Who Are the Real COVID-19 Experts?

Don’t be confused by fake COVID-19 experts pushing their own agendas that are opposite the guidance of the real experts.

Why are you still confused about who you should listen to for advice about COVID-19 and who the real experts are?

Why is an oral surgeon treating people with COVID-19?
Why is an oral surgeon treating people with COVID-19?

The usual suspects…

Who Are the Real COVID-19 Experts?

Consider that in Texas, where COVID-19 cases are once again surging, Texas Senator Bob Hall is telling folks that they should no longer be afraid and is touting his very own COVID-19 “experts,” including:

  • Dennis Spence DDS, MD – an oral surgeon
  • Robin Armstrong, MD – an internal medicine doctor, he gave hydroxychloroquine to dozens of elderly patients in nursing homes without informed consent in his own “observational study.”
  • Brian C. Procter, MD – a family medicine doctor who has become one of Collin County’s leading Botox and Juvederm providers, and has made claims about successfully treating COVID-19 patients using “hydroxychloroquine, azithromycin, losartan, aspirin, zinc, and CBD [Cannabidiol oil] as an anti-inflammatory.” Proctor has also come out against wearing masks!
  • Richard P. Bartlett, MD – a family practice doctor, he is pushing the idea that budesonide, an inhaled steroid, is a silver bullet cure for COVID-19. Of course, that wouldn’t explain why people with asthma, who already take these drugs daily, die with COVID-19…
  • Stella Immanuel, MD – a pediatrician who continues to push the use of hydroxychloroquine.
  • Richard Urso, MD – an opthalmologist who seems to think that hydroxychloroquine should be available over the counter..

With so many docs writing scripts for their patients, it’s kind of like it is already…

Hydroxychloroquine should not be available over the counter!
Why is an ophthalmologist an expert on COVID-19?

So are any of these folks experts on COVID-19?

There is no evidence that Urso's COVID-19 cocktail will stop the SARS-CoV-2 virus.
There is no evidence that Urso’s COVID-19 cocktail will stop the SARS-CoV-2 virus.

While they are physicians, none seem to have any extra training in public health, virology, or infectious diseases.

Just as I wouldn’t go to Dr. Fauci if I had a cataract, I wouldn’t go to an ophthalmologist if I needed help dealing with a novel viral pandemic…

These folks do not seem to be experts and should likely not be making any treatment or policy recommendations that are outside their areas of expertise.

Listen to the real experts. #IStandWithFauci
Listen to the real experts. #IStandWithFauci

You should not be listening to them, especially when their recommendations go against the guidance of the real experts on COVID-19, such as:

You certainly shouldn’t be listening to politicians touting so-called experts pushing unproven and dangerous cures and treatments, as they have one goal – to make you think the COVID-19 pandemic isn’t that bad…

A naturopathic doctor had a lot to say about COVID-19 at this City Council meeting that voted to allow 4th of July activities in the city...
A naturopathic doctor had a lot to say about COVID-19 at this City Council meeting that voted to allow 4th of July activities in the city…

But how do you explain their “success” they are having with their COVID-19 patients?

The success they think they are having is built on anecdotal evidence.

“The overall cumulative hospitalization rate was 107.2 per 100,000 population. Among the 0-4 years, 5-17 years, 18-49 years, 50-64 years, and ≥ 65 years age groups, the highest rate of hospitalization is among adults aged ≥ 65, followed by adults aged 50-64 years and adults aged 18-49 years.”

COVIDView Weekly Summary

And misses the fact that most folks don’t end up in the hospital when they have COVID-19…

They also do a lot of cherry picking, ignoring any studies or evidence that show what they are doing might not be right.

“Hydroxychloroquine and chloroquine, with or without azithromycin or clarithromycin, offer no benefit in treating patients with COVID-19 and, instead, are associated with ventricular arrhythmias and higher rates of mortality, according to a major new international study.”

More Evidence Hydroxychloroquine Is Ineffective, Harmful in COVID-19

Still confused?

More on COVID-19 Experts

What to Know About Face Masks and COVID-19

Wearing a face mask is safe and may help slow the spread of COVID-19.

Why do some people still think they shouldn’t wear a mask to help control the COVID-19 pandemic?

A chain link fence won't keep out a mosquito, but it will keep out a dog covered in ticks...
A chain link fence won’t keep out a mosquito, but it will keep out a dog covered in ticks…

The usual suspects…

Confusion About Face Masks and COVID-19

Much of the confusion about face masks stems from the fact the initial guidance from the WHO and CDC said that wearing a mask wasn’t necessary for everyone.

“Wearing medical masks when not indicated may cause unnecessary cost, procurement burden and create a false sense of security that can lead to neglecting other essential measures such as hand hygiene practices. Furthermore, using a mask incorrectly may hamper its effectiveness to reduce the risk of transmission.”

Advice on the use of masks in the community, during home care and in health care settings in the context of the novel coronavirus (2019-nCoV) outbreak – WHO Interim guidance January 2020

Using a mask incorrectly?

If you are going to wear your mask under your chin or with your nose or mouth exposed and think you are protected and not social distance, then wearing a mask might actually get more people sick. With little information that masks were helpful, this fear that they would create a false sense of security likely influenced initial guidance.

Experts were likely also concerned about a limited supply of medical masks at the time.

Of course, as we have gotten more information about the SARS-CoV-2 virus and how it spreads, that guidance about face masks changed.

“CDC recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain (e.g., grocery stores and pharmacies), especially in areas of significant community-based transmission.”

Use of Cloth Face Coverings to Help Slow the Spread of COVID-19 (April 2020)

We know that the best way to avoid getting COVID-19, at least until we get a vaccine, is going to be trying make sure you are never exposed to the SARS-CoV-2 virus. In addition to social distancing and washing your hands, wearing a face mask correctly will help to decrease your risk of exposing others. And if those around you are wearing a face mask, then they won’t expose you!

What to Know About Face Masks and COVID-19

But what about the idea that the pore size of the masks are too big to stop the small size of the SARS-CoV-2 virus?

This 2009 photograph captured a sneeze in progress, revealing the plume of salivary droplets as they are expelled in a large cone-shaped array from this man’s open mouth, thereby, dramatically illustrating the reason one needs to cover his/her mouth when coughing, or sneezing, in order to protect others from germ exposure. Photo courtesy CDC/James Gathany
A sneeze in progress, revealing the plume of salivary droplets as they are expelled in a large cone-shaped array from this man’s open mouth. Photo by James Gathany.

The thing is, the SARS-CoV-2 virus, while it is very small, isn’t just floating around in the air by itself! It gets carried in and on larger respiratory droplets.

And if the mask blocks those respiratory droplets, then it should keep you from exposing others to the SARS-CoV-2 virus.

What about the claim that face masks cause folks to breath their own carbon dioxide, even leading to breathing problems?

OSHA has issued guidance to protect workers from getting COVID-19, which includes that they wear face coverings.
OSHA has issued guidance to protect workers from getting COVID-19, which includes that they wear face coverings.

Most folks realize this isn’t a real problem, after all, health professionals wear face masks all of the time without any problems, right?

But just think about these arguments…

On the one hand, they are worried that the pore size of face masks won’t block out the SARS-CoV-2 virus, which is about 0.1 μm in diameter.

But then they think these very same face masks will block carbon dioxide? How big are carbon dioxide molecules???

They are about 1000 times smaller than the SARS-CoV-2 virus…

So a face mask is not going to affect your ability to breath well.

Who Should Not Wear a Face Mask

Not surprisingly, a face mask is even recommended for folks with asthma, as long as their asthma is well controlled.

“There is no evidence that wearing a face mask makes asthma worse.”

AAAI Recommendations on the use of face masks to reduce COVID-19 transmission

Infants and toddlers under age two years can skip wearing a face mask because of the risk of suffocation, as can “anyone who has trouble breathing, is unconscious, incapacitated or otherwise unable to remove the mask without assistance.”

If you have “trouble breathing” though, you likely have a severe respiratory condition and you aren’t simply someone who doesn’t want to wear a mask.

Flyers about the Americans with Disabilities Act (ADA) and the use of face masks due to the COVID-19 are fake.

And there are no face mask exemptions under the Americans with Disabilities Act (ADA).

People are selling fake face mask exemption cards.
People are selling fake face mask exemption cards.

Are you ready to put on a mask now?

Since we are seeing higher rates of COVID-19 in states that don’t have mask mandates, the only confusion should be over why anyone still won’t wear a mask when they are around other people.

More on Controlling COVID-19

Are One in a Billion Children Dying of COVID-19?

Paul Thomas doesn’t think parents should be concerned because he thinks only one in a billion children are dying of COVID-19.

Why do some people think that only one in a billion children are dying of COVID-19?

There were 7 deaths among the 7,780 children with COVID-19 in the study and Paul Thomas somehow translated that into a rate of one in a billion.
There were 7 deaths among the 7,780 children with COVID-19 in the study and Paul Thomas somehow translated that into a rate of one in a billion.

The usual suspects…

Are One in a Billion Children Dying of COVID-19?

In his video about face masks and face shields, Paul Thomas describes a study about pediatric patients with COVID-19.

“We identified 131 studies across 26 countries comprising 7780 pediatric patients.”

Hoang et al on COVID-19 in 7780 pediatric patients: A systematic review

What did they find?

They found that most of the kids in the study with COVID-19 recovered and had “overall excellent prognosis.”

“Seven deaths were reported (0·09%) and 11 children (0·14%) met inclusion for multisystem inflammatory syndrome in children.”

Hoang et al on COVID-19 in 7780 pediatric patients: A systematic review

Most, but not all…

“They looked at 131 studies that included over 7000 children from 26 different countries. There were only seven deaths out of the 6.4 million cases of COVID-19. Understand, that’s about one in a billion if you look at the world population. One in a billion children dying of COVID. Oh my gosh! No! You don’t need to be afraid for your child.”

Paul Thomas on FACE MASKS & FACE SHIELDS: Should We Wear Them?

One in a billion?

Even if you don’t know anything about statistics or epidemiology and haven’t looked at the study, you can guess that it wasn’t saying that only one in a billion children are dying of COVID-19!

Instead, most people will quickly see that there were seven deaths among 7,780 pediatric patients.

So among the children who got COVID-19, a relatively high percentage, at nearly 0.1%, died.

If only one in a billion children were truly dying of COVID-19, then only one child would have died! While the world population has indeed reached nearly eight billion people, keep in mind that they aren’t all children!

This North American Pediatric ICU database has recorded at least 39 pediatric COVID-19 deaths.

Anyway, so far, there have been over 70 pediatric COVID-19 deaths in the United States alone. So much for one in a billion children dying of COVID…

Should you be afraid for your child?

Are you getting advice about COVID-19 from Paul Thomas???

More on Kids Dying with COVID-19

Why Do Some People Still Think Hydroxychloroquine Works for COVID-19?

We are more than six months into the COVID-19 pandemic and we are still talking about hydroxychloroquine, a dangerous treatment that doesn’t work.

As the COVID-19 pandemic continues to rage throughout the world, we don’t have a vaccine, there are few treatments and no cure, and as some still refuse to wear masks in public or social distance, there are still those think that hydroxychloroquine works.

We are still talking about hydroxychloroquine.

Can you guess why?

Why Do Some People Still Think Hydroxychloroquine Works for COVID-19?

Sure, it’s not complicated…

The US has a stockpile of hydroxychloroquine.

There are plenty of people pushing for the continued use of hydroxycloroquine as a treatment for COVID-19, even though many experts were skeptical from the beginning and there are new warnings from the FDA.

“Based on its ongoing analysis of the EUA and emerging scientific data, the FDA determined that chloroquine and hydroxychloroquine are unlikely to be effective in treating COVID-19 for the authorized uses in the EUA. Additionally, in light of ongoing serious cardiac adverse events and other potential serious side effects, the known and potential benefits of chloroquine and hydroxychloroquine no longer outweigh the known and potential risks for the authorized use.”

FDA cautions against use of hydroxychloroquine or chloroquine for COVID-19 outside of the hospital setting or a clinical trial due to risk of heart rhythm problems

But how do these folks convince anyone to listen to them?

Zev Zelenko is one of the doctors pushing hydroxychloroquine as a treatment for COVID-19.

Mostly it is because people want to believe that there is a treatment, especially when the alternative is doing nothing.

Dr Urso is another doctor pushing hydroxychloroquine as a treatment for COVID-19.

They want to believe, even though that false hope for an effective treatment puts them at risk of dangerous side effects.

An extra risk without any benefits, as hydroxycholorquine doesn’t actually work as a COVID-19 treatment.

“We know that every single good study – and by good study I mean randomised control study in which the data are firm and believable – has shown that hydroxychloroquine is not effective in the treatment of Covid-19.”

Anthony Fauci on Coronavirus: Hydroxychloroquine ineffective says Fauci

Again, then, why do so many people think that hydroxychloroquine and these other protocols actually work?

In addition to some poorly done studies that say it works, it is mostly because of the anecdotal data and testimonials they are hearing from the doctors who have appointed themselves experts on treating COVID-19.

How are they determining that false negatives are really false negatives?
How are they determining that false negatives are really false negatives?

For example, is the fact that there are no deaths and only one hospitalization on this list of COVID STATS from the McKinney Family Medicine a good reason to take hydroxychloroquine?

“The overall cumulative hospitalization rate is 120.9 per 100,000 population.”

COVIDView Weekly Summary

Of course not, especially when you consider that you likely wouldn’t expect any hospitalizations or deaths when you only have 271 COVID-19 patients.

Wait, why is that?

With a hospitalization rate of 120 per 100,000 cases, you can expect one person to be hospitalized for every 1,000 cases!

Of course, that rate is higher in groups with higher risk factors, but even if all of the patients at McKinney Family Medicine were older and had some risk factors, it is doubtful that you would expect more than one hospitalization.

“Mild to moderate (mild symptoms up to mild pneumonia): 81%”

Interim Clinical Guidance for Management of Patients with Confirmed Coronavirus Disease (COVID-19)

Remember, most people with COVID-19 have mild symptoms and recover without any specific treatments.

Unfortunately, some don’t, especially those in high risk groups.

Craig Spencer warns that anecdotes about hydroxychloroquine are harming people.

And that’s why we need to work to control COVID-19 with face masks, social distancing, handwashing, testing, contact tracing, and quarantining, and stop all of the pseudo-scientific nonsense about hydroxychloroquine and other COVID-19 misinformation.

More on Hydroxychloroquine

COVID-19 Registry List

To get answers as quickly as possible, researchers and health care providers have created COVID-19 registries that cover everything from asthma and diabetes to pregnancy and pulmonary embolism.

Since COVID-19 is truly a novel disease, we continue to look for answers about how to best treat our patients who are getting sick.

Fever and cough are the most common symptoms in this COVID-19 pediatric registry.
Fever and cough are the most common symptoms in this COVID-19 pediatric registry.

And to get those answers as quickly as possible, researchers and health care providers have created COVID-19 registries that cover everything from asthma and diabetes to pregnancy and pulmonary embolism.

COVID-19 Registry List

Not surprisingly, there is a COVID-19 registry to cover just about every aspect of this new disease.

The results from these registries will hopefully help us come up with better COVID-19 treatment protocols and answer some very important questions, such as whether or not SARS-CoV-2 truly is triggering new cases of type 1 diabetes and why some people have lingering symptoms.

More on COVID-19