The medical field is erasing its own COVID-era history

22,463 Views | 231 Replies | Last: 1 day ago by coolerguy12
Get Off My Lawn
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Infection_Ag11 said:

Get Off My Lawn said:

You're contorting yourself to a comical degree. "The problem is that Joe Public just missed the nuance of our profession's lexicon!" And now you're trying to hide behind technicalities or distortions. Nah. Y'all lied. The intent was to deceive and manipulate. You lie.


That's not what I'm saying at all. But you do you.

really?
Quote:

A primary point of disconnect is the lack of understanding outside of medicine regarding the doctors you see in TV vs clinicians.

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Most of the mistakes were initially not mistakes, they were unknowns, and only later once it was clear they were mistakes are many of these individuals liable.

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I mean, they WERE effective. They were also sold as something they weren't, in many cases by well intentioned individuals. But as a means of decreasing morbidity/mortality for the highest risk groups they very much did that.

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He's thinking about how do I get as many people to take this as possible because it's the best thing we have right now.

Quote:

It's also a myth, frankly one I didn't really realize many people would held until all this, that all vaccines prevent you from getting a disease all the time. That just isn't true.
Get Off My Lawn
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Also - an endurance defense which causes others to lose interest in a thread isn't the same as having a superior position.

Congrats on breaking away in part from your previous alignment. You've still got a ways to go.
tysker
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Infection_Ag11 said:

tysker said:

Infection_Ag11 said:

tysker said:

Infection_Ag11 said:

Quote:

These geniuses of medicine killed untold thousands or millions with ventilators and Remdesivir.


This sort of stuff is what I'm talking about
There used to be stories by practicing medical professionals that once patients were placed on ventilators, they didn't come off. Even in the best circumstances, it's hard for patients to be weaned from ventilators.


That's because, generally speaking, intubation as a means of therapy for respiratory infections is a life sustaining measure performed where patients are on the brink of fatal respiratory failure. They are often in multi-organ failure and/or shock as well. These are the sickest patients many of whom will die no matter what you do.

Quote:

So when physicians placed their patients on vents, were they and their families informed of the risks and likelihood the patients will never be taken off?


Sometimes intubation is emergent, meaning that unless the patient is DNI we have to intubate them immediately or they will die. When it isn't, yes, patients and/or their families are told the risks of the procedure and whether or not we believe they will eventually be able to be extubated. I've had many talks with sick end stage COPD patients where I told them that if they get intubated they will likely either still pass away or at best ultimately require a trach and long term ventilation. Some then choose to not be intubated and proceed with comfort measures, some still want it. On the flip side, a young person with an asthma exacerbation is told we will almost certainly be able to extubated and usually relatively soon. But when possible it's an informed decision.

The issue here is the belief that there was widespread intubation of people who otherwise would have been fine without it, and that the mechanical ventilation itself is what killed them. And while it's certainly possible for an intubated patient to sustain an acute lung injury from high airway pressures (this is long established and why we monitor pressures in intubated patients) that is neither unique to covid nor the primary cause of death in anyone who is intubated.
Are you certain covid patients were informed of the downsides of intubation? It may not have killed them, but did it help cure them? Why was intubation considered an acceptable practice given the known outcomes?


As a matter of law it's required to provide informed consent when at all possible. But more to the point, there is a fundamental misunderstanding of what intubation is. The alternative to intubation in these cases is generally just death. We don't intubate people to "treat" them, not directly anyway. We intubate to buy us time to treat them by other means. We don't intubate people unless we've run out of other ways to ventilate/oxygenate them or other ways will not be adequately or provide adequate time for them to get better.

People get intubated because they are about to die of respiratory failure, not because we think it will help improve an otherwise stable patient. There's this idea that we were intubating people en masse to prevent respiratory spread or intubating them much earlier than we do for other conditions, and that just isn't true. There were certain modalities we DIDNT often use because it was associated with poor outcomes, and as the pandemic went covid patients generally actually had a HIGHER threshold to intubation because of the pressure issue we talked about. The fibrosis triggered by severe covid just made it so hard to use positive airway pressure modalities in some cases.
This reads to me as if the covid patients put on a vent were ostensibly dead before receiving such treatment. So, the messaging was mostly a failure? The vent wasnt a cause but a highly correlated signal.
captkirk
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Infection_Ag11 said:

Quote:

Why do you feel the need to come here and prove the OP's point?


My original post was a clarification of a fairly misleading thread premise. The rest of them are literally just me answering questions posted by others.
I've not seen a single shred of evidence from you that the OP was misleading. You no longer get the benefit of the doubt with your seemingly endless authoritative statements
AnScAggie
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Infection_Ag11 said:

Ulysses90 said:

Quote:


A meta-analysis of studies including over ONE MILLION total patients


Meta analyses you say? Back up and let's discuss the statement you made above that there is no good evidence that Ivermwctin is effective at treating or preventing COVID.

https://c19ivm.org/


This has been thoroughly panned and shredded here and elsewhere across the Internet. The long and short of it is many of the included studies in this meta analysis were small and poorly conducted, proven fraudulent and/or since retracted, conducted in third world countries with a myriad of flaws, etc. One of the studies has an N of 6 and was published in a local newspaper in Mumbai. That's a joke. And it's also a lie to claim they were all peer reviewed even to begin with. Again, in a world full of grift Pierre Kory is the king.

Compare that to the two in my link, in which the entire controversy between BOTH of them is one single retracted study from Italy on the basis of discrepancies in inclusion criteria. Moreover, extremely large analysis not including controversial data have shown no benefit of ivermectin.

We're just talking about entirely different classes of evidence here.
So you're convinced that ivermectin does not work on covid symptoms or lessen the infection because of a cohort of research that shows it does not work. Yet, you were convinced that other treatment would work based on published evidence that has since been redacted and absolutely did not work??? Here's my anecdotal observation, the only group of people I know who either never got covid, or if they did had extremely mild symptoms were those that either preemptively took ivermectin or took it when they were exposed or tested positive. Another anecdotal observation is my unvaxxed family and nearly all of my unvaxxed friends never had any complications approaching anything severe or life threatening.

If the government, medical profession, pharmaceutical industry and regulators were able to change the course of our daily lives in a matter of a few weeks or months in ways that benefited them, is it possible that they could also help to suppress data that did not fit their narrative, such as alternative treatments or even god forbid not doing anything different in our daily lives. In today's world being called a kook or conspiracy theorist should actually be considered a badge of honor, considering how wrong the people that were supposed to be actual experts were.
Infection_Ag11
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tysker said:

Infection_Ag11 said:

tysker said:

Infection_Ag11 said:

tysker said:

Infection_Ag11 said:

Quote:

These geniuses of medicine killed untold thousands or millions with ventilators and Remdesivir.


This sort of stuff is what I'm talking about
There used to be stories by practicing medical professionals that once patients were placed on ventilators, they didn't come off. Even in the best circumstances, it's hard for patients to be weaned from ventilators.


That's because, generally speaking, intubation as a means of therapy for respiratory infections is a life sustaining measure performed where patients are on the brink of fatal respiratory failure. They are often in multi-organ failure and/or shock as well. These are the sickest patients many of whom will die no matter what you do.

Quote:

So when physicians placed their patients on vents, were they and their families informed of the risks and likelihood the patients will never be taken off?


Sometimes intubation is emergent, meaning that unless the patient is DNI we have to intubate them immediately or they will die. When it isn't, yes, patients and/or their families are told the risks of the procedure and whether or not we believe they will eventually be able to be extubated. I've had many talks with sick end stage COPD patients where I told them that if they get intubated they will likely either still pass away or at best ultimately require a trach and long term ventilation. Some then choose to not be intubated and proceed with comfort measures, some still want it. On the flip side, a young person with an asthma exacerbation is told we will almost certainly be able to extubated and usually relatively soon. But when possible it's an informed decision.

The issue here is the belief that there was widespread intubation of people who otherwise would have been fine without it, and that the mechanical ventilation itself is what killed them. And while it's certainly possible for an intubated patient to sustain an acute lung injury from high airway pressures (this is long established and why we monitor pressures in intubated patients) that is neither unique to covid nor the primary cause of death in anyone who is intubated.
Are you certain covid patients were informed of the downsides of intubation? It may not have killed them, but did it help cure them? Why was intubation considered an acceptable practice given the known outcomes?


As a matter of law it's required to provide informed consent when at all possible. But more to the point, there is a fundamental misunderstanding of what intubation is. The alternative to intubation in these cases is generally just death. We don't intubate people to "treat" them, not directly anyway. We intubate to buy us time to treat them by other means. We don't intubate people unless we've run out of other ways to ventilate/oxygenate them or other ways will not be adequately or provide adequate time for them to get better.

People get intubated because they are about to die of respiratory failure, not because we think it will help improve an otherwise stable patient. There's this idea that we were intubating people en masse to prevent respiratory spread or intubating them much earlier than we do for other conditions, and that just isn't true. There were certain modalities we DIDNT often use because it was associated with poor outcomes, and as the pandemic went covid patients generally actually had a HIGHER threshold to intubation because of the pressure issue we talked about. The fibrosis triggered by severe covid just made it so hard to use positive airway pressure modalities in some cases.
This reads to me as if the covid patients put on a vent were ostensibly dead before receiving such treatment. So, the messaging was mostly a failure? The vent wasnt a cause but a highly correlated signal.


Someone sick enough from covid to need intubation has a very high mortality just in that basis alone, yes.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
eric76
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Burdizzo said:

I have encountered a handful of doctors over the years that had a God complex
For what it's worth, to many people doctors are expected to be near God-like in their medical knowlege.

When covid hit, it wasn't a disease that they had seen before. It took a while to gain the experience they needed in dealing with covid. They were drawing no on some magical knowledge of how to treat covid, but on medical principles and knowledge about similar diseases. Sure, it wasn't perfect -- it takes time and experience to determine exactly how to treat something new. They have to figure out what works and what doesn't work and that takes time.

In general, the only people who have all the answers are those who think that they have all the answers, but don't.
Infection_Ag11
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AnScAggie said:

Infection_Ag11 said:

Ulysses90 said:

Quote:


A meta-analysis of studies including over ONE MILLION total patients


Meta analyses you say? Back up and let's discuss the statement you made above that there is no good evidence that Ivermwctin is effective at treating or preventing COVID.

https://c19ivm.org/


This has been thoroughly panned and shredded here and elsewhere across the Internet. The long and short of it is many of the included studies in this meta analysis were small and poorly conducted, proven fraudulent and/or since retracted, conducted in third world countries with a myriad of flaws, etc. One of the studies has an N of 6 and was published in a local newspaper in Mumbai. That's a joke. And it's also a lie to claim they were all peer reviewed even to begin with. Again, in a world full of grift Pierre Kory is the king.

Compare that to the two in my link, in which the entire controversy between BOTH of them is one single retracted study from Italy on the basis of discrepancies in inclusion criteria. Moreover, extremely large analysis not including controversial data have shown no benefit of ivermectin.

We're just talking about entirely different classes of evidence here.
So you're convinced that ivermectin does not work on covid symptoms or lessen the infection because of a cohort of research that shows it does not work. Yet, you were convinced that other treatment would work based on published evidence that has since been redacted and absolutely did not work??? Here's my anecdotal observation, the only group of people I know who either never got covid, or if they did had extremely mild symptoms were those that either preemptively took ivermectin or took it when they were exposed or tested positive. Another anecdotal observation is my unvaxxed family and nearly all of my unvaxxed friends never had any complications approaching anything severe or life threatening.

If the government, medical profession, pharmaceutical industry and regulators were able to change the course of our daily lives in a matter of a few weeks or months in ways that benefited them, is it possible that they could also help to suppress data that did not fit their narrative, such as alternative treatments or even god forbid not doing anything different in our daily lives. In today's world being called a kook or conspiracy theorist should actually be considered a badge of honor, considering how wrong the people that were supposed to be actual experts were.


What treatment am I touting that has been shown not to work? The only treatment that clearly shows benefit in hypoxic hospitalized patients is steroids, which essentially nobody on either side of this debate objects to using.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
eric76
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BudFox7 said:

People were posting their vax cards on social media like it was a badge of honor
I had something that I never met anyone else who had one -- a release from isolation.

I was exposed to covid fairly early. When I came down with covid, it was a minor case; if not for my sense of smell going haywire for a few hours, I would not have even thought to get tested.

After the diagnosis, I got multiple telephone calls including one from a nurse tasked with contacting everyone who had it who told me that I had to stay isolated until I tested negtive. By that time, the CDC and the Texas Department of Health Services had guidelines that based isolation on the progression of disease -- so many days after your fever had ended and your symptoms were lessening. Without symptoms, ten days from the onset of symptoms and you could be released.

So when I met the official guidelines for release from isolation, I sent an e-mail to the Texas Department of Health Services and informed them of that and my reasoning for it by that time. In response, they sent me back an official letter releasing me from isolation.

I only ever got to use the letter once. I was curious if I still tested positive a month later and so I went to give blood. Just in case, I took the letter with me to the blood mobile. They had never even seen one before and had no idea what to do about it.
tysker
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Infection_Ag11 said:

tysker said:

Infection_Ag11 said:

tysker said:

Infection_Ag11 said:

tysker said:

Infection_Ag11 said:

Quote:

These geniuses of medicine killed untold thousands or millions with ventilators and Remdesivir.


This sort of stuff is what I'm talking about
There used to be stories by practicing medical professionals that once patients were placed on ventilators, they didn't come off. Even in the best circumstances, it's hard for patients to be weaned from ventilators.


That's because, generally speaking, intubation as a means of therapy for respiratory infections is a life sustaining measure performed where patients are on the brink of fatal respiratory failure. They are often in multi-organ failure and/or shock as well. These are the sickest patients many of whom will die no matter what you do.

Quote:

So when physicians placed their patients on vents, were they and their families informed of the risks and likelihood the patients will never be taken off?


Sometimes intubation is emergent, meaning that unless the patient is DNI we have to intubate them immediately or they will die. When it isn't, yes, patients and/or their families are told the risks of the procedure and whether or not we believe they will eventually be able to be extubated. I've had many talks with sick end stage COPD patients where I told them that if they get intubated they will likely either still pass away or at best ultimately require a trach and long term ventilation. Some then choose to not be intubated and proceed with comfort measures, some still want it. On the flip side, a young person with an asthma exacerbation is told we will almost certainly be able to extubated and usually relatively soon. But when possible it's an informed decision.

The issue here is the belief that there was widespread intubation of people who otherwise would have been fine without it, and that the mechanical ventilation itself is what killed them. And while it's certainly possible for an intubated patient to sustain an acute lung injury from high airway pressures (this is long established and why we monitor pressures in intubated patients) that is neither unique to covid nor the primary cause of death in anyone who is intubated.
Are you certain covid patients were informed of the downsides of intubation? It may not have killed them, but did it help cure them? Why was intubation considered an acceptable practice given the known outcomes?


As a matter of law it's required to provide informed consent when at all possible. But more to the point, there is a fundamental misunderstanding of what intubation is. The alternative to intubation in these cases is generally just death. We don't intubate people to "treat" them, not directly anyway. We intubate to buy us time to treat them by other means. We don't intubate people unless we've run out of other ways to ventilate/oxygenate them or other ways will not be adequately or provide adequate time for them to get better.

People get intubated because they are about to die of respiratory failure, not because we think it will help improve an otherwise stable patient. There's this idea that we were intubating people en masse to prevent respiratory spread or intubating them much earlier than we do for other conditions, and that just isn't true. There were certain modalities we DIDNT often use because it was associated with poor outcomes, and as the pandemic went covid patients generally actually had a HIGHER threshold to intubation because of the pressure issue we talked about. The fibrosis triggered by severe covid just made it so hard to use positive airway pressure modalities in some cases.
This reads to me as if the covid patients put on a vent were ostensibly dead before receiving such treatment. So, the messaging was mostly a failure? The vent wasnt a cause but a highly correlated signal.

Someone sick enough from covid to need intubation has a very high mortality just in that basis alone, yes.
So what the medical purpose of intubation? What was the intended outcome?
AnScAggie
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I must be mistaken because I seem to remember your 2020-2022 posts being highly critical of OTC vitamins/nsaids, HCQ and ivermectin, and very pro vax, social distancing, mask mandates, Paxlovid, Remdesivir, ventilators, and all the rest.
Infection_Ag11
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tysker said:

Infection_Ag11 said:

tysker said:

Infection_Ag11 said:

tysker said:

Infection_Ag11 said:

tysker said:

Infection_Ag11 said:

Quote:

These geniuses of medicine killed untold thousands or millions with ventilators and Remdesivir.


This sort of stuff is what I'm talking about
There used to be stories by practicing medical professionals that once patients were placed on ventilators, they didn't come off. Even in the best circumstances, it's hard for patients to be weaned from ventilators.


That's because, generally speaking, intubation as a means of therapy for respiratory infections is a life sustaining measure performed where patients are on the brink of fatal respiratory failure. They are often in multi-organ failure and/or shock as well. These are the sickest patients many of whom will die no matter what you do.

Quote:

So when physicians placed their patients on vents, were they and their families informed of the risks and likelihood the patients will never be taken off?


Sometimes intubation is emergent, meaning that unless the patient is DNI we have to intubate them immediately or they will die. When it isn't, yes, patients and/or their families are told the risks of the procedure and whether or not we believe they will eventually be able to be extubated. I've had many talks with sick end stage COPD patients where I told them that if they get intubated they will likely either still pass away or at best ultimately require a trach and long term ventilation. Some then choose to not be intubated and proceed with comfort measures, some still want it. On the flip side, a young person with an asthma exacerbation is told we will almost certainly be able to extubated and usually relatively soon. But when possible it's an informed decision.

The issue here is the belief that there was widespread intubation of people who otherwise would have been fine without it, and that the mechanical ventilation itself is what killed them. And while it's certainly possible for an intubated patient to sustain an acute lung injury from high airway pressures (this is long established and why we monitor pressures in intubated patients) that is neither unique to covid nor the primary cause of death in anyone who is intubated.
Are you certain covid patients were informed of the downsides of intubation? It may not have killed them, but did it help cure them? Why was intubation considered an acceptable practice given the known outcomes?


As a matter of law it's required to provide informed consent when at all possible. But more to the point, there is a fundamental misunderstanding of what intubation is. The alternative to intubation in these cases is generally just death. We don't intubate people to "treat" them, not directly anyway. We intubate to buy us time to treat them by other means. We don't intubate people unless we've run out of other ways to ventilate/oxygenate them or other ways will not be adequately or provide adequate time for them to get better.

People get intubated because they are about to die of respiratory failure, not because we think it will help improve an otherwise stable patient. There's this idea that we were intubating people en masse to prevent respiratory spread or intubating them much earlier than we do for other conditions, and that just isn't true. There were certain modalities we DIDNT often use because it was associated with poor outcomes, and as the pandemic went covid patients generally actually had a HIGHER threshold to intubation because of the pressure issue we talked about. The fibrosis triggered by severe covid just made it so hard to use positive airway pressure modalities in some cases.
This reads to me as if the covid patients put on a vent were ostensibly dead before receiving such treatment. So, the messaging was mostly a failure? The vent wasnt a cause but a highly correlated signal.

Someone sick enough from covid to need intubation has a very high mortality just in that basis alone, yes.
So what the medical purpose of intubation? What was the intended outcome?


To keep them from dying in the moment. We don't just allow people to suffocate to death, unless they have said no to further measures in which case we make them as comfortable as possible per their wishes. But we effectively have to intubate people who are otherwise going to die unless they or their family tells us not to.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
Infection_Ag11
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AnScAggie said:

I must be mistaken because I seem to remember your 2020-2022 posts being highly critical of OTC vitamins/nsaids, HCQ and ivermectin, and very pro vax, social distancing, mask mandates, Paxlovid, Remdesivir, ventilators, and all the rest.



There's a lot to breakdown there, but some of it is correct and some is incorrect. I was never in favor of widespread mask mandates for example.

FWIW, Paxlovid does have efficacy but not in hypoxic hospitalized patients. It can help high risk patients from getting worse if they have mild illness that started just a few days before.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
rab79
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FrioAg 00 said:

You talk about how difficult it is to admit you were wrong to someone who was right only for ideological reasons.

But there was, without doubt, NO group in the country who was led less by science and more by political ideology than the physicians and medical institutions.

Basic, elementary type scientific knowledge was not just ignored - but it was zealously fought against by the supposed "scientists".

What they did to children (who were almost completely unaffected) and education, the lunacy of unsealed surgical masks and cloth face coverings, the pushing of vaccines that had no chance of keeping up with a rapidly evolving respiratory virus,… there were honestly so many mistakes pushed that were obvious mistakes made in the name of liberal groupthink.


and the money, don't forget about the money that came out of our (taxpayers) pockets!
captkirk
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LOL

Peer-Reviewed Study: 'The Higher the Number of Vaccines Previously Received, the Higher the Risk of Contracting COVID-19'

https://pjmedia.com/news-and-politics/benbartee/2023/05/30/peer-reviewed-study-the-higher-the-number-of-vaccines-previously-received-the-higher-the-risk-of-contracting-covid-19-n1699197
FireAg
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Can we all at least agree that, at the time, those shouting at the top of their lungs to "follow the science" were full of *****

That was all misguided, uniformed groupthink with no real science, just guesses, to back it up...
Ulysses90
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Quote:

People get intubated because they are about to die of respiratory failure, not because we think it will help improve an otherwise stable patient. There's this idea that we were intubating people en masse to prevent respiratory spread or intubating them much earlier than we do for other conditions, and that just isn't true. There were certain modalities we DIDNT often use because it was associated with poor outcomes, and as the pandemic went covid patients generally actually had a HIGHER threshold to intubation because of the pressure issue we talked about. The fibrosis triggered by severe covid just made it so hard to use positive airway pressure modalities in some cases.


Of course, the fact that the CARES Act increases the subsidy for hospitals and nursing homes from $13,000 per admitted COVID patient to $39,000 per COVID patient that was put n a ventilator for >96 hours had no incentive effect on the course of treatment.

Nobody would stoop so low as to put a dying patient on a ventilator just to grab some CARES Act cash for their struggling hosptal that could not generate revenue from routine care and elective procedures under lockdown protocols. Such a conspirac6 of economic incentives sounds so crazy it could have come from the mouth of Thomas Sowell or Milton Friedma.

https://www.sciencealert.com/most-covid-19-deaths-may-be-the-result-of-a-completely-different-infection

Infection_Ag11
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Ulysses90 said:

Quote:

People get intubated because they are about to die of respiratory failure, not because we think it will help improve an otherwise stable patient. There's this idea that we were intubating people en masse to prevent respiratory spread or intubating them much earlier than we do for other conditions, and that just isn't true. There were certain modalities we DIDNT often use because it was associated with poor outcomes, and as the pandemic went covid patients generally actually had a HIGHER threshold to intubation because of the pressure issue we talked about. The fibrosis triggered by severe covid just made it so hard to use positive airway pressure modalities in some cases.


Of course, the fact that the CARES Act increases the subsidy for hospitals and nursing homes from $13,000 per admitted COVID patient to $39,000 per COVID patient that was put n a ventilator for >96 hours had no incentive effect on the course of treatment.

Nobody would stoop so low as to put a dying patient on a ventilator just to grab some CARES Act cash for their struggling hosptal that could not generate revenue from routine care and elective procedures under lockdown protocols. Such a conspirac6 of economic incentives sounds so crazy it could have come from the mouth of Thomas Sowell or Milton Friedma.

https://www.sciencealert.com/most-covid-19-deaths-may-be-the-result-of-a-completely-different-infection




One, most doctors have no idea about any of this. Hospital reimbursement is something entirely foreign to almost everyone who actually sees patients.

Two, literally no physician has ever intubated a patient because it might make the hospital more money. That just doesn't happen.

Finally, what else would you do with a dying covid patient that still wants everything done? Let them suffocate the get sued into oblivion and lose your license? You have no idea how any of this works.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
abram97
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Infection_Ag11 said:

Ulysses90 said:

Quote:

People get intubated because they are about to die of respiratory failure, not because we think it will help improve an otherwise stable patient. There's this idea that we were intubating people en masse to prevent respiratory spread or intubating them much earlier than we do for other conditions, and that just isn't true. There were certain modalities we DIDNT often use because it was associated with poor outcomes, and as the pandemic went covid patients generally actually had a HIGHER threshold to intubation because of the pressure issue we talked about. The fibrosis triggered by severe covid just made it so hard to use positive airway pressure modalities in some cases.


Of course, the fact that the CARES Act increases the subsidy for hospitals and nursing homes from $13,000 per admitted COVID patient to $39,000 per COVID patient that was put n a ventilator for >96 hours had no incentive effect on the course of treatment.

Nobody would stoop so low as to put a dying patient on a ventilator just to grab some CARES Act cash for their struggling hosptal that could not generate revenue from routine care and elective procedures under lockdown protocols. Such a conspirac6 of economic incentives sounds so crazy it could have come from the mouth of Thomas Sowell or Milton Friedma.

https://www.sciencealert.com/most-covid-19-deaths-may-be-the-result-of-a-completely-different-infection




One, most doctors have no idea about any of this. Hospital reimbursement is something entirely foreign to almost everyone who actually sees patients.

Two, literally no physician has ever intubated a patient because it might make the hospital more money. That just doesn't happen.

Finally, what else would you do with a dying covid patient that still wants everything done? Let them suffocate the get sued into oblivion and lose your license? You have no idea how any of this works.
I do. There are plenty of doctors who know pricing in private practice. University based - sure, they probably don't know or care about the money side since they are salary but hospital based (employed docs) are talked to about the business side of things for sure. They know these things. Leadership (CMO) is talked to about it and then they take it from there...
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FrioAg 00
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AG
This is one point we can agree emphatically on. No doctor seeing patients has ever gave a damn how their employer does financially on the patients they see. If they had even an ounce of interest - they'd have picked a speciality they could go into private practice to make their own money.

The two reasons hospitals did well in the month 4 through 15 of the pandemic were (1) the government seemingly randomly picked $400billion as the hospital bail out known as Cares Act. That's 40% of a years total hospital revenues. But the initial activity shut down was 30-60%, but only lasted 2-3 months depending on your region of the country. By December 2020 the average hospital had only lost a total of 2 months worth of revenue - not 4-5 months. The government didn't want to try to recoup it, so they wrote the rules very favorably to hospitals in terms of auditing what they did with the money. Then (2) for about two years, the government decided to pay for uninsured covid admissions at typical Medicare rates for a respiratory admission. This is significant, because usually uninsured pay nothing and the hospitals charge commercial insurance about 150% of cost, so they can cross subsidize. For covid cases, no cross subsidy was required - which means hospitals kept their normal rates on the commercial patients.

Pre-pandemic hospital median margins were around 2%, and in the next year they made 3%. Then the nursing unions and physicians all got aggressive and demanded big raises - and most hospitals couldn't stand up to them. They spent their way to a negative 1% loss in 2022. Now they are all working their ass off to recover back to those 2% margins necessary to replace buildings and equipment.


Interesting note: of the 20 largest healthcare systems in the country: 50% of them saw their CFO's retire or leave the industry in that second year after the pandemic. They could see what a long slog it's going to require to put the genie back in the bottle and most found something else to do instead.

Be prepared for a whole bunch of hospital bailouts or government takeovers in the next election cycle. As usual, he taxpayers will get screwed.
eric76
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captkirk said:

LOL

Peer-Reviewed Study: 'The Higher the Number of Vaccines Previously Received, the Higher the Risk of Contracting COVID-19'

https://pjmedia.com/news-and-politics/benbartee/2023/05/30/peer-reviewed-study-the-higher-the-number-of-vaccines-previously-received-the-higher-the-risk-of-contracting-covid-19-n1699197
Just a minor correction: the link said "prior to peer review".
snowdog90
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Infection_Ag11 said:

Ulysses90 said:

Quote:


A meta-analysis of studies including over ONE MILLION total patients


Meta analyses you say? Back up and let's discuss the statement you made above that there is no good evidence that Ivermwctin is effective at treating or preventing COVID.

https://c19ivm.org/


This has been thoroughly panned and shredded here and elsewhere across the Internet. The long and short of it is many of the included studies in this meta analysis were small and poorly conducted, proven fraudulent and/or since retracted, conducted in third world countries with a myriad of flaws, etc. One of the studies has an N of 6 and was published in a local newspaper in Mumbai. That's a joke. And it's also a lie to claim they were all peer reviewed even to begin with. Again, in a world full of grift Pierre Kory is the king.

Compare that to the two in my link, in which the entire controversy between BOTH of them is one single retracted study from Italy on the basis of discrepancies in inclusion criteria. Moreover, extremely large analysis not including controversial data have shown no benefit of ivermectin.

We're just talking about entirely different classes of evidence here.


I'm so tired of this bull***** No study is good enough for you because you ignorantly denied patients the use of ivermectin. Some of those patients probably got very sick, some may have died. You admitted prescribing Remdesivir to patients, and you've now admitted that Remdesivir doesn't really work.

Worse than that, Remdesivir killed many people from kidney failure. How could you prescribe that ***** HOW?

Ivermectin is completely harmless, and you chose not to try it, and instead prescribed Remdesivir, WHICH KILLED PEOPLE!!! That is all FACT!! You will not find one ivermectin-caused fatality, but millions took it to prevent or cure covid, and thank God there were some courageous, honorable doctors who prescribed it against the wishes of Fauci and Big Pharma.

I get that you need to sleep at night, which is probably why you still claim that there's no studies showing the efficacy of ivermectin against covid. If that's the case, just stay away from threads like these, but stop the bull**** lies.

Ivermectin works! Based on tons of studies. I took it for months to prevent covid and I didn't get covid. I got covid 3 months after stopping ivermectin. I immediately started talking ivermectin and was much better in 12 hours.

I don't give a **** that you see nothing substantial in my story, but there are millions of stories exactly like mine, and hundreds of studies that prove ivermectin works. Thousands, maybe millions, of lives could have been saved, but that wasn't what covid was about. Ivermectin would have killed the golden vaccine goose, so it was minimized as horse-paste.

It is a ****ing disgrace.
Stat Monitor Repairman
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What's crazy is we were arguing about this while it was going on.

3-years later we still arguing about it.

I'm gettin burnt out on arguing this covid for 3-years non-stop.

But im gonna dig down deep and argue some more.

Use some of that MTxE to keep on arguing.
whoop1995
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They had their own forum to spread the bull with opposing viewpoints censored so it wouldn't upset them and now want to infect other forums since theirs is dead. They do not understand why they don't have the power to change our minds now.

The filters are off and their image has been tarnished and the excuses are flowing. Next comes the second wave of telling us that were just didn't understand it in order to cover their tracks and change the narrative.

They will make us believe now that they were on our side the entire time and had nothing to do with it.
tysker
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Infection_Ag11 said:

tysker said:

Infection_Ag11 said:

tysker said:

Infection_Ag11 said:

tysker said:

Infection_Ag11 said:

tysker said:

Infection_Ag11 said:

Quote:

These geniuses of medicine killed untold thousands or millions with ventilators and Remdesivir.


This sort of stuff is what I'm talking about
There used to be stories by practicing medical professionals that once patients were placed on ventilators, they didn't come off. Even in the best circumstances, it's hard for patients to be weaned from ventilators.


That's because, generally speaking, intubation as a means of therapy for respiratory infections is a life sustaining measure performed where patients are on the brink of fatal respiratory failure. They are often in multi-organ failure and/or shock as well. These are the sickest patients many of whom will die no matter what you do.

Quote:

So when physicians placed their patients on vents, were they and their families informed of the risks and likelihood the patients will never be taken off?


Sometimes intubation is emergent, meaning that unless the patient is DNI we have to intubate them immediately or they will die. When it isn't, yes, patients and/or their families are told the risks of the procedure and whether or not we believe they will eventually be able to be extubated. I've had many talks with sick end stage COPD patients where I told them that if they get intubated they will likely either still pass away or at best ultimately require a trach and long term ventilation. Some then choose to not be intubated and proceed with comfort measures, some still want it. On the flip side, a young person with an asthma exacerbation is told we will almost certainly be able to extubated and usually relatively soon. But when possible it's an informed decision.

The issue here is the belief that there was widespread intubation of people who otherwise would have been fine without it, and that the mechanical ventilation itself is what killed them. And while it's certainly possible for an intubated patient to sustain an acute lung injury from high airway pressures (this is long established and why we monitor pressures in intubated patients) that is neither unique to covid nor the primary cause of death in anyone who is intubated.
Are you certain covid patients were informed of the downsides of intubation? It may not have killed them, but did it help cure them? Why was intubation considered an acceptable practice given the known outcomes?


As a matter of law it's required to provide informed consent when at all possible. But more to the point, there is a fundamental misunderstanding of what intubation is. The alternative to intubation in these cases is generally just death. We don't intubate people to "treat" them, not directly anyway. We intubate to buy us time to treat them by other means. We don't intubate people unless we've run out of other ways to ventilate/oxygenate them or other ways will not be adequately or provide adequate time for them to get better.

People get intubated because they are about to die of respiratory failure, not because we think it will help improve an otherwise stable patient. There's this idea that we were intubating people en masse to prevent respiratory spread or intubating them much earlier than we do for other conditions, and that just isn't true. There were certain modalities we DIDNT often use because it was associated with poor outcomes, and as the pandemic went covid patients generally actually had a HIGHER threshold to intubation because of the pressure issue we talked about. The fibrosis triggered by severe covid just made it so hard to use positive airway pressure modalities in some cases.
This reads to me as if the covid patients put on a vent were ostensibly dead before receiving such treatment. So, the messaging was mostly a failure? The vent wasnt a cause but a highly correlated signal.

Someone sick enough from covid to need intubation has a very high mortality just in that basis alone, yes.
So what the medical purpose of intubation? What was the intended outcome?


To keep them from dying in the moment. We don't just allow people to suffocate to death, unless they have said no to further measures in which case we make them as comfortable as possible per their wishes. But we effectively have to intubate people who are otherwise going to die unless they or their family tells us not to.

We need to have a serious discussion about end-of-life care in this country. Too many patients are a waste of your time and resources.

How many patients are getting lesser quality treatment or no treatment at all because our limited resources are being directed to the eldest and sickest among us?
FriscoKid
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AG
Infection_Ag11 said:

tysker said:

Infection_Ag11 said:

tysker said:

Infection_Ag11 said:

tysker said:

Infection_Ag11 said:

Quote:

These geniuses of medicine killed untold thousands or millions with ventilators and Remdesivir.


This sort of stuff is what I'm talking about
There used to be stories by practicing medical professionals that once patients were placed on ventilators, they didn't come off. Even in the best circumstances, it's hard for patients to be weaned from ventilators.


That's because, generally speaking, intubation as a means of therapy for respiratory infections is a life sustaining measure performed where patients are on the brink of fatal respiratory failure. They are often in multi-organ failure and/or shock as well. These are the sickest patients many of whom will die no matter what you do.

Quote:

So when physicians placed their patients on vents, were they and their families informed of the risks and likelihood the patients will never be taken off?


Sometimes intubation is emergent, meaning that unless the patient is DNI we have to intubate them immediately or they will die. When it isn't, yes, patients and/or their families are told the risks of the procedure and whether or not we believe they will eventually be able to be extubated. I've had many talks with sick end stage COPD patients where I told them that if they get intubated they will likely either still pass away or at best ultimately require a trach and long term ventilation. Some then choose to not be intubated and proceed with comfort measures, some still want it. On the flip side, a young person with an asthma exacerbation is told we will almost certainly be able to extubated and usually relatively soon. But when possible it's an informed decision.

The issue here is the belief that there was widespread intubation of people who otherwise would have been fine without it, and that the mechanical ventilation itself is what killed them. And while it's certainly possible for an intubated patient to sustain an acute lung injury from high airway pressures (this is long established and why we monitor pressures in intubated patients) that is neither unique to covid nor the primary cause of death in anyone who is intubated.
Are you certain covid patients were informed of the downsides of intubation? It may not have killed them, but did it help cure them? Why was intubation considered an acceptable practice given the known outcomes?


As a matter of law it's required to provide informed consent when at all possible. But more to the point, there is a fundamental misunderstanding of what intubation is. The alternative to intubation in these cases is generally just death. We don't intubate people to "treat" them, not directly anyway. We intubate to buy us time to treat them by other means. We don't intubate people unless we've run out of other ways to ventilate/oxygenate them or other ways will not be adequately or provide adequate time for them to get better.

People get intubated because they are about to die of respiratory failure, not because we think it will help improve an otherwise stable patient. There's this idea that we were intubating people en masse to prevent respiratory spread or intubating them much earlier than we do for other conditions, and that just isn't true. There were certain modalities we DIDNT often use because it was associated with poor outcomes, and as the pandemic went covid patients generally actually had a HIGHER threshold to intubation because of the pressure issue we talked about. The fibrosis triggered by severe covid just made it so hard to use positive airway pressure modalities in some cases.
This reads to me as if the covid patients put on a vent were ostensibly dead before receiving such treatment. So, the messaging was mostly a failure? The vent wasnt a cause but a highly correlated signal.


Someone sick enough from covid to need intubation has a very high mortality just in that basis alone, yes.

I was on the phone with my dad a couple hours before he asked the docs to put him on a vent. It was hard for him to breathe, but not impossible. He just wanted to sleep more so he asked to be knocked out and have the machine breathe for him. Of course he never told me this while we were talking. He never woke up. I 100% believe that remdesiver and the vent/coma had a lot to do with his death. The drug did nothing to fight anything except his kidneys.

Docs were absolutely sedating and venting people that could still breathe on their own. When I heard that he was put on a vent at his request (and not out of necessity) I figured I would never talk to him again on Earth and I was sadly right.

Your track record during COVID was not the best one here and your revisionist history of it isn't much better. The treatment protocol from the "experts" sucked and there were absolutely better options.
FriscoKid
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AG
And blue star for you. What you said above is 100% my viewpoint too. Ivermectin will be proven to have been somewhat effective on COVID.
Bocephus
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Infection_Ag11 said:

Stat Monitor Repairman said:

Quote:

And I certainly don't apologize for harboring a small bit of animosity towards people who had the luxury of being detached from it all lecturing me on how this should have been handled.
This is an example of how we got where we were at.

Perfect example.


I don't have a problem being shown I was wrong with data, even by someone who never was involved in caring for these patients.

What I have no tolerance for is people who don't even know how to assess data beyond what media article tells them, and who never put themselves in any position of risk or role to help these patients in any capacity, lecturing me on how I'm a terrible human because OAN told them "ventilators killed millions of people". That is who I'm speaking to, the blind who never had a stake in this and were always going to only believe one thing.


You are such an insufferable buffoon. So what you really have a problem with is admitting to those who do not read the journals that you do, that they were right and you were wrong. EVERYONE had a stake in this you moron! Ditch diggers have children that had to stay home from school too. Simple working people, who do not read medical journals nor interpret data, had to figure out ways to keep their children at home whilst they worked so they could put food on the table. They did this bc people like you were WRONG over and over again. YOU and people in your profession caused millions to suffer unneeded anxiety and other ailments bc you were consistently wrong and THEN could not admit it even when confronted with mounting evidence.
TAMU ‘98 Ole Miss ‘21
snowdog90
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FriscoKid said:

And blue star for you. What you said above is 100% my viewpoint too. Ivermectin will be proven to have been somewhat effective on COVID.


I remember your dad's story. Again, so sorry you had to go through that. I just refuse to let people forget what happened. And I will never be over it. I know we share that stance.
FriscoKid
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AG
Regeneron (artificial antibodies) ended up being the absolute best treatment for at risk folks when they caught COVID, but the jackass Biden and the 3 letter agencies stripped it out of the hands of DeSantis at the end of the delta wave. They pushed the ineffective mask and vax narrative instead. The mask and vax didn't really do much at all. Those arrogant *******s thought they could really stop a virus like this. (Same goes for the 15 days to flatten the curve idiots)

They played political games and killed thousands in the process. People like the doc on this thread and the new Tesla salesman are less valuable than the dirt on my shoes. The dirt didn't kill anyone.
RGLAG85
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AG
Infection_Ag11 said:

JoeAggie1010 said:

Infection_Ag11 said:

Quote:

Why do you feel the need to come here and prove the OP's point?


My original post was a clarification of a fairly misleading thread premise. The rest of them are literally just me answering questions posted by others.
Then you should have inferred the medical profession side that advocated for, propagated, and lied to us about the whole COVID solution. You are part of the problem, not the solution. You continue to defend or change the narrative. To late for that.


I have and have expressed plenty of scorn to that side, it's just not something that usually becomes necessary in this board. But much of my last few years has been spent arguing with "covidians" on the opposite extreme. I've spoken at local school board meetings, public health policy meetings, hospital committee meetings, etc.

The irony is that many people on that side of things probably think of me as a contrarian and "conspiracy theorist". I've actually been called that to my face by someone who still wears a mask anywhere indoors. I've had MANY patients and friends express gratitude for giving them an even handed assessment of the information on covid. Literally only here am I regarded as some left wing covid authoritarian or whatever it is many of you think me to be. It's all a matter of perspective.
Damn! Self awareness is not your strong suit. You were one of the biggest Fauci sycophants and covidians on this board. The only thing bigger was your obtuse hubris, which you've picked up and run with on this thread. At least Salute the Mariners was self aware enough to change his user name, not that it helped.
RGLAG85
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Infection_Ag11 said:

Ulysses90 said:

Quote:

People get intubated because they are about to die of respiratory failure, not because we think it will help improve an otherwise stable patient. There's this idea that we were intubating people en masse to prevent respiratory spread or intubating them much earlier than we do for other conditions, and that just isn't true. There were certain modalities we DIDNT often use because it was associated with poor outcomes, and as the pandemic went covid patients generally actually had a HIGHER threshold to intubation because of the pressure issue we talked about. The fibrosis triggered by severe covid just made it so hard to use positive airway pressure modalities in some cases.


Of course, the fact that the CARES Act increases the subsidy for hospitals and nursing homes from $13,000 per admitted COVID patient to $39,000 per COVID patient that was put n a ventilator for >96 hours had no incentive effect on the course of treatment.

Nobody would stoop so low as to put a dying patient on a ventilator just to grab some CARES Act cash for their struggling hosptal that could not generate revenue from routine care and elective procedures under lockdown protocols. Such a conspirac6 of economic incentives sounds so crazy it could have come from the mouth of Thomas Sowell or Milton Friedma.

https://www.sciencealert.com/most-covid-19-deaths-may-be-the-result-of-a-completely-different-infection




One, most doctors have no idea about any of this. Hospital reimbursement is something entirely foreign to almost everyone who actually sees patients.

Two, literally no physician has ever intubated a patient because it might make the hospital more money. That just doesn't happen.

Finally, what else would you do with a dying covid patient that still wants everything done? Let them suffocate the get sued into oblivion and lose your license? You have no idea how any of this works.
Bull****, it was widely known from the get go. You not knowing is not a good look for your intelligence.
OPAG
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AG
And aggressively so, as well as extremely arrogant and downright nasty like the other Covidians.

I from day one was on this for reasons outside of the medical field. I knew where this came from, knew what it was and as I had lived in Bahrain, had an early exposure to it.

I also knew the WHO was extremely corrupt. That Big Pharma's own, the FDA, the CDC, and the NIH.

I also knew that Bill Gates and the Gates Foundation along with the Rockfeller foundation had basically taken over the AMA, medical schools and more importantly where the one's giving the money for grants.

I was also privy to an early attempted study by the Henry Ford Institute that sought to do a thorough test on HCQ early in the game and they were absolutely shut down and not only shut down but threatened.

I knew who Michael Yeadon was, I knew who Luc Montaiiner was. I knew who Robert Malone was. I watch Inf 11 take the same ad hominen attacks on them that he does now with Kory.

I also have just a few high level virologist and epidemiologist as friends, most are Chinese. some were knowledgeable of what was going on in Wuhan.

I knew from the before the onset that this was a gain of function man altered virous.

I knew that Francis Collins had told Fauci to censor various "fringe scientist' (even though they were high level reputable scientist until they kicked against this BS)

I called it Nazi because that is exactly what it was and still is. and nobody was more Nazish than Infection.

Yet, I was the kook right? Hmmmm, I don't think so.

I have had a number of people either thank me for educating and warning them, so they did not take this Nazi vac (which we still have no idea about what long term effects there may be) which includes my whole family and wife's family and half of my side. And there have been a few that told me they wished they had listened to me and now they are afraid of unknown possible health ramifications (OF WHICH THERE ARE MANY). I have seen more die or been severely injured by reaction to the Nazi vax - than I saw massively impacted by Covid which I did get and got through in 3 days. then by Covid. It was a Plandemic.

I know that I will be at peace when I stand before the one whose final judgements will really count (GOD, specifically Father of Jesus Christ)

"only one thing is important!"
Ulysses90
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True

OPAG said:

And aggressively so, as well as extremely arrogant and downright nasty like the other Covidians.

I from day one was on this for reasons outside of the medical field. I knew where this came from, knew what it was and as I had lived in Bahrain, had an early exposure to it.

I also knew the WHO was extremely corrupt. That Big Pharma's own, the FDA, the CDC, and the NIH.

I also knew that Bill Gates and the Gates Foundation along with the Rockfeller foundation had basically taken over the AMA, medical schools and more importantly where the one's giving the money for grants.

I was also privy to an early attempted study by the Henry Ford Institute that sought to do a thorough test on HCQ early in the game and they were absolutely shut down and not only shut down but threatened.

I knew who Michael Yeadon was, I knew who Luc Montaiiner was. I knew who Robert Malone was. I watch Inf 11 take the same ad hominen attacks on them that he does now with Kory.

I also have just a few high level virologist and epidemiologist as friends, most are Chinese. some were knowledgeable of what was going on in Wuhan.

I knew from the before the onset that this was a gain of function man altered virous.

I knew that Francis Collins had told Fauci to censor various "fringe scientist' (even though they were high level reputable scientist until they kicked against this BS)

I called it Nazi because that is exactly what it was and still is. and nobody was more Nazish than Infection.

Yet, I was the kook right? Hmmmm, I don't think so.

I have had a number of people either thank me for educating and warning them, so they did not take this Nazi vac (which we still have no idea about what long term effects there may be) which includes my whole family and wife's family and half of my side. And there have been a few that told me they wished they had listened to me and now they are afraid of unknown possible health ramifications (OF WHICH THERE ARE MANY). I have seen more die or been severely injured by reaction to the Nazi vax - than I saw massively impacted by Covid which I did get and got through in 3 days. then by Covid. It was a Plandemic.

I know that I will be at peace when I stand before the one whose final judgements will really count (GOD, specifically Father of Jesus Christ)


91AggieLawyer
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AG
Infection_Ag11 said:

Ulysses90 said:

Quote:


A meta-analysis of studies including over ONE MILLION total patients


Meta analyses you say? Back up and let's discuss the statement you made above that there is no good evidence that Ivermwctin is effective at treating or preventing COVID.

https://c19ivm.org/


This has been thoroughly panned and shredded here and elsewhere across the Internet. The long and short of it is many of the included studies in this meta analysis were small and poorly conducted, proven fraudulent and/or since retracted, conducted in third world countries with a myriad of flaws, etc. One of the studies has an N of 6 and was published in a local newspaper in Mumbai. That's a joke. And it's also a lie to claim they were all peer reviewed even to begin with. Again, in a world full of grift Pierre Kory is the king.

Compare that to the two in my link, in which the entire controversy between BOTH of them is one single retracted study from Italy on the basis of discrepancies in inclusion criteria. Moreover, extremely large analysis not including controversial data have shown no benefit of ivermectin.

We're just talking about entirely different classes of evidence here.

According to this link (https://c19ivm.org/meta.html) there were 96 studies, including 81 peer reviewed. Of the 81 PRed ones, they involved over 125k patients.

1. Which ones were "poorly conducted?"
2. Which ones were "proven fraudulent?"
3. Which ones were "retracted?"
4. Which ones had flaws, regardless of where they were conducted?

Remember, I'm focusing on the 81 peer reviewed ones from the link I posted.

This is YOUR argument, so it is YOUR responsibility to back this up. Not with a generic link but with actual references to the study itself. You've already balked on one challenge I presented you to show examples. I'm wondering if you'll do the same here.

Incidentally, how many studies does it take for something to be considered authoritative in the medical field? 1? 20? 50? Or does it depend on what the studies say and who's politics they upend?
 
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