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Pierre Kory

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Pierre Kory
Kory in front of the US Senate in 2020
Alma materSt. George's University
Known forCOVID-19 misinformation
Medical career
FieldCritical care medicine, Pulmonology
InstitutionsUniversity of Wisconsin (former), Front Line COVID-19 Critical Care Alliance (current)

Pierre Kory is an American critical care physician who gained attention during the COVID-19 pandemic for advocating widespread off-label use of certain drugs as treatments for COVID-19, as president and co-founder of the Front Line COVID-19 Critical Care Alliance (FLCCC).[1][2] Kory testified twice to the U.S. Senate regarding COVID-19. During his testimony in December 2020, Kory erroneously claimed that the antiparasitic medication ivermectin was a "wonder drug" with "miraculous effectiveness" against COVID-19.[3][4][5]

In August 2023 the American Board of Internal Medicine informed Kory his certification was to be revoked for spreading medical misinformation.[6]

Education and career

Kory graduated from NYU's school of Public Service with a Master's In Public Administration.[7] He completed his medical education at St. George's University in Grenada, West Indies, graduating with a Doctor of Medicine (MD) degree and completed residency and fellowship training in critical care and pulmonary medicine.[8] He did clinical rotations at the Weill Cornell School of Medicine.[8] Kory first practiced in Madison, Wisconsin, at UW Health, which is the academic medical center at the University of Wisconsin. He served there as the medical director for the Trauma and Life Support Center, in the outpatient pulmonary medicine clinic, where he performed bronchoscopic and pleural procedures.[8] Kory was the critical care service chief at the UW Health University Hospital (part of the University of Wisconsin School of Medicine and Public Health) until May 2020.[9][10] He later joined Aurora St. Luke's Medical Center in Milwaukee, Wisconsin,[11] before becoming a locum tenens physician.[12]

Kory is an expert in critical care ultrasonography. In 2015, along with his two co-editors, Kory won the British Medical Association's 2015 President’s Choice award in medical textbooks for their work on Point of Care Ultrasound.[8]

In August 2023 Kory was informed by the American Board of Internal Medicine that his board certification was to be revoked for "spreading false or inaccurate medical information".[6][13]

COVID-19

Further information: Ivermectin during the COVID-19 pandemic

Early in the COVID-19 pandemic, Kory advocated for using increasing doses of corticosteroids and anticoagulants for hospitalized people with COVID-19, at a time when the general recommendation was merely for supportive care.[10] Kory sees subsequent evidence from the RECOVERY Trial, which showed benefit from lower doses of corticosteroids, as vindicating his approach; medical researcher Kevin J. Tracey has said it is still unknown whether Kory's approach was beneficial or harmful. Kory has used other drugs off-label in his treatment regimens, including famotidine and intravenous vitamin C.[10] Kory gave testimony as a guest of U.S. Senator Ron Johnson at a May 5, 2020, Senate hearing in which he called for use of steroids in COVID-19 patients.[9][11] He resigned from UW Health in May out of frustration of its reluctance to implement such measures.[10][12]

Kory is president and co-founder of the Front Line COVID-19 Critical Care Alliance (FLCCC), a small U.S. organization of physicians and former journalists formed in April 2020 that advocates for ineffective COVID-19 treatments, including ivermectin.[14][1][2][15] The FLCCC falsely states that ivermectin reduces viral load and accelerates recovery in patients, while the World Health Organization, U.S. Food and Drug Administration, and European Medicines Agency advise against the use of ivermectin outside of clinical trials.[16][17][18]

On December 8, 2020, Kory was a witness at a Senate hearing called by the US Senate Homeland Security Committee Chair Ron Johnson,[19] which was criticized as promoting fringe ideas about COVID-19.[20] Kory described ivermectin as "miraculous" and as a "wonder drug" to be used against COVID-19. Video footage of his statements went viral on social media, receiving over one million views within a few days.[3] Kory became a leading advocate of the use of ivermectin throughout the pandemic, promoting a conspiracy theory that its true effectiveness was being suppressed by the "Gods of Science" who wanted to monopolize scientific information.[21] Kory resigned from Aurora St Luke's afterwards, claiming that new restrictions on his contract threatened to limit his freedom to speak.[11][12]

In November 2021 the Journal of Intensive Care Medicine retracted a paper written by Kory, Paul E. Marik, and others. The retraction was triggered when it was found the paper misreported the mortality figures of people treated for COVID-19 with the FLCCC's "MATH+" protocol, falsely making it appear to be an effective treatment.[22][23]

In February 2022, the American Journal of Therapeutics issued an expression of concern against a 2021 systematic review of which Kory had been lead author. The notice said there were suspicions about the integrity of the underlying data on which the paper depended to show that ivermectin was a viable treatment for COVID-19.[24][25]

By July 2022, Kory had begun endorsing misinformation about COVID-19 vaccines, downplaying the COVID-19 vaccines' effectiveness and spreading conspiracy theories about their safety and unreported fatalities. Kory claimed on a conservative podcast that COVID-19 vaccines "are not safe or effective", despite acknowledging that "There's just tons of papers in journals showing that the vaccines are safe and effective."[26] As of August 2021, studies reported that the COVID-19 vaccines available in the United States are "highly protective against severe illness, hospitalization, and death due to COVID-19".[27] In comparison with fully vaccinated people, the CDC reported that unvaccinated people were 10 times more likely to be hospitalized and 11 times more likely to die.[28][29]

Kory in August 2022 falsely claimed that vaccines can disrupt pregnancy and fertility, based on his reading of Pfizer data submitted to the FDA, an interpretation which is not supported by peer-reviewed evidence. He represented the rates of miscarriage after COVID vaccination as alarming,[30] when the rates are in fact consistent with background miscarriage rates of 11-16 percent in the general population.[31] Multiple studies have shown that COVID infection, not vaccination against COVID-19, is risky for pregnant women. One study found that the risk of fetal or newborn mortality is higher in unvaccinated pregnant women who contract COVID, than it is for vaccinated women infected with COVID at the same stage of pregnancy.[32] Further, according to studies cited by the CDC, there is no evidence of decreased fertility due to COVID vaccination now or in the future, and changes in menstrual cycles are small and temporary.[33]

Kory repeatedly questions peer-reviewed science on COVID, the COVID-19 vaccine emergency use authorization process overseen by federal agencies, and the profit motives of pharmaceutical companies, while he also profits from marketing off-label and "alternative" COVID treatments that are lacking in quality evidence.[34] His rhetoric carries many of the markings of conspiracy theory, which make emotional arguments that presume malfeasance and coordinated efforts and deliberate obfuscation of information. Such theories become ingrained in in-groups as a form of secret knowledge, which reinforces the fervor with which the ideas are believed. Kory's detractors such as David Gorski[35][36] have noted his efforts to promote and profit from alternative COVID treatments are similar to medical quackery going back centuries.[26][37]

In June 2022, Kory tweeted that the American Board of Internal Medicine had warned him that his board certification was in danger of being revoked for misinformation.[34] Effectively unable to practice within mainstream medicine, Kory launched his own “advanced COVID-19 care center", charging US$1,250 to 1,650 for a series of three appointments.[34]

In November 2022, Kory and the FLCCC began marketing a cocktail of supplements and drugs (e.g. ivermectin and nitazoxanide) for other viruses, influenza and Respiratory syncytial virus (RSV). Like the FLCCC-advocated COVID treatments, the recommendations lacked credible supporting scientific evidence. The Washington Post estimated that this cocktail could cost over $500.[38]

Books

  • Soni, Nilam J; Arntfield, Robert; Kory, Pierre, eds. (2015). Point of Care Ultrasound. Elsevier. ISBN 978-0323544702.

References

  1. ^ a b Bibi-Aisha Wadvalla (April 1, 2021). "Covid-19: Ivermectin's politicisation is a warning sign for doctors". The BMJ: n747. doi:10.1136/BMJ.N747. ISSN 0959-8138. Wikidata Q107968955.
  2. ^ a b "Fact-checking claim about the use of ivermectin to treat COVID-19". Politifact. April 23, 2021. Retrieved August 7, 2021.
  3. ^ a b Beatrice Dupuy (December 11, 2020). "No evidence ivermectin is a miracle drug against COVID-19" (Fact check). AP News.
  4. ^ Valverde, Miriam. "PolitiFact - Fact-checking claim about the use of ivermectin to treat COVID-19". @politifact. Retrieved August 15, 2022.
  5. ^ "User Clip: Dr. Pierre Kory US Senate hearing - Ivermectin is 100% cure for COVID-19 | C-SPAN.org". www.c-span.org. Retrieved December 27, 2022.
  6. ^ a b Gorski D (August 7, 2023). "The American Board of Internal Medicine finally acts against two misinformation-spreading doctors". Science-Based Medicine.
  7. ^ "Dr. Pierre D. Kory, MD". Web MD. Retrieved June 27, 2023.
  8. ^ a b c d "Pierre Kory, MD". St. George's University. Archived from the original on July 20, 2021.
  9. ^ a b Small, Taurean (May 6, 2020). "Senate committee explores COVID-19 recommendations from local expert". Charter Communications. SPECTRUM NEWS.
  10. ^ a b c d Susan Dominus (August 5, 2020). "The Covid Drug Wars That Pitted Doctor vs. Doctor". New York Times.
  11. ^ a b c Fiore, Kristina (January 6, 2021). "What's Behind the Ivermectin-for-COVID Buzz?". MedPage Today, LLC.
  12. ^ a b c McGinley, Laurie (April 8, 2021). "Supporters tout anti-parasite drug as covid-19 treatment, but skeptics call it the 'new hydroxychloroquine'". The Washington Post. Retrieved August 10, 2021.
  13. ^ "FLCCC Doctors Plan to Fight Board Decision". FLCCC Alliance. August 8, 2023.
  14. ^ Hilary Brueck (September 17, 2021). "2 fringe doctors created the myth that ivermectin is a 'miracle cure' for COVID-19 — whipping up false hope that could have deadly consequences". Business Insider.
  15. ^ Hayes, Kelly (December 8, 2020). "Doctor pleads for review of data on ivermectin as COVID-19 treatment during Senate hearing". FOX 10 Phoenix.
  16. ^ Breitenbach, Dagmar (January 20, 2021). "Fact check: Effective (and ineffective) COVID-19 treatments". Deutsche Welle.
  17. ^ "EMA advises against use of ivermectin for the prevention or treatment of COVID-19 outside randomised clinical trials" (Press release). European Medicines Agency. March 22, 2021.
  18. ^ "WHO advises that ivermectin only be used to treat COVID-19 within clinical trials". World Health Organisation. March 31, 2021.
  19. ^ Gilbert, Craig (December 8, 2020). "Sen. Ron Johnson holds COVID-19 hearing accusing health officials of ignoring alternative therapies". Milwaukee Journal Sentinel. Retrieved August 10, 2021.
  20. ^ Qiu, Linda (December 17, 2020). "The election is over, but Ron Johnson keeps promoting false claims of fraud". The New York Times. ISSN 0362-4331. Retrieved December 18, 2020.
  21. ^ Gorski DH (June 21, 2021). "Ivermectin is the new hydroxychloroquine, take 2". Science-Based Medicine.
  22. ^ Marcus A (November 10, 2021). "Bad MATH+? Covid treatment paper by Pierre Kory retracted for flawed results". Retraction Watch.
  23. ^ "Retraction Notice". Journal of Intensive Care Medicine. November 9, 2021. doi:10.1177/08850666211049062. PMID 34749558.
  24. ^ "Ivermectin papers slapped with expressions of concern". Retraction Watch. February 11, 2022.
  25. ^ Manu P (February 7, 2022). "Expression of Concern for Kory P, Meduri GU, Varon J, Iglesias J, Marik PE. Review of the Emerging Evidence Demonstrating the Efficacy of Ivermectin in the Prophylaxis and Treatment of COVID-19. Am J Ther. 2021;28(3) e299–e318". American Journal of Therapeutics. 29 (2): e231. doi:10.1097/MJT.0000000000001481. PMC 10501341. PMID 35142703. S2CID 246701186.
  26. ^ a b BRUMFIEL, GEOFF (July 19, 2022). "Doubting mainstream medicine, COVID patients find dangerous advice and pills online". All Things Considered. NPR. Retrieved July 20, 2022.
  27. ^ "Vaccine Effectiveness". Virginia Department of Health. August 23, 2021.
  28. ^ Holcombe M, Waldrop T (September 11, 2021). "CDC study: Unvaccinated 11 times more likely to die from Covid-19". CNN. Retrieved September 11, 2021.
  29. ^ Scobie HM, Johnson AG, Suthar AB, Severson R, Alden NB, Balter S, et al. (September 2021). "Monitoring Incidence of COVID-19 Cases, Hospitalizations, and Deaths, by Vaccination Status - 13 U.S. Jurisdictions, April 4-July 17, 2021" (PDF). MMWR. Morbidity and Mortality Weekly Report. 70 (37): 1284–1290. doi:10.15585/mmwr.mm7037e1. PMC 8445374. PMID 34529637. Retrieved July 20, 2022.
  30. ^ "Massive Miscarriage Rates Among Vaccinated Pregnant Women Found Buried in the Pfizer Documents".
  31. ^ "COVID-19 vaccines don't increase risk of miscarriages in pregnant people, CDC analysis shows". USA Today.
  32. ^ Stock, Sarah J.; Carruthers, Jade; Calvert, Clara; Denny, Cheryl; Donaghy, Jack; Goulding, Anna; Hopcroft, Lisa E. M.; Hopkins, Leanne; McLaughlin, Terry; Pan, Jiafeng; Shi, Ting; Taylor, Bob; Agrawal, Utkarsh; Auyeung, Bonnie; Katikireddi, Srinivasa Vittal; McCowan, Colin; Murray, Josie; Simpson, Colin R.; Robertson, Chris; Vasileiou, Eleftheria; Sheikh, Aziz; Wood, Rachael (March 2022). "SARS-CoV-2 infection and COVID-19 vaccination rates in pregnant women in Scotland". Nature Medicine. 28 (3): 504–512. doi:10.1038/s41591-021-01666-2. PMC 8938271. PMID 35027756. S2CID 245909403.
  33. ^ "COVID-19 Vaccination". February 11, 2020.
  34. ^ a b c Goldhill O (July 26, 2022). "Encouraged by right-wing doctor groups, desperate patients turn to ivermectin for long Covid". Stat.
  35. ^ "Ivermectin is the new hydroxychloroquine, take 6: Incompetence and fraud everywhere! | Science-Based Medicine". October 11, 2021.
  36. ^ "Pierre Kory | Science-Based Medicine".
  37. ^ "Column: Ivermectin, another bogus COVID treatment, becomes a darling of conspiracy-mongers". Los Angeles Times. July 22, 2021.
  38. ^ Weber, Lauren (February 26, 2023). "Doctors who touted ivermectin as covid fix now pushing it for flu, RSV". Washington Post. Retrieved February 28, 2023.
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