Critical Appraisal of Multi-Drug Therapy in the Ambulatory Management of Patients with COVID-19 and Hypoxemia
Analysis Suggests Many Hospitalizations with Use of Mechanical Ventilation Unnecessary
By Peter A. McCullough, MD, MPH
I have been struck with two observations throughout the COVID-19 crisis: 1) hospitalizations occurred because of lack of early ambulatory treatment, 2) nearly all the deaths occurred in hospitals, not at home.
As I was treating and advising collectively on thousands of cases over 2020 and 2021 I became very comfortable with understanding that a low oxygen saturation <94% was not a trigger for alarm. Provided the work of breathing was not too difficult and the ability to think clearly and follow instructions was solid, patients could be treated at home with supplemental oxygen then the McCullough Protocol which includes full anticoagulation. I recall treating a physician and her husband ages 58 and 60, both with severe COVID-19 pneumonia and O2 saturations in the 70’s for weeks during the Delta outbreak spanning August-September, 2021. At times saturations would dip below 70% while getting up to the kitchen or bathroom. Both of them knew they were safer at home on multidrug treatment than going to the hospital. Many hospitals had protocols that would have immediately paralyzed and sedated this couple then placed on them mechanical ventilators. This could have been the kiss of death. Yes, the couple survived with no complications and our collective confidence grew that “permissive hypoxemia” was well tolerated and very different from other forms of consolidative pneumonia, heart failure, and COPD.
This new form of hypoxemia we were observing was due to micro-blood clots in the lungs. It means the alveoli were not clogged with fluid, but the problem was blood flow to the capillaries. So by supporting the patients and providing anticoagulation, we could ride out the storm at home.
Gkioulekas et al, have published an analysis of the peer-reviewed clinical studies demonstrating safety of allowing hypoxemia to occur provided patients were treated with multidrug regimens. These papers relied heavily on the early use of ivermectin, which has an effect of unhooking the Spike protein from red blood cells, thus reducing hemagglutination and the micro-blood clotting process. The clinical results speak for themselves.
The use of the the pulse oximeter was a big mistake in the pandemic. We should have relied on clinical assessment, the work of breathing, and mentation. It’s my view that a large fraction of even the most severe cases could have been treated at home with supplemental oxygen and support. The hospitals became a death trap for COVID-19 victims as families can attest to today.
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Peter A. McCullough, MD, MPH
President, McCullough Foundation
I see no hope of finding a healthcare provider who would treat such a COVID patient at home according to the McCullough protocol or FLCCC protocol who would even prescribe home supplemental oxygen for a COVID patient with hypoxemia at these levels in most states. It appears that the only way would be through telehealth. This situation is such a criminal shame. Local access to inexpensive ivermectin and hydroxychloroquine is also inexcusable.
As a veterinarian, I have had a long running feud with fellow vets on the online veterinary forum VIN. I have been called names and told I'm stupid and brainwashed, etc, etc.
I have repeatedly asked my colleagues, who have extensive medical training just like human doctors, WHY no one is ever dying at home. I thought it was very strange. I have been told anecdotes, ANGRILY, about relatives or friends who died of COVID, but ALL died in hospitals...none at home.
I try not to let my imagination run wild. I try to keep a level head about this...but WHY are so many doctors refusing to see the obvious patterns?
If these people were doomed no matter what, as my colleagues postulate--insisting that COVID is extremely dangerous--then why not let them die at home with loved ones around?
I cannot make this be negligence alone....there must be some sort of intent to this whole thing...the only question is how deep does this intent go? How many were involved in INTENTIONALLY sacrificing patients to prop up this pandemic?
Everyone should be horrified that even ONE doctor was complicit....but it seems that many were complicit....or, at the very least chose to turn away to save their own incomes.