Recently Dr. Pierre Kory shared on his Twitter feed that a sizeable health system with about twenty (20) hospitals issued a directive to thousands of physicians instructing them how to practice medicine. Put another way, the “practice of medicine” is now prohibited for doctors working in health systems, such as the one referred to herein. The hospital administration instructs the doctors what they can and what they cannot use for COVID-19 patients.

What are Doctors Allowed to use?

Not surprisingly, the health system instructs doctors to use Remdesivir (Veklury) even though the World Health Organization (WHO) has declared the drug brings no clinical value. They, of course, include some limitations with Remdesivir as they associate with Tocilizumab (Actemra), the Roche drug with real questionable benefits based on several clinical trials. They base the allowance for this drug on two studies, including RECOVERY and REMAP-CAP. Also on the list are corticosteroids such as Dexamethasone, and for non-critically ill patients, the use of therapeutic anticoagulation will be tolerated.

What is banned from doctors?

Not surprisingly, ivermectin is off the list. And so flu...