May 18th, 2024

Why not produce more critical care resources?


By Letter to the Editor on May 5, 2021.

Editor:Re: Deena Hinshaw’s Covid-19 Triage Protocol, as reported in the Lethbridge Herald, April 30, 2021.
Deena Hinshaw and Alberta Health Services have rolled out their COVID-19 triage protocol that, if implemented, would prioritize patients for care who are most likely to live.
If Deena Hinshaw and AHS think that at some point there may be a shortage of critical care resources for everyone, why not start trying to produce more resources now?
For example, if at some point if there may be a shortage of ventilators, why not begin making some more now? And why not get manufacturing factories in our own province to do this, so that the ventilators don’t have to be exported from somewhere else?
As well, why isn’t Hinshaw talking about early outpatient COVID-19 treatments being used in other countries which have been shown to be highly effective in preventing the Coronavirus from resulting in critical illness and hospitalizations? This would help prevent hospitals from being “overwhelmed.”
Early outpatient treatment is discussed in one of the 10 most read COVID-19 articles in 2021 accessed by physicians on ClinicalKey (see: “Top ten most-read COVID-19 articles in 2021, identified by the editors at Elsevier” on the Canadian Medical Association’s website): “Pathophysiological Basis and Rationale for Early Outpatient Treatment of SARS-CoV-2 (COVID-19) Infection,” authored by Peter A. McCullough, and seventeen additional specialists affiliated with Yale University School of Public Health, Baylor University Medical School, John Hopkins School of Medicine, and others, and published in The American Journal of Medicine, January, 2021.
As the principal contributor of this article has said regarding the numbers of cases of COVID-19 and deaths, “it is no longer tenable in any country to withhold early ambulatory treatment in favour of late-stage hospitalization, complications, and death.”
Maureen Remus
Coaldale

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John P Nightingale

Blaming Hinshaw and others is not helpful. Triage is used as a last resort and will be initiated should the ICUs become overloaded.
People experiencing COVID are admitted to hospitals and treated accordingly . What exactly would “early outpatient treatment” achieve that is not already done upon admission? Admissions themselves are prioritized based upon triage protocol.
Fact is we would not be in such an untenable situation if all people followed COVID protocols – (masks wearing and social distancing measures) – together with increased uptake of vaccinations. Deniers of protocols and vaccinations are the primary driver of the mess Alberta is now in.
Bowden rodeo and Grace church services are good examples of such selfish , contributing events.
And BTW, Hinshaw does not make the rules, she advises . It is Kenney, Shandro etc who have the final say. We are not party to what that advise is – unlike other provinces.
If you must complain , at least target the right people.

Last edited 3 years ago by John P Nightingale
Maureen Remus

There is no blame here. I merely asked a couple of questions.
Early outpatient treatment reduces hospitalizations, and deaths, as indicated in the cited article by Peter McCulloough, et al. Read the article.

John P Nightingale

OK, I’ll grant there was no direct “blame” here.
That being said I did read the article cited and watched the accompanying You Tube recording of McCullough’s presentation.
It is clear he is passionate and cares for his patients, as he is reminding people of his own accomplishments.(And there are indeed many)
He refers to a confirmed positive FATAL diagnosis and suggests that no vaccination is required for recovered patients. He also challenges the notion that asymptomatic people contribute to the spread the virus. Many of his therapeutic recommendations are by his own words “off label use” and one , hydroxychloroquine, has been discounted by several medical journals.
His use of the word “outpatients” confused me. I assumed he meant outpatient as in the Regional Hospital’s day ward used for consultations. He was referring to “in house “ (home) treatments.
A great idea but one that at the moment at least will not be forthcoming . How many docs actually make home visits?
Perhaps his greatest flaw was suggesting that his home based sessions accounted for 85% recovery thus avoiding cluttering up ICUs and acute care beds. Fact is , about that many recover quite normally on their own without any therapeutic intervention.
Sound isolation and clinical sign observation is a must and I believe that is already being practised. It certainly is not perfect . I repeat what I stated above and that is if everyone would conform to COVID measures and avoid large maskless social gatherings like we have recently witnessed in Alberta and across the country, we would not be being having to have this conversation regarding possible ICU capacity being exceeded.
I suspect that Hinshaw and other MOHs together with Health Canada will not embrace the recommendation, no matter how caring and compassionate is the author.
Good social practises and forthcoming vaccinations will hopefully turn the tide in this pandemic. Meanwhile, those unfortunate few who do progress to a worsening clinical profile will be well cared for in hospitals not overflowing with cases that could well have been prevented and not by therapeutics administered in a home setting.

Last edited 3 years ago by John P Nightingale
Maureen Remus

Regarding the 85% recovery, McCollough is referring to those who are at the highest risk of severe outcomes due to Covid-19 and would most likely end up hospitalized. The idea is to prevent a “worsening clinical profile” of those who are high risk. The person when diagnosed with Covid-19 would be sent home with a prescription, which the pharmacy would fill, and then deliver to one’s door. The doctor would not be making home visits. The vitamin and anti-viral scenario is to limit the replication of the virus. Also, hydorchloroquinine is not the only anti-viral out there.

John P Nightingale

That makes much more sense re “high risk” patients. I missed that reference in the video, so thanks for pointing that out.

mikebreu

Oh no John. Protocols are CAUSING the problem! Wake up! Open your eyes
Get educated!

https://www.librti.com/page.php?i=item&id=88383

(Copy and paste to your browser if access is denied when you try opening it directly from here)

You can’t deny that vaccination hasn’t aggravated the situation. These “vaccines” should never have been approved as they bypassed all sorts of critical testing stages. An safe, effective, and genuine vaccine takes at least 2 to 4 years to produce. These ones are riddled with kinds of issues. They contain very questionable ingredients and simply must not be trusted! I’m getting a little angry with you people. How long will it be before you wake up and realize we’re being used as experimental Guinea pigs?

Michael Breukelman
Coaldale, Alberta

biff

while more resources will prove helpful, if not now then certainly down the road, because this is not the end of pandemics. we should expect the covid experience is just a small taste of the new normal…or, more precisely, the new abnormal. it is not entirely off the mark to fathom the covid mess is a human engineered issue. we can expect that future wars are likely to be virus based…so much cheaper and simpler and effective at killing.
however, the concern related to the much needed manufacture of critical care resources is the medical people necessary to implement them. if we were short going into the covid defence plan, will be ever the shorter with more equipment, and more of those in need.
wish we could find a way to separate out those that take up space critical care who are freedom mouths and noses…allowing them to survive or die freely on their own.

Citi Zen

So why on earth is the Trudeau government donating ventilators to India???

phlushie

Hey they bought them from a Liberal and paid $10,000 over retail as a goodwill gesture so why not gift India. It was a bargan.

mikebreu

Actually, why not just stop vaccinating people.
https://www.librti.com/page.php?i=item&id=88383
(If you get an “ACCESS DENIED” message, copy and paste the link to your browser.)
We need to start educating ourselves, people, on the (potential) harm caused by these “vaccines” – all of them. Ever since vaccines started rolling out in December, things have only gotten worse. Could it have been planned this way?? What if it really is the vaccinated people who are unwittingly spreading the disease? I don’t think I’m very far off with suggesting that! STOP GETTING VACCINATED!!!
Michael Breukelman,
Coaldale
587-220-8025

Andrew Blair

Thank you Maureen for drawing attention to the question of why early outpatient treatments, like those advocated by Dr. Peter McCullough, are not being pursued. Your letter to the editor appeared in the print version of the Herald only today. I hope that others will be able to find their way to this online discussion, which I think especially important.

Relevant to this discussion are some facts surrounding the Emergency Use Authorization (EUA) of the  U.S. Food and Drug Administration (FDA). Not all readers here may understand that the approval given to the COVID-19 vaccines by the FDA is not a regular approval, but a special approval that can only be used in emergencies. According to the statute which makes provisions for an EUA,

For FDA to issue an EUA, there must be no adequate, approved, and available alternative to the candidate product for diagnosing, preventing, or treating the disease or condition.”

To fact-check this quote see the Guidance document at the FDA, 
https://www.fda.gov/regulatory-information/search-fda-guidance-documents/emergency-use-authorization-medical-products-and-related-authorities#declaration.
Either do a search on part of the quote, or look under Section B.d No Alternatives.  

This fact makes it look like the sort of approach advocated by McCullough is being suppressed so that the FDA can continue to support the EUA. Without the EUA the pharmaceutical companies would not be able to make money on the vaccines. This situation is alarming. How many people have died because of it?

Presently it is emerging that ivermectin, in combination with other things, may be particularly effective as an outpatient treatment. I’ve only become aware of the research on this very recently, so I still don’t know much, but here is a youtube video that seems pretty persuasive to me: https://www.youtube.com/watch?v=IdEbJ8TJDkw

See also Peter McCullough here for his presentation to the Texas Senate Committee on Health and Human Services: https://www.youtube.com/watch?v=QAHi3lX3oGM&t=4s

Maureen Remus

Thank you for posting this important information and observations regarding EUA of the FDA. What you are saying would explain why any alternative treatment is not even being discussed.