Well, for most diseases, there is no "single drug." In COVID-19, it will depend on how sick they are.
If they have a cough and headache they can take tylenol and stay at home or whatever.
If they have florid ARDS and are brought in by ambulance in distributive shock with ground-glass opacities on CXR and sats in the toilet, they are going…
Well, for most diseases, there is no "single drug." In COVID-19, it will depend on how sick they are.
If they have a cough and headache they can take tylenol and stay at home or whatever.
If they have florid ARDS and are brought in by ambulance in distributive shock with ground-glass opacities on CXR and sats in the toilet, they are going to get RSI dose roc and etomidate and I am going to put a tube in their throat to help them breathe.
Then they will get a million other drugs to manage their other problems like norepinephrine for hypotension, bicarb to correct their acidosis, some kind of sedative drip like ketamine to keep them comfortable while they are intubated and proned, Lasix to clear their extra fluid when they inevitably develop kidney failure if they're here long enough, and so on and so forth.
Thats why IDGAF about ivermectin or remdesivir or any of those drugs that, at the very least, I can say for certain are not a silver bullet. If they don't get the patient to walk out of the ICU - if we're measuring success in meaningless terms - who cares?
I believe that most people that are advocating ivermectin are seeing it being used well before people land in the ICU. It is best used either for prophylaxis or treatment in the viral stage.
You say "If they have a cough and headache they can take tylenol and stay at home or whatever."
The 'whatever' is ivermectin and if they took that you would have a lot less to deal with in the ICU.
That's exactly what I was going to say...if I knew what it all meant...😳
I think these issues get lost in the stupidities of everyone imagining they know something about the topic because they saw it on the internet, when, in fact, they don't have a clue. IADGAF when mopes that have no apparent connection to ongoing issues suddenly turn up on Joe Rogan and Youtube and suddenly gain validity via pop exposure and watch YT stuff all the time, but I do NOT get my medical advice on either one. Generally, I like Joe, but the credibility some seem to think is imparted by Joe is idiotic. It's Joe. It's pop culture, not medical proficiency.
Life is often unfair. And inaccurate. I do appreciate your civility in correcting me. It's just gotten to a point where anything we should all be considering in rational discourse devolves into a circus, and appearing on Joe to discuss issues of civilizational importance, (and please understand, I like Joe), makes me wanna puke. Joe is now the gatekeeper to rational discourse? Then again, people actually use Twitter to talk about these issues, so I'm clearly in the wrong lane on most of this stuff.
I too appreciate the civil reply. With respect to appearing on Joe, I also agree that it is to be regretted that it has come down to a muscle bound (but smart) comedian to surface these kinds of discussions.
But that is exactly the problem. The prestige media has a de jure omerta out on this topic. I think it came up in the Rogan discussion (maybe I heard it elsewhere, I forget) that a consortium of the AP, Reuters, etc. had agreed not to treat this drug as a serious alternative. Active censorship. Eric Weinstein does not call permitted polite discourse the Gated Institutional Narrative for nothing.
You got me with that one. MSM is a flameout, and anyone partaking is grotesquely misinformed. Twitter is turbocharged self destruction with afterburners. FB...call in an air strike and carpet bomb HQ...figuratively, of course, but jeeeezus...it should be stamped out.
This joint offers some comfort, sort of, until one reads some of the subscribers blabbering about medical issues they clearly have not the slightest education or experience in. But, at least they're civilians with no power beyond exposing themselves as internet dosed morons.
I agree with Mule. The Corp. MSM has become so untrustworthy and useless, that now we must turn to podcasters and f'in comedians for truth and honest dialogue. Don't blame Joe. I'm sure he'd be the first to admit that his show shouldn't become a research site for qualitative medical information. However, if you cant find in from the JAMA, the Lancet, the CDC, the WHO, CNN, FOX, MSDNC, etc., guess where people have turned to get what they instantly recognize as open and impartial dialogue?
...Rogen, Pool, Dark Horse, Rubin, JP Sears. There's more honesty in 24 hours of their screen time than in the last 5 years of the MSM.
So let's be clear, you're saying that because Joe Rogan chooses who he wants to talk to on his own podcast, that makes him "the gatekeeper to rational discourse"? Do you see how silly that sounds?
You have simultaneously redefined "gatekeeper" in such weak terms as to be meaningless, while also making the ludicrous suggestion that Joe Rogan's podcast is the only place in modern society for rational discourse to take place.
His podcast is very popular, and it's a great place for some very interesting long form conversations with experts in all kinds of fields. It's hardly the only game in town. He is in no way a gatekeeper to anything but who he personally feels like having a conversation with.
Well, for most diseases, there is no "single drug." In COVID-19, it will depend on how sick they are.
If they have a cough and headache they can take tylenol and stay at home or whatever.
If they have florid ARDS and are brought in by ambulance in distributive shock with ground-glass opacities on CXR and sats in the toilet, they are going to get RSI dose roc and etomidate and I am going to put a tube in their throat to help them breathe.
Then they will get a million other drugs to manage their other problems like norepinephrine for hypotension, bicarb to correct their acidosis, some kind of sedative drip like ketamine to keep them comfortable while they are intubated and proned, Lasix to clear their extra fluid when they inevitably develop kidney failure if they're here long enough, and so on and so forth.
Thats why IDGAF about ivermectin or remdesivir or any of those drugs that, at the very least, I can say for certain are not a silver bullet. If they don't get the patient to walk out of the ICU - if we're measuring success in meaningless terms - who cares?
I believe that most people that are advocating ivermectin are seeing it being used well before people land in the ICU. It is best used either for prophylaxis or treatment in the viral stage.
You say "If they have a cough and headache they can take tylenol and stay at home or whatever."
The 'whatever' is ivermectin and if they took that you would have a lot less to deal with in the ICU.
That's exactly what I was going to say...if I knew what it all meant...😳
I think these issues get lost in the stupidities of everyone imagining they know something about the topic because they saw it on the internet, when, in fact, they don't have a clue. IADGAF when mopes that have no apparent connection to ongoing issues suddenly turn up on Joe Rogan and Youtube and suddenly gain validity via pop exposure and watch YT stuff all the time, but I do NOT get my medical advice on either one. Generally, I like Joe, but the credibility some seem to think is imparted by Joe is idiotic. It's Joe. It's pop culture, not medical proficiency.
Dr. Kory is an ICU doctor with many years of experience, as is Dr. Marik. I don't think that it is fair to characterize them as mopes.
Life is often unfair. And inaccurate. I do appreciate your civility in correcting me. It's just gotten to a point where anything we should all be considering in rational discourse devolves into a circus, and appearing on Joe to discuss issues of civilizational importance, (and please understand, I like Joe), makes me wanna puke. Joe is now the gatekeeper to rational discourse? Then again, people actually use Twitter to talk about these issues, so I'm clearly in the wrong lane on most of this stuff.
I too appreciate the civil reply. With respect to appearing on Joe, I also agree that it is to be regretted that it has come down to a muscle bound (but smart) comedian to surface these kinds of discussions.
But that is exactly the problem. The prestige media has a de jure omerta out on this topic. I think it came up in the Rogan discussion (maybe I heard it elsewhere, I forget) that a consortium of the AP, Reuters, etc. had agreed not to treat this drug as a serious alternative. Active censorship. Eric Weinstein does not call permitted polite discourse the Gated Institutional Narrative for nothing.
So then, if not Joe, then who?
You got me with that one. MSM is a flameout, and anyone partaking is grotesquely misinformed. Twitter is turbocharged self destruction with afterburners. FB...call in an air strike and carpet bomb HQ...figuratively, of course, but jeeeezus...it should be stamped out.
This joint offers some comfort, sort of, until one reads some of the subscribers blabbering about medical issues they clearly have not the slightest education or experience in. But, at least they're civilians with no power beyond exposing themselves as internet dosed morons.
I got no answer.
If not Joe, then who? Indeed. Perhaps to get the conversation out to as many people as possible. What is happening to our country is shameful.
I agree with Mule. The Corp. MSM has become so untrustworthy and useless, that now we must turn to podcasters and f'in comedians for truth and honest dialogue. Don't blame Joe. I'm sure he'd be the first to admit that his show shouldn't become a research site for qualitative medical information. However, if you cant find in from the JAMA, the Lancet, the CDC, the WHO, CNN, FOX, MSDNC, etc., guess where people have turned to get what they instantly recognize as open and impartial dialogue?
...Rogen, Pool, Dark Horse, Rubin, JP Sears. There's more honesty in 24 hours of their screen time than in the last 5 years of the MSM.
I don’t blame Joe; I like Joe. I just find the whole shebangabang ridiculous.
Joe Rogan becomes the gatekeeper by default. Nature abhors a vacuum and the vacuum was created when the MSM went completely over to the dark side.
How is he a gatekeeper? I think you’re misusing that word.
Is anyone, regardless of topic or other consideration, allowed on the show?
Crossing guard…(?)
So let's be clear, you're saying that because Joe Rogan chooses who he wants to talk to on his own podcast, that makes him "the gatekeeper to rational discourse"? Do you see how silly that sounds?
You have simultaneously redefined "gatekeeper" in such weak terms as to be meaningless, while also making the ludicrous suggestion that Joe Rogan's podcast is the only place in modern society for rational discourse to take place.
His podcast is very popular, and it's a great place for some very interesting long form conversations with experts in all kinds of fields. It's hardly the only game in town. He is in no way a gatekeeper to anything but who he personally feels like having a conversation with.
You’re right.
Damn the lack of edit...