The wife and son of Daniel Pisano first squared off against Mayo Clinic Florida at an emergency hearing on Dec. 30, 2021, in Florida’s 4th Judicial Circuit. Before that, they’d begged the hospital to allow them to try treating Pisano—who’s been on a ventilator for 28 days—with the drug ivermectin, along with a mix of other drugs and supplements, as part of a protocol recommended by the Front Line COVID-19 Critical Care Alliance (FLCCC).
The family’s request for an emergency injunction to force the Mayo Clinic to allow treatments recommended by an outside doctor was denied by Judge Marianne Aho; they appealed the decision.
On Jan. 14, Aho’s decision was upheld by Florida’s 1st District Court of Appeal. The three-judge panel deciding the case included Judge Thomas “Bo” Winokur, appointed by then-Gov. Rick Scott in 2015; Judge M. Kemmerly Thomas, appointed in 2016 by Scott; and Judge Robert E. Long, Jr., appointed in 2020 by Gov. Ron DeSantis.
“An opinion of this Court explaining its reasoning will follow,” the judges stated in the order they issued.
“So we wait to see what that looks like, unless it takes too long,” said Jeff Childers, an attorney for the family.
Seventy-year-old Daniel Pisano doesn’t have unlimited time, says Dr. Eduardo Balbona, an independent doctor in Jacksonville who’s been advising the family since they reached out to him while researching other treatments that could potentially help their loved one.
Balbona, who has been monitoring Pisano’s treatment at the Mayo Clinic through an online portal, testified on behalf of the Pisano family in the first hearing.
The Mayo Clinic has argued that the treatment plan doesn’t fit with the hospital’s standard protocol for treating COVID-19 patients and they don’t know what the effects of following Balbona’s recommendations would be. The hospital has told the family that Pisano has a less than 5 percent chance of survival, and all that’s left to do is wait and see if he recovers on the ventilator.
The Mayo Clinic hasn’t responded to requests by The Epoch Times for comment.
The family has begged the hospital to simply step aside and let Balbona try what he thinks could work. But the Mayo Clinic doesn’t allow outside doctors to treat patients.
Since media reports mentioned his involvement in the case, particularly his confidence in recommending ivermectin, Balbona has faced a mix of hate-filled criticism and desperate cries for help.
He says he’s used ivermectin, along with the rest of the FLCCC protocol, successfully with minor modifications, on “dozens and dozens” of seriously ill patients suffering from COVID-19. Some of the patients have come to him from as far away as California.
He’s not alone in his belief in ivermectin and the mix of drugs and supplements he’s suggesting. Health care professionals across the country have spoken out over the past two years about the efficacy of using ivermectin and the FLCCC’s protocol to treat COVID-19.
The drug has been used for 40 years and won a Nobel Prize for its creator. While ivermectin is most often used to prevent or kill parasites in animals, it also has been widely and successfully used for years to treat parasites and viruses in humans in the United States and other countries. There is an ever-growing list of peer-reviewed studies that show the drug’s efficacy in treating COVID-19.
The U.S. Food and Drug Administration (FDA) indicates on a webpage that warns people not to self-medicate with ivermectin that there are current clinical trials investigating the use of the drug in the treatment of COVID-19. The agency published a tweet in August 2021 mocking those who do. Meanwhile, some politicians and media outlets have railed relentlessly against those claiming ivermectin could be an effective and inexpensive way to combat COVID-19.
“You should be embarrassed to practice medicine, to sue the Mayo Clinic to get horse medicine to a human being, because of internet garbage,” one person said in a voicemail at Balbona’s office after his court testimony was mentioned in an Epoch Times article.
“Your license should be revoked, you worthless piece of garbage. You are killing people, not helping them, and to harass the Mayo Clinic, because you are not good enough to be their doctor is disgusting. Disgusting. You and doctors like you should all be banned from society. Shame on you. Disgusting. Goodbye and good riddance. I hope you get COVID. Goodbye.”
Balbona says he deletes messages like that and pushes on with his treatment of patients.
It’s “just the intolerance and hatred that takes me by surprise,” he said, about his office communications now being “flooded by hate.”
“Everything I do treating COVID is directed at lowering the inflammatory response, which is out of control, and improving blood flow to the lungs, and avoiding the complications of clots,” he said.
“Perhaps the biggest change I’ve made from protocols in the hospital and with FLCCC is increasing the dose of dexamethasone. The dose of dexamethasone in FLCCC is relatively low at 6 mg, and I generally increase that to 18 mg daily in more serious cases. That’s a logic change, and I realize the study support is at 6 mg.
“There’s a reason for every medicine and everything I do treating COVID with my protocol. I have to be able to defend it since I know it will be attacked. Crazy world we’re in.”
Christie DeTrude, of Switzerland, Florida, is certain that Balbona’s recommendations saved her husband, Dewey. He had just retired last spring at 59 after a long career as a pipefitter. At 200 pounds and 6 feet tall, he was at the peak of health, with strong “country muscles after a lifetime of turning a wrench,” she said.
When he sought treatment for COVID-19 at an urgent-care clinic in July 2021, he was prescribed ivermectin by a doctor there.
“But what we didn’t know at the time was, it wasn’t a high enough dose, because it’s supposed to be weight-based,” DeTrude said. “Theirs was a very low dose, and they discontinued it after five days and said that it would be damaging to his liver and kidneys if they continued, which isn’t true.”
On his eighth day of illness, Dewey developed pneumonia, and the urgent-care clinic told him to go to the hospital for treatment with convalescent plasma and oxygen. The referring doctor promised he wouldn’t be admitted, DeTrude said.
When she took him to the Mayo Clinic Florida emergency room, she was told to come back and pick him up in four to five hours.
“Once he got to Mayo, they just completely took over, and there was no informed consent,” DeTrude said. “There was no giving him information and letting us make a decision. They made all of his decisions for him, and they follow a standard protocol.
“There were no choices, there was no discussion. … They just kept upping the oxygen.”
The Mayo Clinic didn’t return requests for comment by The Epoch Times about DeTrude’s or Pisano’s case, or COVID-19 treatment protocols, in general.
DeTrude said that eventually, her husband had become so weak, he couldn’t get out of the hospital bed. She felt that the hospital’s treatments weren’t working, and wanted to take him home. However, the hospital wouldn’t agree to discharge him and didn’t allow her to visit, she said.
Days passed, then weeks. She says that she could tell from their phone calls that her husband was getting weaker. His 60th birthday came and went. And still, she says, the hospital wouldn’t let her visit.
“I was able to get a Catholic priest to come give him Last Rites, and the priest said that my husband’s mental state was like that of a prisoner of war, that he was definitely suffering trauma from the isolation from family, from his faith, from not seeing the sun. He’d lost 35 pounds,” she said.
Part of the problem was that she wasn’t allowed to bring him vegan meals, she said.
“A lot of the food, my husband wasn’t interested in. And when you’re on oxygen, it does affect your appetite, and he needed assistance eating, but they wouldn’t let me be that person,” she said.
After 18 days, Christie DeTrude hired an attorney to help her push the hospital to stabilize her husband so she could take him home. Meanwhile, she searched for an outside doctor who could help.
With that goal, she attended a medical freedom rally in Jacksonville in August 2021 hoping to find something or someone who could advise her. Several doctors spoke about alternative treatments for COVID-19 that hospitals weren’t using, including ivermectin.
The next day, she called them all. Only Balbona came to the phone to speak with her, she said.
At Christie DeTrude’s request, Balbona promised the hospital that he’d take over her husband’s care. He ordered oxygen, medication, and home-health assistance for the family, she said.
As she waited for Mayo doctors to agree to discharge him, Christie DeTrude prayed every day that her husband could hang on a little longer.
After 46 days at Mayo Clinic, Dewey DeTrude finally was discharged and immediately started following Balbona’s instructions, taking ivermectin, fluvoxamine to prevent blood clots, and propranolol to treat anxiety and post-traumatic stress disorder from his hospital stay. He also took vitamin C, vitamin D, and zinc; he ate healthy food and spent time in the sunshine.
Within days, it was clear her husband was on the mend, DeTrude said.
Now, four months later, “he’s working part-time, going to the gym,” she said. “He’s completed physical therapy and working on rebuilding his stamina and lung capacity. And if it weren’t for Dr. Balbona, I’m quite sure he would have died in the hospital.”
Gene Bennett, a 77-year-old retired field engineer for IBM, tells a similar story.
He was enjoying life in Bryceville, Florida, helping his son clear five acres of land for a home site when COVID-19 struck in January 2021.
An ambulance transported him to Ascension St. Vincent’s Riverside Hospital in Jacksonville, where he was treated with remdesivir.
“They had to keep getting my oxygen higher and higher,” Bennett said. “I was finally up to the point of seven liters per minute, which is almost pure oxygen. And I knew that I wasn’t getting better. I could tell I was getting weaker and weaker. So when the doctor made his rounds on the Monday morning, I said, ‘This is my last day of remdesivir treatment and I know that I’m not improving. What’s our next step?’
“He looked at me and very calmly said, ‘Mr. Bennett, we don’t have a next step.’ He said, ‘We have done all for you that we can do. There’s nothing else we can do for you.’”
Overnight, Bennett thought a lot about the conversation. The next day, he asked the doctor, “Are you serious? There’s nothing else that this hospital can do for me?”
“He said, ‘No, sir. The next step is for you to go on a ventilator.’”
“Well, I’m not going to do that,” Bennett recalls saying. “I want to be released from this hospital.”
He quickly learned that was no longer a decision he could make for himself.
Representatives of Ascension St. Vincent’s Riverside Hospital didn’t respond to a request for comment.
“They weren’t going to release me because I was on a high level of oxygen,” he told The Epoch Times. “So finally, after I raised hell with them, to put it mildly, all day, my son picked me up” that evening.
The next morning, Bennett’s wife drove him to Balbona, his physician for many years. Balbona came out to the parking lot of his office to help him out of the car.
“I could barely walk with a walker without assistance—that’s how bad off I was,” Bennett said. He says Balbona told him: “You have the most severe case of COVID that I have seen. But I have a medicine I have been using, and I’ve had great success with it.”
Bennett needed no convincing.
“What is it? I’ll take it,” Bennett recalls saying. “I know I’m dying. I just feel it.”
“He told me and my wife: ‘Most people that have COVID as severe as you do not survive. We’re behind the curve, but we’re going to try to get you over the hump. The medicine I’d like to prescribe for you is normally a heartworm medicine for dogs—that’s the most common use.’
“He said: ‘They use it all over the world. It’s been around for 40 years, and it’s dirt-cheap but very effective.’
“He said, ‘I would never, ever give a patient a medicine that I thought would be harmful to them.’ And I totally believed, and just accepted the fact he was doing what he thinks was right.
“I thought, ‘I don’t have any options. I know if I don’t take something to stop this, it’s going to kill me.’”
They picked up a $30 supply of ivermectin from a drug store that day. Bennett was so weak, he could barely feed himself. His wife and son later told him that they thought he was going to die.
But after five days on what Balbona prescribed, including vitamin C, vitamin D, zinc, steroids, and a diuretic to get fluid off his lungs, he started to improve.
“I’m a firm believer, and I’d swear on the Bible, had I not been prescribed ivermectin, I would have died,” he said. “Had I not stepped out of St. Vincent’s and checked myself out and gone to him and got the ivermectin, I wouldn’t be talking to you today. It saved my life. And for how much money? Thirty dollars!”
He has since read a lot of research about the efficacy of ivermectin in the treatment of COVID-19.
“I can’t tell you if it is 100 percent effective for everyone, but I can tell you it was for me. I personally cannot understand why the government balks at giving these treatments. Why don’t they make the announcement that it’s available and let it be an individual’s choice?”
Over the past year, Bennett’s gotten back to full health, almost, regaining about half of the 45 pounds he lost while he was ill.
His wife’s brother died in early January of COVID-19. They begged the hospital to try ivermectin. The hospital declined.
His daughter-in-law’s mother died of COVID-19, too, at a Jacksonville Beach hospital, after the family begged to try ivermectin, and the hospital refused, Bennett said.
A spokeswoman for the FDA said she would provide the number of reports of patients who had problems after self-medicating with ivermectin. Three days later, that information hadn’t been provided to The Epoch Times.
The FDA Office of Media Affairs said a formal request under the Freedom of Information Act would be required to obtain details about when ivermectin might be approved for use in treating COVID-19, and about bona fide injuries to people who’ve used the medication to treat the illness.
“The most effective ways to limit the spread of COVID-19 include getting a COVID-19 vaccine when it is available to you and following current CDC guidance,” the FDA’s website advises.
The Epoch Times spoke to a dozen people who had used ivermectin formulated for humans to treat COVID-19 at home. Most obtained prescriptions for the drug through online medical services. None reported having any side effects, even those who admitted to using a version of ivermectin that’s formulated for animals.