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The Frontline Doctors put some “plausible” mechanisms for Hydroxychloroquine on the table

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In their July 28 seminar, the Frontline Doctors Group led by Dr Simone Gold, have put some plausible mechanisms for HCQ based cocktails on the table. These were noted on in an augmentation to an earlier post, but deserve headlining in their own right:

Dr Frieden OP: >>I have found at Bit Chute, a July 28 Frontline Doctors seminar which describes several mechanisms of action. Accordingly, I take liberty to annotate a screenshot, summarising several mechanisms of action described by these Doctors [cf. here for their references], but which are hard to find because of now almost pervasive censorship:

I add, that the above suggests a fairly similar viral attack process to the West Nile Virus (which is also an RNA virus), e.g.:

U/D, Mon Aug 16: I further add, a “DrBeen” — Dr Mobeen Syed — educational video, just found — this is the presenter summarised above:

https://www.youtube.com/watch?v=yjkPdwlhI8A

I note, this first answers a puzzle on the mode of action, shape-shift of ACE2: the shift is INTERNAL to the cell by hindering “glycation” of the final AA (thus prior to exposure to buffering of blood etc), altering the shape enough to hamper S-protein reception. This reduces fusion with bilipid layer and RNA injection.

Other direct mechanisms as noted, reduce intracellular acidity thus action of organelles. They highlight stalling of assembly of new viri in the Golgi bodies, with implication of blocking export of fresh viri, thus hampering the multiplication chain. The by now well known indirect activity is that as a lipophilic molecule, HCQ enters the cell bilipid layer membrane, acting as a Zn ionophore, i.e. it “shoots” Zn into the cell. Zn in turn hinders a key viral enzyme, RdRP.

Thus, we see a plausible picture of causal action, involving multiple, synergistic effects. This lends credibility to the use of HCQ-based cosctails in treating the early viral phases of CV19.>>

Unfortunately, WP for UD is not set up to embed BitChute videos.

An odd bit of support for this, is that HCQ/CQ have been used as fish tank cleaner for about 40 years. The complex animals (the fish) live, but the crud from several kingdoms, dies. That points to attack modes that hit core cell processes, such as we may summarise:

That seems to be what is now on the table, through the effects of pH shifting, as proposed. In short, we have reasonable mechanisms to go with the reports of doctors who are treating CV 19 in the early, viral phase, with vulnerable group patients:

From this, we can freely say that it is going to be a challenge to refute the framework of issues and implicit model being presented in the open letter to Dr Fauci:

>>There is currently no recommended pharmacologic early outpatient treatment for individuals in the flu stage of the illness, correct?

It is true that COVID-19 is much more lethal than the flu for high-risk individuals such as older patients and those with significant comorbidities, correct?

Individuals with signs of early COVID-19 infection typically have a runny nose, fever, cough, shortness of breath, loss of smell, etc., and physicians send them home to rest, eat chicken soup etc., but offer no specific, targeted medications, correct?

These high-risk individuals are at high risk of death, on the order of 15% or higher, correct?

So just so we are clear—the current standard of care now is to send clinically stable symptomatic patients home, “with a wait and see” approach?

Are you aware that physicians are successfully using Hydroxychloroquine combined with Zinc and Azithromycin as a “cocktail” for early outpatient treatment of symptomatic, high-risk, individuals?

Have you heard of the “Zelenko Protocol,” for treating high-risk patients with COVID 19 as an outpatient?

Have you read Dr. Risch’s article in the American Journal of Epidemiology of the early outpatient treatment of COVID-19?

Are you aware that physicians using the medication combination or “cocktail” recommend use within the first 5 to 7 days of the onset of symptoms, before the illness impacts the lungs, or cytokine storm evolves?

Again, to be clear, your recommendation is no pharmacologic treatment as an outpatient for the flu—like symptoms in patients that are stable, regardless of their risk factors, correct?

Would you advocate for early pharmacologic outpatient treatment of symptomatic COVID-19 patients if you were confident that it was beneficial?

Are you aware that there are hundreds of physicians in the United States and thousands across the globe who have had dramatic success treating high-risk individuals as outpatients with this “cocktail?”

Are you aware that there are at least 10 studies demonstrating the efficacy of early outpatient treatment with the Hydroxychloroquine cocktail for high-risk patients — so this is beyond anecdotal, correct?

If one of your loved ones had diabetes or asthma, or any potentially complicating comorbidity, and tested positive for COVID-19, would you recommend “wait and see how they do” and go to the hospital if symptoms progress?

Even with multiple studies documenting remarkable outpatient efficacy and safety of the Hydroxychloroquine “cocktail,” you believe the risks of the medication combination outweigh the benefits?

Is it true that with regard to Hydroxychloroquine and treatment of COVID-19 infection, you have said repeatedly that “The Overwhelming Evidence of Properly Conducted Randomized Clinical Trials Indicate No Therapeutic Efficacy of Hydroxychloroquine (HCQ)?”

But NONE of the randomized controlled trials to which you refer were done in the first 5 to 7 days after the onset of symptoms- correct?

All of the randomized controlled trials to which you refer were done on hospitalized patients, correct?

Hospitalized patients are typically sicker that outpatients, correct?

None of the randomized controlled trials to which you refer used the full cocktail consisting of Hydroxychloroquine, Zinc, and Azithromycin, correct?

While the University of Minnesota study is referred to as disproving the cocktail, the meds were not given within the first 5 to 7 days of illness, the test group was not high risk (death rates were 3%), and no zinc was given, correct?

Again, for clarity, the trials upon which you base your opinion regarding the efficacy of Hydroxychloroquine, assessed neither the full cocktail (to include Zinc + Azithromycin or doxycycline) nor administered treatment within the first 5 to 7 days of symptoms, nor focused on the high-risk group, correct?

Therefore, you have no basis to conclude that the Hydroxychloroquine cocktail when used early in the outpatient setting, within the first 5 to 7 days of symptoms, in high risk patients, is not effective, correct?

It is thus false and misleading to say that the effective and safe use of Hydroxychloroquine, Zinc, and Azithromycin has been “debunked,” correct? How could it be “debunked” if there is not a single study that contradicts its use?

Should it not be an absolute priority for the NIH and CDC to look at ways to treat Americans with symptomatic COVID-19 infections early to prevent disease progression?

The SARS-CoV-2/COVID-19 virus is an RNA virus. It is well-established that Zinc interferes with RNA viral replication, correct?

Moreover, is it not true that hydroxychloroquine facilitates the entry of zinc into the cell, is a “ionophore,” correct?

Isn’t also it true that Azithromycin has established anti-viral properties?

Are you aware of the paper from Baylor by Dr. McCullough et. al. describing established mechanisms by which the components of the “HCQ cocktail” exert anti-viral effects?

So- the use of hydroxychloroquine, azithromycin (or doxycycline) and zinc, the “HCQ cocktail,” is based on science, correct?>>

Let us see how the “game” moves forward beyond this point. END

PS: As an extra, here is Dr Zelenko:

https://www.youtube.com/watch?v=3ywj-PZTt4g

PPS: As a further extra, Aug 29, HT Jerry, Raoult et al on the pattern of cases and studies, involving 40,000+ cases:

Comments
The main stream press is just the same in Spain. Here is a broadcast from Madrid from the last few days. It is in Spanish but an English translation is provided below the video. The two from the TV studio would do just fine here in the US. Shrill and clueless. Boy do they talk fast in Spain. The doctor says all is in control and not serious. but the two talking heads want panic in the streets. Fear is the name of the game. https://bit.ly/31fEn5Ejerry
August 20, 2020
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Wikipedia on Icke:
Icke believes that the universe is made up of "vibrational" energy and consists of an infinite number of dimensions that share the same space.[14][15][16]:26–27 He claims that an inter-dimensional race of reptilian beings called the Archons (or Anunnaki) have hijacked the earth, and that a genetically modified human–Archon hybrid race of shape-shifting reptilians known as the Babylonian Brotherhood, the Illuminati, or the "elite", manipulate global events to help keep humans in constant fear. Thus, the Archons can feed off the "negative energy" this creates
I remember Icke as a sports reporter on the BBC and he seemed perfectly normal then.Seversky
August 20, 2020
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David Icke (https://davidicke.com) thinks that COVID-19 is a complete hoax. Listen to his interview on the Skeptiko podcast but make sure you buckle in safely.JVL
August 20, 2020
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From the hottest of the hot spots in the US. Hidalgo county Texas. https://www.themonitor.com/2020/08/11/health-authority-older-overweight-make-majority-virus-deaths/
Hidalgo County’s death toll from the COVID-19 pandemic reached 829 Monday evening, and data on the deaths along with observations from health authorities has painted a picture of the average virus victim in the area that can be summed up in two words: older and overweight.
Actually it’s over a thousand now. As of this morning it’s 1019 just behind Houston, country’s fourth largest city which is at 1095.jerry
August 20, 2020
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Before the U.S. was shut down due to Covid-19 did the CDC do a randomized double-blind study of the effectiveness (and risks) of a nationwide shutdown? Where is the study written up? I’d like to read it. From what I remember the CDC was more or less shooting from the hip. But I suppose I could be wrong about that. Again, where are the studies?john_a_designer
August 20, 2020
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The Media Sabotage of Hydroxychloroquine Use for COVID-19: Doctors Worldwide Protest the Disaster
https://www.globalresearch.ca/media-sabotage-hydroxychloroquine-covid-19-doctors-worldwide-protest-disaster/5717382
A dangerous, life-threatening sequence of events has unfolded since The Lancet’s fraudulent hydroxychlorquine (HCQ) article appeared May 22, followed by headlines demonizing this ancient anti-malarial drug – aka quinine, aka chloroquine, and known to antiquity as the “sacred bark”.
Is Fox News the most reliable source of news. This will make some heads spin. I didn’t know this till reading this article about the reporting around the Lancet debacle and Risch’s response.
On May 27, less than a week into this disaster, a top world epidemiology journal, the American Journal of Epidemiology, issued an urgent call from award-winning Yale Professor, Harvey Risch: “Early Outpatient Treatment of Symptomatic, High-Risk Covid-19 Patients that Should be Ramped-Up Immediately as Key to the Pandemic Crisis. A Google News search reveals the astonishing truth that the corporate media, with the exception of Fox News,[vi] did not report this article.
Is it all about money? Or power? Will we all crawl on our hands and knees if the medical establishment says it’s necessary to avoid the virus? See end of long video linked to above.jerry
August 20, 2020
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From Alex Berenson today
Today's #Covid update: Masks don't work. Lockdowns don't work. Kids and young adults are at roughly zero risk. Adults under 50 are at tiny risk. Adults under 75 (80?) who aren't already at death's door are at very low risk. Many people already have immunity. PANIC FOREVER!
And then there is this.
Fauci lied about HCQ. Bill Gates lied about HCQ. Both are heavily invested in a vaccine with about $100 billion worldwide at stake. Is it a coincidence?
What if a vaccine is not necessary? It must be conspiracy theory. Is calling something a conspiracy theory a way to hide a conspiracy? Sounds like Russian dolls within each other. Aside: By the way I want to thank the Mel Gibson movie, “Conspiracy Theory” for introducing me to Frankie Valli and the Jersey Boys.jerry
August 20, 2020
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LoL! If they have worked for decades and still don't have an answer, let them find their own funding. The EVMS has put out a list of OTC supplements that will do the job of preventing the pandemic we are currently mired in.ET
August 20, 2020
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A New York-based nonprofit that has worked for decades to better understand and prevent the type of coronavirus pandemic now engulfing the world was abruptly stripped of its federal research funding in April. The White House specifically directed the National Institutes of Health to cancel the multimillion-dollar research grant after President Donald Trump promoted an unfounded conspiracy theory that the pandemic coronavirus, SARS-CoV-2, was released from a lab in Wuhan, China—a lab that collaborates with the nonprofit. Now, the NIH has told the nonprofit, EcoHealth Alliance, that it may have its funding back—if it collects and hands over materials and information about the Chinese lab, which is part of the Wuhan Institute of Virology (WIV).
https://arstechnica.com/science/2020/08/coronavirus-researchers-must-examine-trump-backed-conspiracy-or-lose-funding/JVL
August 20, 2020
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Science and Alice in Wonderland
How the hydroxychloroquine debate proves politics can get in the way of science Hydroxychloroquine has been in use worldwide for more than 65 years. It’s been prescribed safely billions of times. And yet, for political reasons — and, more specifically, for anti-Trump reasons — there is a lobbying campaign to block hydroxychloroquine from patients with COVID-19. Based on the best evidence available today, hydroxychloroquine — HCQ, for short — has been shown to be effective in early-stage treatment of COVID-19, the illness brought on by the novel coronavirus. Because of hyper-politization, however, this evidence is being ignored. After all, if there’s an effective treatment for COVID-19, then maybe the shutdowns and distance learning for our children and mask mandates and social distancing requirements aren’t necessary, from a medical standpoint. And if they’re not necessary from a medical standpoint, then what excuse could we use to keep the schools closed for in-person learning, and to keep the businesses shuttered, and to keep the rest of society under the government’s thumb?
https://bit.ly/2Qb5OaCjerry
August 19, 2020
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Doctors for Disaster Preparedness, eh? Looks like a clearinghouse for those "alternative facts" we hear so much about.daveS
August 19, 2020
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RHampton7- Please tell China that I concur. I also advise against the use of HCQ. Especially in scenarios in which it is being misused. :cool:ET
August 19, 2020
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Kf, Watch this. It’s an hour long and by a doctor, surgeon who is highly critical of everything going on. Given in Las Vegas recently at a conference. If half true, it’s very scary especially how virus spread in the environment. Says masks are a joke. Be careful about vaccines. But loaded with references. Actually discusses the origins of the term “conspiracy theory.” This so called origin Of the term is now a conspiracy theory. https://www.youtube.com/watch?v=sjYvitCeMPc&feature=emb_logojerry
August 19, 2020
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Kf, I am a huge fan of Benjamin Franklin. As a young man, teenager, he sent to his brother’s newspaper a bunch of anonymous letters ridiculing Mather. Especially about small pox. His brother printed them not knowing they were from his own brother. Mather became a laughingstock because of this. Mather was central to the Salem Witch trials and not well liked by many. A few years later he ran into Mather when He was a young adult and had a positive encounter with him. It changed his mind about Mather. One of Franklins sons died of small pox because he wouldn’t vaccinate him. Later in his life Franklin ran into Mathers grandson and spoke well of him. From memory as I type on my iPad. Somewhere I have the exact copy.jerry
August 19, 2020
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How do you rethink this? “ Some drugs may demonstrate a certain degree of efficacy for treatment in clinical observation studies but there are no effective antiviral drugs confirmed by double-blind, placebo-controlled clinical trials” Pretend the clinical trials never happened? Pretend that observational data is conclusive?rhampton7
August 19, 2020
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Here is an article from July 30 about Ohio’s then pending plan to ban HCQ.
The State of Ohio Board of Pharmacy has changed course on its ban of hydroxychloroquine and chloroquine as coronavirus treatments following the governor’s urging to do so. Beginning Thursday, pharmacies, clinics and other medical institutions were to be prohibited from dispensing or selling the drugs to treat COVID-19, according to regulations issued by the State of Ohio Board of Pharmacy… The board’s shift came after… Gov. Mike DeWine asked the state pharmacy board… to rescind its plan… DeWine said the decision of how to treat COVID-19 should instead be between patients and their doctors.
https://www.usatoday.com/story/news/health/2020/07/30/ohio-pharmacy-board-reverses-hydroxychloroquine-ban-mike-dewine-request/5547751002/ The writer of the article then followed up with this comment: “Hydroxychloroquine has been touted by President Donald Trump despite medical studies showing the drug to be ineffective at treating the disease. The drug may also cause serious cardiac side effects, according to the Food and Drug Administration.” I thought the cardiac side effects claim had been largely debunked. I learned that in early June. So who’s right the reporter or me? He also claims that there are “medical studies showing the drug to be ineffective at treating the disease.” What studies is he talking about? The Lancet study? Did he get the memo? And what does he mean by ineffective? Completely and totally ineffective? How is that possible? What he appears to be claiming is that these so-called studies have been able to prove a negative. Really? What about all the studies (many of which have been cited here) that show evidence that HCQ is effective? Even if it is just somewhat effective and safe isn’t that a good enough reason to allow physicians with their patients knowledge and consent to prescribe it for an off label use? Personally as someone who is in the high risk category I want my doctor to have that freedom. It could save my life.john_a_designer
August 19, 2020
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F/N: It seems we have been here before: http://sitn.hms.harvard.edu/flash/special-edition-on-infectious-disease/2014/the-fight-over-inoculation-during-the-1721-boston-smallpox-epidemic/ >>On April 22, 1721, a British ship arrived in Boston Harbor. On board, one of the sailors had begun to exhibit symptoms of smallpox. He was quickly quarantined, but several more members of the crew soon fell ill with the disease. An outbreak of the disease spread quickly through the city [1]. As the epidemic worsened, Cotton Mather reached out to the medical community of Boston, imploring them to use the inoculation method. One physician, Zabdiel Boylston, heeded his call, but most other doctors were hostile to the idea. At the forefront of the anti-inoculation contingency was one of Boston’s only physicians who actually held a medical degree, Dr. William Douglass. The arguments against inoculation were varied, ranging from disagreement on religious grounds to scientific uncertainty. While many argued that inoculation violated divine law, by either inflicting harm on innocent people or by attempting to counter God’s specific will, the main argument that Douglass made was that inoculation was untested and seemingly based on folklore. Douglas feared that unchecked use of inoculation would only quicken the spread of disease throughout the city [8]. By modern standards, this argument seems highly sensible. The use of a poorly researched medical technique, particularly one as potentially hazardous as intentionally exposing healthy people – including children – to smallpox, would be highly unethical today. To many professional Boston physicians, inoculation must have appeared as unscientific as other contemporary treatments such as bleeding and purging, which were still common practice during the early 18th century. But as the epidemic began to diminish in early 1722, Mather and Boylston had collected surprisingly thorough data that made a clear argument for the effectiveness of inoculation (Figure 1). Boylston, who had personally inoculated some 287 people, recorded that of those inoculated only 2% had died. In comparison, the mortality rate of the naturally occurring disease during that year was 14.8% [1]. Although inoculations were themselves a risky practice and carried a not-insignificant health risk, this data demonstrates that inoculations were significantly less fatal than the naturally occurring virus. Ultimately, this helped to disprove the opposition’s fear that such a technique would only facilitate the spread of disease. Mather and Boylston’s advocacy and observations resulted in what was actually one of the earliest clinical trials on record, and the use of both experimental and control groups to demonstrate the effectiveness of inoculation significantly aided the adoption of the practice [1,9].>> There is need to rethink. Of course, c 1796, Jenner pioneered cross-immunity where another virus confers significant immunity in a relatively safe way. Which started with milk maids and cowpox. KFkairosfocus
August 19, 2020
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China has advised against the use of hydroxychloroquine in treating coronavirus patients, a controversial malaria treatment touted by US President Donald Trump as a wonder drug for Covid-19. However, it has recommended the use of a similar malaria drug called chloroquine. The recommendations are part of new Covid-19 treatment guidelines released on Wednesday and updated for the first time since March 3. “Some drugs may demonstrate a certain degree of efficacy for treatment in clinical observation studies but there are no effective antiviral drugs confirmed by double-blind, placebo-controlled clinical trials,” the National Health Commission said in version eight of the diagnosis and treatment guidelines. “The use of hydroxychloroquine, or the combined use of it with azithromycin, is not recommended.” But the same guidelines said chloroquine can continue to be used. https://www.scmp.com/news/china/society/article/3098021/coronavirus-conflicting-treatment-message-china-rejects-trumprhampton7
August 19, 2020
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Jerry, I wish I could simply dismiss such thoughts as ill founded conspiracism. I cannot, as essentially the whole medical establishment is tainted with the enabling of the worst -- ongoing -- holocaust in history [which has killed far more this year than CV19, about 20 millions of our living posterity on the womb so far), and with enabling sexual identity confusion and more. That is, I cannot rely on them to be sensitive to the do no harm premise, so I am forced to be open to possibilities of grave and even institutionalised moral breakdowns. In that context, I have had to note on the gold standard fallacy and how it is used to dismiss epistemologically valid evidence, specifically regarding right use of HCQ-based cocktails. This thread is about some such evidence, on causal mechanisms. So, I can see cultivation of ill founded bias towards such. For sure, we saw a well-timed media kill shot pattern and we have seen few signs of retracting the second claim in the face of evidence. It is time to return to first duties of responsible reason. KF PS: On said duties:
We can readily identify at least seven inescapable first duties of reason. Inescapable, as they are so antecedent to reasoning that even the objector implicitly appeals to them; i.e. they are self-evident. Duties, to truth, to right reason, to prudence, to sound conscience, to neighbour, so also to fairness and justice etc. Such built in law is not invented by parliaments or courts, nor can these principles and duties be abolished by such. (Cf. Cicero in De Legibus, c. 50 BC.) Indeed, it is on this framework that we can set out to soundly understand and duly balance rights, freedoms and duties; which is justice. The legitimate main task of government, then, is to uphold and defend the civil peace of justice through sound community order reflecting the built in, intelligible law of our nature. Where, as my right implies your duty a true right is a binding moral claim to be respected in life, liberty, honestly aquired property, innocent reputation etc. To so justly claim a right, one must therefore demonstrably be in the right. Thus, too, we may compose sound civil law informed by that built-in law of our responsibly, rationally free morally governed nature; from such, we may identify what is unsound or false thus to be reformed or replaced even though enacted under the colour and solemn ceremonies of law. These duties, also, are a framework for understanding and articulating the corpus of built-in law of our morally governed nature, antecedent to civil laws and manifesting our roots in the Supreme Law-giver, the inherently good, utterly wise and just creator-God.
kairosfocus
August 19, 2020
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The mainstream media needs to take a closer look at this. Do you think they will?
It was covered in detail here starting about two months ago. The press did not cover and will not cover except in passing. It’s against their religion and financial interests to report anything positive on HCQ. The finding was that HCQ was dangerous and this was thought would be its Achilles heel and thus kill it. But the study was bogus and even though supported by high level medical researchers associated with a prestigious hospital in Boston, they will suffer no harm. When it was proven bogus, the press and medical establishment forgot the Lancet study and went into over drive to show that HCQ was ineffective since they no longer could say it wasn’t safe. They are essentially corrupt, the medical establishment and the press. As an example, Fauci constantly lies. It will be interesting to see what Atlas starts saying. He is for HCQ.jerry
August 19, 2020
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Have you heard of LancetGate? I hadn’t till I read the following article. It reports some things that has the fingerprints of corporate greed and corruption written all over it:
May 22: The Fake Lancet Report on Hydroxychloroquine (HCQ) It is worth noting that the full report of the NIH-NIAID) entitled Remdesivir for the Treatment of Covid-19 — Preliminary Report was released on May 22, 2020 in the NEJM, on the same day as the controversial Lancet report on Hydroxychloroquine. Immediately folllowing its publication, the media went into high gear, smearing the HCQ cure, while applauding the NIH-NIASD report released on the same day. Remdesivir, the only drug cleared to treat Covid-19, sped the recovery time of patients with the disease, … “It’s a very safe and effective drug,” said Eric Topol, founder and director of the Scripps Research Translational Institute. “We now have a definite first efficacious drug for Covid-19, which is a major step forward and will be built upon with other drugs, [and drug] combinations.” When the Lancet HCQ article by Bingham-Harvard was retracted on June 5, it was too late, it received minimal media coverage. Despite the Retraction, the HCQ cure “had been killed”. (emphasis added) June 29: Fauci Greenlight. The $1.6 Billion Remdesivir Contract with Gilead Sciences Inc Dr. Anthony Fauci granted the “Greenlight” to Gilead Sciences Inc. on June 29, 2020. The semi-official US government NIH-NIAID sponsored report (May 22) entitled Remdesivir for the Treatment of Covid-19 — Preliminary Report (NEJM) was used to justify a major agreement with Gilead Sciences Inc. The Report was largely funded by the National Institute of Allergy and Infectious Diseases (NIAID) headed by Dr. Anthony Fauci and the National Institutes of Health (NIH).
https://www.globalresearch.ca/scientific-corona-lies-and-big-pharma-corruption-hydroxychloroquine-versus-gileads-remdesivir/5717718?utm_campaign=magnet&utm_source=article_page&utm_medium=related_articles The mainstream media needs to take a closer look at this. Do you think they will?john_a_designer
August 19, 2020
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Not as much hope as originally hoped for. But lots of money. A review of Remdesivir and Fauci's fingerprints all over it. https://bit.ly/3iSs2ub
Remdesivir for Covid-19: $1.6 Billion for a “Modestly Beneficial” Drug?
jerry
August 19, 2020
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F/N: Supportive points from a letter by Peter A. Mc Cullough of Baylor on opening up outpatient (early) use of HCQ etc: >>Hydroxychloroquine (HCQ), chloroquine, and me?oquine are antimalarial drugs that impair endosomal transfer of virions within human cells. HCQ is also a zinc ionophore that conveys zinc intracellularly to block the SARS-CoV-2 RNA-dependent RNA polymerase which is the core enzyme of the virus replication.‘ At the time of this writing, there are > 200 ‘clinical trials registered on clinica|trials.gov utilizing these agents in COVID-19. The currently completed retrospective studies and randomized trials have generally shown these findings: 1) when started late in the hospital course and for short durations of time, antimalarials appear to be ineffective, 2) when started earlier in the hospital course, for progressively longer durations and in outpatients, antimalarials may reduce the progression of disease, prevent hospitalization, and are associated with reduced mortality? 6 7 2 5 in a retrospective inpatient study of 2541 patients hospitalized with COVID-19, therapy associated with an adjusted reduction in mortality was HCQ alone, HR=0.34 (95% Cl 0.25-0.46), p<0.001, and HCQ+azithromycin, HR=0.29, 95% Ci 0.22-0-40, p<0.001. HCQ was approved by the U.S. Food and Drug Administration in 1955, has been used by hundreds of millions of people worldwide since then, is sold over the counter in many countries and has a well characterized safety pro?le.“ FDA cautions about HCQ should not be applied to outpatient treatment in response to the evolving observations on HCQ administration to COVID-19 patients? State medical boards should rescind restrictions on HCQ use for COVID-19 patients in states where they have been put in place. While asymptomatic QT prolongation is a well-recognized and infrequent (LT 1%) complication of HCQ it is possible that in the setting of acute illness symptomatic arrhythmias could develop. Despite heightened scrutiny, data safety and monitoring boards have not declared safety concerns in any clinical trial published to date. Physicians should be allowed to assess the benefits and risks of HCQ as with any other therapy administered to patients at risk for arrhythmia or on one or more chronic QT prolonging medications. Rare patients with a personal or family history of prolonged QT syndrome, those on additional QT prolonging, contraindicated drugs (e.g. dofetiiide, sotalol), shouid be treated with caution and a plan to monitor the QTc in the ambulatory setting. >> Notice, this supports the mechanisms discussed in the OP. KFkairosfocus
August 19, 2020
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Notice, how no one has been able to provide specific refutation of the suggested mechanisms of action (as opposed to dismissive remarks)? That should tell us something. With animal analogs on the table too, we have opportunities for close investigation. KFkairosfocus
August 19, 2020
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JVL, looks like animal models are possible. Mind you, this is quite late in the epidemic's life cycle. KFkairosfocus
August 19, 2020
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The pandemic coronavirus has made its way onto two mink farms in Utah, leading to “unusually large numbers” of dead animals, according to a Tuesday announcement by the US Department of Agriculture. These are the first reported cases of the coronavirus, SARS-CoV-2, infecting mink in the country. For months, authorities in European countries, including the Netherlands, Denmark, and Spain, have reported outbreaks in mink pelt farms, leading to the culling of more than a million of the soft, furry mammals. From laboratory experiments, it’s also clear that ferrets, a relative of minks, are also readily infected with the novel coronavirus.
https://arstechnica.com/science/2020/08/coronavirus-creeps-into-us-mink-farms-unusually-larger-numbers-dead/JVL
August 19, 2020
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Besides the usual party politics it appears that there is another factor behind the suppression, censorship and outright demonization of doctors trying to promote hydroxychloroquine based treatments-- big pharma. It looks like there is a lot of money to be made as along as the treatment is anything but HCQ. Here are some disturbing points raised in an AAPS op-ed from this past May.
At the Presidential Briefing on Apr 30, Dr. Anthony Fauci announced early results, prior to peer-review, of one clinical trial using remdesivir, an intravenous (IV) experimental antiviral medicine in patients hospitalized with COVID-19. At the “warp speed” currently in vogue for the Fauci-led push to a new vaccine, the very next day the FDA issued an Emergency Use Authorization (EAU) for remdesivir to be used in seriously ill hospitalized patients. To announce the emergency approval, President Trump met with the CEO of the drug’s manufacturer, Gilead Sciences, in the Oval Office. Such rapid authorization is quite unusual with the FDA. Unlike the experimental remdesivir with no prior FDA approval, hydroxychloroquine (HCQ) required two months from reports of successful use in China and South Korea to get the Mar 28 FDA EUA for use in hospitalized COVID-19 patients. HCQ was approved in 1955 for malaria, and later for lupus and rheumatoid arthritis. Over the last 65 years, hundreds of millions of prescriptions have been written for HCQ worldwide… Dr. Steven Nissen, Cleveland Clinic cardiologist who has conducted dozens of clinical trials, explained to The New York Times: “The disclosure of trial results in a political setting, before peer review or publication, is very unusual. Scientists will need to see figures on harms associated with the drug in order to assess its benefits…. This is too important to be handled in such a sloppy fashion…” Money appears to be trumping medical wisdom in the recent enthusiasm for remdesivir based on just one study with modest results… (emphasis added) HCQ has been off patent for decades, is available from a dozen U.S. generic manufacturers, and is also produced in China, India, Israel, and other countries. HCQ costs the patient on average less than $10 (range 37-63 cents per tablet), for the usual 5-7 day course of treatment. Remdesivir costs upwards of $1,000 per dose, plus the added costs of having to be hospitalized to receive it… Patients’ lives are being sacrificed on the altar of financial interests and elite D.C. powerbrokers instead of being entrusted to the judgment of patients’ own physicians.
https://aapsonline.org/a-tale-of-two-drugs-money-vs-medical-wisdom/ One of the Front Line Doctors also raised that same possibility. (Maybe that is the reason they are being censored.) From my own research I would have no problem taking HCQ (it’s safe and there is good evidence that it is effective) and we have been told that doctors still have the freedom to prescribe it with a patients consent for “off label use.” But I have been discovering that may not be as true as I have been led to believe. Recently my state (OH) came close to banning HCQ. That order been rescinded now but apparently only temporarily. How ironic. A few years ago Ohio legalized the medical use of cannabis (marijuana.) However, several municipalities have since voted to decriminalize it completely tacitly making it widely available for recreational use. Even though it’s not the most dangerous drug, I opposed its legalization because it is a gateway drug-- it can lead to the use of more dangerous drugs. However, it’s not something I lose a lot of sleep over. So tell me, what’s the danger with HCQ if taken as directed by a physician? People are going to start using it recreationally?john_a_designer
August 18, 2020
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This report just reinforces what is suspected. Most of the C19 deaths in the US occur in a small number of large counties mainly in the Northeast (18 of top 25 counties). These counties make up 1.6% of the counties, 25% of the population and 53% of the deaths. https://herit.ag/3iRcQNU One major mistake is that Hidalgo county in Texas is left off. It should be #31 or 32 in the country but is not on the list. Along the lines of fake news reporting on C19 see https://bit.ly/2EcCmyf Two stories on exaggerated new levels of C19 deaths and a killer strain. Be careful what you read.jerry
August 18, 2020
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Jerry: Two words striking fear in the C19 panic mongers? Sweden and Switzerland. From Australia. Explain how Sweden has done so very well, comparing it to Denmark, Norway and Finland.JVL
August 18, 2020
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The other way is for everyone to do their part. I prefer the latter.
That could mean anything. If you are against treating early then I would not be proud of that position. The best is to treat early and lead normal lives. Then provide for those at high risk If they want it. I know some elderly people 80+ who want to lead normal lives and understand the risk. It’s their choice if they know the risks. I live a mile from a continued care facility where all are locked in and can not leave and then come back. They feel they are in prison.
jerry
August 18, 2020
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