free to express themselves without losing their jobs, not academics or bureaucrats.