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Ivermectin: Can a Drug Be "Right-Wing"?
A potential Covid-19 treatment has become hostage to a larger global fight between populists and anti-populists
On December 31st of last year, an 80 year-old Buffalo-area woman named Judith Smentkiewicz fell ill with Covid-19. She was rushed by ambulance to Millard Fillmore Suburban Hospital in Williamsville, New York, where she was put on a ventilator. Her son Michael and his wife flew up from Georgia, and were given grim news. Judith, doctors said, had a 20% chance at survival, and even if she made it, she’d be on a ventilator for a month.
As December passed into the New Year, Judith’s health declined. Her family members, increasingly desperate, had been doing what people in the Internet age do, Googling in search of potential treatments. They saw stories about the anti-parasitic drug ivermectin, learning among other things that a pulmonologist named Pierre Kory had just testified before the Senate that the drug had a “miraculous” impact on Covid-19 patients. The family pressured doctors at the hospital to give Judith the drug. The hospital initially complied, administering one dose on January 2nd. According to her family’s court testimony, a dramatic change in her condition ensued.
“In less than 48 hours, my mother was taken off the ventilator, transferred out of the Intensive Care Unit, sitting up on her own and communicating,” the patient’s daughter Michelle Kulbacki told a court.
After the reported change in Judith’s condition, the hospital backtracked and refused to administer more. Frustrated, the family turned on January 7th to a local lawyer named Ralph Lorigo. A commercial litigator and head of what he calls a “typical suburban practice,” with seven lawyers engaged in everything from matrimonial to estate work, Lorigo assigned one of his attorneys to review materials given to them by the family, which included Kory’s Senate testimony. The associate showed Lorigo himself the the material next morning.
“I was so convinced by what Dr. Kory was saying,” Lorigo says. “I saw the passion and the belief.”
Lorigo immediately sued the hospital, filing to State Supreme Court to force the facility to treat according to the family’s wishes. Judge Henry J. Nowak sided with the Smentkiewiczes, signing an order that Lorigo and one of his attorneys served themselves, and after a series of quasi-absurd dramas that included the hospital refusing to let the Smentkiewicz family physician phone in the prescription — “the doctor actually had to drive to the hospital,” Lorigo says — Judith went back on ivermectin.
“She was out of that hospital in six days,” Lorigo says. After a month of rehab, his octogenarian client went back to her life, which involved working five days a week (she still cleans houses). Her story, complete with photo, was told in the Buffalo News, causing Lorigo’s phone to begin ringing off the hook. Doppleganger cases soon began dotting the map all over the country.
One of the first was in nearby Rochester, New York, where the family of Glenna Dickinson went through an almost exactly similar narrative to the Smentkiewiczes: they read about ivermectin, got a family doctor to prescribe it, saw improvement, only to later have the hospital refuse treatment. Again Lorigo intervened, again a judge ordered the hospital to treat, again the patient recovered and was discharged.
Hospitals fought hard, hiring expensive law firms, at times going to extraordinary lengths to refuse treatment even with dying patients who’d exhausted all other options. At Edward-Elmhurst hospital in Chicago, a 68 year-old named Nurije Fype was admitted, put on a ventilator, and again, as all other treatments failed, her family got a judge to order the use of ivermectin. Lorigo claims the hospital initially refused to obey the court order, which led to the filing of a contempt motion, which in turn led to a pair of counter-motions and another confrontation before another befuddled Judge named James Orel.
“Why wouldn't this be tried if she's not improving?” the Chicago Tribune quoted Orel as saying. “Why does the hospital object to providing this medication?”
“He basically said, ‘What do you have left?’” Lorigo recounts. “No one would administer the ivermectin. It’s as safe as aspirin, for Christ’s sake. It’s been given out 3.7 billion times. I couldn’t understand it.”
Stories like these aren’t proof the drug works. They don’t even really rise to the level of evidence. People recover from diseases all the time, and it doesn’t mean any particular treatment was responsible. Short of the gold standard of randomized controlled trials, there’s no proof.
However, anecdotes have a power all their own, and in the Internet age, ones like these spread quickly. Lorigo estimates he now gets “10, 15, 20” calls and emails a day. At this level, at the bedside of a single Covid-19 patient who’s already received the full official treatment protocol and is failing anyway, the decision to administer a drug like ivermectin, or fluvoxamine, or hydroxychloroquine, or any of a dozen other experimental treatments, seems like a no-brainer. Nothing else has worked, the patient is dying, why not?
Telescope out a little further, however, and the ivermectin debate becomes more complicated, reaching into a series of thorny controversies, some ridiculous, some quite serious.
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