Posted on 04/26/2020 2:34:06 AM PDT by tired&retired
Nah. I was just back from the middle east.
Rush was talking about this the other day, anecdotally.
Based on your explanations, what are the options (which may not actually exist) to treat it?
One other amateur question. There are pictures of patients lying in hospital beds in a ward in some type of self contained breathing device / environment, with the med staff in space-walking, moon landing type of suits. Why would an N-95 mask not be sufficient for the patient? For the med staff at this point?
A mysterious blood-clotting complication is killing coronavirus patients
This reads like someone trying to gin up more panic to me.
It's similar to a common flu and first attacks the usual suspects, one end of the age spectrum or the other, and it has lethal effects that may not show up for a long time or until exposed to another pathogen in your system (one that you may be immune to) or the antibodies for some common virus that typically has a minimum of effects.
That sort of stuff (in theory and when properly introduced into the target population so as to leave no obvious connections) makes it nearly impossible to be sure whether or not you've been attacked with a biological weapon or are just dealing with a new and heretofore unknown natural virus.
Clumsy bastards letting it get loose near the point of origin isn't a proper introduction into a target population.
JMHo
You guys vilifying Fauci is kind of silly. He’s a nobody. Without this illness he would have remained a nobody. Sure he is a successful bureaucratic politician who has climbed to the pinnacle of his little world, which frankly, is the most inconsequential community in Medicine (until you get a pandemic). His is the specialty a Medical Student goes into when you don’t see patients, don’t want to see patients, don’t want to do a Residency that requires a lot of “overnight opportunities to learn”. It requires only a 2 year Fellowship at Johns Hopkins in “Public Health” where all you do is write papers. The only “patients” Fauci has ever seen are the photo ops in foreign countries.
Radiology is what you chose if you don’t like Patients but don’t mind the “overnight opportunities” and Pathology is what you do if you prefer dead people to living ones. Psychiatry is a good fit for people who are crazy themselves.
Turning Fauci into a Bond Villain is kind of funny when you think about it.
The people on Active Duty in Fauci’s Field can’t find enough work in normal times to stay busy so what they usually do is repatriate bodies from Viet Nam and Korea.
They are attempting to “drive” oxygen through the “Diffusion Block” by applying “more than atmospheric pressure” across the gradient. Which is why the “balloon” the patient’s head is in is “tense”. The staff is just protecting themselves from the aerosol the CPAP is venting.
+10!
And i. this case he is right. People with covid are hyoercoagulable but overt clinical clot is rare. The other problem is with the virus as widespread as it is you are highly likely to find someone with something weird that also has the virus incidentally and not necessarily related
Aspirin regimen?
At this point I don’t really care about trump’s deal with China. We should just cut them off, period. This is costing us more than they’re going to buy from our farmers. Besides, I read they’ve started buying soy bean from brazil. Ring manufacturing home and cut off flights. Period.
but I thought it was even lower among EX smokers.
Not about nicotine but about the lung receptors.
Is it hundreds? Thousands? Tens of thousands? It’s a big country. A number matters.
—
The fear mongering WaPo is pushing an article about 5 cases. Five! That’s it. Talk about anecdotal.
...the Mount Sinai team details five case studies
Thanks for the link.
My takeaway was not so much the author trying to induce panic, but how the knowledge has been evolving that we are still learning. How US patients are treated vs China and Italy, which may have delayed the clotting factor. Is the clotting caused by a body response, or is the virus causing the clotting? At the onset, it was a respiratory illness, but asthmatics were very underrepresented in Wuhan virus patients. Maybe the author is right, we are not just there yet on fully understanding this thing. But we appear to know a lot more.
Now we hear about all this because people are bustin’ loose.
WaPo? This is not a credible source.
Best supportive care, at this point. Let’s review what ANY proposed treatment will be asked to do:
The illness kills a very small proportion of those it infects. So any treatment is going to have to be SO effective it can demonstrate effectiveness of large margins. Because that is where the treatment is going to have to perform. Way over on the edge where the deaths are occurring. So any treatment proposed is going to have to have a VERY low toxicity or it’s efficacy is going to be smothered in it’s complications, if such efficacy even exists.
IOW ANY treatment is going to have it’s work cut out for it and IF this virus is rapidly changing characteristics it will be like hitting a moving target at 600 yards. It CAN be done but only about 1 in ten thousand shooters can do it. THAT is what is being asked of ANY treatment. Just about an impossibility. Anticoagulation isn’t a treatment for the disease so much as trying to treat death.
DIC death is something that is really almost rare in the ICU. You see it but thankfully not every day. It is a fascination for folks who want to study it and anticoagulation is the “theoretical” treatment everyone knows but I’ve never seen it tried. By the time you are discussing Heparin at the bedside it is far too late. In normal times of decades ago (my experience). I remember one guy with a crushed pelvis. We stabilized him from hypotensive shock by the Ortho guy putting a fixation on his pelvis and applying “shock trousers” and got him through the night. He had lost most of his volume internally and had “whole body bruise” subsequently and then succumbed a day or two later to overwhelming sepsis. He had a DIC like picture at the end with weeping blood from all the IV sites and Aline and pins in the fixation. I can remember a handful of others during codes. That’s about it.
My comment did not vilify Fauci. The opposite in fact. He made a statement of fact which supports my case.
If he had never been born though I have the sneaking suspicion that this lockdown would be over.
He plays the Washington weasel game of dropping stuff in the press to leverage his opponents when he is losing internal policy debates.
Instead of remaining in his cube to crunch numbers he eagerly stepped to the microphones to become the face of the lockdown. He enjoyed his 15 minutes of fame far too much methinks.
He is going to find that he’s become persona non grata in this country anyplace beyond the Beltway.
Read more of her stuff. She’s trying to gin up panic.
How many will have strokes due to lockdown-related physical inactivity?
It's almost like it was designed that way.
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