Ivermectin- latest
The more it is used the more we learn about it!
More about Ivermectin- good stuff!
https://t.co/Ar9bJ1oEXi
Those of us in the medical fields continue to evaluate data coming in. Ivermectin clearly appears to be a good therapeutic when used early. And for <20 dollars sure beats the heck out of some of these thousand dollar medicines. Of course drug companies will do anything to keep the prescription of their products coming. Like paying off doctors, or politicians?? Of course.
I mean — let’s just say I am in the middle of an aortic valve replacement, on pump, heart stopped… so I ask for the valve after opening the ascending aorta . And say “let me have a size 21 valve” nurse opens and dumps in back table a valve- scrub tech hands it to me and I say “what the hell is this? Where is my normal XYZ valve I use????.” So quick - what do I do next? Clock is running. All they have are OMG valves on the shelf!!!
One thing for sure is I storm into head OR administrators office (yes cardiac surgeons do have a reputation!)… To be told…. Oh the CEO made a change to the OMG company- “you didn’t get the email?” Oh yes this happens all the time.
And oh yes some of those patients come back much earlier for a redo. The cheap valve wears out - imagine that.
Ask the internists if they make rounds and find their patient is getting the OMG medicine instead of the XYZ medicine. Again “what the hell - nurse can’t you read my order?” Oh wait that dates me… everything is by computer now. So no problem with mis spelling, poor handwriting- but she says “the pharmacist changed it to what the hospital buys - it is a substitute!”
Boy have I stirred a hornets nest about medical/surgical care these days
Heads up to youngsters reading this old codger wisdom. Regarding the “time out” actually as a pilot I call it a pre flight checklist. Correct patient, correct surgeon, etc etc if laterality involved, side marked in holding area to which patient and surgeon agree. But also on check list is “everything in room to do the operation”... that is where the mean old surgeon says “show me the heart valve” before patient is asleep. To be sure the administrators haven’t moved the goalposts again.
We ran into that drug substitution st the VA all the time because the pharmacists are in control.