New interview and update from NYC physician page 2. Urgent video from NYC physician- information we have not yet heard.

so it is a new disease not pnemonia, interesting

Updated from the same physician.

I don't think he knows exactly but he feels the high pressure settings used on the vents is damaging people. He feels they need oxygen not high pressure vents. He is asking for input from other health care professionals as to what they are seeing. He is not saying that many won't need vents but they need to come together and change the ventilator settings to less pressure.

Can someone forward this link to him?

How coronavirus kills by Dr, Seheult / medcram.

[link to youtu.be (secure)]

Yes I will, thanks.

Cov19 is like hku1, oc43 and H1N1, moderate lethality
Since It WONT kill like the fake "imperial college" model Crystal ball has outlooked, "they", u know, ned to ensure the "high" mortality, then comes the need to deliver in a few cities, like nyc, London and madrid, other kind of agent with apparent same symptoms, pulmonar compromising, to inflate de "death" counts, as the "who" protocol says anyone with some sars should be "treated" as suspect for a cov19 infection and In the usual hurries in icus, few would be tested for nervous gas or chemical pneumonia, being "ventilated" asap

Americans are being mocked. It's completely unreasonable so many under 75 "dying" "from" it. Moreover tabagismo is much lower than in italy and China, even more in nyc

Last Edited by sunwatcher on 04/05/2020 12:42 AM

It was reported that only 20% survive who are put on ventalators.

Thank you - sent with links to journal articles. I remember seeing this over a month ago. I had forgotten about it. It is excellent, but, if staffing is stretched it will be hard to pull these off without 1:1 nursing.

What a mess we are in. I think if we all keep sharing it can only help! Thanks again.

The advice the doctors in my Ed were given is if they need high amounts of oxygen just intubate them because with higher flow oxygen you are aerosolizing the "virus" and risking your own infection. This now blows my mind a lil.

[link to twitter.com (secure)]

Wow, new wave of fear-mongering.

The evil genius behind it all along with political agendas, number pumping and finger pointing is horrifying. The people behind it all are desperate and will do anything to achieve their goals. They will be defeated.

There are maybe a couple hundred of those machines in the country.

He seems to be smirking alot.

Thanks, I passed the info on. ECMO is a great option while the lungs heal, however, it requires a nurse at the bedside 24/7. There are only 65 to 70 ECMO Centers in the US. 1 out of 10 ventilated patients may need ECMO.



Last Edited by akaSuzanne on 04/05/2020 01:16 AM

I'm a radiologist and now have some experience with COVID-19, particularly in terms of findings on X-ray and CT over time. I've also been following the EMR of patients who's x-rays and scans I've read, and have many friends that are ER docs and Critical Care docs who are face to face with these patients unlike me, as I've largely transitioned to working from home at this point. I am not in a current 'hot zone' but in another large city where case numbers are increasing with a peak expected in late April.

COVID-19 absolutely causes a viral pneumonia. Usually it starts as ground glass opacities which are best seen on CT, in the peripheral lung zones. This is not specific to COVID-19 but is known as 'organizing pneumonia' and can be seen with various lung insults... but up until now it is rare in ER patients and now is commonplace because of COVID-19. Does influence cause it ? Probably but flu patients almost never get CTs so we never see it. Anyway, air exchange in the involved lung zones causes patients to become hypoxic and many need supplemental oxygen. In some it becomes very severe to where intubation and mechanical ventilation are required. As mentioned in that video, ventilators are not harmless and can cause lung damage on their own. Nearly half who need to go on ventilators will ultimately die in the hospital - once you reach the ICU and get intubated, it's a coin flip whether the result is survive or death. Of those who survive, at least some with end up with pulmonary fibrosis and may become oxygen dependent for life. Covid-19 is no joke in the ~ 10% of people who get severe symptoms from it.

Interestingly a good number of patients present to the ER with symptoms of a GI bug with abdominal pain, nausea, and diarrhea. Practically everyone going to an ER these days with abdominal symptoms gets an abdomen/pelvis CT, and that includes the lower third of the lungs. Typically there is nothing abnormal to see in the abdomen/pelvis, but findings of COVID-19 pneumonia show up in the lung bases. This abdominal presentation seems to be associated with a worse prognosis compared to the more usual symptoms of cough and shortness of breath.

One thing I have noted is the degree of hypoxia is often out of proportion to the imaging findings of the lungs; I've seen patients with worse ARDS from sepsis, trauma, etc who are easier to oxygenate. Patients also deteriorate very fast, they can be breathing alright on their own and become ventilator dependent in six hours. So far I have not seen any patients put on ECMO, but if that happens it would likely clarify if the hypoxia is only related to pneumonia or if there is some alteration of hemoglobin as well.

Also some thoughts about hydroxychloroquine. I believe it IS effective, but mostly for prophylaxis or when taken early in the course of the disease - think of it like Tamiflu with influenza. Once someone is in the ICU it probably is too late to have much of an effect. So I don't think it is being properly utilized, as hospitalized patients are late in the course of the disease and beyond the point where it will be particularly helpful.. Early on, it probably works in two ways - (1) deactivating intracellular virus in conjunction with zinc and (2) moderating the host immune response which likely contributes heavily to severe lung damage late in the course of viral infection, e.g. cytokine storm.

Azithromycin is primarily an antibiotic but it also does possess some antiviral properties, however it interacts with hydroxychloroquine and increases its toxicity via prolonging the Q-T interval. So using these together carries some risk. I wouldn't be surprised if some anti-helminth/anti-parasitic drugs, such as ivermectin and fenbendazole, will show some efficacy too. I do not recommend using forms of these drugs not intended for humans - including fishtank cleaner, Heartgard, Panacur, etc), since dosages and purity is questionable.

I personally use a natural form of vitamin C (powder camacama) and take Vitamin D3, also try to get some sun. I have a bit of hydroxychloroquine and zinc picolinate on hand which I will only take if I get sick or have an obvious significant exposure, because of the interaction I would skip the Z-pack.

I can post more if this is of interest to anyone.

I've heard this. Sounds really challenging.

5g frequency prevents absorption of oxygen. They are installing 5g in all the schools and other areas that were resisted during the "quarentine." The are turning on the big switch it seems to me.

Doctor, thank you so much for the very detailed information. There are many of us here that have some sort of medical, nursing or science background. The information you can provide is incredibly important. Since you have found your way to this site you know we cannot trust what the MSM tells us and we are left trying to figure the out the details on our own.

I have seen the ground glass appearance on CT in a loved one with Amiodarone toxicity. They survived but ended up with pulmonary fibrosis and oxygen dependent. I cannot imagine dealing with clusters of patients this severely ill all at once along with the infection control issues of something so virulent,.

If you are willing and have time to share more details I think it would help many come to terms with what is going on and we would really appreciate it.

Again, thank you so much.

Thanks for posting!

Have you seen any correlation between ARDS and patients who are either diabetic, have sepsis or other comorbidities?

Are you seeing perfectly healthy individuals with ARDS?

I’ve listened to three doctors say most all of their patients are diabetic or pre-diabetic or severely over weight

A relative is a nurse.In her state they have suspended nurse to patient ratios.In her hospital 25 staff home on quarantine.So they have a nurse shortage and have to take as many patients as assigned to them.

1;1 nursing care? 2 to one is the normal for ventilator care

"One thing I have noted is the degree of hypoxia is often out of proportion to the imaging findings of the lungs; I've seen patients with worse ARDS from sepsis, trauma, etc who are easier to oxygenate."

I think this is the same thing the ER Doctor in the above video is talking about. Would love to hear anything else you have to say about the matter.

Following the protocol with prone ventilation is it still 1:2? ECMO is 1:1 though isn't it?

Liar, he never says it's not a virus.

:lies:

Thank you so much, doctor. I found your thoughts of extreme interest. God bless and may you and your loved ones be well.

This published report seems to correlate with your statement, "I wouldn't be surprised if some anti-helminth/anti-parasitic drugs ... will show some efficacy too."

Anti-parasitic drug kills COVID-19 in lab

[link to www.msn.com (secure)]

Thanks for your post.
What do you think about the supplement Quercetin, taken along with normal doses of Zinc?