Posted on 04/04/2020 2:40:09 PM PDT by ocrp1982
In this Vlog Bill plays a video made by a frontline ER Doctor in NYC. He says the standard ventilator treatment being used across the world is not helping any of his patients. In fact, he says it's making things worse. And, he goes into detail as to his observations. And, then pleads for more frontline doctors to speak out.
> Don’t know if you’ve noticed, President Trump is attacking cuomo at most of his pressers. He knows what’s going on in NY. What he said today about HCQ was a direct message to “Dr”cuomo. “Release HCQ!” He’s giving “Dr”cuomo a chance to change his ways or laws. Watch what “Dr”cuomo says tomorrow at his bloviating daily pressers.
Please, i have a strict limit on self-inflicted torture. OTOH, folks are welcome to supply me with the elevator summaries.
(Dr. Cuomo? yikes... lol...)
Cuomo’s executive order limits HCQ to hospitalized patients only.
just heard an interview on the joepags show - he interviewed dr. ben carson who said that with the serum treatment and the hydroxy treatment we should be in good shape in 2-3 WEEKS!!!!!!
Ok this is so everyone sort of understands what is the issue:
in ARDS, the lung which generally have easy time diffusing gas across the alveolar - arteriolar interchange for lack of better words become inflamed and thickened. This is what gives the “ground glass” appearance. There is heterogenous disease meaning that one alveoli may be diseased and the one right next to it may be ok. Think of alveoli clusters like a bunch of grapes with each grape being an individual alveolus
We USED to treat the diseased alveoli by forcing enough pressure into it to open it “Hi PEEP”. But what we found was that we were inducing barotrauma (essentially blowing out) the normal alveoli — which was a double whammy because the lung tissue that was OK at getting oxygen into the blood stream was being destroyed to force oxygen down a diseased unit which did not transmit oxygen that well.
So our strategies changed. It was called “ventilating the baby lung” as the lung volume of nondiseased alveoli was about the size of a babies lungs. So we started lower pressure strategies where we made sure that the highest pressures (peak pressure) were kept below certain levels. This meant more oxygen into the blood and more oxygen to the organs and people survived more often and better.
In our current understanding, the typical vent settings start at pretty low PEEP. We are starting people at higher PEEP, but lower driving pressures and we are seeing success (If you are interested, our initial vent bundle sets PEEP at +10 and varies as high as +14 with O2 < 60% because greater than 60% there is free radical injury to the lung).
Yes by the time you are on a vent it is pretty bad, however in my experience the death rate of vented patients is NOT 80 or 90%. It is the same of patients with ARDS, which though not great is not the apocalyptic numbers being quoted.
Pray for this to pass
Pray for us to get through this and learn
But lets look at facts not fear.
Jet ventilators — I read about those in my anesthesia history books! (just kidding — we use transtracheal jet ventilation to rescue a cannot intubate cannot ventilate. I have never had to do it but was taught just in case)
This video may help.
It has a little language (most docs I encounter have interesting vocabularies), but he is effective at telling us HOW Covid-19 does it’s thing. Dr. Vuong did this video (and several others) to help us understand the virus and is somewhat clinical but very visual in its teaching approach.
IMHO, it coincides with what this ER doc is telling us - this isn’t the average ARDS (Acute Respiratory Distress Syndrome) that we’re used to seeing. Therefore it stands to reason that it can not, should not be treated the same way. I have no problem with that logic.
The media, insurance companies and governors need to get out of practicing medicine without a license and let the medical people do the jobs they trained years to do.
Hope this helps someone understand a little better.
https://www.youtube.com/watch?v=4J0d59dd-qM
what state are you in?
In NJ, as of Tuesday, pharmacies cannot fill HCQ scripts unless the patient has a positive covid19 test. Testing results are taking 7-14 days.
Calling Gov. Murphy’s office to let him know how I feel about this.
So I am glad he said that. Let's all pray that, that is the case.
Ya well you going whippersnappers don’t know it all....
I would prefer not to say — I have been threatened by certain freepers both privately and publicly with doxing, wishing that I would get the disease and other malicious attacks.
Cameron Kyle-Slidell has another video about that on his youtube channel.
I also ran across this:
His portion starts at about 1:00:55. More technical language than the videos on his channel, but people may find it interesting.
You can buy zinc in ionic form. Amazon has it. You can also make your own, but I wouldn’t do that until you gain experience with the process.
I’m just curious, what would hapen to your mom if she couldnt get HCQ for a month.
Because NJ is using lupus and RA sufferers as an excuse to restrict HCQ.
wow I am so sorry to hear that!!
Once intubated odds of you coming off the ventilator are very slim...
Yes. And this ER Doc is trying to put out the word that the pneumonia protocol currently being employed worldwide is not only not working, but it’s also making things worse for the patients.
It’s actually damaging their lungs.
They do not need assistance in BREATHING. They need a way to get Oxygen into their system.
The virus eventually reaches a point where the body can no longer perform the oxygen/carbon dioxide exchange. They turn blue and die.
Thanks. Will watch, now. Wasn’t able to, earlier.
Thanks for continued posts - learning things as I read.
Sorry to hear that.
If I got this disease, there are no other hands I’d prefer to be in than an epidemiologist and a gas passer.
No one else can run a tube like them.
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