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Worldwide Deaths
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Apr 13, 2020 15:50:28   #
IDguy Loc: Idaho
 
Cykdelic wrote:
I suspect your 10% figure is bullshit given it’s one of the most used drugs in the world

From wiki......
“ Hydroxychloroquine (HCQ), sold under the brand name Plaquenil among others, is a medication used to prevent and treat malaria in areas where malaria remains sensitive to chloroquine.[2] Other uses include treatment of rheumatoid arthritis, lupus, and porphyria cutanea tarda.[2] It is taken by mouth.[2] It is also being studied as a treatment for coronavirus disease 2019 (COVID-19).[3][4]
Common side effects include vomiting, headache, changes in vision, and muscle weakness.[2] Severe side effects may include allergic reactions.[2] Although all risk cannot be excluded, it remains a treatment for rheumatic disease during pregnancy.[5] Hydroxychloroquine is in the antimalarial and 4-aminoquinoline families of medication.[2]
Hydroxychloroquine was approved for medical use in the United States in 1955.[2] It is on the World Health Organization's List of Essential Medicines, the safest and most effective medicines needed in a health system.[6] In 2017, it was the 128th most commonly prescribed medication in the United States, with more than five million prescriptions.[7][8]”
I suspect your 10% figure is bullshit given it’s o... (show quote)


Much to my surprise too I found a figure of 11% of increase in a heart electrical delay signal in application to corona patients. No one died from it: just something to monitor.

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Apr 13, 2020 15:52:54   #
berchman Loc: South Central PA
 
Cookie223 wrote:
You are aware that just about every drug has side effects, some very serious. Every current drug may be the one that may help prevent the virus from going further. Otherwise according to you don’t try anything, and wait and until the pharmaceuticals come up with something, it may take a few years to develop, and most likely will have side effects.


I have very good doctors. Every one of them has told me that they will not prescribe a drug or insert a medical device until it has been on the market at least seven years. Remember Thalidomide? And here are a few others:
https://prescriptiondrugs.procon.org/fda-approved-prescription-drugs-later-pulled-from-the-market/

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Apr 13, 2020 15:56:01   #
Angmo
 
berchman wrote:
I have very good doctors. Every one of them has told me that they will not prescribe a drug or insert a medical device until it has been on the market at least seven years. Remember Thalidomide? And here are a few others:
https://prescriptiondrugs.procon.org/fda-approved-prescription-drugs-later-pulled-from-the-market/


The prevented the use of baby aspirin for 10 years too.

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Apr 13, 2020 16:23:18   #
berchman Loc: South Central PA
 
Cykdelic wrote:
CLINICAL TRIALS
Comparing HydroxyChloroquine Trials
By Derek Lowe 31 March, 2020
One minor side effect of the pandemic is that perhaps more people will learn about what drug research and clinical trials can really be like. Today’s example: we have a clinical trial of hydroxychloroquine from Wuhan that has just published on a preprint server. What’s good is that this one is blinded, randomized, and controlled (like the earlier hydroxychloroquine which one I blogged about here from Zhejiang University, so we can actually talk about it rather than just spend all our time wondering what the heck is going on.

This time there were 31 patients in the treatment group and 31 in the control group. Median age was 44.7 years, male-female ratio almost even. Both groups got standard-of-care (oxygen therapy, antiviral drugs, antibiotics – presumably against suspected bacterial pneumonia – and immunoglobulin, with or without corticosteroids). In addition, the treatment group got 5 days of hydroxychloroquine, 200 mg b.i.d. All were diagnosed with (relatively) mild illness, but all had pneumonia by CT scan. More patients in the treatment group presented with fever and cough as compared to the control group.
After five days of treatment, the treatment group showed significant improvements in comparison to the controls in fever, in cough, and in pneumonia (by CT scan). This is actually the first controlled study to show any benefit for chloroquine or hydroxychloroquine therapy against the coronavirus – it may sound odd to say that, but all the positive reports we have had up to now are anecdotal reports and open-label studies without control groups.
CLINICAL TRIALS br Comparing HydroxyChloroquine Tr... (show quote)


Some additional material from the Derek Lowe blog from which you're quoting:
"...we have a clinical trial of hydroxychloroquine from Wuhan that has just published on a preprint server. What’s good is that this one is blinded, randomized, and controlled (like the earlier hydroxychloroquine which one I blogged about here from Zhejiang University, so we can actually talk about it rather than just spend all our time wondering what the heck is going on.
....So you can see that these two came out rather differently, with the Zhejiang study showing no detectable difference on treatment and the Wuhan one showing what looks like a real effect, especially on radiological progression of pneumonia (which I have to say is a very strong endpoint to measure). Here, then, is a good exercise in interpreting clinical trial statistics: we are now one-and-one after two small hydroxychloroquine trials: which one (if either) reflects the real-world situation?
...You could argue that overall we’re seeing either no benefit or some benefit here, which is good. As for adverse events, neither trial reported anything serious, But both of them excluded patients with any sort of cardiac arrhythmias, a wise precaution since one of the most acute worries with high doses of hydroxychloroquine is QT-interval prolongation, and you don’t want to do that to anyone with any underlying problems. So as long as such patients are excluded, for now hydroxychloroquine is in the “might do nothing, might do some good” category, which under the current conditions seems sufficient for treating patients, pending further data. You will notice that we are not exactly in the “total cure” category that the Marseilles group has been putting itself in, but frankly, these results from China are more like what I expect from the clinic (at best!) when using a repurposed drug against such a pathogen.
...So if you want to see how many people you’re keeping from dying with any given therapy, you need a larger sample than anything we’ve seen so far. Getting people out of the hospital more quickly, or keeping them out of the ICU or off ventilators, though, are very worthy goals in themselves, and if HCQ treatment can help with those it’ll be most welcome. We have little or no data on these yet.

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Apr 13, 2020 16:27:13   #
berchman Loc: South Central PA
 
Angmo wrote:
The prevented the use of baby aspirin for 10 years too.


I stopped taking baby aspirin after reading this:

In March, the American Heart Association (AHA) and the American College of Cardiology (ACC) recommended against the routine use of low-dose (81-mg) aspirin in people older than 70 who do not have existing heart disease and haven't had a stroke, or in people of any age who have an increased risk for bleeding (from a peptic ulcer, for example, with sores on the stomach lining that can bleed).

"It's a big shake-up, based on three large studies. Two of the three showed there was no benefit to taking daily aspirin to prevent a first heart attack or stroke, and aspirin was associated with an increased risk for bleeding severe enough to require transfusions or hospitalization. The other study showed that in people with diabetes but no cardiovascular disease, there was benefit, but also risk: a 1% reduction in heart attack risk, and a 1% increase in bleeding risk," explains Dr. Christopher Cannon, a cardiologist at Harvard-affiliated Brigham and Women's Hospital.

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Apr 13, 2020 16:41:40   #
IDguy Loc: Idaho
 
berchman wrote:
I have very good doctors. Every one of them has told me that they will not prescribe a drug or insert a medical device until it has been on the market at least seven years. Remember Thalidomide? And here are a few others:
https://prescriptiondrugs.procon.org/fda-approved-prescription-drugs-later-pulled-from-the-market/


Don’t know your criteria for “good” but I’d dump them. They’ll have many unnecessarily dead patients.

So you won’t take a coronavirus vaccine for seven years? You might kill a lot of people.

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Apr 13, 2020 16:42:05   #
David Martin Loc: Cary, NC
 
Cykdelic wrote:
I suspect your 10% figure is bullshit given it’s one of the most used drugs in the world

Not BS. The reference he cited reported a 11% incidence of potentially fatal QT prolongation in Covid patients, and he did clarify in a subsequent post that he meant 10% in patients treated for Covid-19. The 10% figure therefore does not apply to the tens of thousands taking it for malaria, lupus, other rheumatic disease, amebiasis, etc. That's why I asked him for a reference.

The critically ill Covid patients frequently have comorbidities of heart disease and diabetes which increase the likelihood of experiencing prolonged QT interval while taking chloroquine/hydroxychloroquine. And do not forget that azithromycin (Zithromax/ZPak) can also prolong QT interval, so the drug combination requires very careful cardiac monitoring.

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Apr 13, 2020 16:51:05   #
Cookie223 Loc: New Jersey
 
berchman wrote:
I have very good doctors. Every one of them has told me that they will not prescribe a drug or insert a medical device until it has been on the market at least seven years. Remember Thalidomide? And here are a few others:
https://prescriptiondrugs.procon.org/fda-approved-prescription-drugs-later-pulled-from-the-market/


I’m sure everyone is quite aware of the side effects of medicine. As I stated before, drugs are tested quite extensively. My sister in law who was the senior scientist for Hoffman LaRoche, she Participated in many experiments done, and testing before they would present it to the FDA. This took years, and millions of dollars to do, and on some occasions the FDA wouldn’t approve it. So back to my original statement, every drug have side effects. If I had the virus I would want to try whatever has a chance of curing me. But that’s me, if you on the other hand would rather wait, then by all means do so.

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Apr 13, 2020 18:34:48   #
mwsilvers Loc: Central New Jersey
 
dennis2146 wrote:
No point other than to reflect the ongoing virus in comparison with other known causes of death. I am placing no political agenda whatsoever which is why I did not start it in The Attic. Can't a chart be posted that is actually pretty clear in its numbers without there having to be some point to be made? Aren't the numbers themselves The Point?

Have a wonderful day my friend,

Dennis

The Covid-19 numbers worldwide are not nearly as bad as they could be because most countries have more or less shut down and people are social distancing from each other. If the entire world was doing business as usual this incredibly virulent disease would be far far worse. It is not the flu, it is nothing like the flu. My wife and her medical team are struggling with this everyday at the hospital she works for. Two members of her team have come down with covid-19. This situation is unprecedented.

All you have to do is look at what's happening to microcosm populations like people trapped on ocean liners, or the elderly in nursing homes, to see how virulent this disease is.

As it is, the current official count is probably far lower than the actual count since not every person who has died of similar symptoms is tested for covid-19. and people who have had mild cases and never went to the hospital are also never tested. This is primarily because there have not been enough tests available.

Many doctors around the country have reported an unusually large number of deaths as a result of pneumonia since February. Since the majority those people were not tested for Covid-19 it's not clear exactly what they died of, but there is a suspicion among physicians that many of those people were carriers of the coronavirus.

My wife has been in the medical profession for over 40 years and has never witnessed anything even close to what she is seeing every day.

The naysayers and conspiracy theorists try to make it out to not be a big deal. It is a big deal and it's far from over.

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Apr 13, 2020 21:32:37   #
Angmo
 
berchman wrote:
I stopped taking baby aspirin after reading this:

In March, the American Heart Association (AHA) and the American College of Cardiology (ACC) recommended against the routine use of low-dose (81-mg) aspirin in people older than 70 who do not have existing heart disease and haven't had a stroke, or in people of any age who have an increased risk for bleeding (from a peptic ulcer, for example, with sores on the stomach lining that can bleed).

"It's a big shake-up, based on three large studies. Two of the three showed there was no benefit to taking daily aspirin to prevent a first heart attack or stroke, and aspirin was associated with an increased risk for bleeding severe enough to require transfusions or hospitalization. The other study showed that in people with diabetes but no cardiovascular disease, there was benefit, but also risk: a 1% reduction in heart attack risk, and a 1% increase in bleeding risk," explains Dr. Christopher Cannon, a cardiologist at Harvard-affiliated Brigham and Women's Hospital.
I stopped taking baby aspirin after reading this: ... (show quote)


Lesson number one taught in medical school:

A patient cured is revenue lost.

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Apr 13, 2020 21:56:40   #
Cookie223 Loc: New Jersey
 
Well this is enough for me, I'm going back to reading all the interesting post on photography, and the great pictures that the members share with us.

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Apr 14, 2020 01:09:53   #
mwsilvers Loc: Central New Jersey
 
Angmo wrote:
Lesson number one taught in medical school:

A patient cured is revenue lost.

My wife has been a medical practitioner in hospitals for over 40 years. Even at her age she has been risking her life working between 60 and 70 hrs per week for almost seven weeks treating patients in critical condition as a result of Covid-19. She's been sleeping in her office more than at home so she can be there when needed. And the best you can come up with is to demean a noble profession? You should be ashamed of yourself. If you should be unlucky enough to become infected you should pray to God that you have someone as dedicated as my wife or one of her wonderful colleagues to care for you.

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Apr 14, 2020 02:47:55   #
Angmo
 
mwsilvers wrote:
My wife has been a medical practitioner in hospitals for over 40 years. Even at her age she has been risking her life working between 60 and 70 hrs per week for almost seven weeks treating patients in critical condition as a result of Covid-19. She's been sleeping in her office more than at home so she can be there when needed. And the best you can come up with is to demean a noble profession? You should be ashamed of yourself. If you should be unlucky enough to become infected you should pray to God that you have someone as dedicated as my wife or one of her wonderful colleagues to care for you.
My wife has been a medical practitioner in hospita... (show quote)


Open your eyes, kiddo

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Apr 14, 2020 06:20:25   #
Jade Warrior Loc: Sydney, Australia
 
Angmo wrote:
Open your eyes, kiddo


At every possible opportunity you demonstrate an appalling level of ignorance that just beggers belief.

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Apr 14, 2020 07:37:02   #
mwsilvers Loc: Central New Jersey
 
Angmo wrote:
Open your eyes, kiddo


You are a sad, angry old man, and you are not worth spending one more second of my time.

My wife is on the front lines saving lives. What the heck are you doing with your life besides putting people down?.

If you catch Covid-19, I will have little pity for you. As a human being, you are just taking up space.

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