(Thread IKs:
PoundSand)
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Corrigenda posted:I'm trans as well. If you don't see the problem in extending what has been a massive, systemic failure on the part of many parties over the course of many years, to the issues discussed above in thread regarding Paxlovid I don't know what to tell you. They are not equivalent. This thread is very confusing. How dare you compare a massive systemic failure on the part of many parties to the US's handling of COVID and COVID therapeutics.
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Aug 22, 2023 01:04
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Rosalind posted:Oh man who should be able to prescribe what (i.e. prescriptive authority) is like a whole thing where you can find the AMA and the AANP and other big organizations constantly arguing about who should be able to do what. There are probably a lot of honest debates to be had there but giving chiropractors and naturopaths prescribing rights is loving crazy
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Aug 22, 2023 01:05
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The Oldest Man posted:There are probably a lot of honest debates to be had there but giving chiropractors and naturopaths prescribing rights is loving crazy Ok but how else will pharmaceutical companies access these markets?
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Aug 22, 2023 01:05
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Bastard Tetris posted:I think that psychiatrists are the prescribers since they’re MDs, my poor psych friend has an extended family full of both and Thanksgiving dinner arguments frequently veer into this space, which seems quite dire Certain psychologists, with specialized training, have prescriptive authority in New Mexico, Idaho, Illinois, Iowa, and Louisiana.
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Aug 22, 2023 01:05
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icantfindaname posted:IMO the real stakes here are that mention of the telehealth sites will be banned. The official position of the thread IMO should be you should have the telehealth sites on speed-dial to get it if you test positive there is nothing wrong with telehealth at all.* it is still licensed practitioners of medicine putting their education to use on your specific case and their license on the line (theoretically) is anyone advocating for removing those links? lol, that section has been wholesale quoted into the OPs of the other covid threads in SA * okay, that's hyperbole, theres lots to debate on the topic, but i will not remove those links from the op
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Aug 22, 2023 01:06
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RandomBlue posted:How dare you compare a massive systemic failure on the part of many parties to the US's handling of COVID and COVID therapeutics.
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Aug 22, 2023 01:06
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Jingoro posted:Maybe kramering into the thread to trans-splain to our trans prior IK who basically got harassed already by trolls into deciding it's not worth it is not the best look for you? Corrigenda posted:I'm trans as well. curb_your_enthusiam.mp3
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Aug 22, 2023 01:06
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I have been dealing with long covid since March 2020 (or ME/CFS but the timing), and I figured out my symptoms matched around July/August. I have known since April 2020 that exercise hosed me up. Guess how many doctors have PRESCRIBED exercise for me? All of them. Literally every doctor has told me they are concerned about how I'm not getting enough exercise. I explain that getting through my daily life without exercise often pushes me over PEM limits. They still want me to work in a 5 minute walk here or there. Also, when I get too warm, exert myself too much, or find myself in a stressful situation, I get extremely painful pins and needles. Also, this experience, by itself, is extremely stressful, which makes it worse. If you have a hard time imagining this, sit on your arm until your hand goes numb. Now, try to use that hand. That pain? I feel across my whole body, and the only way to get back down to not pins and needles is to lie down in a cool place. My doctors are well aware of this symptom and how bad it is, yet keep telling me I need to exercise more. I have seen more doctors in the past 3 years for long covid than every other doctor in my life combined. All of them have given me advice that is well known to be bad for ME/CFS/Long Covid patients with PEM, which I have, and which my doctors know I have. So, I dunno, I'm skeptical of anything my doctors say, even the one that I like, that I see regularly, and who is no longer pressuring me to do exercise (she only relented after I went to PT for 2 months. This was painful, stressful, and I felt worse after than before).
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Aug 22, 2023 01:08
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fosborb posted:there is nothing wrong with telehealth at all.* it is still licensed practitioners of medicine putting their education to use on your specific case and their license on the line (theoretically) Not that I know of, but I'm not monitoring all of the critical posts re:this thread so maybe
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Aug 22, 2023 01:09
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Malgrin posted:I have seen more doctors in the past 3 years for long covid than every other doctor in my life combined. All of them have given me advice that is well known to be bad for ME/CFS/Long Covid patients with PEM, which I have, and which my doctors know I have. Someone in my family is in the same boat, and we’ve experienced the same thing. It’s loving infuriating, and it’s truly lovely you’re having to navigate this while in that state.
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Aug 22, 2023 01:11
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Snowglobe of Doom posted:I'm in Australia where paxlovid is being gatekept to the very old or the very immunocompromised despite calls from epidemiologists for wider access. They actually eased up on the eligibility factors in April this year, previously people in their 60s had to have two risk factors to be eligible for paxlovid but they lowered that to just one risk factor. For people like me who are under 60 and don't have multiple risk factors it's pretty much impossible for me to get pax unless I could somehow convince an MD to prescribe it for me, and even then it'd cost over $1,000 out-of-pocket which I couldn't even afford. I've lived in Australia since before covid and I'm continually astonished by how competent the US feds look in comparison.
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Aug 22, 2023 01:12
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pandy fackler has issued a correction as of 19:22 on Mar 22, 2024 |
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Aug 22, 2023 01:12
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Jingoro posted:kramering 
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Aug 22, 2023 01:13
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Bastard Tetris posted:Someone in my family is in the same boat, and we’ve experienced the same thing. It’s loving infuriating, and it’s truly lovely you’re having to navigate this while in that state. Thanks. On the plus side, the doctor that I like and have been seeing for > 2 years now prescribed me an SNRI that really helped with brain fog so as long as I don't overdo it physically, I can work a full time, at home, computer touching job. It was much harder to wade through these waters when my mind was struggling to process work, let alone doctors and whatnot. e: oops SNRI
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Aug 22, 2023 01:13
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It's been smokey as poo poo in Seattle and my lungs are, I assume permanently at this point, still super loving sensitive to it thanks to covid. It has gotten better out and all I want to do tonight is hang out with lesbians and share cookies I baked. Hoping for the continued protection of my 3M aura to not have my lungs go on fire again when I leave my air purifier bubble.
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Aug 22, 2023 01:15
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Jingoro posted:Maybe kramering into the thread to trans-splain to our trans prior IK who basically got harassed already by trolls into deciding it's not worth it is not the best look for you? basically is doing a lot of legwork here
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Aug 22, 2023 01:15
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Malgrin posted:Thanks. On the plus side, the doctor that I like and have been seeing for > 2 years now prescribed me an SNRI that really helped with brain fog so as long as I don't overdo it physically, I can work a full time, at home, computer touching job. It was much harder to wade through these waters when my mind was struggling to process work, let alone doctors and whatnot. That’s great- the advent of normalizing full WFH has been so helpful for us as well.
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Aug 22, 2023 01:19
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https://twitter.com/microbeminded2/status/1693276066700280228 https://twitter.com/HelenBranswell/status/1693756745070325763
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Aug 22, 2023 01:22
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Malgrin posted:I have been dealing with long covid since March 2020 (or ME/CFS but the timing), and I figured out my symptoms matched around July/August. I have known since April 2020 that exercise hosed me up. Guess how many doctors have PRESCRIBED exercise for me? All of them. Literally every doctor has told me they are concerned about how I'm not getting enough exercise. I explain that getting through my daily life without exercise often pushes me over PEM limits. They still want me to work in a 5 minute walk here or there. 
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Aug 22, 2023 01:22
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fosborb posted:speaking of, can pharmacists still prescribe pax? did anyone actually do that? I tried to help someone in Colorado get it through a pharmacist when "test to treat" (right there in the grocery store next to the bread) was the big thing. The pharmacist wanted them to go get the whole panel of liver and kidney function tests first. Which, fair enough. But they needed a doctor to get that ordered (and more days). They just gave up. Probably works ok if you have a copy of recent labwork.
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Aug 22, 2023 01:36
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Shiroc posted:It's been smokey as poo poo in Seattle and my lungs are, I assume permanently at this point, still super loving sensitive to it thanks to covid. It has gotten better out and all I want to do tonight is hang out with lesbians and share cookies I baked. Hoping for the continued protection of my 3M aura to not have my lungs go on fire again when I leave my air purifier bubble. I've struggled a ton with getting my dad to not be a gigantic idiot WRT air quality, covid, (everything? I dunno) and given how every summer for the past five/six years has been smoke filled I shouldn't be surprised any more at how many people I see just walking around in smoke. I'm guilty of that too though from when I went for a run one year when I couldn't see 50 feet ahead of me because of the smoke, no more though. He cared when my mom was alive two years ago but doesn't seem to care any more about my own health and safety. Not like I'm also immune compromised or anything like that! __ Anyway I forget if I ever posted the conclusion to my work related respirator conflict that started back in February. I had to go in to do a fit test twice because the dumb rear end in a top hat EHS manager in WI didn't even ask me about what type of disposable respirator fits my face, so I failed the qualitative fit test in the initially provided ones but passed it with my own Auras. I finally got my "company supplied" respirators delivered, that are supposed to last me "a year" - they sent 500 because they're dumb as hell lol. If any western WA goons are in quick need feel free to send a PM and I could either do a drop off or PO box mailing, no charge and I can hand out a dozen or two. Fortunately since I'm now the only employee at my office location if I'm not training a class on metrology soft/hardware I can pretty much do whatever I want so I wear my p100 on those days. I'm also not traveling two/three weeks every month for the same reason thank god, got my schedule full of local/in office classes.
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Aug 22, 2023 01:40
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Louisgod posted:this legit happened and was pretty funny at the time, horse farmers/owners would get on social media and beg chuds to not buy ivermectin as all their local stores were running out and the horse owners legit needed them. I miss those stupid times. I think the problem was less it running out and more that it made your intestinal lining fall out of your rear end in a top hat. You know, normal stuff that happens when you treat COVID...
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Aug 22, 2023 02:02
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Baddog posted:I tried to help someone in Colorado get it through a pharmacist when "test to treat" (right there in the grocery store next to the bread) was the big thing. The pharmacist wanted them to go get the whole panel of liver and kidney function tests first. Which, fair enough. But they needed a doctor to get that ordered (and more days). They just gave up. requiring liver and kidney panels as a prerequisite for Pax is so stupid. there are millions of people in this country who are eligible for Paxlovid, but could never hope to clear that hurdle within 5 days of popping positive. If it's going to be a requirement, then that poo poo should be free and fast for all of us.
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Aug 22, 2023 02:03
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U-DO Burger posted:requiring liver and kidney panels as a prerequisite for Pax is so stupid. there are millions of people in this country who are eligible for Paxlovid, but could never hope to clear that hurdle within 5 days of popping positive. If it's going to be a requirement, then that poo poo should be free and fast for all of us. Yeah, I I literally did at least one of those for my HRT poo poo, I wish pax was easier to get in canada because I already did that poo poo!
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Aug 22, 2023 02:06
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VomitOnLino posted:I think the problem was less it running out and more that it made your intestinal lining fall out of your rear end in a top hat.
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Aug 22, 2023 02:07
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fosborb posted:speaking of, can pharmacists still prescribe pax? did anyone actually do that? It looks like the EUA is still in effect for paxlovid (at least as of May 2023) so yeah? quote:What’s more, even though Paxlovid is now fully approved for use, that doesn’t change who can prescribe it. Pharmacists, physicians, and other licensed providers can all still prescribe it for eligible people. And yes, pharmacists have been prescribing it, though not nearly as many as you'd expect. The devil is in the details. quote:For patients seeking COVID-19 treatment through pharmacy channels, many community pharmacies offer the option to self-screen for COVID-19 symptoms and make an appointment, or they may visit a pharmacy. Pharmacists must first determine whether a patient is eligible for Paxlovid. This includes assessing for potential drug interactions, as well as renal and hepatitic function that may contraindicate prescribing Paxlovid. However, unlike other health care providers, patient self-reporting does not suffice under the FAQs for pharmacists to assess renal and hepatitic function. Instead, according to the FAQs, a pharmacist must rely solely on health records. Health records include “an electronic health record system containing this information in progress notes of laboratory records” within the past 12 months. This may include a printed laboratory report provided by the patient or reviewing records “the patient may have access to through a phone app or other means.” So once again, if you a) have a PCP (25% of Americans did not as of time of publication (Sept 22), most of those poor, minority, or both. That number has almost certainly grown as more doctors have left the profession and doctors are just plain not available in more places) b) have gotten bloodwork done in the past 12 months (lots of people didn't do this before covid, it dropped off a cliff during the first two years of the pandemic) c) said bloodwork records are accessible through an app or patient portal (and you have a smart phone, and know how to use it, and have an account actually set up, and know your password, and its working) d) your totally not burned out, underpaid, overworked, constantly-screamed at chain pharmacist feels like doing all this extra leg work for someone whose records aren't easily accessible at their fingertips WITHOUT GETTING REIMBURSED FOR WHAT IS ESSENTIALLY A 30 MINUTE CONSULT Then yes, your friendly neighborhood pharmacist can prescribe. quote:Pharmacy access to Paxlovid is a critical health equity issue. Just as vaccines and masks have played an outsized role in mitigating the spread and severity of COVID-19, effective treatment is now central to stemming COVID-19’s morbidity and mortality, especially as masking and vaccination requirements are relaxed. According to CDC data, since the Paxlovid program began, 220,000 people have died from COVID-19 and thousands have been hospitalized daily. Underscoring the disparities in these deaths, 1,076,762 oral antiviral prescriptions were dispensed in the United States between December 23, 2021 and May 21, 2022, yet dispensing rates were lowest in the highest vulnerability ZIP codes despite these ZIP codes having the largest number of dispensing sites. Nine out of 10 Americans live within five miles of a pharmacy. Pharmacy access to Paxlovid ultimately stands to ensure the sickest COVID-19 patients start therapy on time, reducing hospitalizations and deaths. Oh, another note: quote:Previously, a positive COVID test was also required in order to dispense Paxlovid. However, on February 1, 2023, the FDA removed this requirement. Now, it’s only a recommendation. This opens the door to treatment for people who test negative for COVID but have symptoms and are at high risk for severe illness. Also: quote:When should Paxlovid not be prescribed?
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Aug 22, 2023 02:14
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taking pax as a regular pre-exposure or post-exposure prophylaxis sounds awful lol you'd be tasting metal almost 24/7
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Aug 22, 2023 02:22
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Platystemon posted:I would like to discuss why Dr. Michael Thomas Osterholm, MPH, director of CIDRAP at the University of Minnesota, last fall appeared to say that he himself had obtained Paxlovid before contracting a case and encouraged members of the public to do the same. For all future reference, this is the doctor I talked to.
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Aug 22, 2023 02:22
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Oracle posted:[snip] lots of good stuff Thanks, lot of good info in this post.
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Aug 22, 2023 02:26
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U-DO Burger posted:taking pax as a regular pre-exposure or post-exposure prophylaxis sounds awful lol As someone who has no access to pax, come heaven or hell -- I'd rather that than the wrecked state my body is now in after one loving bout with this poo poo... but hey you do you
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Aug 22, 2023 02:28
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Some goons don’t want to taste metal all the time even though doctors say you need to eat iron to live, curious.
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Aug 22, 2023 02:41
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Since I’m back again, I’m gonna share a nice little moment from last week. My apartment gave notice about required upgrades on my ac unit that would take all day. I was worried about having people in my apartment and getting a contractor to wear a mask. I taped a sign asking them to and some auras and kf94s. Dude came, put on one of the auras properly before knocking and it ended up being no issue at all.
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Aug 22, 2023 02:46
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Shiroc posted:Since I’m back again, I’m gonna share a nice little moment from last week. My apartment gave notice about required upgrades on my ac unit that would take all day. I was worried about having people in my apartment and getting a contractor to wear a mask. I taped a sign asking them to and some auras and kf94s. I mean, let's be honest, an n95 is probably the minimum protection I'd demand going into a goon cave anyway even before covid. 
StratGoatCom has issued a correction as of 02:51 on Aug 22, 2023 |
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Aug 22, 2023 02:47
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StratGoatCom posted:I mean, let's be honest, an n95 is probably the minimum protection I'd demand going into a goon cave anyway. 
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Aug 22, 2023 02:48
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Shiroc posted:Since I’m back again, I’m gonna share a nice little moment from last week. My apartment gave notice about required upgrades on my ac unit that would take all day. I was worried about having people in my apartment and getting a contractor to wear a mask. I taped a sign asking them to and some auras and kf94s. before 2020 asking people to do such a small favor and them actually doing it would never be on my list of “wow”
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Aug 22, 2023 02:49
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Shiroc posted:Since I’m back again, I’m gonna share a nice little moment from last week. My apartment gave notice about required upgrades on my ac unit that would take all day. I was worried about having people in my apartment and getting a contractor to wear a mask. I taped a sign asking them to and some auras and kf94s. Complaints about wearing masks always confused me in the first place. I had coworkers that were like pack+ a day smokers talk about how the mask was preventing them from getting enough oxygen and it didn't really seem like their priorities were straight. Though I guess maybe if their lungs were already struggling a mask might have felt worse.
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Aug 22, 2023 02:52
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StratGoatCom posted:I mean, let's be honest, an n95 is probably the minimum protection I'd demand going into a goon cave anyway even before covid. Given the weird way n95s filter smells, a goon cave should have OVs for guests and contractors.
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Aug 22, 2023 02:54
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Shiroc posted:Since I’m back again, I’m gonna share a nice little moment from last week. My apartment gave notice about required upgrades on my ac unit that would take all day. I was worried about having people in my apartment and getting a contractor to wear a mask. I taped a sign asking them to and some auras and kf94s. Hell yeah StratGoatCom posted:I mean, let's be honest, an n95 is probably the minimum protection I'd demand going into a goon cave anyway even before covid. 
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Aug 22, 2023 02:59
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Further on the horse paste discussion, a reminder that a doctor in Arkansas was running his own little captive research group by secretly treating all the covid positive inmates in a Washington County jail with ivermectin quote:Four inmates at an Arkansas jail have filed a federal lawsuit after they say medical staff gave them the anti-parasitic drug ivermectin to treat COVID-19 without telling them what it was. The inmates said they were told the medicines they were taking were "vitamins," "antibiotics" or "steroids." That's just one example of a doctor prescribing ivermectin or hydroxychloroquine, there were a bunch more posted in the older threads. There were also a bunch of bullshit studies that were being used by the pro-ivermectin/hydroxychloroquine crowd(I think there was a big study out of Pakistan that was getting quoted a lot?) as well as similar studies for palm oil and other bullshit cures
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Aug 22, 2023 03:07
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I never get a second opinion or talk back, my doctor will take it as a breach of trust. The Oldest Man posted:I'll simply get my potentially dangerous prescription drugs from a qualified healthcare professional [walks into naturopath's office]
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Aug 22, 2023 03:09
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