I’m going to throw in my 2 cents. I am a midlevel provider that works for a large system. I work in family medicine and have autonomy. I have been in practice for 6 years. I have been using Ivermectin. In the beginning, I used HCQ. I ended up switching to ivermectin so I didn’t have to be as concerned about QT prolongation with HCQ and drug-drug interactions. I am not against using HCQ. I have found great efficacy with Ivermectin. I see approximately 20-25 patients per day. I ALSO put people on prednisone and either doxycycline or azithromycin. IF this regimen is started between days 1-4 it is effective. I have not had ONE hospitalization with this method in 18 months. Of course, I get patients that come in (yes, I allow people in my office because even covid patients NEED an actual PHYSICAL EXAM) too late in the disease process and this regimen will not work. I try like hell to keep them out of the hospitals but have had hospitalizations in high risk patients when they wait too long to call or come in with symptoms.

With all of that being said, I think it’s absolutely absurd that we do nothing for people. Hell, even with the flu, we give Tamiflu or Xofluza. WHY does this have to be different??? We did get “direction” from the powers that be…. Providers should EITHER prescribe nothing for treatment OR send for antibody infusion.

Needless to say, my collaborating physician read one of my notes and found out I was prescribing Ivermectin. I got a lashing and a warning. They do not want us prescribing it. “There are no studies”. I told him I had information I could send him to read. He said no need because he listens to our inpatient Infectious disease doctors, who are also doing next to nothing when people are admitted besides administering oxygen.

I’m still prescribing it because well, my job in family medicine is TO KEEP PEOPLE OUT of the hospital and reduce cost, right??? Well, at least you’d think so.