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With the worldwide nature of the SARS-CoV-2 pandemic, with >600M people affected. So many doctors engaged, it should come as no surprise that many different approaches developed over time and were found to be successful based on empiric observations.
While the world had a hyper-focus on antivirals — hydroxychloroquine and ivermectin, innovative doctors learned how to treat COVID-19 with a greater focus on inflammation, cytokine storm, and thrombosis. In many regions, to make matters worse, governments, hospitals, and pharmacies essentially made hydroxychloroquine and ivermectin unavailable.
This week’s Report features Dr. Maria Eugenia Barrientos, MD, from El Salvador in Central America.1 She developed a practice of treating only the highest risk (~10%) patients (elderly, multiple medical problems) with a sequenced approach that featured non-steroidal anti-inflammatory agents (Ibuprofen and naproxen), aspirin, nebulized budesonide, and oral prednisone.
She relied on laboratory patterns revealed in the complete blood count, hs-CRP, and d-dimer to triage and then risk-stratify patients. Because the syndrome was more likely to induce respiratory epithelial tract injury, she relied upon conventional antibiotics (amoxicillin/clavulanate, and Levaquin) to cover bacterial superinfection. She developed a network of doctors in Central America and Spain and estimates they treated thousands of patients. Barrientos emphasizes that catching patients within the first three days of illness allowed a lighter multidrug regimen than was commonly used in the United States, which employed an NIH guideline that encouraged doctors to defer early treatment.
El Salvador, which has a population of 6.5 M according to Worldometer, recorded 201,785 cases and 4,229 deaths. These are far lower in cases, and deaths per million population than in the United States, albeit the population is younger and in a more temperate climate spend more time out of doors where the viral transmission is low.
So let’s get real, let’s get loud; on America Out Loud Talk Radio, this is The McCullough Report!
The McCullough Report: Sat/Sun 2 PM ET Encore 7 PM – Internationally recognized Dr. Peter A. McCullough, known for his iconic views on the state of medical truth in America and around the globe, pierces through the thin veil of mainstream media stories that skirt the significant issues and provide no tractable basis for durable insight. Listen on iHeart Radio, our world-class media player, or our free apps on Apple, Android, or Alexa. Each episode goes to major podcast networks early in the week and can be heard on-demand anywhere in the world.
References:
1 https://www.facebook.com/Dra.MariaBarrientos/
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