William Topel passed away on Oct. 13.

Prominent in Anchorage’s conservative political circles, Topel checked into Providence Alaska Medical Center last Thursday due to complications from COVID. Both he and his physician asked hospital staff to administer Ivermectin and vitamin infusions to treat his illness. Providence initially refused but did allow for vitamin treatment on Oct. 12. By that time Topel was unconscious and struggling to stay alive. He died Wednesday morning.

William Topel pictured with Gov. Mike Dunleavy in 2018.

Highly engaged in Alaska politics, Topel regularly participated in Anchorage Assembly meetings, legislative hearings and political rallies. According to his Linkedin page, he earned a BA in Science/Technology from UAA and had been a substitute teacher in Anchorage since 2013. Alaska’s Division of Election lists him as an official elector for the Alaska Constitution Party in 2020.

According to an email from the hospital’s media relations department, Providence does not use Ivermectin to treat COVID patients. The hospital says the FDA has not approved Ivermectin for treating or preventing COVID in humans.

“Based on a preponderance of evidence and guidelines from multiple national authorities, Providence Alaska Medical Center does not use Ivermectin to treat COVID-19,” the email state.

Providence’s stance runs contrary to multiple studies which show that Ivermectin is a safe drug that can decrease both morbidity and mortality in COVID patients. It has been successfully used to treat COVID patients around the world, including in India, Mexico, El Salvador and the Dominican Republic.

On Oct. 11, Anchorage Attorney Mario Bird sent a letter to Providence on behalf of Topel and his surrogate decision maker Jamie Allard, whom Topel granted power of attorney to make medical decisions. Allard was not acting in her capacity as an Anchorage Assemblywoman, but only as a private citizen.

Bird’s letter cites Alaska Statute 13.52.010, noting that Allard has legal authority to request Ivermectin treatment for Topel.

“Ms. Allard has also informed me that upon asserting her right to make medical decisions for Mr. Topel, she was told by hospital staff that she ‘doesn’t really have that right,’ and that Providence staff continues to refuse Ms. Allard or Mr. Topel’s friends and family to visit him in the hospital,” Bird wrote.

“This is literally life and death,” Allard said. “If I don’t try, then I didn’t do anything that Bill asked me to do.”

The letter reminds the hospital that it cannot legally act as surrogates or agents for patients.

“Per Alaska law, Ms. Allard has the authority to make health decisions for Mr. Topel, either as a surrogate or an agent. Providence does not,” Bird explained. “Should Providence continue to decline to honor Ms. Allard’s decision for Mr. Topel, it must follow the clear procedure laid out in AS 13.52.060 (g). Violation of this or any provision of Alaska’s Health Care Decisions Act (AS 13.52.010, et seq.) carries a statutory penalty of $10,000 or actual damages for each violation, whichever is greater.”

Bird then notes that medical providers “do not enjoy legal immunity when they decide to act as surrogate decision makers for their patients.” He cites a 2021 Alaska Supreme Court case, also involving Providence.

William Topel takes part in a rally in Anchorage in this undated photo.

Allard told the Alaska Watchman that Topel’s request for Ivermectin was clear. Last week she called Topel to discuss his situation.

“I said, ‘William are you okay?’ He said, ‘No, they’re not listening to me. I want to get out. They won’t give me Ivermectin.’”

Topel then asked Allard to help him get transferred out of the hospital so he could receive his requested treatment elsewhere. At that point, Topel asked Allard to be his surrogate decision maker with official power of attorney if he became incapacitate and couldn’t speak for himself.

“Basically, the next day, I was making the decisions, and they were consistently ignoring Bill’s request to be moved out of Providence,” Allard said. Before he died she was working with Topel’s family to remove him from Providence so he could receive Ivermectin in a separate hospice facility. They were also seeking a court order to force Providence to give Topel the treatments that both he and his physician had requested.

By late morning on Oct. 12, Allard said the hospital had finally agreed to give Topel vitamin infusions, but still refused to let him try Ivermectin.

“This is literally life and death,” Allard said. “If I don’t try, then I didn’t do anything that Bill asked me to do.”

“I can’t imagine someone with no resources trying to do this on their own,” Allard said. “They would just be bullied and blocked unless they got an attorney.”

By Oct. 13, Topel’s Facebook page was still active, with many people sharing condolences and memories about him, as well as frustration and anger at the fact that he was unable to get the medical care he requested.

Editor’s note: This article was updated on Oct. 13 to include the fact that Topel has passed away.


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UPDATE: Anchorage man dies after hospital rejects his request for Ivermectin

Joel Davidson
Joel is Editor-in-Chief of the Alaska Watchman. Joel is an award winning journalist and has been reporting for over 24 years, He is a proud father of 8 children, and lives in Palmer, Alaska.


  • Timothy+Colbath says:

    Trump passed “Right to try” legislation over a year ago. This hospital is breaking federal law.

    • Sharon Alice Turner says:

      Absolutely. Providence knows full well the stats on Ivermectin as noted by Vigi- Base. Ivermectin has been used 3.7 billion times and counting with an adverse effect reported a mere 5693 times and a 66+ % effective rate . But this Nobel Prize winner is now off patent and cost a few cents to make! So I asked Providence which was there reason for killing off their patients” Money or Politics or Politics and Money.. there can be no other reasonable argument against its use. grandma PS : VigiBase is a world wide base of both RX and OTC meds data

      • Evan+S+Singh says:

        3.7 billion times? I call BS.

      • Turner Alice Sharon says:

        You underestimate the number of livestock treated.

      • Vicki Wallner says:

        Since 1987 Mectizan, (Merek’s name brand for ivermectin) has donated over 1.4 billion doses to treat river blindness & in conjunction w/GlaxoSmithKline another 1.2 billon does to treat lymphatic filariasis. I have a feeling they probably sold some too. So if your gonna call BS do your homework.

      • Matt+Myers says:

        Evan doesn’t do homework. Evan just says the opposite of what someone perceived to be on the right says.
        Marx and Engels called these types ‘useful idiots’.

      • Lee+Wilson says:

        I Singh Bula Bula on you cry B.S.

      • Naida McGee says:

        Goggle Ivermectin History and educate yourself.
        It’s been used since 1978 through out the subtropical and tropical regions of the world and nearly irradiated the parasitic worm that causes elephantitis and another worm that causes horrible skin cysts and gets in the eyeball causing blindness. Used for many many illness – and effective with lice and ticks as well. It has been called a world wide wonder drug. Spend an hour reading, and maybe you might be influenced differently. Billions of people have been delivered of ghastly debilitating diseases. All due to a a bio substance found in Japanese soil.

      • Aaron Blumenthal says:

        Evan obviously has no idea how to do research. I doubt he knows what Goggle is.

      • S says:

        My friends boyfriend just lost both his parents and a sister to Covid because they chose ivermectin (death) over the vaccine

    • Sarah says:

      America’s frontline doctors. They have been fighting the honest, impossible fight from the beginning. They will prescribe ivermectin based on WORLDWIDE SUCCESS IN TREATING AND NEARLY ERADICATING COVID IN OARTS IF THE WORLD. I wish I could reach out to this mans family. Please share. This is MURDER. They are committing MURDER.

  • AKElsa says:

    This is so wrong. I guess the take away is if you get sick, stay away from the hospital. It’s become a prison.

    • Turner Alice Sharon says:

      Exactly! If you are not going to rely on the ounce if prevention (vaccine) don’t clog up the system begging for a pound of cure (unproven treatments).

      • nicole says:

        The experimental gene-therapy injections do not prevent any disease (not even according to the manufacturer), the system is being clogged with the sick who have taken the death-shots, and your fake “vaccines” are the unproven treatments, which is why the government granted legal immunity to the drug companies from all injuries and deaths caused by their experimental products. Stop lying.

      • Covid Karen says:

        What a malevolent statement. A few months of profit-incentivized, unreleased research is more convincing to you than a decades-long track record. Hopefully, you have made no controversial personal decisions in your life lest you be denied treatment when your time comes

      • Matt+Myers says:

        These experimental gene therapies (it’s a stretch to call them vaccines) aren’t working. The numbers on breakthrough infections are massive. If they actually worked, those that have taken them would have nothing to worry about and could quit whining.
        Like Dan Bongino so often says (adapting a quote from the movie Moneyball – “If he’s a good hitter, then why doesn’t he hit good?”), “If the vaccines work good, then why don’t they work good?”

      • Colorado Conservative says:

        There are plenty of “ounces of prevention” starting with Vitamin D, C, zinc, Hcq, ivermectin, etc. Israel relied on the mRNA shot as did many other countries that are the most jabbed. What did they get for it? a huge spike in Covid in the people who took the shots. That is no ounce of prevention.

      • DaveS says:

        If you are not going to get the vaccine, it may be a good idea to ask your doctor for a rx for ivermectin before you get the Delta Variant….and sooner or later, you will get it. By obtaining it prior to infection, you stand a better chance of treating the virus using the non-FDA approved therapy (i.e. Ivermectin). Waiting until you are very sick with Covid to start it is generally too late. Certainly do not expect the hospitals to issue these kinds of alternative treatments. They are a huge liability for them, and they operate under strict protocols.

      • Carrie+Harris says:

        Under the right to try laws they have no liability. However Providence uses drugs off label all the time. It is an FDA approved drug and this would be an off label use for it. The reality is you are worth more dead to the hospital than you are alive.

  • NAV says:

    Prov is a pay for death hospital

  • michael henri glasgow says:

    This is very wrong.
    More danger when in Alaska hospital

    • Thomas+Brown says:

      Avoid that hospital like the plague. I hope the jury awards his family “a lot” of money.
      Our Alaska pharmacies are no better, also refusing to fill ivermectin scripts, (Fred Meyer, Safeway, Walgreens Walmart etc etc etc….. that’s criminal conduct in my opinion.

      • Fred Lee says:

        Have you checked Alaska Mill & Feed?

      • Naida McGee says:

        Fred – perhaps you could take a moment to goggle Ivermectin history and read the wonders of deliverance from terrible human suffering, that Ivermectin has delivered. Billions of people.
        Used since 1978. Look at the pictures of people with horribly disfiguring parasitic ailments. Absolutely wonderously delivered of these lifetime plagues – some in the space of 2 days, I read! Ivermectin was used wholesale in India in a province because the Medicine was widely available – and it stopped Covid cold.
        This world wide wonder drug also delivers domestic animals of lice and ticks and humans as well. And yes – we have used it on or horses for deworming. 1 tube is meant to treat a 1200 lb animal. It’s a different application entirely for human treatment.
        You have been duped, to use the derogatory insinuation you did. Hoping you will see differently after reading for yourself.

      • Colorado Conservative says:

        Check out online All Day Chemist pharmacy located in India. It has human ivermectin you can get without a prescription. Price is reasonable.

      • Colorado Conservative says:

        There is an online pharmacy located in India that will dispense generic ivermectin without a prescription. I did give the name of it in a previous post but AW withheld the comment for moderation. The only reason I learned about this pharmacy is from an acquaintance who has used it for years because the prices are much cheaper than US prices. Also saw it posted online in several places as well.

      • Robert says:

        Jury will laugh in your face and believe the doctors.

  • nicole says:

    These death protocols are being imposed upon hospitals by our enemy, the government – thank socialized medicine. The more deaths government can falsely attribute to covid, the easier it is to frighten and control citizens and thus get away with fake emergency mandates, which violate our inherent, individual rights and the Constitution.

    • DoneWithIt says:

      You are 100% correct.
      They thought all the Patriots would take the unproven experimental gene therapy because of Trump – didn’t happen.
      AkPureBlood – for life.

      • DaveS says:

        not taking the vaccine is a choice. Ending up in the forever box because you got covid is also a choice. Choose wisely.

      • Bill Schmidt says:

        I have a less than 1% chance of death, so I’ll let my God given immune system do it’s job, thanks!

  • Mark+Clemons says:

    It seems to me that the hospital is making a life and death decision for the patient and they the hospital has made the decision will be death. The hospital is guilty of murder if they do not allow the patient and or Allard by power of attorney decide what to use for treatment.

    • nicole says:

      Yes, the hospital staff who knowingly administer a one-size-fits-all death protocol without informed consent are guilty of murder, which is being financially insentivised and mandated by our federal government.

    • Evan+S+Singh says:

      Sure Mark. Hospitals chose death over life.

  • Marie says:

    I have said for months now that the hospitals–especially Prov–WANT people to die of COVID. It’s bizarre opposite world. They’ve created their own emergency by their policies.
    I highly encourage contacting the FLCCC and getting an acute care kit. They’re swamped so it takes a while if as they prioritize sickest patients first. We called around for Ivermectin and couldn’t find a pharmacy in Anchorage to fill it. We ended up ordering from out of state. The pharmacist I talked to yesterday said no insurance will cover IVM or Hydrox. and the cost of IVM has skyrocket to $400-500 so she compounds it when she can get the powder. She said it makes no logical sense at all. This is pure evil.

    • DoneWithIt says:

      Evil flourishes when good men do nothing.

    • Colorado Conservative says:

      FLCCC is a terrific website, as is Truth For Health Foundation. FLCCC has protocols for prevention, early treatment, hospital treatment, and post Covid. Truth For Health has a primer for what one needs to do BEFORE being hospitalized. Both sites have wonderful links as well.

  • Patrocles says:

    The FDA also hasn’t approved the covid vaccine they are giving and handing out like candy, nor the use of face masks for prevention or f spread of covid. Yet they are mandating it as if it had no unintended side effects. We have been giving Ivermectin to humans since 1988. I would venture to guess that more humans were administered Ivermectin in the last year than all the horses that have been given it since 1988. Agreed on the insanity of the hospital. If I were in that position I would forcibly remove my ward. Ask the police department if they would give you an escort, but still go in anyway.

    • Theresa says:

      “The FDA also hasn’t approved the covid vaccine they are giving and handing out like candy”

      -an excellent point!

      • Carol Waters says:

        Pfizer’s vaccine was FDA approved some weeks ago

      • Steven says:

        You should read the letter produced by the FDA. There is no approved other than under the Emergency Use Authorization Covid vaccines currently in the United States. So stop spreading falsehoods about approved vaccines because there are none.

      • SJJR says:

        Page 2 – Pfizer Inc.
        10, 2021,5 June 25, 2021,6 August 12, 2021,7 and on August 23, 2021, FDA approved COMIRNATY (COVID-19 Vaccine, mRNA)8 and reissued the letter in its entirety for both Pfizer-BioNTech COVID‐19 Vaccine and certain uses of COMIRNATY (COVID-19 Vaccine, mRNA).9
        On September, 22 2021, having concluded that revising this EUA is appropriate to protect the public health or safety under section 564(g)(2) of the Act, FDA is reissuing the August 23, 2021 letter of authorization in its entirety with revisions incorporated to authorize for emergency use the administration of a single booster dose of COMIRNATY (COVID-19 Vaccine, mRNA) or Pfizer-BioNTech COVID-19 Vaccine at least 6 months after completing the primary series of this vaccine in individuals: 65 years of age and older;18 through 64 years of age at high risk of severe COVID-19; and 18 through 64 years of age whose frequent institutional or occupational exposure to SARS-CoV-2 puts them at high risk of serious complications of COVID-19 including severe COVID-19.

      • Dee Cee says:

        You mean Comirnaty? Go ahead and actually find a dose of that in Alaska…. The approved version is not commercially available in the USA. FDA states in the info pamphlet that there is a legal diff between the “approved” Comirnaty and the “EUA Authorized” Phizer BioNTech vaccines. Footnote 1.

    • Evan+S+Singh says:

      Pfizer-BioNTech COVID-19 Vaccine is approved by the FDA.

      • Patrocles says:

        Nope. “Pfizer Comirnaty” and “Pfizer BioNTech COVID-19 vaccine” are legally distinct items. Pfizer Comirnity was approved, but you cannot get it in the US until 2024. So technically, the vaccine they ARE giving in the US, is not approved by the FDA and still under EUA.

      • Charlie says:

        Not to mention, the vaccine is also killing people. So, you can’t get Invec. to hopefully save your life but they force a vaccine on you that may kill you or cause health issues for you later on on. Hmmmm!

      • Rob says:

        Comirmaty is the brand name they will use now that it’s approved. No different whatsoever to the current vaccine…just a branding change.

      • Colorado Conservative says:

        That is not true. First Comirnaty (the Pfizer/Biontech product) is not available in the US. The booster shots being currently given are the same Pfizer mRNA shots that have been given from the start under emergency approval only. Secondly Comrinaty has multiple studies associated with “full approval”, studies that extend out into 2025. Thirdly, Comrinaty will not have legal protection so the company can be sued for deaths and adverse shot reactions. As of now people getting the boosters cannot sue Pfizer for a bad outcome.

      • Dee Cee says:

        Evan you fool. COMIRNATY is approved. Phizer BioNTech is EUA Authorized.

      • Fred Lee says:

        I love watching anti-vaxxers try to split hairs to prove a point, and fail even at that.

    • kris spencer says:

      That’s RIGHT…you said it!

  • Common Peasant says:

    Contact Americas Frontline Doctors

  • Ruth Ewig says:

    Why aren’t there attorneys or people who can step in and advocate. These hospitals are being governed by boards that follow false narratives and do not keep up with current information and are not following their vow to “do no harm.” “We the people” are keeping up with the research, why aren’t the hospitals. Someone or some board keeps blocking and that is evil. The hospitals are broken in a broken world.

    • nicole says:

      Isn’t it a tragedy that hospital patients now need a legal advocate to protect them from hospital staff who routinely and illegally deny access to patient’s family and friends, refuse patient-requested medical treatments, and administer death-hastening protocols without informed consent. This unprecedented violation of patients’ rights started with the Cult of Covid, where the only narrative allowed is the one dictated by the all-knowing, irrefutable “I am Science” gods who bow to the global New World Order.

  • Kathy says:

    The fda hasn’t approved most covid vaccines that are being given and are being mandated by the hospital! So why are they using the excuse the fda hasn’t approved ivermectin! You can’t have it both ways.
    If a person is dying why does it hurt to try anything! The worst it could do is kill them, which is already happening regardless!

    • CC says:

      Ivermectin is fda approved… just not specifically for covid. Drugs are used all the time for off label purposes in many fields and it’s not controversial at all. Agree with your point, just clarifying.

  • JC Hogenson says:

    Providence has deep coffers.. but sadly repeated legal action is what it will take to get enough bad press to get them to change their behavior

  • Mongo Like Candy says:

    Providence wants him to die. They are participating willfully in a Genocide. No one in their right mind should seek medical care from this death facility.

  • Burt says:

    You couldn’t find bigger Quacks than are at Providence Hospital if you had a 6foot duck.

  • SJJR says:



    htt ps : // ww w. covid19treatm entguidelines. /table-2e/

    • Not Stupid says:

      Your URL leads to this. Apparently you’re reading comprehension is below a 1st grade level.
      Information on CQ, HCQ, and LPV/RTV are available in the archived versions of the Guidelines. However, the Panel recommends against using these agents to treat COVID-19.

      • SJJR says:

        How do you know I haven’t taken it, and it saved my life. My body my choice, that’s been settled for decades.

      • Matt+Myers says:

        I was able to get hydroxychloroquine, vitamins, and antibiotics for my brother (who didn’t want to go to the hospital and it turns out he was right). His O2 sats we’re dipping regularly into the 60’s. He had been fighting this at home for a week and by the evening I got him the meds, he couldn’t get out of bed.
        The next morning he was up doing the dishes and had made himself breakfast. A week later he was back to full health. And that was just the hydroxychloroquine regimen. From the research that I did on these regimens, ivermectin is the better choice, but we couldn’t get ahold of it.

  • Andy says:

    Prayers to Mr Topel

  • Ceak says:

    So wrong. Geneva Woods pharmacy will fill an Ivermectin prescription.

  • DoneWithIt says:

    Follow the money.
    The corporate medical establishment has been financially incentives and corrupted by BigPharma in conjunction with Feds.
    This is all about coercion, control, financial gain, and depopulation.
    They don’t care about our health – don’t be naive.
    This is classic Mass Hysteria by the sheeple.
    Shame in these nurses and doctors that have joined the cult of the chinese flu.

  • Proud Alaskan says:

    If he asked them to inject him with bleach like Trump told everyone to do would you expect his doctors to do that too??

  • Eva says:

    May the truth prevail and the guilty pay…Praying there are some good souls left in there to help Mr Topel.
    I have seen the same thing a few weeks ago out in the Valley!

  • Eric Thomas says:

    Why not go to a veterinarian if you want animal medicine? You dummies are always looking for a reason to be triggered. I mean goddamn. He went to a regular hospital, with regular doctors and they offered him regular medical interventions and you dingleberries are in here, doing your usual circle jerk.

    • Marilyn Cowles says:

      Ivermectin is a life saver. Literally. One sector in India with a population of 231M used it and immediately the Covid rate dropped and deaths bottomed out and now all under control. One pharma developed Remdesivir has two NIH staff on its board who dismissed over 30 success studies of Ivermectin to make sure that remdesivir at $3000 per pack would rule. It has done NOTHING to cure or stop Covid. But money to be made from Remdisivir is so astronomical that the greed shut down the truth of ivermectin that is nearly a free drug it is so cheap. So basically there are criminal professionals responsible for the death of millions in the USA and the world.

      • Colorado Conservative says:

        There is more to Remdesivir and I believe Tony Fauci is involved in that just like his hands are in the mRNA shot $$$ cookie jar. The drug was withdrawn after being tried unsuccessfully in Ebola patients who then died. It is no different in Covid patients, in fact, it often leads to kidney or other organ failure then to pulmonary edema (which is when the ventilator is brought in and pretty much all Covid vented patients die).

    • SJJR says:

      NIH WEBSITE SAYS IVERMECTIN IS APPROVED FOR EUA just like the jabs. My body my choice for any medical procedure.

      • Not Stupid says:

        Information on CQ, HCQ, and LPV/RTV are available in the archived versions of the Guidelines. However, the Panel recommends against using these agents to treat COVID-19.

    • SJJR says:

      See NIH link remove spaces-
      htt ps://ww w.covid19 treatmentguidelines. nih. gov/tables/table-2e/

    • Tamra+Corthell+Nygaard says:

      I’m sure your vitriol will win friends and influence people. If you have a point, then make it, but attacking people who have done research that you could have done because you couldn’t be bothered is just juvenile. Grow up.

    • Naida McGee says:

      Mr Thomas – goggle – History of Ivermectin.
      Billions of humans treated with the Wonder drug from Japan. Since 1978
      Veterinary treatment of animals is just one of its miraculous uses.
      Billions of humans – spared suffering sir.

  • Carrie+Harris says:

    Ivermec saved my life, the dose needed is 12 mg twice a day for 3 days. People take at least one dose before you go to a hospital. Do not enter that hospital until you have taken a dose because you are worth more dead than you are alive to the hospital, they’re going to vent you they’re going to document your stages of death they’re going to sell that data they’re going to charge your insurance company and they’re going to put a lien against your estate, then they’re going to get government money on top of it. A lot of hospitals are becoming the new death camps.

    • Carrie+Harris says:

      The veterinarian form will work I used my goats livermac it was a last ditch effort I could breathe again 2 hours after taking the first dose. That 12 mg is less than I get in my mouth every time I go to warm my animals. Piece of paste a pea sized amount on your finger is fine.

  • NAV says:

    Your unelected official Adam Crum is behind the power dictating to the hospitals what they will do or wont do by refusing Medicare and Medicade payments !!! Dunleavy gave constitutional power to an unelected official. If he is sent home on hospice they can not refuse to give him Ivermectin

    • Elizabeth Henry says:

      There is actually more to it and I wish I could find what I had read about that in an article written by a retired family practice MD. The Medicare and medicaid issue is true but I believe it was the other way around. They are refusing to pay and it comes from above those agencies. And even if a provider goes ahead and administers, such as with cash payment by patient, it can cause problems. It is really convoluted and very wrong.

  • NAV says:

    These people can be held accountable if everyone stands together.

  • Elizabeth Henry says:

    This is so awful. There is far more money in keeping people sick and also in the vaccines. It is all so obvious. Very sad testimony for Providence. These treatments are proving to be positively effective. Especially the antibody treatment of which I know several people have benefited. Yet the hospital won’t administer even though legitimate clinics in Anchorage and the valley are doing so successfully. We will be praying for Mr. Topel to pull through and also have success with getting alternative treatment.

    Lastly —-
    Here is a link to FDA press release, the Pfizer vaccine is indeed approved and the two names – Bio-tech and Cormirnaty are the same.

    • Elizabeth Henry says:

      One thing I had forgotten about and is mentioned above by someone else and that is the Medicaid and Medicare variable in all of this and the bearing those two vehicles have upon hospitals. I had read a really good article about this but cannot remember where. That could be why Providence is being so awful. Still, this is all wrong and needs to change.

  • SJJR says:

    The American Journal of Medicine now (Jan. 2021) now recommends Hydroxychloroquine, Azithromycin, and Zinc  for the treatment of Covid 19 outpatients.
    Approximately 9 months of the severe acute respiratory syndrome coronavius-2 (SARS-CoV-2 [COVID-19]) spreading across the globe has led to widespread COVID-19 acute hospitalizations and death.

    This article outlines key pathophysiological principles that relate to the patient with early infection treated at home. Therapeutic approaches based on these principles include 1) reduction of reinoculation, 2) combination antiviral therapy, 3) immunomodulation, 4) antiplatelet/antithrombotic therapy, and 5) administration of oxygen, monitoring, and telemedicine. Future randomized trials testing the principles and agents discussed will undoubtedly refine and clarify their individual roles; however, we emphasize the immediate need for management guidance in the setting of widespread hospital resource consumption, morbidity, and mortality.

    Zinc Lozenges and Zinc Sulfate
    Zinc is a known inhibitor of coronavirus replication. Clinical trials of zinc lozenges in the common cold have demonstrated modest reductions in the duration and or severity of symptoms.18 By extension, this readily available nontoxic therapy could be deployed at the first signs of COVID-19.19 Zinc lozenges can be administered 5 times a day for up to 5 days and extended if needed if symptoms persist. The amount of elemental zinc lozenges is <25% of that in a single 220-mg zinc sulfate daily tablet. This dose of zinc sulfate has been effectively used in combination with antimalarials in early treatment of high-risk outpatients with COVID-19.20
    Hydroxychloroquine (HCQ) is an antimalarial/anti-inflammatory drug that impairs endosomal transfer of virions within human cells. HCQ is also a zinc ionophore that conveys zinc intracellularly to block the SARS-CoV-2 RNA-dependent RNA polymerase, which is the core enzyme of the virus replication.21 The currently completed retrospective studies and randomized trials have generally shown these findings: 1) when started late in the hospital course and for short durations of time, antimalarials appear to be ineffective, 2) when started earlier in the hospital course, for progressively longer durations and in outpatients, antimalarials may reduce the progression of disease, prevent hospitalization, and are associated with reduced mortality.22, 23, 24, 25 In a retrospective inpatient study of 2541 patients hospitalized with COVID-19, therapy associated with an adjusted reduction in mortality was HCQ alone (hazard ratio [HR] = 0.34, 95% confidence interval [CI] 0.25-0.46, P <0.001) and HCQ with azithromycin (HR = 0.29, 95% CI 0.22-0.40, P <0.001).23 HCQ was approved by the US Food and Drug Administration in 1955, has been used by hundreds of millions of people worldwide since then, is sold over the counter in many countries, and has a well-characterized safety profile that should not raise undue alarm.25,26 Although asymptomatic QT prolongation is a well-recognized and infrequent (<1%) complication of HCQ, it is possible that in the setting of acute illness symptomatic arrhythmias could develop. Data safety and monitoring boards have not declared safety concerns in any clinical trial published to date. Rare patients with a personal or family history of prolonged QT syndrome and those on additional QT prolonging, contraindicated drugs (eg, dofetilide, sotalol) should be treated with caution and a plan to monitor the QTc in the ambulatory setting. A typical HCQ regimen is 200 mg bid for 5 days and extended to 30 days for continued symptoms. A minimal sufficient dose of HCQ should be used, because in excessive doses the drug can interfere with early immune response to the virus.
    Azithromycin is a commonly used macrolide antibiotic that has antiviral properties mainly attributed to reduced endosomal transfer of virions as well as established anti-inflammatory effects.27 It has been commonly used in COVID-19 studies initially based on French reports demonstrating markedly reduced durations of viral shedding, fewer hospitalizations, and reduced mortality combination with HCQ as compared to those untreated.28,29 In the large inpatient study (n = 2451) discussed previously, those who received azithromycin alone had an adjusted HR for mortality of 1.05, 95% CI 0.68-1.62, and P = 0.83.23 The combination of HCQ and azithromycin has been used as standard of care in other contexts as a standard of care in more than 300,000 older adults with multiple comorbidities.30 This agent is well-tolerated and like HCQ can prolong the QTc in <1% of patients. The same safety precautions for HCQ listed previously could be extended to azithromycin with or without HCQ. Azithromycin provides additional coverage of bacterial upper respiratory pathogens that could potentially play a role in concurrent or secondary infection. Thus, this agent can serve as a safety net for patients with COVID-19 against clinical failure of the bacterial component of community-acquired pneumonia.31,32 The same safety precautions for HCQ could be extended to azithromycin with or without HCQ. Because both HCQ and azithromycin have small but potentially additive risks of QTc prolongation, patients with known or suspected arrhythmias or taking contraindicated medications or should have more thorough workup (eg, review of baseline electrocardiogram, imaging studies, etc.) before receiving these 2 together. One of many dosing schemes is 250 mg po bid for 5 days and may extend to 30 days for persistent symptoms or evidence of bacterial superinfection.

    • SJJR says:

      The American Journal of Medicine
      Volume 134, Issue 1, January 2021, Pages 16-22
      Pathophysiological Basis and Rationale for Early Outpatient Treatment of SARS-CoV-2 (COVID-19) Infection

      Author links open overlay panelPeter A.McCulloughMD, MPHabcRonan J.KellyMDaGaetanoRuoccoMDdEdgarLermaMDeJamesTumlinMDfKevin R.WheelanMDabcNevinKatzMDgNorman E.LeporMDhKrisVijayMDiHarveyCarterMDjBhupinderSinghMDkSean P.McCulloughBSlBrijesh K.BhambiMDmAlbertoPalazzuoliMD, PhDnGaetano M.De FerrariMD, PhDoGregory P.MilliganMD, MPHaTaimurSafderMD, MPHaKristen M.TecsonPhDbDee DeeWangMDpJohn E.McKinnonMDpWilliam W.O’NeillMDpMarcusZervosMDpHarvey A.RischMD, PhDq
      Baylor University Medical Center, Dallas, Tex
      Baylor Heart and Vascular Institute, Dallas, Tex
      Baylor Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, Tex
      Cardiology Division, Regina Montis Regalis Hospital, Mondovì, Cuneo, Italy
      Christ Advocate Medical Center, Chicago, Ill
      Emory University School of Medicine, Atlanta, Ga
      Johns Hopkins School of Medicine, Baltimore, Md
      Cedars Sinai Medical Center, Los Angeles, Calif
      Abrazo Arizona Heart Hospital, Abrazo Health System, Phoenix, Ariz
      Carter Eye Center, Dallas, Tex
      Cardiorenal Society of America, Phoenix, Ariz
      University of Texas McGovern Medical School, Houston, Tex
      Bakersfield Heart Hospital, Bakersfield, Calif
      University of Siena, Le Scotte Hospital Viale Bracci, Siena, Italy
      University of Torino, Torino, Italy
      Henry Ford Hospital, Detroit, Mich
      Yale University School of Public Health, New Haven, Conn
      Available online 7 August 2020.

  • Lilahlee says:

    This is happening in Hospitals across the state, just a little over a week & 1/2 ago Mat-Su Regional Medical Center did the same thing and when patient wanted to leave AMA they wouldn’t honor the request because they had been put on a nasal cannula. Hospitals have become the new gas chambers for Nazi ideals.

  • Proud Alaskan says:

    Yes I would rather die at my own home. Then being around theses lying, cheating, woke A holes
    There’s so munch power and Love, being around family its so important.

    • Pissed off nurse says:

      Ok that is your right

      • Carrie+Harris says:

        Not if Providence gets a hold of you first.
        Can I tattoo on my chest do not hospitalize that way in case I accidentally get in a car accident I don’t end up in the care of these psychopaths at the Nazi death camps

  • Proud Alaskan says:

    Yes the real proud Alaskan

  • Billy+MegaWood says:

    Gods speed, Bill

    I have my own Ivermectin. And HCQ. How come someone didn’t slip this poor man some? Anyone interested in going to the hospital???

  • Angel Hutwagner says:

    This exact same circumstance happened to my brother who passed away at Fairbanks Memorial Hospital September 22, 2021. My brother and family requested this medication be given to him and was consistently denied despite our efforts. Our family was able to obtain Ivermectin about 24 hours before his death. After this medication was administered our family noticed improvements such as decreased swelling and improvement of a facial infection caused by the nasal cannula. This is all very strange!

  • Vicki Wallner says:

    More evidence is building regarding the effectiveness of avermectin/ivermectin in idling peer reviewed studies.

  • Lee+Wilson says:

    My girlfriend, an Alaska healthcare professional, years ago told me that if I became ill she would see to it that I escaped the death sentence of Alaska Hospitals. Quite a damning testament. Other notable doctors in Anchorage have publicly stated that the management at Prov are corrupt money grubbing cheating killing weasels. There… I said it.

  • Sharon+Kay says:

    it’s all about the money. If they treated with ivermectin or HCQ, they wouldn’t have anybody in the hospital because both of those are highly effective. The ivermectin has been used on people for over 50 years. And the shot they are giving right now is not really approved either. They did a switch bait on it. They approve the Comirnaty Shot which you cannot get in the United States. And Phizer will even tell you that. They are still using the unapproved emergency use only bioNtech. They did say they are interchangeable. But if they were the same both of them would be approved. That tells you they are not the same.

  • Meister says:

    If you want to live, you need to have Ivermectin on hand. Frontline doctors are swamped, and you will have to wait for your RX to arrive, possibly too late for early treatment which is key to successful treatment and recovery. Please prepare in advance for your illness. This is so sad.

  • Matt+Myers says:

    I was able to get hydroxychloroquine, vitamins, and antibiotics for my brother (who didn’t want to go to the hospital and it turns out he was right). His O2 sats we’re dipping regularly into the 60’s. He had been fighting this at home for a week and by the evening I got him the meds, he couldn’t get out of bed.
    The next morning he was up doing the dishes and had made himself breakfast. A week later he was back to full health. And that was just the hydroxychloroquine regimen. From the research that I did on these regimens, ivermectin is the better choice, but we couldn’t get ahold of it.
    These hospitals are choosing to goose step with the government rather than honor the Hippocratic Oath and save lives.
    I’m very sorry for the loss of Mr. Topel, his family, and friends.
    Our family will be praying for all of you.

  • Doug glenn says:

    My respect for our medical establishment has come crashing down. All I see is profiteering and whining, next is an energy shortage, then a food shortage. Prepare yourselves.

  • Anonymous says:

    add it to the Watchman’s body count

  • Ruth Ewig says:

    It would be good if Regeneron (monoclonal antibodies) were the medicine that was refused as that is the one used by President Trump and that refusal would be at the forefront of this battle in the news. Fairbanks Memorial Hospital board is guilty of ignoring patient requests and woe to anyone who is admitted to the hospital. Once admission to the hospital is done the release from the hospital is difficult if not impossible up here. Many have died up here and we personally know two of those with the same refusals as Providence over and over again. In addition the hospital refused those patients access to their families. Where is the “do no harm” in this? Who will help us? Jeff Cook is well-known up here on the hospital board but seems to be part of the problem. Where is the justice? Who can make the hospital staff listen and help? Other specific problem persons are the heads of emergency or intensive care. It is hard to nail down specifically who is blocking “We the people”. This is very evil and people will have to answer to the Almighty for needlessly withholding life-saving treatments. I understand that the hospitals make more money with the increase in COVID deaths according to the Epoch Times.

  • Jon and Ruth Ewig says:

    We are grateful for the Alaska Watchman and Must Read Alaska for their interest in journalistic ethics and allowing feedback from all of us.

  • Joyce says:

    The NIH has approved Ivermectin for Covid – the hospitals should be informed.
    RIP to all who have lost their lives after going to the hospital. By the time the wrongful death lawsuits are settled, all the COVID money the hospital received will be gone. Hopefully.

  • monkfelonious says:

    HEY! I just found an Alaska-based site that has more cuckoo’s than MRA! I hope you all enjoy your stay, blowing each other….

  • DaveS says:

    The few seconds it takes me to put on my seatbelt has saved my life several times. Two jabs of a vaccine can do the same thing. It is a choice. Choose wisely.

  • Aaron Blumenthal says:

    I would strongly recommend everyone to get stash cross pendant. Keep your Ivermectin inside of the cross! Nobody can take away this cross from your neck, nobody! It will be blessed in the name of Jesus, because it would come from his cross. So this way you will fight all the left trash and China virus with one sword. This would be highly spiritual experience for all the children of Christ. G-d bless America! Trump 2024!

  • Barbara Wire says:

    Great advice, Aaron! We got several family members making some. Wish we could make one for everyone currently hospitalized so we could safe lives or at least lift the spirit of wonderful people like Mr. Topel now with our Lord in Heaven.

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