Professor Didier Raoult in his office at the Marseille IHU - Gérard Julien / AFP

  • Professor Didier Raoult returns in a new video on the controversy related to the prescription of hydroxychloroquine in the treatment of Covid-19.
  • According to him "people have gone mad", and a gap has widened between medical practice and research.
  • He also announces that "things are much better", within his institute.

His videos are expected as each new episode of a successful series. Professor Didier Raoult, director of the IHU in Marseille has published a new video on YouTube. He returns once again to the controversy over the use of hydroxychloroquine to treat Covid-19, while he advocates his prescription. But the results of his studies have so far been deemed too partial by a large part of the scientific community.

Professor Didier Raoult admits having "taken time to understand" this controversy. “For me it's very simple. There is a new disease coming, we don't know it, the only people who know it are the Chinese. We know the sensitivity of the virus to a certain number of products that we test. In these products there are new molecules whose toxicity is unknown. And there are ancient molecules that we know very well, that have been prescribed billions of times. The people who know them, in practice the Chinese and then the Koreans, who had the first wave, treated this using this product [chloroquine]. And they say "listen to it work", as proof they totally control the disease. Since I said "end of game", it is indeed end of game in China. It's over, they stopped the disease with measures that are detection, a little retention in risk areas, not all over China, and treatment, "he details.

"You cannot turn the sick into a research object"

So how do you explain this precaution with hydroxychloroquine? "We went crazy because people who don't do medicine talk about medicine. Medicine is to practice daily care, to people who are sick, and give them treatment. They are not told "come home, and if you can't breathe come to the hospital". This is not medicine. A sort of gap has opened up, it's not me, I'm just the representative of that, between medical practice and the people who confuse medical practice and research. Whenever you see a patient, it is a patient, it is not an object of research. You cannot turn the sick into a research object, ”says the professor.

Despite this opposition he discovers between medical practice and research, he still does not understand the heightened distrust of hydroxychloroquine. "People have gone mad, saying that we are facing the most dangerous drug in the world. There must be 2 billion people who did this. You do not imagine that all the people who went to Africa to whom we gave chloroquine we made them an electrocardiogram, we warned them that they were going to have a torsade de point. But still, it's completely crazy. Hydroxychlorquin is something that was distributed without even a prescription two months ago. And now we don't even know how we're going to treat people with lupus in town who have been taking this drug for 20 years. If we mark them with plaquenil, we will not be able to give them because we cannot mark the diagnosis on it. It would be something completely impossible in the context of medical confidentiality, you cannot explain why giving yourself a prescription drug, it is prohibited by law ”.

"A very deep attack at the base of our business"

And this distrust goes so far as to question the practice of doctors according to him. "I would like the Council of the Order, for which it is responsible, to rule on this question of limiting the ability of doctors to judge for themselves the therapy they can give with molecules too old, also known and also easy to use, on their prohibition of prescription. It is a very deep attack on the basis of our profession which is to prescribe according to our level of knowledge the best possible treatment for the patients we have in front of us. It is the very basis of medical practice ”.

My column in the Doctor's Daily:
"The ethics of treatment against the ethics of research" .https: //t.co/eQZNfinALe

- Didier Raoult (@raoult_didier) April 2, 2020

But things are progressing according to his observations. "I am struck when we do a survey of doctors around the world, there are 37% of doctors who give hydroxyhloroquine. In France the number of people who give hydroxychloroquine without saying it is considerable. I was struck to see that in my own CHU, you see the people next to us who receive patients who have the coronavirus, they also treat them with hydroxychloroquine and Azithromycin [an antibiotic]. So I'm happy because I had a feeling of strangeness. Because everyone says that it is me who does this, it is not me, it is the doctors who do this and I am happy to see that the other doctors do like me because they are reasonable ", rejoices the professor.

"Things are much better"

Regarding the evolution of Covid-19, he also notes that things are improving within the IHU. “At the general level I cannot judge in France, I lack data. With us, we have detected and treated an enormous number of patients. We detected an average of 350 people a day there are still ten days, there we are around around a hundred. Things are much better in terms of patient, we see our beds are not all occupied. So on the point of this situation, things are improving, ”says Didier Raoult. Note that the queue for screening at the IHU has considerably reduced with the spread of tests in city laboratories.

And it promises results on 1,000 patients soon. “We are in the process of finishing the analysis of 1,000 cases that we have treated and things are very reassuring about this treatment. No cardiological problems were encountered with any of the patients treated. We have results that show greater efficiency than the other series we have had. All is well, a little patience, this work must be finished, an evaluation work with a lot of data, maybe data that nobody else has in the world. You have to put all this in shape so that it can continue its life and become one or the reference paper on this disease, "he announced. See you at the next episode.

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  • Video
  • Didier raoult
  • Controversy
  • Treatment
  • Covid 19
  • Coronavirus
  • Health
  • Marseille