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re: Hospital stops Ivermectin even after a drop from 100% Vent to 50%..Wife goes back to court

Posted on 9/7/21 at 10:13 am to
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 9/7/21 at 10:13 am to
Thanks. The one (her husband) that actually listened to me and kept pursuing MAB therapy was better in 2 days and was never hospitalized.
This post was edited on 9/7/21 at 10:14 am
Posted by Diamondawg
Mississippi
Member since Oct 2006
38423 posts
Posted on 9/7/21 at 10:17 am to
quote:

This is an embarrassing admission for doctors and absolutely a sign of a failed institution.

We aren't talking about a pharmacist identifying a bad interaction between medicines. We're talking about a pharmacist deciding what is best for the patient in opposition of his/her doctor.


I think you are interpreting what he said wrong. Pharmacists use "decision support" to stop drug interactions in their computer systems. Assuming the patient medication profile is complete, doctor orders a drug, pharmacist enters into their system, red flag pops up guarding against severe interaction with the drug and one of the other drugs in the profile. Pharmacist contacts doctor that a different drug should be prescribed.
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 9/7/21 at 10:18 am to
Pharmacists also influence eMAR and escribing systems to make preferred options pop up first. Has been happening for years.
This post was edited on 9/7/21 at 10:20 am
Posted by moneyg
Member since Jun 2006
63090 posts
Posted on 9/7/21 at 10:20 am to
quote:

I think you are interpreting what he said wrong. Pharmacists use "decision support" to stop drug interactions in their computer systems. Assuming the patient medication profile is complete, doctor orders a drug, pharmacist enters into their system, red flag pops up guarding against severe interaction with the drug and one of the other drugs in the profile. Pharmacist contacts doctor that a different drug should be prescribed.



My point is that drug interactions have nothing to do with this conversation.
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 9/7/21 at 10:53 am to
It’s not if you read any of my previous posts. You can argue that practice isn’t widespread, but the practice is occurring.
This post was edited on 9/7/21 at 10:54 am
Posted by Jjdoc
Cali
Member since Mar 2016
55659 posts
Posted on 9/7/21 at 11:35 am to
quote:

The one (her husband) that actually listened to me and kept pursuing MAB therapy was better in 2 days and was never hospitalized.


So was my daughter with Ivermectin. Your point is??
Posted by Jjdoc
Cali
Member since Mar 2016
55659 posts
Posted on 9/7/21 at 11:36 am to
None. He is trying to not address the content
Posted by NC_Tigah
Make Orwell Fiction Again
Member since Sep 2003
139056 posts
Posted on 9/7/21 at 11:46 am to
quote:

At the point your field is absolutely corrupted by politics the only thing left is to use any means necessary.
It isn't.
Unfortunately though, there are some awfully big mouths amplified by an obsequious press making it seem that way.
Posted by Azkiger
Member since Nov 2016
28173 posts
Posted on 9/7/21 at 11:47 am to
quote:

So y’all are OK with judges being doctors now too?


I'm ok with judges backing up wives who know their husbands wishes trying something after allowing the hospital a shot at making her husband healthy and having ZERO success.
Posted by the808bass
The Lou
Member since Oct 2012
128846 posts
Posted on 9/7/21 at 11:49 am to
quote:

I think you are interpreting what he said wrong. Pharmacists use "decision support" to stop drug interactions in their computer systems. Assuming the patient medication profile is complete, doctor orders a drug, pharmacist enters into their system, red flag pops up guarding against severe interaction with the drug and one of the other drugs in the profile. Pharmacist contacts doctor that a different drug should be prescribed.


Also, if the pharmacy gets a better rebate on a drug, they also contact the doctor suggesting the different drug.
Posted by NC_Tigah
Make Orwell Fiction Again
Member since Sep 2003
139056 posts
Posted on 9/7/21 at 11:49 am to
quote:

I think you are interpreting what he said wrong. Pharmacists use "decision support" to stop drug interactions in their computer systems. Assuming the patient medication profile is complete, doctor orders a drug, pharmacist enters into their system, red flag pops up guarding against severe interaction with the drug and one of the other drugs in the profile. Pharmacist contacts doctor that a different drug should be prescribed.
That is not what he's alluding to. The reference specifically addressed cancelling scripts for ivermectin.
Posted by Tider13
Member since Jun 2020
983 posts
Posted on 9/7/21 at 11:50 am to
quote:

The medical community seems to hate cheap meds


No shite Sherlock. They are a business and it's about time they get acknowledged and treated as such.
Posted by dafif
Member since Jan 2019
8440 posts
Posted on 9/7/21 at 12:21 pm to
Having a pharmacist lecture on medicine against a doctor is laughable and obscene at the same time.

A jury would laugh you out of court. More importantly, a judge would not let you testify

Just wow.
Posted by montjrtiger
brookhaven, ms
Member since Aug 2008
181 posts
Posted on 9/7/21 at 12:42 pm to
quote:

Why would you shove an entire pill down an NG tube....? Unusual verbiage and method of administration.

Maybe if it was in a paste form it would absorb more easily.. if only something like that were available.

quote:
Have used loads of remdesivir, olumiant,kevzara, steroids, etc. Bottomline, if old and obese- not good. Prevention is the main key. At our hospital, over 90% admitted unvaccinated and 97% on vent are unvaccinated.

You suck at sales. The vaccines appear to be totally useless at prevention.
If only there were something that was cheap and easily distributed and an effective prophylactic.. if only something like that were available.

The only thing the vaccines appear to be really good for is creating pharma billionaires and enabling tyrants. Cheap, effective prophylactics would stop that too. Everything else is moot, that's the bottom line.



Your comprehension is severe lacking with regards to vaccines it appears; also, paste form for humans- not available. Even if you used the veterinary formulation, it is unlikely to get absorbed through all the edema. We use a central line to administer most meds to patients on a vent.
Posted by Diamondawg
Mississippi
Member since Oct 2006
38423 posts
Posted on 9/7/21 at 12:47 pm to
quote:

How many thousands of dollars does each dose cost?


$3100


What does monoclonal antibodies infusion cost?
Posted by the808bass
The Lou
Member since Oct 2012
128846 posts
Posted on 9/7/21 at 12:49 pm to
I believe it’s in the $600-$900 range.
Posted by montjrtiger
brookhaven, ms
Member since Aug 2008
181 posts
Posted on 9/7/21 at 12:51 pm to
quote:

quote:
Because we take an oath to practice good medicine. We try to do the right thing. The likelihood a patient that has been on a vent for while giving him pills down a tube in the nose with low protein and intestinal swelling is very unlikely to be absorbed much less work. Can easily cause a pill ulcer that can lead to a perforation. Will do more harm than good. Once they have covid pneumonia or Ards, nothing helps except supportive care and time. Have used loads of remdesivir, olumiant,kevzara, steroids, etc. Bottomline, if old and obese- not good. Prevention is the main key. At our hospital, over 90% admitted unvaccinated and 97% on vent are unvaccinated. At present we have 2 on vents in their 20's, 2 in their 30's, and so on. Have no idea why some have made this such a political controversy. The ones that make it off the vent will likely not have normal lung function as well as damage to other organs


Why would you shove an entire pill down an NG tube....? Unusual verbiage and method of administration.
And all these young, healthy folks on vents is super weird... What is your specialty..? Where are these patients? Which facility are all these young vented patients in?



unusual verbiage? you think it's weird having young folks on vent with Covid. What kind of nurse are you? We're not unique as it is in every hospital in the country. Unfortunately, with people like you giving out misinformation, this pandemic will linger much longer than it needed to with many more deaths. SMH
Posted by the808bass
The Lou
Member since Oct 2012
128846 posts
Posted on 9/7/21 at 12:55 pm to
quote:

you think it's weird having young folks on vent with Covid. What kind of nurse are you? We're not unique as it is in every hospital in the country.


lol.
Posted by JawjaTigah
On the Bandwagon
Member since Sep 2003
22947 posts
Posted on 9/7/21 at 1:33 pm to
quote:



In all honesty, we all suspect why the doctors in West Chester aren't giving this patient Ivermectin. Besides the fact that they don't like being shown up by the patient and another doctor off-site, they are afraid that it will work. It's kind of strange how the human mind works, but as we read last week, India and Japan are fine with treating COVID with Ivermectin, even going so far as to say the data is irrefutable.



India on Ivermectin!
Posted by moneyg
Member since Jun 2006
63090 posts
Posted on 9/7/21 at 1:42 pm to
quote:

It’s not if you read any of my previous posts. You can argue that practice isn’t widespread, but the practice is occurring


You are the only one making that point.

I’d say 98% hail the effectiveness of Regeneron.
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