Coronavirus COVID-19 Treatment List

Below is a list of twelve hypothetical treatments for the coronavirus, COVID-19. I will try to update it periodically. Ask your doctor, what is the list of all possible treatments? What is the expected "net treatment benefit for me?" 

DISCLAIMER: These treatments may be 0% effective or even harmful. Talk to your doctor before undergoing any medical treatment. 

The first step in treating any disease is making a list of every potential treatment and reviewing them. Here's a hypothetical "working list" in no particular order:

  1. Convalescent plasma
  2. Vaccines in development
  3. Remdesiver
  4. Sofosbuvir
  5. Sofosbuvir + ribavirin
  6. Lopinavir, ritonavir, ribavirin + corticosteroids
  7. Interferon alfacon-1
  8. Ribaviron + corticosteroids
  9. hyroxychloroquine (Plaquenil) - malaria drug
  10. chloroquine - malaria medication
  11. Cold EEZE
  12. Sunlight & Fresh Air
I have no stake in any of these treatments. Why is Cold EEZE is on the list? Because even though it's somewhat of an alternative medicine, there are a surprising number of studies on zinc lozenges for the common cold in adults, and the common cold can be caused by a type of coronavirus. 

When you get sick with any diagnosis, you need a list of all possible treatments with the "net treatment benefit for the patient" figured out for each treatment. We are a long way from that, but when we have this type of "quantified transparency" in healthcare we will all be much better off. Put the patient first. Give patients complete transparency, both price transparency and treatment transparency. 

We need to use mathematics to quantify the benefit of our medical treatments in the patients that have been studied, and to quantify the uncertainty we have about such benefits. 

COVID-19 Summary

In an ideal world, you would talk to your physician, and if diagnosed with Covid-19, you would get a list of all possible treatments. You would also get an expected "net treatment benefit" for each of those treatments using mathematics, shared decision-making, and evidence-based medicine. 

You would literally ask:
  1. What are all the possible treatments?
  2. What is the net treatment benefit of each of those treatments for me?
Only your physician can answer these questions, because only they know all your medical conditions, and all your values and preferences. We need to use mathematics to calculate the expected "net treatment benefit" on the outcome scale most important to you, and any uncertainty needs to be expressed mathematically as well. Basically, you need a list of treatments with Treatment Scores that you can understand. This type of transparency needs to be decentralized to be between the practicing physician on the front lines and the patient, it should not be centralized and paternalistic. We need personalized and individualized medicine, not paternalistic or maternalistic medicine.  

REFERENCES:

Here are references that may or may not be scientific. And, that may or may not be from medical sources. These are also in random order.​ Again, I am just trying to come up with a list of every possible treatment from the medical literature, from the Internet, or from any other source. ​




Sunlight & Fresh Air from here:
https://medium.com/@ra.hobday/coronavirus-and-the-sun-a-lesson-from-the-1918-influenza-pandemic-509151dc8065

DISCLAIMERS

There may be errors or omissions in the above essay. It may be out of date. Trade names and generic names may not be complete or accurate. This essay does not provide individual medical advice, but rather is for general informational purposes only. This essay does not replace your physician. See your own physician for all diagnosis and treatment. See your own physician before treating your children. This essay is not a medical study. This essay does not claim any scientific validity at all. Only your physician is aware of your medical history and your individual values and preferences. Do not rely on this essay in place of seeking professional medical advice for yourself or others. All liability is disclaimed. No warranties are given. No recommendations for treatment are being made. There is no doctor-patient relationship. This is informational only. Some things listed above may be harmful and may need to be removed from the list.

Healthcare Reform is Simple

Healthcare reform is simple. Put patients first!

Make patients much more powerful and uncaring third parties such as the government and insurance companies far less powerful.

Information is power for patients, so we (doctors, nurses, patients, patient advocates, all allied healthcare professionals, etc.) must give patients complete transparency.

Transparency means two things: 1) complete price transparency and 2) understandable treatment transparency. 

To make treatment transparency understandable it needs to be quantified.

Quantified treatment transparency means putting a numerical value on the treatment for the outcome measure important to the patient. 

Once we make patients more powerful, and give them price transparency and quantified treatment transparency, healthcare will finally be disrupted in favor of patients. Patients may need to take these things - price transparency and product transparency - instead of waiting to be given these things! Be your own best healthcare advocate. 

Holy Trinity of Medical Ethics for Physicians

Physicians have strayed far from medical ethics because of paternalism. There has been an information monopoly, because until the Internet, patients had almost no access to medical information. Because of the Internet things are changing. However, instead of the power going to patients, a new kind of paternalism has been occurring. Paternalism where instead of the "old gray-haired physician" telling you what to do, now some "uncaring third party" is telling you what to do.

All patients must band together to fight 3rd party paternalism. All patients, doctors, and nurses must work together to shift the power back to patients first, and then back to doctors and nurses (and other healthcare professionals). We must be every vigilant against the bias of these three powerful, often uncaring third parties, who often seek power over patients: Academia, Government, and Industry.

Holy Trinity of Ethics for Physicians:
  1. Thou shall put the patient first.
  2. Thou shall provide the patient with price transparency.
  3. Thou shall provide the patient with treatment transparency - understandable and "quantified" treatment transparency!
There has never been a better time in history for Healthcare Freedom! We all must fight for it. Patients need power and control over the money, and patients need transparency: price transparency and treatment transparency - that they can understand!

I Have a Dream - Education Automation™

I have a dream that all children will be able to learn whatever they want, whenever they want, wherever they want, as fast as they want.

I have a dream that children will no longer be forced to learn the same the things at the same time. I have a dream that children will make their own educational choices much sooner in life so they will be less discouraged, learning will be more fun, and they can follow their passion.

To further my dream, I bought these domains a long time ago:

  • EducationAutomation.com
  • EducationAutomation.net
  • EducationAutomation.org

I bought these domains, because one of my childhood heroes, R. Buckminster Fuller, who invented Synergetics and popularized the geodesic dome, wrote a prophetic book called Education Automation (1962). I became hooked on the idea that we should always know the best way to learn everything we want to learn.

Imagine a website organized by the: 

  • Best books
  • Best games
  • Best toys
  • Best teachers
  • Best activities
  • Best subjects
  • Best TV shows
  • Best movies

Imagine a website where your passion to learn is matched with the best ways to learn about your passion. 

In the old days, they used to say, learn the Three Rs: “reading, riting, and rithmatic.” It’s true, education needs to start with reading, writing, and arithmetic. 

These three subjects are the foundation for everything.

But we also need to add business. Everyone, all their lives, no matter what they do, will somehow be involved in business. Business skills are needed to run your home, your life, succeed at work, and to change the world. We need Innovation Automation as much as we need Education Automation. 

All colleges and universities should have undergraduate business schools. 

Reading, writing, arithmetic, and business, might be rephrased as the Four Rs: “reading riting, rithmetic and reality.”

When I was in 7th grade, I wanted to learn human anatomy. I would be forced to wait until my 17th grade, my first year of medical school, to actually learn human anatomy.

When I was in college, I took a course called medical etymology. That programmed learning workbook was a greatest book I have ever known on learning medical terminology. Where is that book now? What was the name of that book? I have no idea. It's lost to history. But future students should have benefited from that book, because I don't think a better one has ever been written.

Why are we losing our best learning resources simply because we can't keep track of them? Why can't we organize education better?

We need 24/7 education, after hours schooling, weekend schooling, and homeschooling. We need omnipresent education automation, we need Education Everywhere. We need artificial intelligence to match us to the best learning tools when we are ready learn anything. The databases for all the ratings of the best things are being built, but the information needs to be digested into one place to match each individual's needs.

We all need to be connected to the books, games, documentaries, and educational TV shows in a better way than is being done now. We need Education Automation™!

If you share the dream of Education Automation™ please email me at:
Dr.Hennenfent@gmail.com

What You Need to Know about Medical Treatments



You need to know the "net treatment benefit" for patients like you who have been treated in the past. You need evidence-based medicine + shared decision-making.

Crucial Decisions - Patients Need Help!



We have a big problem in healthcare! The inability to make Crucial Decisions using evidence-based medicine, patient-centered outcomes, and shared decision-making. Patients Need Help! We need to summarize medical treatments down to one number, the net treatment benefit for the patient.



The Patient-Centered Outcomes Research (PCORI) team wrote, “Every day, patients and their caregivers are faced with crucial health care decisions while lacking key information that they need.” PCORI also wrote that we need to translate “…existing scientific research into accessible and useable formats…” - PCORI.org

Universal Calculator - Treatment Scores



The video above explains the problem of shared decision-making. Everyone says they want shared decision-making, but no one can actually do evidence-based medicine with shared decision-making in a universal way, for all treatments, for all diseases. Thus, we created the Treatment Scores system to make the process transparent and visual. What is your illness? What is the list of treatments? And, what is the Treatment Score (the net treatment benefit) for each and every treatment?

Number Needed to Treat is the WRONG STATISTIC



The Number Needed to Treat is not the right statistic for patients and never has been. Patients need to know the "net treatment benefit."



Patients need to know the "net treatment benefit" for patients like them who have treated in the past as summarized from the existing medical literature, using evidence-based medicine guidelines and shared decision-making.

3 Questions to ask you Doctor



Above is a very short video of questions to ask your doctor. Treatment Scores software is a universal calculator that summarizes the benefit of any medical treatment down to one number (using the outcome measure important to the patient).

Treatment Scores solve the problems of illiteracy, personalized medicine, evidence-based medicine, and shared decision-making.

Treatment Scores are like Sabermetrics (Moneyball for Medicine). Moneyball was the very popular movie starring Brad Pitt, which was about Sabermetrics. Sabermetrics have revolutionized sports and we need to revolutionize medicine, because there is an 88% health illiteracy rate.

Questions to Ask Your Doctor

Questions to ask your doctor:



  1. What’s the diagnosis?
  2. What are all the possible treatments?
  3. What is the Treatment Score for each treatment?