Think whats whats uplifting for me and i suspect you feel this way too is the remarkably adroit way that people find a way of getting by you know the new normal its trance but it works ive got 4 kids and theyre all helping me tape by the way we know one of them does tech support one does her make up by my oldest daughter daphne this you know was host the dish for me on my show big time chef she does quarantine kitchen maid on my by my wife make sure im dressed righton you know i havent had a haircut thats what they are lacking but it works he said to get the whole family to collaborate in a way they havent had a long time. I got to the subject at hand what is hydroxy chloroquine what is that. Why russia couric when is it medication and is causing couric would have been used for decades for malaria treatment and blair of course is a huge loss of life for trial Human History and for since i think 55 this drug has been approved in the United States for that purpose its also widely used in this country for the treatment of lupus and some Rheumatoid Arthritis it affects the immune system response its its widely used for a bunch of reasons one of which is that its believed to be very safe i was told by a dr dale wallace whos a butt of one of the most prestigious rheumatologist the country heads a cedar Sinai Program in los angeles that they dont even have guidelines for side effects because theyre relatively uncommon but in theory youd want to watch out for things like the heart which and you know other than that there are some rashes and allergies and the like but because its believed to be so safe its used widely and it turns out that it might have an effect against this virus now theres theoretical reason to believe that is believe that in test it was but also different clinicians have noticed that patients with lupus taking this medication dont seem to get the coven 1000 virus as often or if at all in china the initial researchers didnt notice there was any infection in that Patient Population so they got excited enough to start to try different Clinical Trials and theyre doing a randomized Clinical Trial for 62 patients and they showed 6 to 6 a significant improvements in the time to fever resolve time till their cough resolve to close to classic symptoms of cope at 19 they also showed that on c. T. Scans of the lungs and all these patients had the monia there was a dramatic improvement in the Patient Population taking the. Medication is 81 percent improved after a week for cystic to 5 percent in the control population but i think the reason that a lot of americans heard about this medication is a famed french researcher did year old whos invented a bunch of solutions and isaac. He discovered different species of viruses who was of the belief that when combined with as it were my centers ipac this malaria medication could be effective its a very small initial studies too small to draw any conclusions from that it did in larger study with 80 patients way ahead but he believed were good results and i just talked to him earlier this week and he summarizes 1st 1000 patients on the medication combination and he said of the 1000 patients admitted to the hospital with code 1000 diagnosis 7 died and 20 went to the i. C. U. And we dont have a control group again thats not the kind of data we like to make decisions on but it perhaps because of this these combined bits of data has become the most why they prescribe sought solution from doctors trying to desperately find solutions for this illness when you give it how much he gives where the side effects those are still undecided issues. Doctor found his unconvinced he says the evidence thus far is anecdotal and contradictory he also says i think weve got to be careful that we dont make that majestically to assume that this is a knockout drug would you agree with that statement are we making a majestically. I deftly agree we should not make it majestically this this drug is still experimental in my mind it has not been proven with the large trials that we all expect thats not really the issue the question is while were waiting for the Clinical Trials to come about which could take months certainly at least take weeks what are doctors the front line going to do and so i would argue this is not anecdotal to manic though it is you know i try to once a work i try to twice it had some effect where you have 1000 patients in a row with the same protocol for studying them administering the drug i dont think that thats called the case series thats a longer anecdote and this study in china that i mentioned with a randomized group or 62 people thats not an anecdote thats a Clinical Study randomised into place populations so i think it is wise for us to be humble about this drug we do not know for sure enough about how it might work we need larger trials absolutely but if youve got to make a decision today for a patient right in front of you and again is the prescription pills whats a doctor patient talking about it then these they should be aware of what the option is and make a wise decision personally i would not give it to people who are doing great with no problems why bother but for folks especially if theyre high risk and have comorbidities i would consider giving it and i would take it myself if i was having issues with the virus. There are no side effects i cant see the no side effects i can only trust the rheumatology experts because they prescribe a drug all the time larry as you know im a heart surgeon heart surgeons dont prescribe this medication i mean i took it because i went to a place where there is malaria but i would amount to prescribe of this pill but when the head of the past head of one of the major societies at a very prestigious rheumatologist like dr weil says that complications are nil thats his word he wrote a letter to the f. D. A. Outlining that when he says that they dont even have guidelines of side effects because its so rare that i start to think my goodness if theyre not worried about it then why am i worried about it when the downside of not giving it might be progression of the virus. Is the president jumping ahead when he calls it a game changer you know i cant speak for what the president knows about this area he may be getting insights from other advisers who have much more knowledge about this than ill ever have i can say is as a scientist. I know that we dont have enough data to say that its a treatment that will work uniformly as a clinician have you make a decision right now at what you know i what i march into war with the army i have and right now this medication is in my army so and the president says what have you got to lose you would agree with that right what have you got to lose i think the rheumatology community would agree with the president that they are the drug court and does not seem to have a risk profile that should make people concerned again you never want to take a Prescription Medication in a vacuum a doc has got to make sure what interact with another drug iran or that you dont have some other reason not to be on it but if the trade off is at the person who need to take this pill and perhaps change the Natural History of this virus infection or not taken the pope for fear you may have a side effect thats not apparently very common i think you lean towards taking a pill what to order your colleagues in the medical fraternity saying are you now a controversial figure. I hope not and you can never tell when you say things boldly because clinicians are guarded we should be i think a lot of doctors have told me that they would take the pill themselves if they got ill ive had several on my show including the past governor of kansas who is back practicing medicine and he would take it himself but hes giving it to his patients e. R. Doctors whove actually got that themselves have taken the pill and told me about it so thats what im hearing that the doctor in live in is probably the most famous biologist the country he was a. The medical director of the film contagion remember that movie talking about widespread infection. So heat thats sort of his character in that movie he actually was sent to china to help out survived came back and then working at columbia my hospital hes on the faculty with me there a contract that covered 19 and he treated himself with the medication at the calling some colleagues and getting that advice from them that they would do it as well so when the world expert on viruses who calls his other world expert friends on viruses and they say take the medication and ill tell you something more if you look in the official formulary from china the book they used to decide how they treat patients it tells the doctors instruct them to give the medication in my familys. Ancestral home of turkey it the government confiscated all the pills from pharmacies and he gives it to all the patients diagnosed other countries have done the exact same thing some countries are starting to think about blocking the export of the product for that very reason so for whatever reason because we dont have a lot of knowledge about how to treat covert 1000 is one of the ideas that seems to have some traction its a track that the physicians so anecdotally plus based on these crile i think most clinicians understandably desired as there is their favorite 1st dr. So if everyone runs out. As a prevention will 1st of all can they keep making its will it hamper the use for people who the need for it right now to not covert 19 why would not take it prophylactically thats unproven were looking at a large series of insurance patients trying to identify patients who have lupus with iraqs a corking as a prescription and whether they actually contract kovan 1000 less commonly i mean so far with the 9000000 records with our partners at share care and theyve been trolling through their database and they found 14000 patients in that category who are people who have lupus without russia kirchen prescriptions and none of them have contracted the virus but thats a small biopsy of the population working with c. M. S. Which is medicare and the Blue Cross Blue Shield association we hope there are tens of millions of more records to to go through them and see if this is a trend that continues but certainly i would not jump in there its hard to picking a medication profile athlete we dont have enough we want the book to spaciousness 300000 people who are dependent this drug to keep taking it and we want to preserve it for frontline workers if we are going to user profile access is thats who needs to get it 1st. Well have more with dr mehmet oz right after these words. Tariff long russian airlines. Im a journalist its all i know being a truth teller people say i make among comparable good uses like a jackhammer good drill down to find the truth. Because its time to do news again and question more. Better if long russian airlines. Because theres plenty of Survival Guide books tasting just like all the stars simply putting all these are. There are you going to get. Back to the. Public no puts repatriations look at the rest of 70 years. Bill of the separate lives kaiser report. This is a story of women and women with troubled histories and complex court cases we know some alist date leave who lives out there plenty who are not. The person that theyre accusing miss in feel they are considered the most dangerous of criminals shes innocent on. All the 23 hours of the day tell me that its not in the condition that it will do women on death row. Were back on politicking with dr mehmet oz our special guest dr oz youve seen your you said your sense of criticism in the past how are you taking it now when your colleagues disagree with you publicly you know medicine is about asking the right questions and when you ask those question and you get people decently disagreeing on the answers which is normal we have something called mortality and morbidity conference emon and conference we have it in my hospital on thursday mornings and we go over all the cases the prior week that did not work out and people are bullish on each other theyre tough you do it because you want to improve the care of the patients are taken care of because thats your primary goal so im searching for solutions when people criticize me looking for Solutions Like i am and thats part of the game i respect that i expect that makes me better to be able to defend these ideas. Have you spoken to the President Trump or the Surgeon General about this i bet spoke of the President Trump at all the Surgeon General has been on my show several times and ive spoken to him about a whole wide array of ideas not just medications but also general preventive topics and all the things as a nation we need to do to be better prepared. Do we know one of the side effects to be cardiac arrest you know its interesting i thought that was a problem because as a hearts doc i was curious about it and i understand theoretically why its issue but the Rheumatology Association representative dr wallace did not think that that was a common problem he said he never had the problem before so i still think you ought to check an e. K. G. Just to make sure youre not predisposed to it dr rolt in france checks an e. K. G. Routinely on those patients the 1000 patients he put on this protocol but i think its more because hes adding the antibiotics pack to it its not because that hydroxy kora quit and then the question is if weve been giving these drugs so commonly for so many years and not checking e. K. G. s why now all of a sudden is it such a fearful process paxman perscribe quite a bit ill many viewers right now will know they got it from a doctor i want to ask themselves how often they have to go to the hospital get an e. K. G. Before they took it right so if i get why its a theoretical problem i personally want to check it just to be sure but im not sure i dont i dont want to create more problems for america we got enough to worry about if its really an issue the rheumatologist should tell us about it and if its not an issue we should trust their judgment as if they were checking it before this pandemic why start now you know and previously that this could result in a 1000000 deaths do you still feel that way thankfully i dont think were going to get to a 1000000 the newest estimates are down under 100000 i believe so it will distancing played a gargantuan role and those models that i looked at were widely reviewed and the estimates were not just a 1000000 was 1000000 to 2200000 and when there are big numbers were talking about in this country alone those numbers drop pretty quickly down to a quarter 1000000 when social distancing was implemented and now and ive got to say especially here in new york city where were starting i think to see the peak of the pandemic and hopefully wont get any worse than this it gives me confidence that well stay under 100000 deaths which will be fantastic. Anybody whos ever been sick has taken the 3 day pill right we all know that probably the most popular pill in medicine today is take this 1st why does it work so well with the other that with the any malaria drug we dont really know it was given by dr wrote initially because he believed it had. A benefit of blocking bacteria growing in a damaged lung a lung damaged by virus and thats a theoretical reason but it turns out in Laboratory Studies that it might have a direct effect against viruses we dont know and we dont even know if the combination is critical in china in their state protocol they will give the cork when an antiviral and an antibiotic all together thats what they give patients in the hospitals so its a bit of a shock an approach we dont know if you need all 3 and we dont even know if all 3 are all that effective but it does seem like the results that theyre reporting back are reasonably good and i would personally want to at least a study what theyre doing when one ignore what china did because they were here before they were there before we got here will it take a dip in the summer months do you think and then return in the fall. I believe thats whats going to happen that will have a dip because the virus swells a bit generally in the more humid warm weather so it doesnt travel as far plus humans are for outdoors more you know their understanding this virus means appreciating that it spreads when we speak not just with me sneeze or cough so when i speak i and i make i say the word health thats that the sound aerosolize as a little bit of saliva which if im in fact there will have virus in it and it will travel a cloud around me for maybe going 6 feet so if youre within 6 feet of me for more than 10 minutes then youre going to have a risk of infection this meaningful and so if youre outdoors i may not be 6 feet from you maybe further because of a mouth dorce having a picnic not intimately having a meal in a cold. Evening in present in new york city where youd be able to spread it more likely it would be crowded into a bar and then in addition when that the virus is swollen it doesnt travel as far theyd be nuts you know 6 feet but its a half that this is maybe except the will so that will lead to a swing a downswing in the virus now in the winter we go back to the old habits the old traditions and the virus isnt going anywhere its an endemic virus is going to remain in our species so theres no reason to believe that it will not return that stated we should be prepared we should be better treatments will have the new trials by then on these different medications we talked about and they virals and that the mice in and who are quit and other medications have been talked about theres dozens of candidates and ideally those will help plus people will be smarter about social distancing and will be better at isolating individuals who are in tinning people who are contacts of people got sick so we dont have the spread of these little brushfires in the big forest fires meaning we may never be the same. Well well have a vaccine in 15 months and that fact seen will make a big difference that especially for the older population and folks who have got chronic comorbidities theyre the ones i worry about if if i could give some advice on how i see this playing out i think once make comes parts of the country begin to open up but older folks who have risk factors are going to have to stay away from the mass crowds of people who may have this virus younger people tolerate the virus pretty well so if we have a few rare people here and theyre getting as low as we can quarantine them they wont be much of a crisis older folks ought to stay separate from most others at least until we have a vaccine or theyre going to run the risk of getting infected i better stay out of the public eye. Fit dr oz great seeing you and thank you so much fast my friend take care im now joined by Public Health expert and progressive activists stuck to abdulla. He says the United States is suffering from a political of the demick in addition the pandemic were currently in and he oversaw a far reaching for ascription for that a new book healing politics a doctors journey into the heart of our political epidemic he joins me from michigan dr what is it what is a political epidemic well ill tell you just for context larry 1st thank you for having me i spent 18 months interviewing for governor of michigan and i had thought when i started my campaign that you know of course people in detroit versus people in the Upper Peninsula of course they would have different challenges different issues that they were talking about and then i started campaigning and i realized that the challenges that people were talking about no matter where you went where the st and im an epidemiologist by training and so im taught to make sense of the patterns that i see in populations except for in the past i was looking at data sheets and now i was meeting people. Their living rooms and their v. F. W. Halls and oz i would you know come home after a long day of campaigning came to appreciate that so much of the challenges that people face are framed by an insecurity around not having the basic means of a dignified life that for so long americans got to take for granted not all americans but Many Americans in today the systems have been so eroded whether youre talking about access to basic health care or youre talking about housing that you can afford or youre talking about access to healthy food or youre talking about access to a good school for your kids or even clean water coming out your tap or clean air that you breathe or access to the political system or even a job that pays you a living wage and provides you benefits that those things have eroded and theyve been eroded by in effect the the the the powerful and wealthy in our society putting up more and more exclusions for the well being of their bottom line rather than the well being of people and so this insecurity is an epidemic that i think is really framing our politics dodgier is so interesting i hope youll agree to come back very soon and were not ending by the for i want to do a full show with you id love that would be a lot of fun ok a couple of other things andrew cuomo once called the corona virus a great equalizer but the data now shows its having a disproportionate impact on black americans were you surprised at that data. Im ashamed and astounded but not surprised and the virus is not an equalizer in fact it follows a very well worn path like every disease right there theres a particular social physics to disease that unless youre watching most people dont appreciate that disease always affects more income people always affect the most marginalised people in society more you know take detroit for example where 40 percent of all deaths have been to take over have been the black michiganders where only about 14 percent of michiganders are black but then you look at him for more tally and you realize that while. A black baby has 2. 3 times the likelihood of dying before the age of one than a white baby now infant mortality uncovered 1000 or 2 very different outcomes but the physics the social physics of disease still applies and so it teaches you something it shows you something about how a virus like this or how a baby dying breaks open the social inequality that patterns all of these outcomes again as well for you dr are spoke at least about opening more opportunities to investigating the world of the sandy malaria drug what do you think of that. I mean i think thats really important we need to study every plausible treatment for for this disease the challenge though is that you know in science we never want to put the cart before the horse and ill give you an example of why larry you know aspirin is probably something you take daily its something that almost all americans over a certain age take daily its a really really safe and effective drug the challenge though is if you give aspirin to a child with a fever it can cause a really serious reaction called rice and drum and so we cant just assume that any medication because it is safe for another person suffering another disease is going to be safe and somebody else and so we really do need science to just to take its time and study this to make sure that it is safe and effective for treatment and meanwhile the president questioning this particular medication. Chloroquine and is a promise and and whats happened is that you know for people who have Rheumatoid Arthritis or lupus for which this is an important treatment theyre seeing that theyre not able to fill prescriptions because theres been a run on it and thats really bad so theres a danger in jumping the gun anywhere thats right right and science has a process and weve got a lot of the process play itself out i know were behind the gun there are a lot of people dying right now but a lot of bad things could happen if we dont know the answer and its not like we have to wait a long time we just need the studies are being done we just need to see that the science is there and if the science is there ill be the 1st person to say. It is a thermos and or the treatment for a cold in 1000. 00. Banksia time today im glad youre going to be returning goes on to spend a lot more time with you i look forward to that larry and thank you for having me on appreciate it. Dr sales book is healing politics a doctors journey into the heart of our political epidemic its now available everywhere including on downloads on the thank you for joining me on this edition of politicking you can join me on my Facebook Page or tweet me at kings things and dont forget to use the politicking hash tag and thats all for this edition of politicking. Editor of long russian airlines. Im a journalist its all i know being a truth teller people say i make among come from good news is like a jackhammer good drill down until you find the truth news with rick sanchez because its time to do news again and question more. Better if long russian airlines. With the coronavirus now officially declared a pandemic the world faces the additional burden of an Oil Market Collapse this comes at a time when demand for crude was already flowing some her calling this the ultimate perfect storm how this all ends my stance. Join me every thursday on the alex salmond show and ill be speaking to a guest of the world of politics Small Business im show business ill see you then. This is a story of women women with troubled histories and complex court cases you know some of us did leave. I was out there. Were not. The person this is the cheesiness of the day are considered the most dangerous of criminals shes in a still. All the last 23 hours of the day tell me that its not enough and it. Will give women on death row. Hello theyre on the military and youre watching in question broadcasting live from our to the American National headquarters in washington d. C. We want to welcome our viewers from across the nation and all around the world here are tonights top stories 1st up opac and russia agreed to cut Oil Production to historic levels are essentially ending a price war that has pummeled the oil market a live report on that straight ahead plus the construction starts in montana for the hotly contested 8000000000. 00 keystone x. L. Pipeline well tell you how cope at 19 and saudi arabia fit into all of this med with no end in sight to the nationwide coronavirus lockdowns can vote in by me