Posted on 04/04/2020 2:40:09 PM PDT by ocrp1982
That’s pretty sad - that they would do that. What’s wrong with people?
Maybe being locked indoors is affecting the freeper psyche!
Thank you for your report and your hard work out there.
It’s not a matter of aveoli “opening and closing” like they were valves, the bronchi and bronchioles do that. It’s three issues really.... the aveoli are inflamed and the aveolar membranes have had their surface tension altered so there is no proper gas exchange between the pulmonary venous capillaries and the arterial ones...2the aveoli are filled with phlegm and nasty detritus from the cytokine storms and the inflammatory process and finally 3the destruction of billions of aveoli which reduces the surface area available proper gas exchange.
If all the surface area in the aveoli from healthy lungs were laid out, the area would equal the surface square footage of a tennis court. That is how much surface area we need for healthy gas exchange. Copd patients(old term is emphysema) have had gradual loss of aveoli over years and often are stable on a 50 tp 50 tp 60 tp 60 percent po2/pco2 gas balance as long as their ph is stable because they have acclimated to a degree over the years to the destruction of the tissues which have become fibrotic.(eventually the condition will kill them unless the patient make drastic changes and sticks to a healthier life style)
A person with covids suddenly having lost 30 to 50 percent of their lung capacity is in big trouble and can just die due to co2 build up without adequate exchange. A copd’er with it might as well hang it up. It explains why some folks who survive covids have issues with lung capacity issues for weeks after they “recover”.
Also the o2 receptors are in the lungs, the co2 receptors are in the body. High o2 being applied at the lung tissues can cause mischief with copd’ers and it may be causing issues with covids patients who aren’t copd.
The body may attempt to reduce o2 absorption at the lung by tightening the bronchioli which reduces air/gas access to the aveoli. Yet the co2 is rising in the body so conflicting messages are sent. In normal lungs there are vast amounts of the o2 receptors for the aveoli so there is a proper balance feedback between the co2 receptors and 02 receptors causing normal brochial functioning. In damaged lungs there are many fewer aveoli but still lots of o2 receptors affecting bronchiolar tube functions so a perverse cascade occurs, the more co2 rises the more o2 you need but the more 02 you supply to the lungs, the tighter the lungs get. With copd’ers it’s a combination of broncho dilators and steroids that help them along with some cpap or bipap(asthmatics, too but their aveolar issues aren’t nearly as bad usually, just highly reactive bronchi due to allergens and irritants).
It might be worth a try using hyperbaric pressure at 2-3 atmospheres(before venting) but with normal gas percentages, not 100 percent o2 for these covids patients like they do with patients with impaired wound healing. Bacteria and virii don’t thrive well and the extra pressures(equalized in and out of the patient) might help get by the impaired surface tensions inside the aveoli. Capnography readings can tell docs if the co2 in the body is dropping.
Having been on dialysis and handling the machine myself, that is NOT something that oxygenates the blood. Risk to exposure is also high; infection of any kind can happen easily. Even with a fistula. If a patient contacts MRSA while sick with COVID, it’s death.
You are quite literally exposing a patient’s vessels, and putting a patient through surgery, because an access needs to be inserted surgically. Hemo or peritoneal, surgery is necessary for first-time patients.
This is Dr. Cameron Kyle Seidel ER and critical care doctor from New York City.
Nine days ago I opened an intensive care unit to care for the sickest Covid positive patients in this city.
In these nine days I’ve seen things I have never seen before.
In treating these patients I have witnessed medical phenomenon that just don’t make sense in the context of treating a disease that is supposed to be a viral pneumonia.
Nine days ago I presumed I was opening an intensive care unit to treat patients with a virus causing a pneumonia that was ravaging lungs across the world starting out as something mild cough a sore throat and progressively increasing in severity until ultimately ending in something called acute respiratory distress syndrome or ARDS.
This is the paradigm that every hospital in the country is working under - this is the disease ARDS that every hospital is preparing to treat and this is the disease ARDS for which in the next two to six weeks a hundred thousand Americans might be put on a ventilator and yet everything I’ve seen in the last nine days all the things that just don’t make sense.
The patients I’m seeing in front of me - the lungs I’m trying to improve - have led me to believe that Covid 19 is not this disease and that we are operating under a medical paradigm that is untrue.
In short I believe we are treating the wrong disease, and I fear that this misguided treatment will lead to a tremendous amount of harm to a great number of people in a very short time as New York City appears to be about ten days ahead of the country.
I feel compelled to get this information out.
Covid 19 lung disease - as far as I can see - is not a pneumonia and should not be treated as one.
Rather it appears as if some kind of viral - it appears as some kind of viral induced disease most resembling high altitude sickness. It is as if tens of thousands of my fellow New Yorkers are on a plane at 30,000 feet and the cabin pressure is slowly being let out.
These patients are slowly being starved of oxygen.
I have seen patients dependent on oxygen take off their oxygen and quickly progress through a state of anxiety and emotional distress and eventually get blue in the face and while they look like patients absolutely on the brink of death, they do not look like patients dying of pneumonia.
I have never been a mountain climber and I do not know the conditions at Basecamp below the highest peaks in the world but I suspect that the patients I’m seeing in front of me look most like as if a person was dropped off on the top of Mount Everest without time to acclimate.
I don’t know the final answer of this disease but I’m quite sure that a ventilator is not it.
That is not to say that we don’t need ventilators - we absolutely need them.
They are the only way at this time that we were able to give a little more oxygen to patients who need it - but when we treat people with ARDS we typically use ventilators to treat what’s called respiratory failure. That is, we use the ventilator to do the work that the patient’s muscles can no longer do because they’re too tired to do it.
These patients’ muscles work fine.
I fear that - we are fear that if we’re using a false paradigm to treat a new disease, that the method that we program the ventilator (one based on a notion of respiratory failure as opposed to oxygen failure), that this method (and there are a great many number of methods we can use with the ventilator) but this method being widely adopted at this very moment in every hospital in country, which aims to increase pressure on the lungs in order to open them up, is actually doing more harm than good.
And that the pressure we are providing - that we are providing to lungs (we may be providing to lungs) that cannot stand it - that cannot take it, and that the ARDS that we are seeing (that the whole world is seeing) may be nothing more than lung injury caused by the ventilator.
Now I don’t know the final answer to this disease. I do sense that we will have to use ventilators - we will have to use a great many number of ventilators and we need a great many number of ventilators.
But I sense that we can use them in a much safer way - in a much safer method.
That safer method challenges long-held dogmatic beliefs within the medical community and among lung specialists which will not be easy to overcome - but I really believe that they must be overcome.
There are hundreds of thousands of lungs in this country at risk and and the time to overcome them is now.
I’m confident that if those of us that work bedside with these patients - those of us who are witnessing the things that we have never seen before despite the many years we have worked in the thousands of patients and diseases we have seen - if we can effectively communicate this to all those that are so important but who are not bedside.
The researchers, the administrators, those who procure our resources and make our protocols, the politicians, our own governments - if we are able to convince them that this is a disease that is different than anything we have ever seen, I am confident that an answer can be found.
That effective treatments can be discovered and that a plan to disseminate that treatment can be rapidly deployed in that tens of thousands and probably hundreds of thousands of lives and lungs will be protected.
The time for this is now.
We are staring into a future in which a great many of our fellow Americans are going to suffer (not to mention people all around the world) - for those of us who will not suffer directly from this disease, from the terrible human cost of this disease, for those who will not lose a family member or a friend and there will be a great many number of people who will lose those close to them but for those who don’t, they are still going to suffer from the great economic cost of Covid 19.
We are all involved in this future so I urge you for those of us for if you are out there for those who work bedside - I urge you to speak up.
We can change this.
I thank you all for listening - please spread the message and stay safe.
Magnesium for blood oxygenation.
I did the transcription of the video in post #125.
Thank you , spectator.
Severe altitude sickness is pulmonary edema. So this doctor thinks he’s seeing that rather than pneumonia.
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I spoke to my Pharmacist today. He told me the same thing.
Now if they can get the testing down to a day, everything will be cleared out.
BTW, he told me HCQ kicks ass and does the job.
Some doc needs to get script tablets and start handing out blank Rx for this. A hospital doc, a just-retired doc, a doc treating malaria.
Or someone who MAKES the dam script tablets.
Sent this to Gov. Murphy, AG Grewal and Health director Persichelli:
I am appalled at your requirement of a positive covid19 test before hydroxychloroquine can be prescribed. This test takes 7-14 days for results and many patients will die in this timeframe.
I know several people who feel that hydroxychloroquine saved their lives.
Please save lives and allow hydroxychloroquine prescriptions. Please concentrate on increasing supply for this drug instead of blocking sick people from promising treatment options.
Lupus and arthritis sufferers can tolerate a temporary pause during this unprecedented emergency.
My husband and I go to another state for medical care, and prescriptions from that state have never been an issue for us.
Shelter in place allows for trips to get prescriptions or doctor visits.
It works different in different places though.
I saw one recommendation of 25mg and no more than 150mg a day.
Saw another recommendation that said no more than 40mg a day
The pills I have are 50mg each. Dose is one pill per day.
Thank you. It was better to read it.
anyway, report from my area, eastern Washington...
hospital is empty...
we've had people in with presumptive covid but almost all are negative but they are finding seasonal flu, rhinovirus, and human metapreumovirus....we have lost two people with co-morbidities a week ago....they are using the Plaquenil and Azith....
we've sent staff home....
everyone is calm here...
And someone noted that 2/3 of all who go on ventilator die.......
But the 1/3 who live sure appreciate them.......
I know about dialysis..SIL is on it.....I was throwing out things that could possibly buy the patient time while he heals....have no idea other than that...
thanks for the explanations.
(i wonder if the situation could be helped at the covid19
outpatient and prophylactic levels by allowing and even perhaps prioritizing hcq for elderly copd afflicted patients...)
For you and everyone taking zinc daily, maybe for weeks: at some point you will need a tiny amount of copper. Too much zinc might make you deficient. Go very lightly with copper. You might find some zinc supplement combined with a bit of it.
“A report from the front line”
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I pray for you every day many times a day. God give you strength and all who fight with you. You will win.
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