…I want to keep this part brief because it is so sad. Basically, what happened is that very quickly, we (me and my close outside colleagues, in the FLCCC and in other ICU’s in New York and Italy and China) learned that both corticosteroids and anti-coagulation were critical to their survival. The optimal dose, drug, timing or duration for these two strategies were not yet known, but the critical need for them clearly was. Please see my prior post here and here as to how we knew. The problem was that it had not yet been “proven” in some a large, prospective, multi-center, double-blind, randomized controlled trial (RCT), as that is now the only evidence that can make changes to therapeutics in the U.S Health System. The horrific departure of this policy and practice from the long-standing reliance of physicians on the powers of medical knowledge, logic, observation, reason, pragmatism, and the precautionary principle of relying on risk/benefit assessments is now legion. It also quickly led to the most horrific and catastrophic mortality rates of patients in the ICU in history. All because the entirety of U.S academic medicine, over the last 20 years, has been reduced to a “Church of RCT Fundamentalism” (a conversion that was 100% fueled by Big Pharma as they essentially control the funding, design, and.. outcomes of such trials).

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