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American Association of Physcians and Surgeons objects to prohibition on hydroxychloroquine


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2020 Apr 30, 5:07pm   1,673 views  31 comments

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https://aapsonline.org/aaps-letter-asking-gov-ducey-to-rescind-executive-order-concerning-hydroxychloroquine-in-covid-19/

April 27, 2020

The Honorable Doug Ducey
1700 West Washington St.
Phoenix, AZ 85007

Dear Governor Ducey:

This concerns your Executive Order forbidding prophylactic use of chloroquine (CQ) or hydroxychloroquine (HCQ) unless peer-reviewed evidence becomes available.

Attached and posted here ( https://bit.ly/cqhcqresearch ) is a summary of peer-reviewed evidence, indexed in PubMed, concerning the use of CQ and HCQ against coronavirus. We believe that there is clear and convincing evidence of benefit both pre-exposure and post-exposure.

In addition, Michael J. A. Robb, M.D., of Phoenix is compiling all reports as they come in. As of this date, the total number of reported patients treated with HCQ, with or without azithromycin and zinc, is 2,333. Of these, 2,137 or 91.6 percent improved clinically. There were 63 deaths, all but 11 in a single retrospective report from the Veterans Administration where the patients were severely ill.

Most of the data concerns use of HCQ for treatment, but one study included used the medication as prophylaxis with excellent results. Many nations, including Turkey and India, are protecting medical workers and contacts of infected persons prophylactically. According to worldometers.info, deaths per million persons from COVID-19 as of Apr 27 are 167 in the U.S., 33 in Turkey, and 0.6 in India.

Based on this evidence, we request that you rescind your Executive Orders impeding the use of CQ and HCQ and further order that administrative agencies not impose any requirements on the prescription of CQ, HCQ, azithromycin, or other drugs intended to treat or prevent coronavirus illness that do not apply equally to all approved medications that may be used off-label for any purpose.

Respectfully,

Michael J. A. Robb, M.D.
President, Arizona State Chapter of the Association of American Physicians and Surgeons

Jane M. Orient, M.D.
Executive Director, Association of American Physicians and Surgeons

CC Speaker Rusty Bowers, Rep. Warren Petersen, Rep. Nancy Barto, Sen. Karen Fann, Sen. Rick Gray, and Sen. Kate Brophy-McGee

Attachments:

Sequential CQ / HCQ Research Papers and Reports, January to April 20, 2020 https://bit.ly/cqhcqresearch

The probabilities of clinical success using hydroxychloroquine, azithromycin and zinc against the novel betacoronavirus, COVID-19, revised Apr 26, 2020 https://bit.ly/hcqtable

Comments 1 - 31 of 31        Search these comments

2   Ceffer   2020 Apr 30, 5:49pm  

No profits for Fauci or Gates, no treatment. Since Fauci and Gates are holding the population hostage, maybe the Guv should just pay the ransom before they start sending body parts
3   marcus   2020 Apr 30, 5:50pm  

:
Patrick says
forbidding prophylactic use


Patrick, do you know what this means ?


Ducey’s order said pharmacists could dispense the drugs but only as a treatment for patients who are confirmed to have coronavirus and who have a prescription from their doctors saying as much. The order strictly prohibits dispensing the drug as a preventive measure, “unless peer-reviewed evidence citing prophylactic effectiveness becomes available.”


https://www.azpm.org/p/home-articles-news/2020/4/8/169521-ducey-covid-19-treatment-order-splits-health-officials/

Seems extremely reasonable to me.
4   anonymous   2020 Apr 30, 6:17pm  

Marcus, Doug Ducey seems to be reasonable.
5   Patrick   2020 Apr 30, 6:27pm  

marcus says
Patrick says
forbidding prophylactic use


Patrick, do you know what this means ?


Sure, the governor prohibited the usage of HC to prevent Wuhan virus disease, even though it apparently works and could save the lives of medical personnel among others.

To go further into what this means, one could say that the governor is deliberately withholding preventive medicine in order to cause more people to die.
6   marcus   2020 Apr 30, 6:31pm  

Patrick says
To go further into what this means, one could say that the governor is withholding preventive medicine deliberately in order to cause more people to die.


7   Patrick   2020 Apr 30, 6:31pm  

This governor is a Republican, so please update that meme.

He does seem to be infected with ORANGE MAN BAD though, which probably explains his objection to life-saving medication.
8   marcus   2020 Apr 30, 6:36pm  

:
I know.

Seemed reasonable, considering Trump has decided to be a cheerleader for the drug that has a finit supply and many known illnesses for which it has known efficacy.

Just what we need. People hoarding it, you know, just in case, like they did toilet paper. When we truly don't know whether it works for that purpose.
9   Patrick   2020 Apr 30, 6:39pm  

Best quotes from the evidence at https://patrick.net/hydroxychloroquine_evidence.txt :

Some 4,000 individuals have now been given what are considered to be COVID doses of Hydroxychloroquine, and not one cardiac conduction problem has been noted.

Opinion

Historical controls are used in many previous studies in medicine. In this respect, the safety of Hydroxychloroquine is well documented. When the safe use of this drug is projected against its apparent effect of decreasing the progression of early cases to ventilator use, it is difficult to understand the reluctance of the authorities in charge of U.S. pandemic management to recommend its use in early COVID-19 cases. The effects of the chloroquines were first outlined 15 years ago by the CDC's own Special Pathogens Unit.


Lol, not one cardiac problem so touted by the NY Times and NPR.

difficult to understand the reluctance of the authorities


Lol again! It's easy to understand. ORANGE MAN BAD!

TDS is literally causing people to die now.
10   Patrick   2020 Apr 30, 6:41pm  

marcus says
drug that has a finit supply


HC has as close to infinite supply as you will find for any medicine.

It's standard treatment for malaria, vast amounts exist, and it is easily made.
11   marcus   2020 Apr 30, 6:41pm  

:
Blinded by Trump Devotion syndrome.

Only republicans can be this mindless.

Sure, some republicans listen to reason. You have to know there was a run on the drug in Arizona, by old people that didn't need it.

If hospital workers felt they needed it, then it's also reasonable to rescind it, which he did. But I totally get why he did it. Any rational person would.
13   mostly_reader   2020 Apr 30, 6:44pm  

marcus says
Seemed reasonable, considering Trump has decided to be a cheerleader for the drug that has a finit supply and many known illnesses for which it has known efficacy.

Just what we need. People hoarding it, you know, just in case.
You know what else has a finite supply? Pretty much anything and everything. "[something] has a finite supply" is a non-statement.
Are you claiming that there is, or about to be, shortage of hydroxychloroquine?
14   marcus   2020 Apr 30, 6:51pm  

:
Yes, there have been shortages reported, and there are people that need the drug for conditions it's very well known to work for.

At least Trump shut the hell up about it, when health care people asked him to. It's not his place to be causing too many the Fox Viewers they need to buy some drug, that it's even known to help, you know, just in case, but which has other uses it's needed for.
15   Tenpoundbass   2020 Apr 30, 7:03pm  

marcus says
Yes, there have been shortages reported, and there are people that need the drug for conditions it's very well known to work for.


That's pure bullshit. There has been a couple Governors stockpiling it, so it wouldn't be available. Israel sent us 10 million and India gave us millions, we already had an abundant supply. There is no shortage of it and it's pure bunk to say otherwise. The Gateway pundit has documented well over 100's of millions of doses over the last 3 months. And they all seem to keep disappearing.
16   marcus   2020 Apr 30, 7:06pm  

:
It's takes a special kind of Trump Cultist to out of one side of their mouth say the drug is a miracle drug, and that the President is so awesome for promoting it.

And then out of the other side of their mouth say it must be a libbie conspiracy that


Tenpoundbass says
they all seem to keep disappearing.


I don't know that there are shortages now. But there were right after Trump was promoting it.

https://www.newsweek.com/fda-shortage-hydroxychloroquine-chloroquine-1495555

You have to know Trump stopped, becasue health care people told him what he was causing was not right for the people with rheumatoid arthritis. And that he should leave promoting drugs up to the pharmaceutical companies. Let the health care system figure out what works. It's not just Trump that's an arrogant moron. All yo people are.
17   Tenpoundbass   2020 Apr 30, 7:35pm  

Well obviously it's being consumed, or we would have a surplus. Liberals just can't catch a break. Now they are panicking if everyone resumes going to the beach and restaurants, then they wont be able to keep pushing mail in Voter Harvesting.
19   Patrick   2020 Apr 30, 8:16pm  

marcus says
Blinded by Trump Devotion syndrome.


Nah, that's not quire right. Some of it is the compulsion to reply to the ridiculous lies and hate from the media, and the people who sadly believe the media.

Sure, Trump seemed an unlikely guy to turn the country around, but he's really been a good president by all objective measures (great economy until the virus, no new wars).

And he talks about our extremely unwise dependency on China for just about everything manufactured, and about how illegals are fucking over working class citizens. The media won't touch those issues because our owners tell them not to.

So "devotion" is not the right word. It's more of a feeling of relief that democracy isn't quite dead yet. Trump gives hope. And not just hope, he was actually delivering on the economy and on keeping us out of the Bush/Obama wars in the Mideast. That must be infuriating to the haters.
20   indc   2020 Apr 30, 8:28pm  

When the pandemic started in US, WHO and CDC asked people to not use masks as they said "masks dont work" because there is shortages of masks. Now economy is fuc***.

We know now HCQ + Zinc is cheaper and prevents and helps heal people faster when administered as soon as symptons are found and people are concerned about shortages. US got 30million doses atleast that will help 1million people immediately. Faster people are treated lesser number of people infected and die. Why does it matter trump suggested it. Is life important or your bloody ego....
21   marcus   2020 Apr 30, 8:50pm  

:
indc says
When the pandemic started in US, WHO and CDC asked people to not use masks as they said "masks dont work" because there is shortages of masks. Now economy is fuc***.


I fear this may be true. Although I don't know where the lies came from exactly. Maybe they felt they had to lie so that the US would have enough masks for it's hospitals, at that moment.

Not defending the lie. It shows a massive level of government incompetence. Including that of our current admin. The Cultists shouldn't let their bloody ego cause them to defend him on this.

indc says
your bloody ego....


Whose ego though. Your statement assumes that HCQ works as promoted by some.

The way my ego works is, I don't know, but I'm glad there is enough on hand for the experts decide to use as much as they so choose. But let's not get all the Fox news watchers hoarding it, especially when we don't even know.



22   Hircus   2020 Apr 30, 11:28pm  

marcus says
I fear this may be true. Although I don't know where the lies came from exactly. Maybe they felt they had to lie so that the US would have enough masks for it's hospitals, at that moment.


I vaguely recall when they first said it. I think they said something about it not being effective, but then they actually said in the very next sentence something about reserving the masks for hospital workers. It struck me as odd how they had basically just said "they dont work, but we need them for hospitals".

So, they sure worded it tricky. IMO on purpose. After that, MSM dutifully took the "not effective" part and ran with it, spreading the misinformation like only they can do.

I think what they probably meant is that the "usefulness" was limited for individuals, and so its better to use the few we have for hospital workers. In other words, the definition of "usefulness" being "minimize deaths in the country", not "reduce your own chance of death". Obviously from the individual perspective of your own life, it's plenty useful, but for a country, it'd be better for the hospitals to have them, if scarce.
23   elliemae   2020 May 1, 7:40am  

Honestly, we don't know enough about the virus in order to treat it effectively. Maybe Plaquenil works, maybe it doesn't, Maybe Pepcid works, maybe it doesn't. Add a z-pac. Take Remdesivir. Take Favilavir.

The biggest problem is the massive amounts of information out there. Legit news, Conspiracy sites. Bloggers. White Supramcists. Facebook. Twitter. Instagram. Everyone believes themself to be an expert after reading a teeny bit of a story. So Florida Man reads that Hydroxychloroquine and chloroquine work, so he & the wife eats fish food. Then Pepcid - so he takes an overdose or. has an allergic reaction. Z-pac? They take all the ABX in the house. They call their doctors, buy what they believe it to be online. Get scammed. die.

Too many variables. Maybe my Plaquenil kept me from being infected; but my friend's wife wasn't infected and they slept in the same bed up to the day he quarantined in his room alone. It might be one of the other meds I take. It might be luck of the draw. It should be up to the physicians - but since they are people too they receive guidance from their medical boards. They receive guidance from national boards.
24   indc   2020 May 1, 11:54am  

marcus says
:Your statement assumes that HCQ works as promoted by some.


You are correct I am assuming because I am trying to understand its effectiveness from multiple sources. You can check those too:
1) chris martenson from peak prosperity on youtube.
2) Doctors were dying all over europe in the initial stages of this pandemic. Now they report that they are taking HCQ and now we rarely hear about doctors dying.
3) In india doctors were taking HCQ as a "prophylactic" and there are '0' deaths reported there among doctors, inspite of using bad PPE and working for 20days straight treating covid-19 patients..
4) Australia started using them before it COVID-19 became a pandemic now they have less deaths.
5) Brazil is begging for this medicine now that they have pandemic on their hands.
6) 80 countries placed huge orders for this medicine from India.
25   Onvacation   2020 May 1, 12:15pm  

marcus says
Trump stopped, becasue

Bitch had it coming
26   richwicks   2020 May 1, 12:19pm  

marcus says
Only republicans can be this mindless.

Sure, some republicans listen to reason. You have to know there was a run on the drug in Arizona, by old people that didn't need it.


How could this have happened? They would need a prescription. Hydroxychloroquine isn't sold over the counter is it?

https://www.healthwarehouse.com/hydroxychloroquine-200mg-tablets-generic-plaquenil.html

You complain about Republicans being "mindless" (and BTW - I'm NOT a republican) but then you repeat what appears to be a completely false story about old people somehow causing a run on a drug that they'd need to get a prescription to get.

If there's one thing I've learned in the last 3 years, is anything you read in "news" take with a grain of salt. The very first thing I do when I hear a claim, is try to figure out how to prove the claim is false. The claim there was a run on the drug in Arizona, must be false.
27   elliemae   2020 May 2, 12:46am  

People are terrified, the virus news onslaught isn't helping. There are so many pseudo cures, preachers and infomercials. It sure would be awesome if Plaquenil really works. I actually had some cardiac issues after I started taking it, but they resolved quickly.

richwicks says
You complain about Republicans being "mindless" (and BTW - I'm NOT a republican) but then you repeat what appears to be a completely false story about old people somehow causing a run on a drug that they'd need to get a prescription to get.
. Actually, MD's were suddenly prescribing it right & left and it was difficult to get for awhile there.
28   marcus   2020 May 2, 9:24am  

richwicks says
How could this have happened? They would need a prescription


Isn't this thread about a governors retracting an order for doctors to not prescribe it for prophylactic purposes ? I know this might shock you, but people ask doctors to prescribe stuff all the time. . And the FDA has already said that while they don't have enough evidence to recommend HCQ for Covid-10, the downside is low enough that they leave it up to doctors.

indc says
effectiveness from multiple sources. You can check those too


I would find that it's pretty much conjecture (relatively speaking). They know there could be confounding factors preventing 187 lupus patients from getting seriously ill with covid. At this point it's use as a preventative use is still being studied.
https://www.healio.com/cardiology/vascular-medicine/news/online/%7Bc30ff204-961b-4c2a-9bdd-3eb50a50df1b%7D/new-study-to-provide-insight-on-hydroxychloroquine-for-covid-19-prevention-in-health-care-workers?page=2

indc says
2) Doctors were dying all over Europe in the initial stages of this pandemic. Now they report that they are taking HCQ and now we rarely hear about doctors dying.


Yeah, that couldn't be because it peaked a while ago ? And that in certain age groups without other issues doctors aren't dying anyway. Also, doctors are on the front lines getting exposed. Seems pretty logical that if that exposure is going to kill certain doctors (that have comorbidities) , after a certain amount of time, it will have killed the ones it's going to kill. OR it would have the effect of taking them out of the mix when they have the knowledge that they are too vulnerable.

"Now they report that they are taking HCQ and now we rarely hear about doctors dying."

A few of these trigger my bullshit detector. It may be closer to the truth that doctors are vulnerable to misinformation too. And not having a drug that's known to work they will prescribe drugs that are are experimental or still being studied, if the risk isn't too high.

Look, I'm not opposed to it being used. I just don't like captain dimbulb being a cheerleader for drugs, and I would prefer we slow down the rate at which we move away from science and I miss the good old days when facts were still a thing.
29   marcus   2020 May 2, 9:33am  

:
I could be wrong. Perhaps Trump being a cheerleader for HCQ has had the effect of helping it not be over prescribed, because smart people all over the world know that doing the opposite of what Trump suggests is wise. He reminded everyone of that recently, if they didn't already know.

But Arizona has a lot of retirees that sit around watching Fox News all day, so say what you will about that Governor, I respect his initial impulse, and I'm sure it probably came from conversations with health care people at the time that were worried at one point about a run on the drug.
30   Patrick   2020 May 15, 8:47am  

https://www.ncbi.nlm.nih.gov/pubmed/32074550

Chloroquine phosphate has shown apparent efficacy in treatment of COVID-19 associated pneumonia in clinical studies.
Gao J1, Tian Z2, Yang X2.
Abstract

The coronavirus disease 2019 (COVID-19) virus is spreading rapidly, and scientists are endeavoring to discover drugs for its efficacious treatment in China. Chloroquine phosphate, an old drug for treatment of malaria, is shown to have apparent efficacy and acceptable safety against COVID-19 associated pneumonia in multicenter clinical trials conducted in China. The drug is recommended to be included in the next version of the Guidelines for the Prevention, Diagnosis, and Treatment of Pneumonia Caused by COVID-19 issued by the National Health Commission of the People's Republic of China for treatment of COVID-19 infection in larger populations in the future.

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