All questions Covid with Dr. Al Johnson and Dr. Peter McCullough

good afternoon i am dr alfred johnson i'm  sitting in for jeff crilley as a jeff as a   guest host this afternoon i  have with me dr peter mccullough   he and i have done two shows before talking about  covet today we want to address some of the main   issues that are concerning people  the public on how to handle covet   what the current status is on vaccines treatment  of long haulers and most of all how to treat   those people who are coming down with covet  at this point we have the delta variant it is appears to be running fairly rampant in the  dallas area and around the world dr mccullough   has been on an email group with  people from around the world   talked to many radio tv stations we're so happy  to have him today tell us dr mccullough about   you know what your take is on how to handle  this little surge in in covet at this point   and particularly the early treatment process of  it well we're clearly in an outbreak of covet   19 ellen thanks for having me on the show i'm  a board-certified internist and cardiologist   here in dallas texas i'm an academic physician  and editor of two major journals and i've spent   really the last 18 months in a sense in a  fellowship like with you on covet 19 that   we have turned all our attentions on covet 19.  i've reviewed thousands of reports as you have   and i have over 45 publications in the  peer reviewed literature i think it's a few   important things we should really get out there as  uh things to update the audience on first is the   virus does not transmit asymptomatically it's very  important it's only sick person can give it to   someone else so this idea that we have to  wear masks in public or go into lockdown   for people who are perfectly well it doesn't  accomplish anything because they're not sick what   we need to have in our schools in our workplace  and elsewhere is policies when we do have a sick   child or a sick worker or teacher to get them out  and get them into quarantine and we need flexible   work policies there but the virus does not  transmit asymptomatically even the world   health organization as of june 25th says no more  asymptomatic testing so there used to be people   you know doing nasal swabs in airports and in  government buildings and in schools that's gone   in fact none of these tests are fda cleared to be  used for asymptomatic testing because it doesn't   spread asymptomatically what we're really after  now is acutely sick people what we know is going   on in the united states by the cdc data is that  we are an outbreak of what's called delta delta is   a mutated form of sars kovi to the virus it's the  most heavily mutated form about seven mutations in   the spike protein and in the uk variant technical  briefing they came on august 6 they've indicated   20 more additional mutations in delta little point  mutations meaning the delta virus has changed uh   its com configuration where it's no longer stopped  by the vaccines that's probably the biggest news   is the vaccines now are ineffective against the  delta variant of sars cov2 and early treatments   needed and like you say that's what we've been  seeing in the hospital hospitalized patients that   the ones that have been hospitalized hospitalized  are those patients who have not had coveted   and those patients who have had the vaccines uh  but then have contracted covet yes so those two   important groups now uh the more  heavily vaccinated countries   that are keeping track of this are reporting  now more than 75 percent of patients with covid   and over 65 of those hospitalized in  israel singapore and iceland as an example   have been fully vaccinated so it's pretty clear  the vaccines are failing against the um the delta   variant now the mayo clinic has just come out  of report mayo clinic in boston working together   a report showing that the pfizer vaccine  right now is at about 42 percent protective   uh that's through the spring is probably less  now in the last month moderna was still at about   uh 72 percent protective we knew that johnson  and johnson out of the gate was 70 percent is   probably much lower but what the listeners need  to understand the vaccines don't fully protect   and someone who's vaccinated can get coveted  19 and high-risk patients need early treatment   does the vaccine help mitigate the severity of  the covet infection if you get it i'd like to   think so there are some data suggesting that  potentially that's the case but i do have to   update the listeners that um the united kingdom  is keeping wonderful track of this for this most   recent technical briefing number 20 had  300 000 cases of delta through the spring   it was about 50 were vaccinated 50 were not  vaccinated these are people sick enough to be   seen in an er or be hospitalized and of those who  died which was way less than one percent but of   those who died 65 percent were fully vaccinated  so the vaccine doesn't protect against death i   think as a consolation americans came out and a  large number of people in my practice about 70   percent of my practice had volunteered to get  the vaccine we hope there's some consolation   for taking the vaccine early maybe some protection  against severe disease but right now the data   do not confirm that so the message that we  can deliver today to our listeners is that   unless you're symptomatic you're not  transmitting the disease to our current knowledge   right and the most important message i tell  especially parents and mothers children school   teachers is pay attention to symptoms i've had a  lot of people say you know i've got a stuffy nose   maybe it's allergies and i think that's when you  want to start to take precautions but you and i   feel perfectly well today actually you and i have  both had covet so there's no way that we could   ever get it or transmit it or have it again it's  one and done once we have full immunity we're done   and that's a very very important point because  if you've had covet as you just said and you   develop the antibodies and they can be serum  antibodies igg antibodies or t cell immunity then   you're almost 100 percent protected against  re current covet you know that's true if a   well-defined case so fever nasal stuffiness loss  of taste and smell a cough plus a positive pcr   antigen test that's good enough you don't need  any antibodies to prove it that case alone there's   never been a bona fide second case confirmed with  sequencing and you know ill now people can be can   be positive later on because the pcr test can be  false positive people get faked out by that but a   very good analysis by murchie and colleagues from  ireland showed in 615 000 individuals 11 studies   that even poorly defined cases that just  didn't catch the original illness but had   positive antibodies or had other some evidence  that they've had it before the chances of covet   19 were way less than one percent so natural  immunity is robust complete and durable and it   cannot be improved upon with vaccination excellent  so now with parents and their children are going   back to school teachers are present we're all  out and about if you come down with symptoms   as we talked about then you should do what at  home isolate separate those people out at home   be cautious that way is that the best way to  prevent spread yeah we published in our first uh   guidance paper in american journal medicine  august 2020 and then follow up in reviews and   cardiovascular medicine in december of 2020 an  approach so if a child were to get sick and they   you know had fever nasal congestion get them out  of school get them home and get the windows open   because we air out the house we reduce that  viral load it's very important that if we can   get an early test that's wonderful the test i  prefer is actually the rapid antigen test it's   offered a name is called sophia test but the nice  thing about that is that it's not false positive   now it may not be as sensitive as other tests but  when that antigen test is positive the virus is   there so that confirms it now a child fortunately  a child the delta variants the mildest of a   variant it's basically going to be one or two  days like a cold in the randomized trial of the   pfizer vaccine that was tested in children age 12  to 15 by franken all knowing a journal medicine   in may 27 of 2021 the vaccine all it did  was prevent 18 cases of the sniffles did not   there was no mention of prevention of spread to  the adults what have you and now our cdc director   has come out and said that even vaccinated  individuals can actually contract the virus   and spread it to others so what parents need to  know is the vaccines should not be off the table   for the kids the kids should not be vaccinated  it offers no benefit children should go home ride   out the infection and they can acquire natural  immunity now nutraceuticals are helpful you're   an expert in that we do recommend some uh helpful  products zinc uh vitamin c vitamin d there's a   polyphenol supplement called carcetain that's  helpful now some children if they have severe   symptoms now children may have asthma if they  need a budestonite inhaler that's perfectly fine   even a brief course of oral prednisone i've had  some kids just need to go on a z-pack in general   children don't need hydroxychloric or ivermectin  they don't need monoclonal antibodies it's pretty   mild an important drug temporarily to be used in  children we typically don't do this is actually   aspirin so we use aspirin just like we would in  the setting of acute rheumatic fever for a few   days in child adjusted doses the medicines that  you just talked about you published a protocol   american association of physicians and  surgeons published that so the public can go   to that website read all about that american  association of physicians and surgeons sure so   aaps online.org another affiliated organization  is called truth for health foundation very very   useful uh resource has the home treatment guide  updated list of treating doctors across the united   states and i think all the listeners ought to push  their doctors to start treating covet 19. far too   many doctors are still still fearful they're on  the sidelines and they're not getting on the phone   and helping their patients through the 19. we hear  about children being hospitalized and i can tell   you the only time children are hospitalized is  when they present with severe symptoms and they   don't get any treatment now children who do not  have severe symptoms again don't need treatment   we'd only advise treatment protocols routinely  for those over age 50 and once we start to amass   medical problems exactly and one of the things  to reassure your doctor is is that medications   like hydroxychloroquine ivermectin zithermax  all have from the fda emergency use approval   for covit so contrary to a lot of what was put out  in the beginning about doctors getting in trouble   for treating it using these medicines and so forth  or the pharmacist not wanting to dispense it is   not there anymore it's written in the guidelines  fda has in the pdr which is our physician   describing manual that it is to be used for  covet treatment and i think that's real important   because misconception is is that it's  using it in a way that it shouldn't be   used well you know just to clarify so um  hydroxychloroquine was granted emergency   use authorization initially for inpatient  use and then ultimately that authorization   was brought to an end and our broad use of  hydroxychloroquine and ivermectin and the   other drugs mentioned and honestly i think that  the steroids and the anticoagulants are even more   important are all considered appropriate off-label  use so it's a we use about sixty percent of drugs   without being on the advertising label so  of course there's no drug company that has   an advertising label for cova because it's  brand new so everything we use is considered   appropriate off-label use is clinically  indicated and medically necessary and you   as a cardiologist can address the issue about  hydroxychloroquine and cardiac adverse effects   rheumatologists have used it for years and years  and years with rheumatological diseases and we   have the internist have done the same you as  a cardiologist what's your comment about the   possible side effect and how frequent is that  with hydroxychloroquine you know all drugs have   side effects hydroxycorquin's been on the market  for 65 years and it is it has to be similar to   benadryl or seldane or some of these  common antihistamines that we use   where it has a slight effect on the cardiac qt  interval and it's only in special circumstances   would we be concerned about it so cardiologists  and internists know about these circumstances   probably the bigger thing to worry about with  hydroxycoricoid and everybody should ask about   this is called g6pd deficiency and that is a  deficiency that has had an african americans   that can actually cause a blood disorder  called hemolytic anemia so i always ask   an african-american patient if they have g6pd  and they know it otherwise hydroxyphoric one   is perfectly safe it's broadly used we can  use it in patients with pacemakers and all   different types of conditions uh it's tried and  trued it's it's supported by over 250 studies   in covet 19. so hydroxychloroquine is our go-to  drug anecdotally now with the delta variant   uh is the consensus that the delta variant is  probably a little bit more responsive to hydroxy   than ivermectin excellent the the other thing  that we've seen recently is gi type symptoms   with covid and i've had patients come in my office  thinking they had the flu the standard flu with gi   upset and diarrhea and didn't seem to nothing was  was making sense ran serum coveted test for igg   igm which igm gives you the acute infection igg  shows you've developed antibodies to it and they   were positive treated them for code like we've  been talking about and their gi symptoms went away   so the message is is to you parents when you get  up in the morning you got to evaluate yourself and   you evaluate the kids to see how they're feeling  if they're feeling sick then precautions need   to be taken that you know taking care of the sick  people and being conscious about being sick versus   not i think a lot of us used to go to work in the  past with a cold and we wouldn't think anything   about it we should not do that now those types  of behaviors are far more effective than trying   to wear a mask which basically doesn't work the  randomized trial show general masking doesn't work   and far more effective than lockdowns or social  distancing it's just it's just being conscious   of being sick and removing themselves from the  environment now very importantly we ought to   think about the idea that oral and dental hygiene  play a role people ask me about this all the time   the american dental association actually has  some formal recommendations for anti-infective   dentistry as it applies to cytomegalovirus  epstein-barr virus and actually it works on covet   19. so i want to review this quickly to brush your  teeth with yellow listerine the original listerine   brush your teeth listerine swish and spit is  effective in clearing out any virus that actually   gets in the mouth or using dilute sodium hydrogen  peroxide even sodium hypochlorite or povidone   iodine these are all available in a dilute  solution and swish and spit nasal pulvidone iodine   typically in the shower and get and snorted out or  ozone nasal spray proven in randomized trials so   i tell people i learned this from anti-infective  dentists you know dentists have been in the mouths   of people all year long no outbreaks of coba 19  because they use anti-infective dentistry so good   oral hygiene this way better than just brushing  your teeth with toothpaste reduces the risk of   carrying covet 19. is there any studies with just  like nasal saline irrigation a couple times a day   that help rinse your nasal passage after you've  been out exposed exactly nasal saline you know   what's interesting is if you remember a year ago  more than a year ago president trump mentioned   something about bleach and remember that people  made all this joy he was kind of on the right   track that believe it or not um a very dilute  bleach solution dentists use this it's in the ad   they use one teaspoon or five cc's of bleach and  500 cc's of water and believe it or not they swish   and spit it don't swallow it that's very effective  and it's very cheap but then you have to change   out that 500cc each day but nasal and oral hygiene  work is prophylaxis the nutraceuticals probably   the most preventive neutral circle is carcetine  500 milligrams a day but also 50 milligrams   elemental zinc vitamin d of three five thousand  international units vitamin c three thousand   milligrams that nutraceutical bundle through this  outbreak plus the nasal and oral hygiene i think   make a difference excellent excellent the other  areas that we'd like to talk about today then is   uh people excuse me from the hospitalization  standpoint uh once i get to the hospital   or other treatments prior to getting that sick  that you end up in the hospital is iv monoclonal   antibodies right and then rendezvir is given  outpatient now or not no not to my knowledge   but i wanted to update the viewers on this the  monoclonal antibodies are still effective and   the featured one now is regeneron it's a  combination of two monoclonal antibodies   it can be given as an outpatient it's in most  emergency rooms big urgent care centers some   senior homes patients should demand it over 65  with covet severe symptoms if you head in the er   don't let your relative be automatically admitted  once they cross the line into the hospital they   can no longer receive the monoclonal antibodies  i don't know why that imaginary line is drawn so   you have to demand the monoclonal antibodies as  an outpatient in the er before converted to an   inpatient remember president trump received these  they're highly effective they're grossly underused   the us government brought bought 500 million doses  of these antibodies and there's no 100 number the   seniors don't know how to access them so everybody  listening today monoclonal antibodies regeneron   demand it i love to start off treatment and a high  risk senior with an infusion monoclonal antibodies   even if they go in the hospital it's going to  take the seriousness out of the hospital the other   major thing to demand in the hospital full dose  blood thinners i see way too many patients getting   half dose lovenox shots or subcutaneous heparin  they're getting ineffective anticoagulation   they need full dose anticoagulation when the  oxygen saturation drops that's not the virus   that's actually micro blood clots in the lungs  and we need to go to full dose anticoagulation   excellent so request the monoclonal antibodies  that can be given up to 10 days after your first   symptom so it's important that you stay on top of  monitoring yourself making sure you have if you're   having respiratory problems you have oximeter to  measure your oxygen saturation if it starts to   drop then that would probably be a good indication  you need to get some monoclonal antibodies would   that be yeah i would even like to do it before  i had a patient yesterday in dallas and get the   monoclonal antibody infusion no two sets were  holding up but if we have a patient let's say 65   and there's some heart disease lung disease prior  cancer diabetes everyone knows this is common   uh presenting got a hot fever have coveted  19. i'd like to kick it off with a monoclonal   antibody infusion and you don't even need your  doctor to do it now i i will call the er and   just say listen i'm sending in a patient but but  a patient can call the er themselves and arrange   for a a time slot and most ers have infusion  room say listen i've got cova 19 i'm positive   i'm you know i'm over 65 i've got these problems  the er doctor will actually give the order to get   the monoclonal antibody infusion as you know  the key is just to infuse it slow over an hour   and then an hour of recovery and then  go home the the monoclonal antibody then   is given as an outpatient the individual can  request it as you were saying from the er uh   there can be special circumstances if you have  a say you're obese can you get it if you're less   than 65 years of age yeah so i've had patients  even in their 40s present with severe symptoms   and let's say they're obese and they have diabetes  again make a phone call and usually may take a   doctor to do this and say listen i want them to  get an antibody infusion they're under utilized   i want to understand these are underutilized  they're life-saving and i personally never had   a patient get monoclonal antibody infusion even  the highest risk patient that i couldn't pull   through the illness the people who are getting  hospitalized and dying in the hospital are those   who get no pre-hospital treatment and we have  to change that they need pre-hospital care and   it's important they get infused at least over an  hour period of time otherwise you can infuse those   antibodies too quickly they overwhelm the body and  then you get what they call cytokine storm where   it causes gross inflammation uh and you end up  kind of worse than what you started out with right   so it's important with that what about plasma  enriched plasma originally they were collecting   uh plasma from code patients and then infusing  that into people is that still available no   unfortunately now convalescent plasma is being  um phased out and part of this is because of mass   vaccination you know they weren't segregating the  vaccinated or unvaccinated as they donated blood   so it turns out that the covet recovered  individuals have rich antibiotics probably   thousands and thousands of antibodies thousands  of t cell changes the vaccinated individuals have   a much smaller library of antibodies and it's not  enough to actually use this convolution plasma and   since the blood banks didn't segregate patients  appropriately we've got lost that opportunity now   for convalescent plasma so it's largely not  offered once somebody's in the hospital rem   deserver can be given it's given over five days  it has some liver toxicity the doctors need to   watch on this if there's still some active viral  replication realm deserving can have some benefit   typically there's still a fever but we like to  see patients on full dose lovenox they receive   cortical steroids the lead one is dexamethasone  but i can tell you solumedrol or prednisone work   just as well i think those other steroids are  beneficial patients should get full dose aspirin   325 milligrams and then there's additional  drugs there's tozalizumab which is an iv   infusion against interleukin-6 there is an  estrozenica monoclonal antibody that can be   used post-admission in a randomized clinical trial  colchicine taken once per day for 30 days should   be extended so there's about four to six drugs  again if you go to truthforhealthfoundation.org download the patient guide that'll show you the  sequence of drugs which can be started as an   inpatient outpatient but it should be extended  to the inpatient the rub of the grain here   is that when families demand higher  level of care for their inpatients   many times the inpatient doctors you know are  not comfortable with this or they want to they   want to settle back on a lesser intense program  my experience is when the medical therapy is less   intense in the hospital that's when bad things  happen so the patient ends up in the hospital they   they recover to some extent how or what can  they expect or what should they look for   for outpatient follow-up uh because i hear so  many say well they just sent me out the door   and i'm on my own so you're you've been talking  about continuing like cotercine and aspirin   and how long like on hydroxychloroquine should  they be taking that uh even after they get out   of the hospital they're hospitalized or they  aren't hospitalized what's the length of time   so all the drugs we talked about what's called  sequence multi-drug therapy the shortest course   for a younger well person let's somebody 50 years  old who's you know in good shape it could be about   five days average person rhl probably 10 days of  treatment and then seniors people in their 80s   or 90s expect 30 days of treatment people say 30  days of of hydroxychloroquine or 30 days of of uh   lovenox or asparagus for sure when patients  are sick enough to be hospitalized in the   post-hospital care we don't have randomized  trials of what to do there but extending from   observations from the japanese and people around  the world i think at a minimum high risk people   ought to be on a full dose aspirin 30 maybe 90  days there have been reports of late stroke or   heart attack there was a tragic case here in  the mid cities of a police officer who got out   and i'll never forget it was on the news and  he he died of a heart attack about three weeks   after getting out of the hospital cove at 19. so  that's due to the fact that covet 19 causes blood   clotting someone who's prone to blood clotting  we need extended blood thinners so i like aspirin   let's say for someone with atherosclerotic  cardiovascular disease a full dose 325   for 90 days the lovenox the subcutaneous lovenox  there's still a risk post discharge of blood clots   continue that for 30 days given by injection twice  a day other drugs to be continued colchicine very   important one tablet a day up to 30 days and  then we have to see about residual symptoms some   patients are in the hospital they get out they  feel so weak and tired some of them actually have   already have neurologic symptoms right and they  already and so the go-to drug bears two randomized   trials show is useful for covet 19 and appears to  be quite useful in the development of this long   hauler syndrome is fluvoxamine flovoxamine is a  serotonin a norepinephrine reuptake inhibitor but   it has some properties against the spike protein  one of the problems is the virus and even the   vaccine causes this the body to produce the spike  protein that's actually what damages the body   so flavoxamine being extended i've had to have  some people extended on prednisone for a period   of time and that gets us into the long hauler  types situation and you get calls all the time i   get calls all the time about what do we do how do  we take care of these persistent symptoms so let's   first talk about the symptoms that long-haulers  have and you just mentioned some of those   fatigue is is one of the major ones shortness of  breath when they have lung involvement with it   some of them have neural cognitive dysfunction  with it gastrointestinal problems with it   what's been your experience and in seeing  the recovery or what the person should expect   oh my review of the data suggests that long-hauler  syndrome really evolves in people with severe   disease so largely as patients who unfortunately  did not receive early outpatient treatment   they had a long course of illness remember the  virus will replicate in the body and really   cause damage for two weeks and if we give early  treatment at home we can shut cut that to four   days but if we get behind on that if patients  have a good long run with the virus or heaven   forbid they're hospitalized they can end up  with damage damage to the brain and the nerves   and the heart those admitted to the icu for  instance about 50 percent will actually have an   elevation in cardiac troponin now it's a small  elevation but it does mean the heart has taken   a hit and recent analyses suggest a small percent  of actually have myocarditis they have some heart   inflammation after the natural infection  now it's low-grade it's self-limited but   my experience here there's only one published  protocols presented on the internet by the front   line critical care consortium it's called  the i recover trial so if the viewers go to   a frontline critical care consortium flcc.net  and look up the i recover protocol they'll see   what's suggested and they kind of almost  put all the different medications against   the um long covet syndrome for instance they  recommend prolonged courses of ivermectin   fluvoxamine prednisone supplemental nutrients and  vitamins we really don't know because there aren't   any prospective studies i can tell you clinically  in my practice i've been zeroing in on the   neurologic and the cardiac manifestations i think  everybody uh post recovery ought to have an ekg   ought to have a physical exam two blood tests  cardiac troponin the other one's d-dimer   d-dimer and uh and that makes some decisions  i am end up using a flavoxamine a short course   of prednisone and colchicine if there's any  kind of myoperocardial and again it's all   empiric but these patients are suffering yeah  d-dimer picks up acute clotting type problems   so if they're continuing to have positive d dimers  right then that's really important to stay on that   on the anticoagulants and then dr mccullough and  i've been working on some of these people that are   not responding on the long haulers and what else  is out there to help them uh i have a outpatient   hyperbaric center where i've treated all kinds of  individuals who've had inflammatory damage from   to their brain to their tissues from encephalitis  either west nile virus or bacterial encephalitis   similar things have happened to some of  the long haulers with covet and so what   i've found is is that using hyperbaric oxygen  therapy in those helps revitalize the tissue   it provides oxygen 10 to 15 times more to  those tissues it creates new blood vessels   on the fatigue part of it fatigue comes from  mitochondrial dysfunction because mitochondrial   the mitochondria which are little engines in your  cell produce atp atp is your energy mechanism   and it helps stimulate that so you produce atp so  you have energy with that it also if there's any   residual virus viruses done like do not like  that 100 percent oxygen so it helps with that   and then the cobot turns on the immune system  as you know as we've been talking about so   some of these people that had allergies before  notices their allergies have increased both to   pollens dust molds foods so they have gi problems  from it they have more allergy problems from it   and so that needs to be addressed in in some  instances to help these people with the long   haul that aren't getting well  they're continuing to have fatigue   uh and continue to have all kinds of  different weird symptoms neuropathies   there's good studies in hyperbaric on neuropathies  helping other types of neuropathies there's   nothing out on this but this is nothing different  than other inflammatory type neuropathy so those   people receive benefits from that standpoint it  sounds encouraging there's clearly more research   needed but i am concerned about patients who have  the residual pulmonary symptoms and hyperbaric   oxygen at least in those circumstances makes a lot  of sense yeah i've seen that that does help those   i did it myself i had quite a few  pulmonary infiltrates from covid   or from the cytokine reaction i had to the  monoclonal antibodies my ct scan looked horrible   it cleared up after four to six weeks  really pretty quickly many people   continue to have pulmonary problems long after  that uh and i talked to a doctor friend who treats   covet in kansas city missouri and he says oh no  no we never do uh cat scans on follow-up till 8 10   12 weeks afterwards because they're always  positive and so you see that long-term effect   people that are active and healthy before want  to get back to work how do you get back faster   this is one way to do that i certainly  would consider it i know there's   protocols uh you as a well-documented case  of use of hyperbaric treatment i did review   your scans uh during the illness in post  treatment uh and it was really miraculous but   we clearly need more data and i have  i've advised on some cases that have died   at three months or even four months afterwards  due to residual pulmonary damage and we don't have   drugs in that case so i i think under you know  careful observation hopefully uh ideally under   a protocol to consider hyperbaric treatment  it definitely helped me let's go back now   and kind of just review so people can understand  we talked about a lot of different things here   first of all early treatment is very very  important so if you have come down with symptoms   have questions get tested but also get started  as early as possible on early treatment   how do you determine just in finishing up here how  do you determine when to start early treatment on   how severe symptoms a person should have before  you give that the medication that's an important   point it's largely based on age age over 50  and higher even if it's the mildest case the   thing i always see is patients say dr mccullough i  thought it was mild and i didn't do anything i was   going to a mild case no if we actually started  treatment when it's mild i'd love to i had a   patient recently he had prior bypass surgery he's  in his 60s um you know he came down with kova but   he knew the program i told him contact me we got  him started on the drug protocol we uh featured   hydroxychloroquine in his case and we took what  it would have been a two-week illness at home   and another month in the hospital and we shorten  it to four days because we started early when his   symptoms were mild so older people mild symptoms  treat early and snuff it out okay now younger   people they don't need treatment however young  people with severe symptoms so if someone who's 35   years old and said listen i'm already coughing and  shortness short of breath even if they're young   we start them on treatment so young people severe  symptoms are the trigger older people is really   a mathematical function of age how does fever  play a part in that because i you hear a lot   of people come in and say well i feel like i  just got the flu but i'm not running a fever   does a fever trigger any thought processes  on starting therapy early on younger people   no you know fever is interesting because it  is an indicator of viral replication and um   you know i tend to respect fever in terms of for  instance i just had a senior and i think she was   about seven or eight days into it and we were  trying to decide on monoclonal antibodies again   she thought she had a mild case and then she says  doctor i had a fever last night i said that's it   we're having you get a monoclonal and she actually  got in her infusion yesterday morning so i think   fever is an indication that the virus is still  there there are positive data now we use aspirin   of course to prevent blood clotting but there's  positive data with non-steroidal anti-inflammatory   drugs and so several been featured my go-to  one is naproxen sodium 220 milligrams two   tails twice a day um not only treat the fever  but there's something about non-steroidal   anti-inflammatories that are beneficial in  covet 19 there's some randomized data and   non-randomized data there's a recent paper i'm on  with a group out of italy that actually featured   that approach with some other drugs so you'd  prefer a non-steroidal anti-inflammatory over   acetaminophen yes in these cases that's important  for a fever yes okay so so early treatment   with zithromax hydroxychloroquine uh aspirin  right and if we have to use some naproxen sodium   or ibuprofen or indomethacin on top for fever  control and we don't need to take so there's   a lot of medicine on the body we do worry about  stomach ulcers and kidney function maybe i think   maybe just three days on this but i've had good  success the non-steroidals favored over uh tylenol   one other question if you have  a child and they have symptoms watch them observe them then at what  point do you give the doctor a call   if you need to to look at early treatment  on school-age kids i think school-aged kids   uh severe symptoms trouble breathing definitely  need a call fevers that won't come down fever   over 40 degrees they won't come down need a cause  kids can end up having a seizure if the fever is   persistent and then outside of that it's  really based on the underlying medical problems   type 1 diabetic for sure get going on treatment  cystic fibrosis for sure down syndrome congenital   heart disease cerebral palsy let's get going on  treatment early you know there's an analysis by   dr martin macri from hopkins that looked  at last year there were roughly 300   children in the united states who died of covet  19. only one of them was perfectly healthy   and died of covet 19. only one the rest of that  300 group they had something like cystic fibrosis   or and and they did not receive enough early  treatment the hospital's too late to treat them   so we've got to activate the pediatricians and  the treating doctors to start medicines early   does overweight obesity play a part in children in  that 300 you know i would assume so i mean obesity   yeah it's one of the risk factors the virus seems  to hunt the obese and i think this ought to be   a wake-up call for everybody to get a little  leaner and a little fitter i mean kova's not   going away and and you're right obesity is a  risk factor after you had coveted you were out   running as soon as you had enough energy to go  run and you've been a runner for years and years   right and dead i had coveted probably many  of you know i had covet in october of 2020   um i did i did have pulmonary involvement i  did get on an fda approved early treatment   protocol that featured hydroxycoricoid i took  the other drugs we talked about in sequence   and i was able to go running i attempted running  on day eight of illness treatment day six and i   made a youtube video which ultimately was taken  off of youtube um but i looked back and i realized   how short of breath it was now i wasn't close  to anybody i was getting fresh air that's fine   but the shortest of breath for me lasted for  about 30 days 35 days now i cleared the virus   within four days because i was in this protocol  i knew so i was actually able to return to work   by work standards at 10 days remember no testing  is needed to return to work even my employer said   no no testing is neat as long as you don't have a  fever and your cough is controllable you know by   beyond 10 days you're fine we know early treatment  can shorten that to four days excellent excellent then as we're moving ahead how do you suggest  patients talk to their physicians or encourage   their physicians uh and what can they get or  what should they bring into their physicians   because i've had patients come in and said well  this medical group i called up my medical group   and they said well we don't treat covet uh is  there something that that they should look at or   articles or we mentioned the different  websites and that where there's information   uh any suggestions on on that type of approach a  physician my advice is is right now the current   national telemedicine services of which there's  four that treat cova and the 15 regional services   they are overwhelmed if you were to go on  the websites right now they are overwhelmed   we need pediatricians and family physicians and  primary care doctors to start treating covet and   i think every patient should call their primary  care doctor and say listen if i get coveted   are you ready to treat me that can be simply  a phone call and the doctor can call in the   medications to the pharmacy and we can get treated  if they say no i don't treat covid i think it's up   to those patients to start to put some pressure on  those offices let's see the covet early treatment   guide for truth for health foundation get sent in  i have i got contacted by several doctors in dfw   today you know where the protocols what i do you  know i think doctors are coming around to the idea   that they can't go forever not treating their  patients and just having people get hospitalized   america is finding this unacceptable and  vaccinated patients are getting sick too   they're getting sick with equal rates to those  are unvaccinated they're all pouring in right now   the vaccines are failing and we need to treat  cover 19 early wednesday's newspaper dallas   morning news said this is heartbreaking i was  talking about the number of hospitalizations   my immediate response was well what's  heartbreaking is is that they aren't   publicizing early treatment how to keep them out  of the hospitals educating the doctors on what   this early treatment is and how effective it is  and that's the heartbreaking part of it is you and   i see on a daily basis we've had better experience  overseas i helped those in sri lanka for instance   they were having a big curve like we're having now  they set up tents they set up treatment centers   people got early treatment the same thing happened  in mexico city same thing happened in peru same   thing happened in india in india india still has  fewer deaths in the united states all of our you   know i think in a perfect world we would have had  a much bigger emphasis on early treatment and just   focus on sick people we were way too preoccupied  on masks that didn't work and now vaccines that   have failed we have to focus on early treatment  and if we would set up tents or field hospitals   people could actually stay outside where  they don't transmit the virus as much   and get treatment packets just south of us in  central america they pass out treatment packets   we just had a successful program between texas a m  and honduras on early treatment well why can't we   do this here to this day our hospitals and clinics  is doors closed to patients with covet 19 and to   this day they are still unnecessarily hospitalized  vaccinated or unvaccinated thank you for all your   help today this has been hopefully a eye opener  uh information that's been will be helpful for you   early treatment is effective it's  necessary to keep you out of the hospital   and to have a healthy life thereafter if there  are problems and you have long haul type symptoms   uh then there are some treatments  as we talked about for long haulers   i'm opening up a website that should be up  here shortly called covidrecoverytreatment.com it'll talk some about the protocols of what   we've been talking about today on early treatment  and then what's being done for the long haulers   thank you very much dr mccoll for being with  me today as a guest of the jeff crilly show hopefully this has been helpful for all your  wealth of knowledge thank you you've helped   people world over and are just a breath of fresh  air and talking to you about early treatment   this is the one disease that you and  i were talking about before the show   that has not been treated early  on and everything else in medicine is treated early the earlier you treat  it whether it's cancer whether it's an   infection whether it's heart disease the better  the outcome typically so hopefully we're preaching   good outcomes with early treatment grandma said  nip it in the bud dip it in the bud so covet 19   has been grossly mismanaged i think everybody  grossly is mismanaged by not treating it early   and denying people care and letting them  pour into hospitals being sick for two   weeks it hasn't worked let's stop it stop it  right now americans demand early treatment   thank you very much and a pleasure  all you have a good healthy day

Channel: Real News Communications Network

Views: 580,705

Rating: 4.8918381 out of 5

Keywords: covid, vaccine, medication, doctor, johnson medical associates

Id: xWBC-JX6lsg

Length: 46min 7sec (2767 seconds)

Published: Fri Aug 20 2021