LATE INTERVENTIONS

In this section, the patient is no longer conscious or capable of directing their own care. Many times these patients are, unfortunately, already on the ventilator. Therefore, relatives or a surrogate are making decisions for the patient.

If you are concerned about the quality of care, immediately get the hospital’s “Patient Advocate” involved. Most hospitals have one. 

Get a second opinion. You’ll need to find a local independent doctor to provide a second treatment opinion. Obviously, you will need a doctor who specializes in Covid treatment. You should request the doctor be allowed to evaluate the patient even if they lack admitting privileges for purposes of a second opinion. Request that the doctor be permitted to participate in patient conferences even if by phone.   

If at all possible, arrange for someone to be in the room with the patient at all times to ensure consistent high quality of care. At ALL times. Do it in shifts. Even in the middle of the night. Things can happen over the night shift. This person should be checking hydration levels and conferring when possible with nurses and doctors assigned to the patient.

Advocate continually for alternative treatments (Ivermectin, Fluvoxamine, and/or monoclonal antibody treatments), if approved by the outside physician. Familiarize yourself with successful hospital protocols, like placing ventilated patients on their stomach. 

Some people have successfully arranged to have alternative treatment providers see the patient; or have managed transfers to other hospitals with more flexible Covid treatment, specialized clinics, or even at-home treatment. You may have to insist on the patient being discharged AMA.

Right-To-Try. Consider drug treatments still in clinical trials with right- to-try programs. You MUST use the magic words “I am requesting this against medical advice,” or the hospital will usually reject or ignore your request. Note that Ivermectin and Fluvoxamine are APPROVED drugs and are excluded from right-to-try.

For example, one drug in this category that has been frequently mentioned is Zysemi.  

See: https://tinyurl.com/2p84528z