Dr. George Fareed

Dr. Fareed, along with other front-line COVID-19 physicians are trying to reach Washington D.C. to share their experiences and successes away from the political discourse. 

BRAWLEY – A front-line local doctor treating COVID-19 patients claims to have figured out what works to keep his patients alive. He claims to have answers on better controlling, and curbing, a pandemic that knows no boundaries.

Dr. George Fareed is a physician who can be spotted during football season as local high school’s field doctor working with athletes from Holtville, El Centro, Imperial, and lately, with Brawley Union High School.

Fareed graduated with honors in 1970 at Harvard and pursued medical studies, research, and teaching at Harvard and UCLA in the first 20 years of his career. Fareed returned to clinical medicine in 1991 when he came to the Imperial Valley to establish a general practice.  

No one who knows him well was surprised to see him jump into the COVID-19 pandemic full force. As hot spots jumped from city to city, cases and deaths rose, businesses and schools closed down, Fareed began testing for the virus, followed by caring for patients at home, in the hospitals, and in the local COVID-tents set up by the hospitals and the National Guard.

“I became so frustrated.” Fareed said as he listened to national news and the Task Force. What he was hearing and what he witnessed first-hand did not correlate. He began zoom meetings with other front-line doctors on the east coast and found they had the same experiences he did, finding what worked and what didn’t, finding preventatives before exposures, and keeping his patients alive.

The frustration levels rose between Fareed and other doctors that action had to be taken, he said. Fareed has written letters to President Trump, Representative Juan Vargas, and the Presidential Task Force. He continues Zoom meetings with other doctors, and hope to get to Washington D.C. to share their knowledge and results.

Here is the letter Fareed sent to President Trump:

Dear President Trump and Task Force,

My name is Dr. George Fareed. I am a physician in Imperial County, California, that has been hit hard by the COVID-19 pandemic. I take care of patients on both an outpatient and inpatient basis, as well as nursing home patients, the most vulnerable among us.

In this letter, I am proposing a medical strategy that can help us not only through this current crisis, but also that will enable us to approach outbreaks of COVID-19 that may occur in the future.

In my attempts to keep people alive, I have had an opportunity to use many different types of treatments — remdesivir, dexamethasone, convalescent plasma replacement, etc. Yet, by far the best tool beyond supportive care with oxygen has been the combination of hydroxychloroquine (HCQ), with either azithromycin or doxycycline, and zinc. This "HCQ cocktail" (that costs less than $100) has enabled me to prevent patients from being admitted to the hospital, as well as help those patients that are hospitalized. The key is giving the HCQ cocktail early, within the first five days of the disease.

Not only have I seen outstanding results with this approach, I have not seen any patient exhibit serious side-effects. To be clear — this drug has been used as an anti-malarial and to treat systemic lupus erythematosus as well as rheumatoid arthritis, and has over a 50-year track record for safety. It is shocking that it only now is being characterized as a dangerous drug.

Moreover, I am in my seventies, and I (as well as some other older physicians in the hospital) use hydroxychloroquine and zinc as prophylaxis. None of us have contracted the disease despite our high exposure to COVID patients nor have we experienced any side-effects.

Despite the characterization in the mainstream media as the drug being “ineffective” and “dangerous,” the evidence in the literature tells a different story. I am not only an “MD,” but a former Harvard Medical School assistant professor and UCLA School of Medicine associate professor as well and am very competent at evaluating studies. There is ample evidence now that the HCQ cocktail is effective and there is no good evidence that there are significant side effects.

Yet, like many of my colleagues in the trenches treating COVID, I find myself being obstructed on different levels from treating my patients with hydroxychloroquine. The next option is remdesivir, which in my opinion is inferior and very expensive. Moreover, that drug is not readily available and is rationed by hospitals. Despite the representations by Dr. Fauci and others, there is less evidence supporting the use of remdesivir than hydroxychloroquine.

To be clear — hydroxychloroquine is normally not helpful when given to very ill patients. Unfortunately, most of the studies have evaluated this drug only in that context. The HCQ cocktail is best used to prevent patients from getting to that dire stage.

This is all so tragic because the use of HCQ cocktail would solve some of the very basic problems we are now facing:

  1. The HCQ cocktail can be used for outpatients to prevent hospitalizations and thus keep our hospitals and ICUs from being overrun with COVID patients.
  2. The HCQ cocktail can be used early on in hospitalization to prevent patients from requiring mechanical ventilation and reducing the length of hospital stay.
  3. HCQ/zinc can be used for prophylaxis for high risk individuals including front line health providers, first responders, and even teachers who are at high risk for COVID.

As a physician, I am committed to my patients as well as doing my part to solve the COVID crisis. It has been deflating to see how the “science” has been corrupted and manipulated in an effort to disparage hydroxychloroquine. The fact that both Lancet and the New England Journal of Medicine had to retract articles relevant to hydroxychloroquine due to gross manipulation and mischaracterization of data goes to the heart of what is best characterized as a smear campaign.

As an example of the faulty science, one study (University of Minnesota) was cited in the mainstream media as disproving the effectiveness of hydroxychloroquine as “prophylaxis,” yet the patients received the drug one to four days AFTER exposure. That is not prophylaxis at all — the drug must be taken PRIOR to exposure. This is just one example of the non-scientific way the drug has been evaluated and the subsequent mainstream media mischaracterizations.

I am writing to you out of the frustration of knowing that there is a solution, but watching as our country flounders in dealing with COVID-19. In my opinion, tens of thousands are dying unnecessarily. Our current approach of waiting for these high-risk patients to become ill and then hospitalizing them is failing. The answer is early diagnosis of the high-risk individuals, and then treating them as outpatients with the HCQ cocktail to prevent hospitalization.

So, what I am proposing is a drastic shift from our current approach: we need to ramp up our outpatient efforts of treating COVID-19 to decrease the burden on hospitals and save lives. Such an approach requires an effective outpatient treatment — we have that in the HCQ cocktail.

How do we get there? I propose that the Task Force allow myself and a few other clinicians/researchers who have used and/or studied the HCQ cocktail present our plan that focuses on outpatient treatment and prevention as opposed to a hospital-based approach only treating patients when they become ill. The FDA and CDC should be there as well given that they are the agencies that formulate the drug policies.

We need a medical strategy, not only for now while we are in a crisis, but for the future. There is no guarantee that a vaccine will rid us of COVID-19. If we had a strategy, we would not have to shut down American life, especially schools, every time there is an outbreak.

We should be seeking a solution that will save as many lives as possible, and the outpatient-based approach that I and some other doctors have been advocating will best accomplish that goal.

I hope you consider my proposal, and I look forward to hearing from you.

Sincerely yours,

George C. Fareed, M.D.

CMA Rural Physician of the Year 2015

Brawley, CA 92227

(21) comments

MOMofSEVEN

First of all, GOD BLESS you and the other Doctors I watched in the video for being BOLD enough to speak out for those of us uniformed. may be missing it while I look through the other comments, so, Can you provide links to the online med services that will prescribe the meds you make reference to, please?

LynnW

So am I the only one that is bothered by this Dr. using non FDA approved drugs on Medically compromised nursing home Paitents? I'm no Chemist, but my ex husband was a Chemical Engineer who has had several papers published in medical.joirnals. He was part of the research trials for Naprason. I don't ever remember any research work starting directly in Nursing Homes or on humans. I've volunteered for research studies for viral RNA studies on a virus I have. There were screenings and interviews. I'm not getting how it's ethically O.K. to just start using non FDA approved drugs on people who are in Nursing Homes. Plus say ya they got better so it works. Is this some save the day movie? Where rogue Chemists are breaking into labs to create antidotes so the world can be saved in 90 minutes? What is the criteria of this research? Are these people having to sign papers saying they have been given non approved Meds and they are a part of a study? How is this any different than people drinking hand sanitizer. I know if my family member was subjected to this I would be testing someones thories and malpractice Insurance in a County Court. Are these people being followed long term or is it just here's your American quick fix your better now on to sell it to everyone it works. I'm sorry, but I read this and thought of all those people who trust this Doctor. Who have nobody explaining anything cause of where they live.

Markbks

I wonder if there is a school district or athletic team that would be willing (or even able) to test the efficacy of this statement: "HCQ/zinc can be used for prophylaxis".

What if it helped in lowering transmission, because COVID is so easily transferrable in close contact.

scgator2001

If you look at the video by the FRONTLINE DOCTORS that was banned by YOUTUBE, TWITTER, FAKEBOOK... with something like 17 million views, one of the Dr's says that the vast majority of Drs who treat COVID-19 patients do take HCQ+Zn.

There is one on-line med service that will prescribe HCQ+Zn with a protective dose. You take FIVE HCQ in the first week and then you take one HCQ every week thereafter. You take a Zinc pill every day.

I had symptoms last month.and after I lost my senses of smell and taste, I scheduled an appointment. The next day (after HCQ+Zn started), the congestion in my chest improved noticeably. Two days later, my smell and taste returned!

You can take one pill per week as a preventative. OR you can wait until you get symptoms and then IMMEDIATELY BEGIN HCQ+Zn. Either way the statistics involved are showing that you will be fine as long as HCQ+Zn is taken early (or even before exposure).

SO what is the big deal here? WHY hasn't testing been done to satisfy the purists? Testing WAS STARTED but then stopped in June. It was stopped because a study showed that HCQ was dangerous. Since HCQ was dangerous, there was no need to continue to test to see if was effective in treating COVID-19.

But then a problem was found. The data used in the study that showed HCQ was dangerous was FRAUDULENT, the study was FAKE!

https://www.cbsnews.com/news/the-lancet-retracts-hydroxychloroquine-studies-covid-19/

One of the authors supplied the data through his company but when caught, the company REFUSED to show the data to independent evaluators! But it doesn't matter, the tests being done to test HCQ were stopped and they were never restarted.

What is the motivation for stopping the HCQ tests? First no one makes any money on HCQ. My five day treatment cost maybe $30. One pill of remedesivir costs about $1000. IF there is NOT an effective treatment for COVID-19, then the drug companies MUST do long term testing for any drugs or any VACCINES!

When you mention required testing, Dr. Fuaci leads the way to conflicts of interest. He apparently holds patents in vaccines and he apparently is a stockholder in the companies that are involved in treating COVID-19. If they have to do long term testing, it will cost $BILLIONS more.

It's best for Fauci and all to hide that COVID-19 can be treated with HCQ, effectively. So what if thousands of Americans are killed unnecessarily by lying about HCQ+Zn as a treatment.

I found there are NO side effects. So did thousands of other patients who have been treated with HCQ+Zn.

https://youtu.be/LTNMnbBRuCo

JackBurch

Would you share the online medical team that will prescribe the cocktail?

gscmd

This is what is called anecdotal "evidence." This one guy treated some patients and hey they did well so it must have been his treatment! He went to Harvard Medical School! ...in the 70s. Medicine has changed by light years since then. He is not even an expert in any field you would consider asking for expert advice (infectious disease, public health, epidemiology,...). Just reading his letter makes me cringe. He says at one point, "The key is giving the HCQ cocktail early, within the first five days of the disease." But then later he criticized the University of Minnesota study where they did exactly that, "yet the patients received the drug one to four days AFTER exposure." This is a study that is ACTUALLY a randomized double blinded and placebo controlled. He criticizes the study because it is for "prophylaxis" and he says that prophylaxis must occur before exposure. This is true, but this study was for POST-EXPOSURE PROPHYLAXIS. The fact that he doesn't know or recognize this greatly diminishes his credibility. PEP, or post-exposure prophylaxis is where you are given medication after a known exposure in hopes of preventing infection. A well know example is PEP for a needle stick from a known HIV patient. AFTER the exposure you are given a drug cocktail (anti-retrovirals) to try to prevent infection with HIV. I'm tired of doc in a boxes and demon minister doctors giving their 2 cents. Please keep it to yourselves and let the real scientists do the talking.

Ks1265

I would love to join his fight for this treatment. I have work directly with covid patients since it was Corona and find many known treatments work that are not allowed because of government controls. It's not right. Let doctors be doctors and treat their patients. Not everyone is going to react to same medical protocols. Remedsivir is not the end all answer..proven. I have seen first hand his care plan as described save many lives.

Don Winant

July 30, 2020

Dear Dr. Fareed,

What is your protocol for the HCQ cocktail, i.e., dosage, duration, and adjunct therapies? Might it be efficacious for athletes and military personnel to take the cocktail as prophylaxis?

Nice work, Dr. Fareed!!

Don Winant, Operational Physiologist (military)

Spokane, WA

Spokane, WA

Betty Gordon

Dr. Fareed, what a wonderful, heart-felt letter written above.

Since this article was longer than 8,000 characters for a reply, I have broken it up and it can be found here:

https://www.facebook.com/betty.gordon.3323/posts/898158424005643

Also, Iowa's Dr. Pedati, Epidemiologist, was selected to be on TRUMP'S COVID-19 TASK FORCE. She is the only one in that job classification selected to be on there!

I sent her a copy of my link above where it's broken up since her site allows 2,000 characters only!! So this is my way of getting your letter to Pres. Trump ;)

Betty Gordon, Ames, Iowa

brnhoff

VonBon, have you even read what your comment said ? What's your angle ?

AMCA medical

Dr Fareed I read your excellent article and I fully agree with your comments. As an old physician myself who’s also seeing COVID patients in Florida I would like to know what dose or regimen you use of HCQ for prophylaxis to protect yourself and your colleagues.Would be grateful for your recommendations. Sam Wolkov MD

scgator2001

Did you get a response? I am from Fla supposedly on my way to the Oregon Coast for the summer but that has been delayed.

I was prescribed HCQ+Zn+Antibiotic two weeks ago when my 3 day symptoms list added loss of smell and taste!. I drove 2 hours one way to see Dr Fareed after I saw his letter to President Trump on this issue. It is almost a lost cause to find a Dr who understands the treatment plan.

Could I suggest you develop an online list of Dr's who will prescribe HCQ? It's not fun knowing there is an effective drug treatment but you are NOT able to find some who will prescribe it correctly.

Dr Fareed did tell me that he corresponded with east coast doctors including Dr. Zelenko.

albertjsanchez

Has anyone considered sending this article to Fox-news? Perhaps they would do something with it or at least check out its veracity.

chaznw

This study from 2014 details the interaction of Zinc and HCQ.  This isn't new knowledge but it is being used as a political cudgel. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4182877/

 A study at NYU showed a 44% reduction in death rate for patients treated with HCQ and ZINC.  https://www.medrxiv.org/content/10.1101/2020.05.02.20080036v1 A recent study in Michigan at Henry Ford Health System showed a significant cut in death rate using HCQ . https://www.henryford.com/news/2020/07/hydro-treatment-study

Some doctors are able to put 2+2 together, Zinc kills the virus, HCQ helps Zinc into the cell and they are saving lives with this treatment. Other doctors hate Orangeman so much they would rather see people die than give any sort of credit to Orangeman. When this becomes clear to the American people that 44% of those lost to this disease could have been spared, there will be a revolution.

This is the only trial in the US that has a chance of completing a study of HCQ+Zinc.  Unfortunately, it is not being fast-tracked even while people are dying.  Call you representative and demand that this trial be fast-tracked before big pharma and the Orangeman haters destroy it.

https://clinicaltrials.gov/ct2/show/NCT04370782

Er doc

Thank you for this well written article and for reaching out to the president with your plan. I am an ER physician working in Southern California and am also extremely frustrated with the tying of our hands to prescribe hydroxychloroquine which most of us know is a life saving treatment. We are in the trenches with these people and yet we are powerless to do anything except tell them to go home and rest and come back if they get worse. And then when they do return worse, we feel even worse that we did nothing to help them.

This politicization of hydroxychloroquine must end and we must take the politicians out of the examination room. We as physicians must have the ability to treat our patients as we see fit and there is more than ample evidence to suggest that this cocktail of hydroxychloroquine plus zinc plus azithromycin is not only effective but safe and affordable.

After all, the NIH under the direction of Dr Fauci performed their own study published on pub Med in 2005 proving that hydroxychloroquine was an effective treatment for sars coV infection.

VonBon

"For more than two weeks in April, a drug regimen that included hydroxychloroquine was routinely dispensed at the struggling center, often for patients who had not been tested for covid-19 and for those who suffered from medical conditions known to raise the risk of dangerous side effects, interviews, emails and medical notes and records obtained by The Washington Post show.

Though precise estimates vary, the state Department of Military and Veterans Affairs said about 30 residents received the drug. Several nursing home staff members placed the number higher. The Chester County coroner, who reviewed the medical records for some of those who died, said at least 11 residents who had received the hydroxychloroquine treatment had not been tested for covid-19.

The drug regimen appeared to conflict with guidance from the Food and Drug Administration, which issued an emergency-use authorization for the drugs in late March but stressed they should be administered only during clinical trials or in hospitals providing “careful heart monitoring” and only after detailed discussions with patients and families about the risks. At the 238-bed nursing home, the treatment was given over the objections of some nurses, at times with little knowledge among patients’ families and largely hidden from lawmakers who have been probing the matter, according to interviews and emails.

https://www.washingtonpost.com/business/2020/07/07/covid-cocktail-inside-pa-nursing-home-that-gave-some-veterans-hydroxychloroquine-even-without-covid-19-testing/

BadAshley430

Check this out. Things you wont find on WaPo site.

https://www.henryford.com/news/2020/07/hydro-treatment-study

https://www.sciencedirect.com/science/article/pii/S1477893920302179

https://www.medrxiv.org/content/10.1101/2020.03.16.20037135v1

JitsuStew

VonBon,

I’m not a medical professional, but your argument seem to be comparing apples to oranges.

The HCQ cocktail in this article consists of, “hydroxychloroquine (HCQ), with either azithromycin or doxycycline, and zinc.” The article of the nursing home mentions, “the “covid cocktail,” the widespread, off-label use of one of the antimalarial drugs touted by President Trump in March.”

If you performed a quick search of Washington Post’s previous publications. The May, 22 2020 article, that has since been redacted, states that the cocktails that Trump used had negative outcomes on other patients. Those cocktails included, “hydroxychloroquine or chloroquine alone or in combination with a type of antibiotics known as a macrolide, such as azithromycin or clarithromycin”

Unless azithromycin or doxycycline, and zinc are the same thing as azithromycin or clarithromycin, and we’re administered with the same ratio, it appears that you assume all HCQ cocktails are the same thing. Synergism is a real thing. Have you ever cleaned with bleach or ammonia? They work pretty good. But have you ever worked with them at the same time? Probably not or you might not be alive to read this.

I’m not sure what the purpose of your comment was, but, unless you have better ideas than Dr. Fareed, perhaps you could find a new hobby than being adding to the dissonance of an already self-sabotaging nation

Source: “Antimalarial drug touted by President Trump is linked to increased risk of death in coronavirus patients, study says”

https://www.google.com/amp/s/www.washingtonpost.com/health/2020/05/22/hydroxychloroquine-coronavirus-study/%3foutputType=amp

VonBon

This is some weird propaganda. Why does this piece even act like Trump hasn't been pushing hydroxychloroquine for months? Everyone no matter your political persuasion knows that. If you want to know more about this miracle cocktail, better reading would be at the Washington Post where an investigation they published last week showed this cocktail was used on veterans like they were test animals without their permission with disastrous results: https://www.washingtonpost.com/business/2020/07/07/covid-cocktail-inside-pa-nursing-home-that-gave-some-veterans-hydroxychloroquine-even-without-covid-19-testing/

"For more than two weeks in April, a drug regimen that included hydroxychloroquine was routinely dispensed at the struggling center, often for patients who had not been tested for covid-19 and for those who suffered from medical conditions known to raise the risk of dangerous side effects, interviews, emails and medical notes and records obtained by The Washington Post show.

Though precise estimates vary, the state Department of Military and Veterans Affairs said about 30 residents received the drug. Several nursing home staff members placed the number higher. The Chester County coroner, who reviewed the medical records for some of those who died, said at least 11 residents who had received the hydroxychloroquine treatment had not been tested for covid-19.

The drug regimen appeared to conflict with guidance from the Food and Drug Administration, which issued an emergency-use authorization for the drugs in late March but stressed they should be administered only during clinical trials or in hospitals providing “careful heart monitoring” and only after detailed discussions with patients and families about the risks. At the 238-bed nursing home, the treatment was given over the objections of some nurses, at times with little knowledge among patients’ families and largely hidden from lawmakers who have been probing the matter, according to interviews and emails."

karelees

Are you in the health care field? I'm an R.N. and actually you're the one with some "weird propaganda". Unfortunately, the "powers that be" have LIED and demonized/ politicized HCQ treatment, which is SAFE, EFFECTIVE and AFFORDABLE, because they would rather see people die than Trump, who backs HCQ treatment, win. If HCQ and zinc were used as a prophylaxis, there would be NO pandemic... SIMPLE AS THAT.

ElRey

Dr Fareed what are your thoughts on convalescent plasmas immunoglobulin injections as a prophylaxis? If it has some effect in providing temporary immunity would it be easy to produce locally?

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