Treating patients is not that hard. Treat early, that’s a mainstay. Especially the at risk. Treat all phases at the appropriate time. The virus is replicating only at the beginning of the disease process. Viral replication is not killing patients. Most of these academic docs
don’t even know this. Why would they. They don’t see many patients. Show me one academic seeing 10k pts per year. My hats off to them and welcome to my world. They’re touting Remdesivir when the train has already left the station. It doesn’t work late bc it decreases
viral replication. After Day 9, no one can culture live virus. Why would it work at that point? It doesn’t help with inflammation, thrombosis and respiratory distress. Remdesivir given early can decrease replication. If you’re going to use it, use it early. Please send this tweet
to your Doctor in the hospital following a protocol that’s absolutely idiotic/nonscientific. I welcome any challenge to this statement. The data I can cite is in my thread and I welcome others to intelligently dispute my statements. A multi pronged approach is necessary in the
later phases. For the inflammation there’s many options especially steroids. But there’s many others that can help. For the thrombosis there’s many meds including lovenox, xarelto, eliquis and aspirin. For the respiratory distress there’s Budesonide and other nebulized asthma
meds. It’s not all about attacking the pathogen. Much of medicine relies on mitigation of damage and improving disease tolerance. That’s how we’ve succeeded with HIV.

First and foremost there’s prevention with eliminating D3 deficiency, and consider HCQ and IVM prophylaxis.
I’ve spoken earlier about the current issues I have with the experimental vaccines and pathogenic priming.

I believe every therapy should live or die on its own merits. I’m for choice with food, medications, surgeries and vaccines. Anything that may change my biochemistry.
You can follow @richardursomd.
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