COVID 19: FOR HEALTHCARE PROVIDERS: SHARE THIS: THE NEED FOR BOARDS OF HEALTH TO COLLECT "OUR" DATA AS IS DONE WITH +STD & Lyme CASES 11/13/2020

SUGGESTING COLLECTING DATA FROM PRACTICING PHYSICIANS. As soon as the Corona Virus Health Emergency was announced in March, as the CDC issued warnings against the use of steroids to Tx Covid 19 patients because of immunosuppression. In March, I contacted the CDC, Dr Fauci, Public Health Commissioners etc... I reported that I believed that I was seeing and treating MANY COVID 19 patients in January & February (perhaps early as Dec'19); Many of the patients I treated were living in or close to New Rochelle, N.Y., the first declared Covid 19 containment zone in the U.S.. My patients had respiratory symptoms of chest tightness, SOB, wheezing, loss of smell…all symptoms of Covid 19 at a time when we could not test for this Corona virus. Before hearing of Covid 19, I was literally saying to my patients, all day long that “this is a really weird different kind of virus this year”, adding that “I might have to give you two rounds of steroids to clear you". Numerous patients of mine called me later, stating to me that they believed they had Covid 19 when they saw me in Jan & Feb stating that they completely recovered with the treatment I gave them; prednisone (frequently with a zPk and albuterol inhaler, 2 puffs TID 7 days). I reported this in March.

AT that time, we were told that prednisone would suppress the immune system as we we were advised not to prescribe it. I wrote that this was true only if prescribed long term, adding that prednisone appeared to be working to suppress the abnormal inflammatory damage that Covid 19 was doing to, predominantly, the respiratory tract in infected individuals- No response to my emails.                                                        BUT SEVERAL MONTS LATER STEROIDS were proven to be effective in treating hospitalized patients with respiratory compromise; several months after I reported the efficacy of steroids and after the death of thousands of patients (DEXAMETHASONE was the steroid chosen to treat hospitalized patients, a STEROID 6xs STRONGER THAN PREDNISONE). 

As of TODAY, we still do not have an established protocol to treat Covid 19 for patients with respiratory symptoms who present themselves to outpatient medical facilities.

I've contacted several divisions of NYS, CITY & FEDERAL Board of Health Depts to suggest reporting forms similar to those used with Communicable Disease reporting (STDs as well as Lymes) and have offered to volunteer to get that going. Can I volunteer (I would be willing to co-ordinate this) if anybody from the Board of Health, CDC etc is reading this. (no responses thus far.

In light of the Pandemic and State of Emergency it might be wise to consider using data collecting Communicable Disease staff to switch to tracking Covid 19 Illness for epidemiologic purposes and especially to collect data on how doctors are treating Covid 19 illnesses with success as I reported, on patients seen and treated successfully without hospitalization or the progression of their illness to Covid pneumonia.

Dr Fauci advised against the use of bronchodilators early on stating that the virus initially settled in the uppermost part of our respiratory tract, stating that bronchodilators would allow and facilitate downward movement of this virus into our bronchial tubes and lungs. I reported to him and the CDC that I found that to be true from complaints my patients had presented to me with (a sensation of fullness in the posterior pharynx, upper trachea (phlegm caught in the upper airway that was stated as being difficult to cough up). I reported to Dr Fauci and the CDC that I felt the opposite about the use of bronchodilators, reporting my impression that bronchodilators would help to open up airways that were becoming constricted due to Covid 19’s inflammatory effect and that I believed that a bronchodilator along with an anti-inflammatory (steroid) would improves one’s ability to cough up this mucus, along with the virus itself, expelling from one's system, before it worked its way downward and into the lungs. I wrote that I was in agreement with Dr Fauci's conclusion that we should avoid therapies that would allow or facilitate travel of this virus downward towards lung tissue when he advised not to prescribe bronchodilators. I argued that by accepting that hypothesis, one would therefore agree to avoid any such therapy that would forcibly push oxygen down into the lungs. I WROTE TO Dr Fauci and others and advised against using vents, CPAP and BIPAP as these methods were designed to delivery oxygen deep into lung tissue through use of pressure which would naturally drive the virus down- along with forced oxygen, from the upper airways of Covid 19 patients directly down and into the lungs of hospitalized patients, so many of whom were being place on vents. IT IS ONLY NOW AND AFTER SO MANY DEATHS THAT IT HAS BEEN RECOGNIZED THAT SO MANY PATIENTS WERE PREMATURELY PLACED ON VENTS.

I FIND IT HARD TO BELIEVE THAT I REACHED OUT TO SO MANY OF OUR HEALTHCARE OFFICIALS, AS A PRACTICING PHYSICIAN WHO PUT SO MUCH THOUGHT INTO THIS, AND THAT NOT ONE SINGLE HEALTH OFFICIAL OFFERED TO EVEN HEAR WHAT I HAD TO SAY, WHICH TURNED OUT TO BE CORRECT. NO RESPONSE TO ALL OF MY COMMUNICATIONS.

So, IN HINDSIGHT, I would think it important to collect data from physicians regarding their experiences IN LIGHT OF THE FACT THAT IT’S BEEN 9 MONTHS SINCE A DECLARED STATE OF EMERGENCY DUE TO THIS VIRUS AND WE STILL ARE SEARCHING FOR PROTOCOLS,: (NOT LOOKING FOR CREDIT, ONLY POINTING OUT THAT LITTLE EFFORT HAS BEEN PUT INTO SEEKING INFORMATION FROM THOSE OF US WHO ARE ACTIVELY PRACTICIG AND TREATING COVID 19 PATIENTS AND "WINGING IT" SO TO SPEAK.

WE HAVE NOT ONE TREATMENT PROTOCOL IN PLACE THAT IS SPECIFIC! BUT MOST IMPORTANTLY, WITH REGARDS TO TREATING PATIENTS WITH RESPIRATORY SYMPTOMS IN OUTPATIENT SETTINGS WE STILL HAVE YET TO IMPLEMENT ANY PROTOCOLS WHATSOEVER WITH REGARDS TO TREATMENT.

DOCTORS SPEAK UP!!

Dr Kevin Maloney, Mamaroneck, NY