Ivermectin at even a lower than normal dose was very hard to tolerate, in my experience.
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This is what I got out of that paper I read. A human world have had to literally take a horse dose.
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Thatās a REALLY big leap. This is not even close to my area of expertise, but tiny similarities between organisms does not mean therapeutics designed to treat said organisms would defacto be effective. Youād have to know the mechanism of action of each drug towards each pathogen. My strong suspicion is that they have nothing to do with those similarities.
I also find it deeply disheartening that a significant swath of the public, armed with Google and a few parroted buzz words feel like they can oneup men and women who have devoted years of their lives to deep study of these very complicated problems.
The internet has given people ādoing their own researchā the illusion of knowledge. To a degree, this includes me too. I do have a BS and a clinical degree. I have worked in many labs an been a sub-investigator in more than a dozen clinical trials, but most of this is way over my head. Very few of us can admit that anymore.
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I agree. My PCP, before COVID, told me he was discouraged by this phenomenon. He got so fed up for this and other reasons that he quit to do something else. I feel for the professionals.
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I canāt agree totally TBH. I had three doctors tell me what I was experiencing was stress after treatment for my brain tumor finished. I didnāt think so (hence three doctors). I looked online and pretty much pinpointed what I thought it was, printed it off, and took it to the last one (at JHU) and all she did was trash it telling me to stay off the internet. None of the doctors would even order a test I wanted just to see if I might be correct.
Fast forward 7 years and guess what. The problem (hearing my pulse) never went away and medical lad is pretty sure I might be correct having another patient with the exact same thing - except her doctor believed her. The type of brain tumor I have even puts me at higher risk for it. He wants me to go to her doctor (where he is) and get it checked out, esp since the death rate of this is about 10% annually and he thinks I might have already had a stroke from it not long ago (during Covid). The problem now is me. 7 years ago I wanted it gone and would have done pretty much anything. Now Iāve learned to live with it and donāt want to get involved again, esp making regular trips 6 hours from home. Iāve always known it could be lethal, so thatās not much of a prod anymore. The whole thing just sāks.
As another personal example, my mom had a deadly cancer. We stayed off the internet and followed her doctor. Toward the end I learned about a substance my sister saw on the internet that is widely used in other parts of the world (like Japan) as an addition to treatment from the beginning and had some good reports from places like the Mayo Clinic. WTH? I asked momās doctor about it at her next appointment and she said something to the effect, āOh yes, some of my patients use that. It might help and does no harm.ā Why did she NEVER mention it to us? Who knows if it could have helped my mom have a couple more decent months to enjoy things like her grandsonās wedding (that she just missed).
Use the internet - just use it wisely. Donāt look for the snake oil salesman making money off his/her great product even if there is an MD or PhD after their name. Look at sites like Mayo or Harvard to see what they have to say. I debunked far more things people suggested for mom than the one I wish I had known about for her to consider.
Doctors arenāt perfect. Theyāre human. To this day no one has been able to explain why three different doctors wouldnāt even order a single test to see if what I thought was accurate back when I had medical issues. Our family made jokes about it. I recall posting about it on here too. The best answer we can come up with is the first one (not JHU) posted his thoughts, then the other two read them and just agreed that in front of them was merely a stressed out middle aged woman. āWhat can we do to help you ease your stress?ā was asked more than once. (One test would have done it - had I been wrong, then so be it.) If I were a man we all think it would have gone differently.
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ps The key to know about Ivermectin is to look at the double blind studies. Since most people recover from Covid anyway, anecdotes donāt show anything. The studies promoted by the āproā side have been genuinely discredited and a major one was even withdrawn. I recall reading about it from a link someone had posted either on here or the vaccine reluctance thread. If someone kept it, perhaps it could be reposted for readers to consider? Not all studies are good studies and the handful of positive ones (vs the double blind negative ones) really did have serious flaws in them.
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And often seeing too many patients, with too little time to listen, consider nuance, and often, just adequately explain things.
The problem with using the internet wisely is that most of us donāt have the foundational wisdom to do that. We canāt deeply understand most of what weāre reading, let alone vet its validity. Weāre prone to association and affirmation.
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The Internet has helped guide us through many health problems. I believe we do use it wisely but always check with docs, and sometimes yes, bring ideas to the doc, but presented diplomatically 
@Creekland PMāing you about what sounds like pulsatile tinnitus.
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I agree, but the bigger problem can come when itās totally dismissed putting oneās health and life into other peopleās hands when those other people donāt have nearly the concern for them. For doctors, itās a job. For the individual, itās a life.
My life has been seriously affected by two bad doctor judgments now - the first being when I was kicked out of the AF (medical discharge) for having asthma - except they never tested for asthma, they tested for exercise induced asthma which I donāt have, then concluded I must have asthma without testing for it. I was too young then to know to get a second opinion.
No doctor since has even remotely thought I have asthma and one of the last ones tested for it just to be sure. Nope. Nor had I ever done a test like they did. When I asked if it was a ānewā test they said no. Theyāve been doing the same thing for eons. When I told them what test I did (treadmill et al) they reasoned backward to what likely happened.
A life trajectory totally changed based on a mistake. That was fun having to deal with mentally when I found out.
The internet wasnāt really around back then to be of assistance. It was there, but it was still at that pay per minute of use period.
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I think @Creeklandās son is worried that her pulsatile tinnitus is caused by a vascular stenosis or fistula. MRI/MRA would go a long way in ruling that out. The question is, if itās equivocal or negative, how far down the rabbit hole do you go, especially considering the morbidity and mortality rate of cerebral angiography.
I think this is the biggest problem with medicine right now. Everyone has their hammer and all they want to do is turn everything into nails. Listening, understanding nuance, and taking the time to explain diagnoses completely is becoming a lost art.
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Agreed on both - just answered @compmom about the whole fistula thing.
Fortunately my medical lad has learned from my (horrid) experience and is pretty darn good at the latter getting a bit of praise from patients. Heās definitely my āgo to consultantā now and will be even more once he has more experience.
But stillā¦ enough with my issues and back to regularly scheduled programming.
If using the internet for Covid, use it correctly - checking reputable sources. Those arenāt political or FB or āmy friend saidā sources. Thereās a lot unknown about Covid, but thereās a lot known too. Ivermectin has not worked in double blind tests. Vaccines have worked.
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My kid had a fistula from the healing process of blood vessels after a serious brain injury and had the cerebral angiography. They put coils into blood vessels and she has been fine. Her choice to do it
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Otherwise known as Luvox.
I think women often have to resort to the internet for medical research because our complaints are too often attributed to stress or pms. My doctor is very good about following up with patient concerns, but not all of them are.
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Isnāt that a description of specialists? Meanwhile, they leave primary care (and emergency) physicians to have to know about everything possible, which may be a hard thing to do with respect to rare diseases and conditions.
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Too many of us for sure, but not the good ones. I learned a lesson from my Dadā¦ālisten to your patients.ā Itās embarrassing how many times Iāve figured out things misdiagnosed or ignored by other doctors. Usually thereās some relation to the eye, but not always. I canāt tell you how many patients Iāve seen because they fell on their face and no one asked them how it happened. They return after I get the wheels turning to get their carotids addressed (drop attack is a particularly violent form of TIA). Your optometrist shouldnāt be the one relied on to figure out such things. 
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Fluvoxamine is Luvox.
Prozac is Fluoxetine.
Fluvoxamine is the one showing efficacy against Covid.
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I was just coming on to correct my post! A site that I googled earlier had it wrong
They are apparently going to test flouxetine at some point due to similarity. (Editing previous post.)
I guess it makes sense. SSRIs and SNRIs are cytokine inhibiters. Whoāda thunk it. 
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