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Treatment protocol for hospitalized patient with non-severe COVID-19 (4-3-20) (Yale Med School recommends use of HCQ)
Yale University - Research, Clinical & Data Driven Responses to COVID-19 ^ | 4-3-20

Posted on 04/09/2020 8:24:37 PM PDT by FreedomPoster

Hit the source link to open a *.pdf of a flow chart procedure for treating COVID-19 inpatients. Look on the left hand side.

The *.pdf document is from this web page at Yale: https://covid.yale.edu/clinical/protocol/


TOPICS: Culture/Society; News/Current Events; US: Connecticut
KEYWORDS: chinavirusprotocol; covid19; hcq; hcqtreatment; hydrochloroquine; hydroxychloroquine; pdffile; yale; yalemedicalschool
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To: FreedomPoster

Here’s the Marik CoVID-19 Protocol.

https://www.evms.edu/media/evms_public/departments/internal_medicine/Marik-Covid-Protocol-Summary.pdf

He’s a guy who is renowned for using lots of IV Vitamin C to treat sepsis. I don’t know how much of his COVID-19 protocol is speculative but it looks sensible to this layman.


41 posted on 04/09/2020 10:20:56 PM PDT by FreedomForce
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To: MHGinTN

Yes indeed. And French families including children drink wine with meals.

It’s why Dr. Raoult in Marseille got the 99% success rate without including Zinc in his regimen.

Here in the US, Zev consciously included the Zinc not because he considered dietary factors, but because he studied and solved biochem puzzles knowing Zinc would stop the virus from growing and then solved that HCQ could work to push the Zinc into the cells. He’s a real smart guy.

He also knew HCQ would lock out new virus from entering cells but virus that was already inside needed to be stopped from replicating (multiplying). So his stroke of genius or more humbly his puzzle solution was to combine the HCQ and Zinc. He added Azithromycin after the fact because Dr. Raoult had included it but Zev is not sold that it’s necessary.


42 posted on 04/09/2020 10:29:03 PM PDT by Hostage (Article V)
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To: Mom MD

What about red blood cell transfusions?


43 posted on 04/09/2020 10:30:46 PM PDT by Yaelle
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To: Jane Long

Take a close look at that viewer question at the bottom of the screen. Top Kek.

44 posted on 04/09/2020 10:34:00 PM PDT by grey_whiskers (The opinions are solely those of the author and are subject to change with out notice.)
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To: Mom MD

Would Epoetin be a bad idea?


45 posted on 04/09/2020 10:37:09 PM PDT by FreedomForce
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To: Mom MD

Guess I should have googled.

https://onlinelibrary.wiley.com/doi/abs/10.1002/jmv.25839


46 posted on 04/09/2020 10:41:56 PM PDT by FreedomForce
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To: FreedomPoster; All

Those that purport to treat or use a regimen without describing results, without describing the regimen’s details such as dosages, dosage schedules, need to step up.

If they don’t, it can cause suspicion. Or perhaps in the past they were cowered by bureaucrats and/or by locally stiff medical societies, or sued harshly by malpractice attorneys. Such MDs are intimidated and learn to lay low. In the case of these meds, there’s no reason to be a coward, the meds are older than most of us.

Here is Dr. ‘Zev’ Zelenko’s regimen which has had a 99% success rate in hundreds and hundreds of COVID-19 positive cases, all severity levels, independently verified.

HYDROXYCHLOROQUINE + ZINC — MECHANISM OF ACTION
(Zev’s Tx Regimen)

http://freerepublic.com/focus/f-chat/3831654/posts

Patients treated with three drug regimen:

1- hydroxychloroquine 200mg twice a day for 5 days
2- azithromycin 500mg once a day for 5 days
3- zinc sulfate 220mg once a day for 5 days

CONCLUSION - TREAT AS EARLY AND AS AGGRESSIVELY AS POSSIBLE IN THE OUTPATIENT SETTING

Note that Zev doesn’t automatically treat ALL cases testing positive for SARS-COV-2 virus. To manage his practice, he knows that many under 60 years are going to have strong enough immune systems to recover without treatment, some may never develop symptoms. So he tells them to call back if they have certain symptoms.

SARS-COV-2 is the virus
COVID-19 is the disease caused by the virus.

Zev has treated hundreds and hundreds of COVID-19 patients and hundreds of SARS-COV-2 positive cases without COVID-19. Everyone has lived except for one very old patient who was intubated. Intubation is a bad stage.


47 posted on 04/09/2020 10:56:09 PM PDT by Hostage (Article V)
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To: FreedomForce

That’s a good finding but needs to be watched.

When Raoult’s first publication of results in France was made, he had only 20 cases. That caused people to stand back because those are truly anecdotal numbers.

Raoult continued and published again with 80 cases and that drew more serious reviews.

Zelenko’s numbers are in the hundreds and hundreds from early last week and are likely over a thousand by now.

rhEPO is highly reactive. I remember it’s early clinical trials at Swedish and the Hutch in the 2000s. It’s a wonderful agent for surgeons who can avoid or minimize transfusions.

But it’s very reactive and will interfere with those on heparin,. other anti-hypertensives. So it needs careful attention from doctors administering it. It’s not so reactive that it should be denied as treatment o/w surgeons would avoid it. They don’t.

But it could be a great alternative. We need to wait on numbers but maybe not oo long as it’s been around long enough for many doctors to know how to use it. But I expect such doctors are hospitalists and not outpatient primary care Docs. That could present a difficulty in treating the public.

The thing about HCQ + Zinc is that HCQ has been studied and used since 1955 and Zinc is a nutrient. Compared to rhEPO, these are benign agents.

OTOH, rhEPO may save a life of a severe case in a very elderly patient as described in your link whereas HCQ + Zinc might struggle.


48 posted on 04/09/2020 11:26:23 PM PDT by Hostage (Article V)
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To: Hostage

About all i know about EPO is from the world of cycling. Doesn’t seem to cause them much problem unless they really over do it. Of course, they’re pretty healthy to begin with.


49 posted on 04/09/2020 11:32:57 PM PDT by FreedomForce
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To: matt04; Biggirl; NautiNurse
How long before libs call Yale some fringe Med school who can’t be trusted.

Meanwhile the Governor of CT is happy about a large donation of HCQ to CT to treat ChiCom Virus patients.

LOL, isn't that all ironic?

I love Yale-New Haven Hospital. Excellent, top-notch doctors, nurses, and every type of healthcare professional. I had four fairly major / non-typical operations there between 2008-2016. (Y-NH is a teaching hospital)

We may live in a commie state, but we do have fantastic hospitals here!

Other outstanding hospitals in CT I've had experience with (as a patient, or loved ones were patients there): St. Francis Hospital, Hartford Hospital and UCONN Medical Center. Middlesex Hospital seems pretty good, too... it is now part of the Mayo Clinic Care Network.

50 posted on 04/09/2020 11:35:32 PM PDT by nutmeg (Mega prayers for Rush Limbaugh)
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To: Hostage

Two thingsL wasn’t there a loading dose of 400mg bid day one then 200mg bid for the next five days; was the Zpak 500mg day one QD and 250mg QD for another five days?


51 posted on 04/09/2020 11:36:24 PM PDT by MHGinTN (A dispensation perspective is a powerful tool for discernment)
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To: steve86
No it isn’t.

It actually is for Prevotella intermedia. Quite common in type 2 gum infections too.
52 posted on 04/09/2020 11:37:29 PM PDT by PA Engineer (Liberate America from the Occupation Media.)
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To: FreedomPoster

Zinc Ionophore Activity of Quercetin (HCQ OTC Alternatives)
http://freerepublic.com/focus/f-chat/3832267/posts

From a comment: “Quercetin and EGCG supplements appear to provide a similar, but weaker, effect on zinc entry into cells as HCQ and its relatives.”


53 posted on 04/09/2020 11:42:09 PM PDT by PastorBooks
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To: FreedomPoster

The libs are psychotic about this. Detached from reality.


54 posted on 04/09/2020 11:45:54 PM PDT by ifinnegan (Democrats kill babies and harvest their organs to sell)
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To: FreedomForce

> “Of course, they’re pretty healthy to begin with.”

I doubt that demographic has a problem with hypertension.

I didn’t know rhEPO could be administered to cyclists unless they were O2 deprived somehow and near passing out.

It’s been awhile since I was in meetings about it. Would never have imagined it was used in cycling cases. I would have thought O2 inhalers/masks would be the primary device for resuscitating a runner or cyclist.


55 posted on 04/09/2020 11:46:07 PM PDT by Hostage (Article V)
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To: Mom MD

“We are adding the antibiotic and the results are still not that impressive. Right now it’s all we have but it is not the ultimate answer”

No one ought to have thought it would be.

What does “not that impressive” mean?


56 posted on 04/09/2020 11:47:41 PM PDT by ifinnegan (Democrats kill babies and harvest their organs to sell)
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To: MHGinTN

That’s what I seem to remember from Raoult’s study. It seemed reasonably cautious at the time. Both Raoult and Zelenko may vary dosage schedules based on severity but most get the same dosage regimen.


57 posted on 04/09/2020 11:49:42 PM PDT by Hostage (Article V)
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To: Hostage

They use it to cheat. Big scandals in professional cycling because of EPO. That’s mainly what brought down Lance Armstrong.


58 posted on 04/09/2020 11:49:43 PM PDT by FreedomForce
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To: FreedomPoster
Thanks for posting this. Great flow chart, too.

Yale Medical School is excellent. I had four somewhat unusual/major surgeries at Yale-New Haven Hospital between 2008-2016. I'm the beneficiary of some of Yale Med School's great work.

59 posted on 04/09/2020 11:54:50 PM PDT by nutmeg (Mega prayers for Rush Limbaugh)
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To: xkaydet65

Dr. Ban!


60 posted on 04/09/2020 11:55:17 PM PDT by faucetman (Just the facts, ma'am, Just the facts)
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