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re: Facts about Ivermectin from an ICU Nurse
Posted on 8/14/21 at 11:25 pm to Hopeful Doc
Posted on 8/14/21 at 11:25 pm to Hopeful Doc
quote:
I missed the days where it was venerable altogether. I chose to practice in a place that, from conversations we’ve had in the last, is a lot like yours and has some great guys around. And if everyone had the mindset our group has, medicine would be great. And even locally, patients tend to hold us in fairly high regard. But way too many of my school and residency classmates are clock-punchers with no sense of responsibility who want to be fed guidelines instead of even consider critical thinking, and it is, indeed, embarrassing.
This. The doctor's lounge was a place was basically grand rounds. You could discuss a problematic patient and get a room full of your peers helping you work through their issues. There were several older internists that were invaluable to mine and dad's education. He and I were only 16 years apart so we had virtually all the same instructors in college, med school and residency. FP's were generally looked down upon by the internists but we won them over. I was even lucky enough to get to see their pt's when I worked the ER, otherwise they always came out to see them. And even round for them on the rare weekend they took off. We eventually became their doctors as they got older. We were also the only ones the pulmonologist would let manage his vent pt's in his absence. Now it's just me. They're all gone or retired.
This post was edited on 8/14/21 at 11:55 pm
1
Posted on 8/14/21 at 11:28 pm to Longdriver98
Closing shop for the night, but I'd like to say that I pray for the best in health & life for everyone regardless of position.
Knowledge is the ultimate power & debate is often the catalyst to discovery. Carry on.
Knowledge is the ultimate power & debate is often the catalyst to discovery. Carry on.
Posted on 8/14/21 at 11:31 pm to Longdriver98
quote:
Many scientists today are sounding the alarm that this ‘vaccine’ is quite similar to those previous vaccines and may be setting up the vaccinated millions to experience a quick death when the ‘next virus’ is purposefully released.
Posted on 8/14/21 at 11:35 pm to Hopeful Doc
quote:
That’s a good rule. I’m generally super hesitant to write anything new. My program director from residency is pretty much exactly who I want to be like eventually. Early in residency I would get pretty excited about new therapeutics and pipeline drugs. He once told me something to the effect of, “you never want to be the first or the last one writing a new medicine.”
In general, I like stuff that’s old and cheap. The two things I break that rule on are diabetes (and I do actually like the new oral GLP-1 agonist. It’s one of the few I jumped on a little early, but the class isn’t new, and I have a pretty big population of “don’t you dare offer me a needle” diabetics) and asthma, because there are no cheap (though they’re starting to get old) inhaled corticosteroids. And I think it’s close to criminal what inhaled asthma meds cost.
I've been impressed with you since you were a student and posting in the OT. We think a lot alike. I much rougher around the edges though. The saying I was taught was, "You never want to be the first one on the bandwagon or the last one off." Don't know how many times I've said that to med students, residents, or NP students I've proctored.
Same on diabetes. I want to keep insulin resistance and serum insulin levels though. I tell people we can treat you properly or cheaply.
We should met up sometime. You seem to be happy in your situation, but I've been looking for a prodigy to take over the reigns for awhile. I've told my wife several times that I may make a run at Hopeful Doc at some point. I'm getting ready to pull back or hang it up. I just hate to not leave the practice in good hands. Now more than ever, it's legacy is very important to me. It's a goldmine!! Full of lithium too!
Posted on 8/14/21 at 11:35 pm to profboo
quote:
HalfCocked, how much do you apply to the gums?
There are vids on youtube.
Posted on 8/14/21 at 11:40 pm to SmackoverHawg
They were “reported”. As in the patient said “I had covid before”.
Posted on 8/14/21 at 11:47 pm to SmackoverHawg
quote:
He and I were only 16 years apart so we had virtually all the same instructors in college, med school and residency.
Damn. Sorry to hear he isn’t with us anymore. That’s a pretty neat situation to be in. I can only imagine the mornings in the lounge with a dad and the other old guys. Ours is still like you describe- which is very unlike any of the ones I trained in leading up to now. I know the end of it is coming, even here. I just hope I’m old enough to retire and volunteer teach at the nearest residency at that point.
Posted on 8/14/21 at 11:50 pm to Kattail
The videos on youtube say each divot on the stick represents 50 lbs. Just dial your weight in.
Posted on 8/14/21 at 11:51 pm to Longdriver98
Very little in the article constitutes fact by any reasonable definition of the word, and in fact many of her claims are outright lies. I say this as someone who has personally treated around a thousand hospitalized COVID patients in the last 18 months.
Also, that site may also give your computer AIDS.
Also, that site may also give your computer AIDS.
This post was edited on 8/14/21 at 11:53 pm
Posted on 8/14/21 at 11:52 pm to Hopeful Doc
Please stay away from steroids in early covid. You’re just feeding the virus. Everything else you said is accurate.
Posted on 8/14/21 at 11:55 pm to SmackoverHawg
quote:
We should met up sometime.
hopefuldoctd at gmail. I’ll make it happen sometime.
quote:
I've been looking for a prodigy to take over the reigns for awhile
Unfortunately I’m super happy where we are here. Partner is my big bro and wife is in private practice a few towns away (yeah, way to save on overhead, honey. But in reality she wanted to be at a bigger center to practice the way she wanted) that’s at this point starting to be established. I know you’re joking, but I also know you know how cool it is to practice with/near family.
Posted on 8/14/21 at 11:56 pm to Kattail
Here’s what I don’t get.
Facing a pandemic, if you have even anecdotal evidence that a drug that has been widely used for decades with no harmful effects may save lives…why the frick don’t you use it? If it doesn’t work…what harm have you caused ? This shite…and HCQ have been given to people for years.
If I get a bad case of COVID… I want HCQ, Ivermectin, fricking ginseng root, zinc, vitamin C and whatever the hell else might help. Trying to block access or poo poo these drugs because we haven’t had a double blind peer reviewed clinic study is just stupid as shite.
Facing a pandemic, if you have even anecdotal evidence that a drug that has been widely used for decades with no harmful effects may save lives…why the frick don’t you use it? If it doesn’t work…what harm have you caused ? This shite…and HCQ have been given to people for years.
If I get a bad case of COVID… I want HCQ, Ivermectin, fricking ginseng root, zinc, vitamin C and whatever the hell else might help. Trying to block access or poo poo these drugs because we haven’t had a double blind peer reviewed clinic study is just stupid as shite.
Posted on 8/14/21 at 11:58 pm to SquatchDawg
I don’t have a problem with people trying things to see if they work. I was a big early proponent of HCQ.
I take great umbrage with people shunning things we know work like MAB therapy or vaccination (to some extent) thinking ivermectin will save them.
I take great umbrage with people shunning things we know work like MAB therapy or vaccination (to some extent) thinking ivermectin will save them.
Posted on 8/14/21 at 11:58 pm to Tiguar
quote:
Please stay away from steroids in early covid. You’re just feeding the virus. Everything else you said is accurate.
Usually use them in a “secondary worsening” situation if dyspnea is worsening after holding steady a few days if they have actual risks for bad outcome. My post may have seemed a bit more cavalier.
Posted on 8/15/21 at 12:00 am to Hopeful Doc
They’ve only been shown effective if supplemental oxygen is needed which is somewhat commensurate with your approach. Usually suggest avoiding them until at least 5-7 days after diagnosis.
All the urgent cares here giving zpacks and dose paks 2 days s/p sx onset makes me sad
All the urgent cares here giving zpacks and dose paks 2 days s/p sx onset makes me sad
Posted on 8/15/21 at 12:00 am to SmackoverHawg
quote:
Any of you guys seen a chronic HCQ pt die or be hospitalized with COVID?
Quite a few early on when a lot more people were taking it. I havent had a patient that was taking or had taken HCQ in months though. Now it's ivermectin, and they get sick and die at the same rates as anyone else it seems.
The patients I'm not seeing die? Those who are vaccinated and those with previous infection. Only about 5% of our hospitalized patients at any given time fall into those categories, and I havent seen a single such patient die personally. It happens but its, statisically speaking, excedingly rare.
Posted on 8/15/21 at 12:00 am to Hopeful Doc
I’ve enjoyed this thread.
One of the better ones we have had on the topic.
One of the better ones we have had on the topic.
Posted on 8/15/21 at 12:02 am to Cosmo
quote:
So this board made fun of tiktok nurses for a year
But this one agrees with the board so we should trust her
Didn’t see her dancing and acting a fool. Ever thought it wasn’t real doctors or nurses doing it?
Posted on 8/15/21 at 12:03 am to Tiguar
quote:
All the urgent cares here giving zpacks and dose paks 2 days s/p sx onset makes me sad
Local urgent care basically gave up about 3 months ago and basically tests and then tells the patient to call us to ask what to do.
I wish I were joking.
Posted on 8/15/21 at 12:04 am to Hopeful Doc
I wish ours would do that.
We are trying really hard to streamline our MAB infusion process at clinics etc but nursing admin has been a huge barrier.
We are trying really hard to streamline our MAB infusion process at clinics etc but nursing admin has been a huge barrier.
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