Cycles of Covid-19

(Tom: I searched for but could not find the origianl source of the following text. Some places said it had been removed. As it contains data that is important and could be life-saving and is consistent with other data I have read I am forwarding it as received sans the references to the unavailable drawings. It also supports the condemnation of the deliberate attempts to discredit Hydroxychloroquine via murderous rigged trials: https://www.palmerfoundation.com.au/health-impact-news-dr-meryl-nass-discovers-hydroxychloroquine-experiments-were-designed-to-kill-covid-patients-how-many-were-murdered/)

Dr Maroun Hayek’s post:

“Dear friends and family:

As I see my posts being shared quite often, I will introduce my credentials. I am a practicing Medical Hematologist & Oncologist for 30 years. I am board certified by ABIM in Internal Medicine (1993, 2003 and 2013), Medical Oncology (1996, 2006 and 2016) and Hematology (1997, 2007 and 2017). I have served as Chief medical resident, Chief of medicine, Chief of staff, MEC and numerous committees. I embraced inpatient Covid care in February 2020 and have been and continue to be, firsthand involved in every single Covid admission to DRMC in Greenville, MS in Washington county, one of the most heavily affected areas in the state of MS.

I have come to realize that the cycles of the Covid-19 disease are unknown to most, hence the understandable confusion regarding Hydroxychloroquine. Here is a concise presentation.

As the virus invades the respiratory system, our immune system will eventually eradicate it. However, unlike other viral diseases, in some patients, this immune response will cause an inflammation that, given enough time, will independently disrupt oxygen transfer from the lung to blood capillaries even after the virus has been destroyed. Concomitantly, the capillaries are squeezed and intravascular clotting starts, causing rapid vascular closure. Consequently, as the disease progresses, blood oxygen levels will keep dropping until asphyxia occurs.

Starting Hydroxychloroquine at stages 1 or 2 will promptly destroy the virus and prevent the inflammatory reaction from occurring, hence an exceedingly high success rate. These two stages are seen outside the hospital. Few treated patients will progress to hospital admission and even less will die. At DRMC outpatient clinic, where Hydroxy is promptly started, only seven patients had to be admitted of whom only one remains intubated (NO DEATHS SO FAR AT THAT STAGE). These results have been duplicated across the world and are certainly not unique to my practice.

At early to mid-stage III, Hydroxychloroquine has been shown to reduce the risk of death by about 65% (Both in US and Italy). The immediate addition of anticoagulation and anti-inflammatory treatment will bring mortality well into the single digits (personal experience, to be published).

Late stage III and stage IV is when oxygen requirements are significant. By then, the virus has been cleared thanks to the immune system, but capillary clotting and inflammation of the green barrier are still rampant. As the virus has been cleared, you can see clearly why, at this stage, Hydroxy (or any other antiviral) will miserably fail at making an impact. This is the stage where all the negative studies of Hydroxychloroquine that you hear about have been publicized.

Hydroxychloroquine’s toxicity is another target of widespread misinformation. When used by expert physicians, in a total of more than 4000 patients that were properly screened for appropriateness of Hydroxychloroquine, there was (as in my practice) not a single cardiac-related death. The main side effect is nausea which occurs in 2 to 5% of people. However, in advanced stages, patients are so ill that treatment-related toxicities (including cardiac) will uniformly rise.

Undoubtedly, it would be ideal if we had US clinical trials to validate this approach once and for all. For your knowledge, this is one of the job descriptions of the National Institute of Health as posted on their website. If you want to lay any criticism as to why it is not yet available 8 months into the pandemic, please address it with the NIH, not by questioning the integrity of those who constantly, diligently, and unwaveringly, are putting both their own and their families’ physical wellbeing at risk to deliver the best possible care.

I therefore urge you all to promptly seek care if symptomatic. Reach out to your primary care physician early on for rapid intervention. If you are simply advised to receive Tylenol and a cough syrup, quickly find someone else. These treatments need a comprehensive medical evaluation, blood testing, and EKG to be delivered safely. They cannot be dispensed over the phone.

Best regards and God speed to all as we continue navigate these difficult times,”

Maroun Hayek, MD