The recent approval of remdesivir as the standard of care for Covid-19 does not mean what people think.
Initially, success was defined by reduction in deaths and morbidity, but in mid-study, that was changed to time of hospitalization. Getting people out of the hospital solves the government’s problem, but it does not solve mine.
FWIW, were I dictating my own treatment based on what I have read so far, it would be:
- Convalescent plasma and hydroxychloroquine starting as soon as diagnosed. Monitoring of prothrombin time and anticoagulants if indicated.
- At the first sign of cytokine storm, Interlukin-6 antagonists and doxycycline for prevention of bacterial infection
- Oxygen with nitric oxide and positional rotation for breathing assistance
- ventilation as a last resort, along with external oxygenation(heart lung machine) mostly because it’s better to die in a medically induced coma than gasping for your last breath.