Tachipirina and watchful waiting
The electoral campaign presents itself as the place of election of low blows and mystifications. Everyone regulates themselves according to their own elegance and according to the intelligence of their electorate. If all the voters could read between the lines, the debates would be much more composed. Unlike many musicians, however, almost all voters read better over the top (in the realm of neck and head cuts, where many musician friends get lost …). This naturally results in a decline in the quality of the debate that can be stemmed in one way only: with data, and by only one type of interlocutor: those who, being in good faith, are not afraid of data, like those who write to you (from twelve years now).
The nice curtains in which some different intellectually honest users of the social blue toilet were produced yesterday offer us the right to exemplify this point of method and to clarify a point of merit: what have we done to bring to Parliament a word of common sense on home treatment of COVID, that thing that according to the attendance fee virologists could not be done , and that instead some of our administrations had successfully experienced since the beginning of the pandemic, in parallel with, and drawing on, experiences that should not have been go unnoticed in Rome .
The triggering factor of the aforementioned curtains was the discovery, not of hot water, but almost: of NSAIDs. Yesterday the Corriere della Sera informed us that (hear, hear!):
One thing that we all knew, including the less incompetent family doctors that some of us were lucky enough to have, and that the same working group led by Remuzzi (I indicate the names of these dangerous no vaxes: Fredy Suter, Elena Consolaro, Stefania Pedroni, Chiara Moroni, Elena Pastò, Maria Vittoria Paganini, Grazia Pravettoni, Umberto Cantarelli, Nadia Rubis, Norberto Perico, Annalisa Perna, Tobia Peracchi, Piero Ruggenenti and Giuseppe Remuzzi) had already published in a study started in March 2021 and published in June 2021 :
The study released last August 25, two days ago, is instead this :
and the main message is the usual: NSAIDs ( non-steroidal anti-inflammatory drugs , and therefore ibuprofen, indomethacin, nimesulide, etc .: I don't say the trade names because I'm not a scientist at attendance fee …) if taken promptly, they drastically reduce the risk of hospitalization. A simple truth that the serious press has tried in every way to hide and demonize , making itself objectively responsible for a long series of unfortunate events, but without being able to surprise us much, since we have long been accustomed to its lies .
This thing was therefore known (there was evidence prior to Remuzzi's study, but I will not go into this), so much so that here I suppose many knew and benefited from it (like me), which obviously opens the way to a vast series of considerations, which can be traced back to one, the main one: why was it not taken into account at the national level (given that at the local level there were significant best practices and even cited by the international press)?
We also know the answer, but we keep it to ourselves for now. First we need to solve a problem of power relations, without solving which truth risks having the same role and ending up with honesty. It's up to you to be smart, and equip yourself with a competent and informed majority in the COVID Commission of Inquiry.
But in the meantime: it is true that NSAIDs, whose effectiveness was recognized by various studies and by the clinical practice of many honest and courageous doctors (as well as encouraged by some center-right administrations such as that of Piedmont), were not recommended by therapy protocols. domiciliary of the ministry? And if so, how did we manage to get them back in before the publication of this latest study?
Yesterday, on social media, hearing the malaparata (ie the approach of what I jokingly called Vaccinopoli), a number of filthy piddini trolls denied that the protocol for home therapies proposed by the ministry was the infamous couple "tachipirina and watchful waiting". NSAIDs would have been recommended as early as November 2020, it is said, and then before Remuzzi's first study, and other passages on which I will report. So let's see if that's the case. Paper sings, villan sleeps, and trolls crack.
Meanwhile, here you will find the ministerial circular 0024970 of 30 November 2020 , that of "tachipirina and watchful waiting", which is actually: "watchful waiting and paracetamol":
I highlighted the three salient points, on page 10 of the circular, to highlight that when it comes to the infamous protocol (which has caused numerous bereavements, as I fear it is now difficult to hide, but I appreciate the effort of those who are trying) it specifically refers to the home treatment of asymptomatic or paucisymptomatic patients. NSAIDs were not recommended for these patients. This is factual. The fact that on page 12 of the same circular there is written this:
it does not matter, because the mention of NSAIDs is isolated from the context of home treatment. Of course, if one has joint pain, ibuprofen tends to take it and the AIFA did not advise against it, which is to say that ibuprofen was recommended for the early home treatment of COVID. In November 2020, both the ministry and its attendance fee experts did not recommend NSAIDs for the early home treatment of paucisymptomatic patients (of which some, if not treated, risked becoming symptomatic, and of these some, if the watchful waiting was prolonged too much, they risked leaving their feathers there).
Just to clarify our ideas: would you like to see how, instead, a ministerial circular that suggests the use of NSAIDs in these circumstances is made (and therefore you understand what many of us were clear about and that Remuzzi's study reminds us of)? Simple: it is made like the circular 017498 of April 26, 2021 :
(… sorry, I have to say something to a friend, the troll who yesterday said that NSAIDs were recommended for home treatment since November 2020: do you see the difference, gigantic piece of me … ntitore? …)
And now, given that thanks to the nice news campaign that I documented above, and thanks to the efforts made by the attendance fee virologists, a very significant percentage if not the majority of MMG this thing still does not know, we would have to think about that what happened between November 30, 2020 and April 26, 2021 to convince General Speranza to surrender to the evidence.
Two things:
1) the presentation ofthis document in this press conference (video here );
2) the approval of this agenda .
Needless to tell you who worked on these things (which are only a part of what has been done).
If you were, you would surely have worked on it (and you would have been shot by the first friend of the man who wants to inform you that he had passed in front of you: moreover, I too took my share of shit , but strangely the palm of the martyrdom brings it who has not done a beloved cock because he was not in a position to do it …). Siccerano them, the veritierih (worthy heirs of the honest), would certainly have done better, as the events of their political aggregations demonstrate.
But I was there.
And so now you also know something else: I have the dossier for the COVID Commission of Inquiry already ready. Here it is:
all in order, made by me, because of course in the world of "do something aaaaaah!", but also in the world of "how good are you how beautiful you are how much we love youooooh!", die if someone dislocates a phalanx of his little finger when you happen to ask him for a hand, if only to put in line the sentences that have dismantled the Government's approach, or the papers that have progressively consolidated the reasons of those who were right from the beginning. So Bagnai is his own secretary, and it is for this reason that he is very satisfied with his secretary (the personal one, that is himself, but obviously also the federal one, that is Matteo, and the regional one, that is Luigi). But, even if you don't realize it from the outside, Bagnai is above all a lucky man because he ended up in a real party, with a legislative office, with referents in all the ministries. Consider the alternative (which is not there): you see the three senators elected by a first party, who will merge into the mixed group hegemonized by the friends of Speranza, go to the legislative office of their group and ask for the papers (as the ones that I showed you and that the legislative of the group will be instructed not to give them)? Of course they wouldn't give them to him even if they knew how to find them (I find them on my hard drive because I got on with my work). Can you imagine what people condemned not by politics, but by stepmother Nature, who has endowed them with an irascible character, to stand in opposition, and therefore strictly kept out of the ministries and the drawers of their desks, will be able to do? They will be able to do the square root of zero, because they will not have materially the tools to do something, and this regardless of the subjective considerations that I have exposed to you and of which those who are not convinced will be convinced to their detriment, after having retraced that path that here for ten years I urge you not to travel: that of anti-politics.
So much I owed you. And now, if you want to continue braying crap in utroque , feel free to do it: you hear a "hai tradotoooh" on the right, "Hope has always recommended NSAIDs" on the left …
Have fun like this, if you enjoy it. I have to work: I go to Tortoreto to present the candidacy of a friend and a good person, as are all my colleagues: Antonio Zennaro.
This is a machine translation of a post (in Italian) written by Alberto Bagnai and published on Goofynomics at the URL https://goofynomics.blogspot.com/2022/08/tachipirina-e-vigile-attesa.html on Sat, 27 Aug 2022 16:06:00 +0000. Some rights reserved under CC BY-NC-ND 3.0 license.