81 Comments
Jul 30, 2022Liked by Joel Smalley

Pierre explained a lot of what happened in hospitals and that makes sense, but in the long term care homes the overuse of midazolam without ICU treatment cannot be absolved IMO.

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Jul 30, 2022Liked by Joel Smalley

I appreciate that perspective but I don't agree that many hospitals followed suit. But thanks for being fair to include this insight. It's the right way to have a debate.

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Isn't there an issue with the use of midazolam and nursing/care homes in England? I thought that's what was being argued - the steep rise in care home deaths from covid being concomitant with the vast quantities of the drug being used, so used on patients not on ventilation?

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Jul 30, 2022·edited Jul 30, 2022Liked by Joel Smalley

Maybe I have this wrong, but in the UK, the Midazolam use that we are concerned about was not being used in ICU's, but by staff in care homes, with instruction from the NHS to use up to 4 times the safe dose.

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I am so grateful to you for being willing to look at other angles. That makes me trust you all the more, because you have shown a willingness to open to new information that challenges earlier positions. You are demonstrating exactly the opposite of what has gotten us into this mess in the first place--people and institutions digging in their heels out of unwillingness to be proven wrong. THANK YOU, and keep up the wonderful work.

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Jul 30, 2022·edited Jul 30, 2022

Question: did anyone ever die at home from duh dweadful deadwy virwus? Or did close to 100% of "Covid" deaths occur in hospital as a result of harmful interventions like ventilators, midazolam, remdesivir, etc?

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Jul 30, 2022·edited Jul 30, 2022Liked by Joel Smalley

The fact remains that the authorities deliberately and cruelly banned the use of life-saving drugs like hydroxychloroquine and ivermectin.

I always cite the case of the maverick South African GP who testified to Reiner Fuellmich that he used hydrooxychloroquine to successfully treated 10,000 patients without a single death or hospitalisation: https://expose-news.com/2022/02/22/covid-illness-is-due-to-an-allergic-reaction/

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It's another side of the argument, re: hospitals. However, it fails to explain why there was an increase of the use of these drugs in care homes, the standard care of which does not include vents/intubation.

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Jul 30, 2022Liked by Joel Smalley

Sweden didn't even have one day of lockdown and no mask or vaccine mandates. However, a lot of the deaths in Swedish care homes occurred due to the administration of morphine to the elderly there instead of providing them with any early treatment or any medical treatment at all. The elderly were euthanised in effect. I always thought Dr Mike Yeadon was talking about a similar happening in UK care homes. https://www.bbc.co.uk/news/world-europe-52704836

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I trust Pierre Kory more because of this kind of carefully balanced assessment of treatments, with admission that - in retrospect - things were not always done in the best manner.

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Jul 30, 2022Liked by Joel Smalley

Nice feedback from Dr. Kory. Wasn’t midazolam used in care homes to sedate the elderly who had covid? I thought that was the big scandal and the whistleblower had a parent in one of these care homes.

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Jul 30, 2022Liked by Joel Smalley

This is why open, free speech is so vitally important! We need to share experiences to LEARN.

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Jul 30, 2022Liked by Joel Smalley

That’s a very interesting input from Pierre. I looked into the Midazolam story a while ago but always stuck at wondering how so many medical staff could have been persuaded to participate in something so likely to hasten the death of a significant hospital population. I speculated that they had either been deliberately misled by the guidance offered or that there had been a widespread and unpredicted outcome due to something novel, probably the illness itself. Pierre seems to be suggesting the latter.

This also aligns with the known fact that ventilation itself was precipitating deaths early on in the pandemic when conventional wisdom was that ventilation was the best treatment for those patients.

Of course, this doesn’t rule out the possibility of medical staff being deliberately misled by someone who knew better.

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A friend in UK (over 35 years, we were at uni together) & I were VERY surprised to hear from Italy that a large number of patients were being put on ventilators.

My friend is a respiratory professor at a minor uk university.

We don’t understand the rationale. COVID or whatever you call it is not an obstructive lung disease & nothing is preventing the patient from breathing in & out.

If they’re desaturating, you give them a high flow oxygen mask. You don’t sedate & mechanically ventilate. That’s a very aggressive procedure especially for the frail elderly.

There’s a list of ventilator associated conditions that quite commonly lead to death.

So beyond a dose of a benzodiazepine purely as an anxiolytic, I genuinely don’t understand any of the rest of the medical management that was prevalent, first in Italy, then elsewhere.

I’m not trying to contradict anyone. Just sharing what I know from others.

In Italy, a respiratory prof we knew persuaded colleagues to compare their “Wuhan protocol” with his much more conservative approach.

Within a couple of weeks it was a hands down win for the latter. Hardly anyone died. Those placed on ventilators when the patient was still breathing easily unaided had an appallingly high death rate.

Asked “Why are you sedating & ventilating so early?” we were told that Chinese colleagues had told them the sooner they ventilated, the better the prognosis. I don’t think that was ever true.

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All good points from Kory, but doesn't address what Yeadon was questioning in the UK

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In the UK, in April 2020 45,033 prescriptions for Midazolam (mainly Midazolam Hydrochloride) were issued, containing 333,229 items. That is 2.3 x the annual average in the number of prescriptions issued for Midazolam and is 1.9 x the annual average in the number of items they contained. In case an item is 1 ampule of 100mg/50ml then it would be a total of 3,332.3 kg. These amp- were not issued in hospitals, but issued by GP practices which can only mean: end-of-life care. In case there were 30,000 care home residence treated then each had 110 mg Midazolam titrated over 72 hours or 37 mg/24 hr (instead of 10mg). Which would explain the UK death peak in April/May.

In Germany they ordered Midazolam 1000 kg in June/July and they had a small peak in Aug- and a very big peak in Dec- 2020 (usual flu peak month).

German reasoning: Translated ‘In case of therapy resistant restlessness and fear or when oral intake of medication is not possible then the administration of medicine has to be parenteral (s.c. or I.v.). S.c. (subcutaneous) route has to prioritise because it has a lower side effect profile. Anticipating progressive restlessness and therapeutic limitations in case for incubation (Ventilation); one should apply Midazolam perfusion (s.c.) in combination with Morphine. Midazolam 5-10mg/24 hr as a continuum titration: Midazolam 2,5 -5 mg s.c. every 4 as an alternative to Lorazepam in case this works insufficient.‘

NHS policy prior to the emergence of Covid-19 states – Dosage should be reduced to 0.5mg in the elderly or unwell due to possible side effects which include cardiorespiratory depression, and extreme caution should be used in administering midazolam to patients suffering respiratory disease.

NHS policy after the emergence of Covid-19, an alleged respiratory disease states – Dosage should be started with 2.5mg SC of IV if the patient is particularly frail use 1.25mg. If extremely distressed or shows tolerance my required higher doses e.g., 5 – 10 mg or much higher.

For ‘a good death’: Patients ‘beyond treatment options’ and unable to take oral medication; †Midazolam 5mg subcutaneously (SC) (50kg) or †Midazolam 20mg to 30mg via continuous subcutaneous infusion (CSCI) over 24 hours can be used as maintenance therapy. Note that injection preparation prescribed for adults and held by the palliative care community networks is 10mg in 2ml. https://www.palliativecareguidelines.scot.nhs.uk/guidelines/medicine-information-sheets/midazolam-in-palliative-care.aspx So, a dose of 37mg/24hr provides a death. Yet ‘the good death’ becomes a hellish death when the patient experience, due to an abrupted withdrawal; a Cardio-repertoire-arrest.

Up to the 1st May 2020 there were 41,627 more deaths than the five-year average, and the vast majority of these occurred in April. An April which saw A&E attendance down 57% compared to the previous year and bed occupancy down 30% compared to the previous year. 33,408 of these excess deaths mentioned Covid-19 on the death certificate, the vast majority of which occurred in those over the age of 85.

However data taken from the Office for National Statistics (ONS) shows us that during April 2020 there were 26,541 deaths that occurred in care homes, an increase of 17,850 on the five-year average. This is more than half the amount of alleged Covid-19 deaths during the same period.

Pursuant to the 1st para-: most likely cause of care home deaths is the Midazolam intoxification

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