G & T 189

It is a very good thing that, in this time of danger to the health of the people, the president of the United States is neither a doctor nor an economist. As a highly competent administrator who strives to do whatever he does to a high standard, President Trump seeks the knowledge of doctors and economists, and then decides what to do for the good of the nation’s health and economy.

An article by Ruth Papazian* at American Greatness, shows why experts must be asked for their knowledge but not be allowed to make the decisions:

During the daily briefings of the White House Coronavirus Task Force, Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, repeatedly referred to reports from frontline clinicians that the combination of the anti-malarial drug hydroxychloroquine and the antibiotic azithromycin can completely clear coronavirus from the body within six days as “anecdotal” evidence.

And, as such, inadequate. As she puts it, “To a political journalist, ‘anecdotal’ evidence is unsubstantiated hearsay.”

But –

To a medical journalist, “anecdotal” evidence is what doctors in the field are reporting.

… Over and over again, Fauci gave the false impression that the experimental treatment regimen would not, or could not, be given to severely ill patients before data from large-scale, randomized double-blind clinical trials becomes available: “My job as a scientist is . . . to prove without a doubt that a drug is not only safe, but it actually works.”

All well and good, but a clinician’s job is to save lives. And in the midst of a burgeoning global pandemic when speed is of the essence, field experience with two drugs whose safety profiles are well understood suffices to treat patients who are likely to die. For this reason, the FDA-approved chloroquine … for “compassionate use”. …

The combination of HCQ+AZ could cause abnormal heart rhythms and would not be given to patients with known atrial flutter or atrial fibrillation. Research suggests one alternative for these patients: The combination of chloroquine and zinc, which can stop the virus from replicating.

“Anecdotal” evidence typically prompts new, off-label uses (not FDA-approved) of available medications that eventually become standard treatment after the controlled clinical studies are done. For instance, doctors used HCQ off-label to treat lupus, rheumatoid arthritis, scleroderma, and sarcoidosis, and this is now standard treatment for these conditions.

Making the perfect the enemy of the good, Fauci was dismissive both of clinical use of HCQ+AZ in China and South Korea, but also of small clinical trials in China and in France. …

There is one critical clinical trial Fauci should have initiated as soon as it became apparent hospitals nationwide lacked adequate supplies of face masks and shields, gloves, gowns, and other personal protective equipment to handle the pandemic: The prophylactic administration of HCQ to frontline healthcare personnel in coronavirus hot spots.

Doctors and nurses at one hospital in Seattle, Los Angeles, and New York City could be given the anti-malarial drug to see whether they are more resistant to coronavirus infection than their counterparts at another hospital in those cities not taking it.

After 50 years in Washington, Fauci has become an overly-cautious bureaucrat: “It probably would be several weeks and maybe longer before we know whether [containment measures] are having an effect.”

No, we will know by mid-April whether the rate of infection has been significantly slowed by taking bold action to augment containment with widespread clinical use of HCQ+AZ to cure hospitalized patients and reduce the length of time they can pass on the infection to others, as well as to prevent infection in those caring for them.

Not taking these steps will unnecessarily prolong the pandemic, which will unnecessarily prolong and deepen the adverse economic effects of federal and state containment efforts.

We at The Atheist Conservative have no medical expertise, so we are not of course making a recommendation. We will just mention that we are drinking more gin and tonic than usual. The tonic gets its slightly bitter but pleasant taste from the quinine in it. It’s the quinine in hydroxychloroquine that – the medical experts say – helps to overcome the coronavirus. So while it is a pleasure to drink, gin-and-tonic might – just might – also be a life-saver.

 

*Ruth Papazian is the Republican candidate running for election against Alexandria Ocasio-Cortez in New York’s 14th. Congressional District.

Posted under China, France, Health, South Korea, United States by Jillian Becker on Friday, March 27, 2020

Tagged with , , , , ,

This post has 189 comments.

Permalink