Using HCQ for Covid - Is it Cheating the Ignorant Patient?

By Girish Menon

My piece ‘Does Modern Medicine have a Platypus Problem?’ unleashed a 'minor storm in a teacup'. So, to improve my own understanding I write these words in the hope that some patient man will spare some time to clear my doubt.

In the immediate aftermath of my piece, a friend* suggested that using Dr, Immanuel's prescription to treat Covid was similar to using semen to cure Covid.

Another friend provided a slide showing the negative effect on countries not using HCQ. This data according to a third friend was fake news.

In the meantime:

The BBC carried an ad hominem article on Dr. Stella Immanuel stating that she was a pastor who had made wild claims about aliens in the past.

The WHO carried out a study which claimed that HCQ (hydroxychloroquine) was ineffective in the treatment of Covid. However, the WHO on the same page also stated " The decision to stop hydroxychloroquine’s use in the Solidarity trial does not apply to the use or evaluation of hydroxychloroquine in pre or post-exposure prophylaxis in patients exposed to COVID-19" (sic).

Yesterday another friend announced that her friend in Mumbai had recovered from Covid. During the illness she was given HCQ.

So, I asked this friend ‘does that mean HCQ cured her of Covid?’

She replied, ‘I don't know. She had tested negative for Covid. Her symptoms started with a rash which was not a symptom of Covid and yet her doctor diagnosed her condition as a Covid attack.’

So does this mean that at least there could be a positive correlation between HCQ and Covid treatment?’

‘I don't know’

‘Suppose you were in Mumbai, contracted Covid and a doctor you trust prescribed HCQ would you take it?’

‘Yes’

‘Now in a thought experiment, suppose you were teleported to Cambridge say four days later, still having Covid and the GP does not prescribe HCQ?’

‘I will obey the Milton physician.’


All these discussions reminded me of Omar Khayyam's "Myself when young did eagerly frequent doctor and saint, and heard great argument about it and about: but evermore came out by the same door as in I went."

And my questions remain:

What conclusion should a layman draw about HCQ and Covid?

Should I take HCQ as a prophylactic?

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* All friends quoted in the article are related to science and medicine.

Does Modern Medicine have a Platypus Problem?

By Girish Menon

“Early zoologists classified as mammals those that suckle their young and as reptiles those that lay eggs. Then a duck-billed platypus was discovered in Australia laying eggs like a perfect reptile and then, when they hatched, suckling the infant like a perfect mammal.
The discovery created quite a sensation. What an enigma! it was exclaimed.

What a mystery! What a marvel of nature! When the first stuffed specimens reached England from Australia around the end of the eighteenth century they were thought to be fakes made by sticking together bits of different animals. Even today you still see occasional articles in nature magazines asking ‘Why does this paradox of nature exist?’.

The answer is: it doesn’t. The Platypus isn’t doing anything paradoxical at all. It isn’t having any problems. Platypuses have been laying eggs and suckling their young for millions of years before there were any zoologists to come along and declare it illegal. The real mystery, the real enigma, is how mature, objective, trained scientific observers can blame their own goof on a poor innocent platypus.” Robert Pirsig in Zen and the Art of Motorcycle Maintenance

I wondered if this is the attitude of modern medicine towards primary care physician Dr. Stella Emmanuel for her recommendation of Hydroxychloroquine as a panacea for the Covid-19 virus.

I discussed Dr. Emmanuel's prescription with more than one practitioner of modern medicine and they were all unanimous in their condemnation of Dr. Emmanuel’s self publicity approach of making a film with many white coated authority figures in the background. 'She could have presented her data for scrutiny' and 'her claims will not qualify as level 2 evidence' were some of their verdicts.

Hydroxychloroquine, unfortunately, has become a highly political drug which has divided opinion on liberal v conservative lines. ‘Big Pharma’ has also been accused of trying to destroy a cheap solution to the raging Corona virus problem.

In the UK, modern medicine’s success in combating Covid-19 has resulted in over 50,000 deaths and delayed treatment of all other life threatening ailments. Decision making has been a series of flip-flops and U turns and is best illustrated by Telegraph’s Blowe





I wondered if some of the decisions by modern medicine on the lockdown and thereafter have the same amount of evidence required of Dr. Emmanuel and her panacea?

I am willing to take a sceptical approach to Dr Emmanuel as well as to the science based responses of the Boris Johnson government.

But, I also wondered if modern science and medicine ever consider that they too may suffer from the platypus problem?

I feel for Sachitra Senanayake

by Girish Menon

When the English mob and commentators unleashed their self righteous 'spirit of cricket' indignation on Sachitra Senanayake I felt the need to find out more about this unheard of cricketer who has caused a minor tempest in England's favourite brew container.

So, I looked up his career stats to find out that Sachitra is 29 and had already played 1 Test, 34 ODIs and 17 T20Is. I also learnt that prior to his 'Mankadding' of Buttler, in earlier ODIs of the current series he had been reported for a faulty action and asked to report to Perth for a bio-mechanical examination about the degree of flex in his action.

I happened to listen to Test Match Special (TMS) at the time of Sachitra's Mankadding incident and at the time the commentators were insistent that Sachitra had not warned Buttler earlier before running him out.  The commentators also alleged that English bowlers, unlike Sachitra and Murali before him, were unable to bowl the doosra since it would be ironed out by coaches at the junior stages itself.

Personally, I feel any bowling action which does not threaten the life of a batsman should be permitted. This will balance the equation between bat and ball and make for interesting cricket.  

In his book Lila, Robert Pirsig describes the English reaction when the first stuffed platypus was shipped there. At first, the traditionalists were aghast that nature had betrayed their classification. Also, they denied that platypi could lay eggs and then suckle their young. The traditionalists also tried to ban the platypus out of existence since it did not meet their classification code. It was only much later that the traditionalists accommodated  the platypus in the field of biology. 

At 29, Sachitra may feel like the stuffed platypus on its arrival in England. After investing so much time and effort in developing his skill, he is now being told that if he does not obtain a clearance from an Australian he will not be allowed to ply his trade.  England may or may not have had a role in the reporting of Senanayake, but surely this could have been done discreetly at the end of the series so that the Sri Lankan team would not be compromised in the middle of the tour. Isn't this a case of giving the home team an unfair advantage?

Yet, when Sachitra legitimately runs out Buttler after warning him twice against cheating, the umpires had the audacity to ask the Sri Lankan captain whether he wished to withdraw the appeal. The crowds aroused by a partisan TMS commentariat then boo the Sri Lankans and Sachitra in particular.

So, Sachitra you are not alone. I empathise with your situation. I also hope that you have an alternative career mapped out for I am not aware of any cricketer who has retained his wicket taking skills after his action has been re-modelled. So power to you.