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NY ER Doc Says We're Treating the Covid-19 Virus ALL WRONG
The Still Report ^ | Apr-04-2020 | Bill Still

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.


TOPICS: Education; Health/Medicine; Science
KEYWORDS: chinavirus; chinavirusinfo; chinavirusnews; chineseflu; covid19; wuhanflu
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To: MortMan

I would agree.

http://www.freerepublic.com/focus/f-bloggers/3831003/posts


141 posted on 04/04/2020 10:13:44 PM PDT by logi_cal869 (-cynicus the "concern troll" a/o 10/03/2018 /!i!! &@$%&*(@ -)
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To: cherry

I hope that you’re asking in jest.

Destruction of lung tissues’ ability to oxygenate the blood is a death sentence unless the infection can be overcome. The doc’s right: A ventilator does NOTHING but buy time, and “hope” that the patient can survive long enough to defeat the virus before their lungs are destroyed.

If doctors choose to seek the pharmacological approach over others, that’s their business. But it’s our business to call them out for their hypocrisy in denying their patients a possible cure as their patients die.

To-wit: http://www.freerepublic.com/focus/f-bloggers/3831003/posts

The fear being projected upon everyone else to compel compliance with illegal suspension of assembly, travel and commerce is criminal of the first order.


142 posted on 04/04/2020 10:31:28 PM PDT by logi_cal869 (-cynicus the "concern troll" a/o 10/03/2018 /!i!! &@$%&*(@ -)
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To: ocrp1982
In summary, the ER Doc is saying that the standard Pnuemonia Protocol wrt the use of ventilators which all hospitals worldwide are using is not just not working, it’s making matters worse. Damaging patient’s lungs. Why? Because ER doctors are used to using high tidal volume ventilation. He should read The ICU Book by Paul L Marino. He has been advocating low tidal volume ventilation for years. With and without ARDS.

Information on how to treat COVID-19 patients with respiratory insufficiency has been decimated for at least 2 weeks now. Heated hi-flo nasal cannula is the preferred next step for patients that do not oxygenate well with regular O2 via nasal cannula. Try not use CPAP or BiPAP (which certainly has been a staple of hospital medicine, but for the same reasons you get too much volume and pressure which damages the lungs), low threshold to intubation and then low tidal volume ventilation at 4-8mL/kg using ideal body weight (prudence would indicate start at 4mL/kg and work up to achieve desired oxygenation).

It's been published for over 1 week (but the grape vine has been telling doctors for over 2 weeks about this):
Management of Critically Ill Adults With COVID-19

It's also recommended in uptodate.com. Updated on 4/1/2020:
Coronavirus disease 2019 (COVID-19): Critical care issues

Now assuming the Doctor knows about this stuff, ARDS prior to COVID-19 has a high mortality rate. COVID-19 seems to attack and inflame the tissues needed for good O2 transport. They are therefore fragile and that will only make their ARDS worse and more deadly. Interestingly the uptodate article seems to indicate that prone positioning seems to work better on COVID-19 ARDS than typical ARDS patients (which has been part of the standard treatment for low oxygenation in ARDS for years).

143 posted on 04/04/2020 11:57:53 PM PDT by stig
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To: philippa

Zinc chelate, oxide, glutamate, acetate, or other variants are more likely to be biologically available than metallic zinc.


144 posted on 04/04/2020 11:58:41 PM PDT by Ozark Tom
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To: ocrp1982

Is Kevorkian still around?


145 posted on 04/05/2020 4:25:29 AM PDT by trebb (Don't howl about illegal leeches, or Trump in general, while not donating to FR - it's hypocritical.)
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To: ocrp1982

bmp


146 posted on 04/05/2020 4:55:09 AM PDT by gattaca ("Government's first duty is to protect the people, not run their lives." Ronald Reagan)
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To: SFConservative

If Cuomo wants to play doctor, he should play epidemiologist and shut down the NYC subway. This am. STAT.

That’s the “vector” right under his nose


147 posted on 04/05/2020 5:09:59 AM PDT by mo ("If you understand, no explanation is needed; if you don't understand, no explanation is possible")
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To: Arlis

Would you refuse DPT or polio vaccines for your children?


148 posted on 04/05/2020 4:48:47 PM PDT by Blood of Tyrants (A socalist is someone that wants everything you have except your job.)
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To: Arlis

Sorry, wrong thread.


149 posted on 04/05/2020 4:49:24 PM PDT by Blood of Tyrants (A socalist is someone that wants everything you have except your job.)
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To: nbenyo

She would be hurting, but there are other meds available for that.

She just re-ordered her scrip, and I told her to put a dozen pills away for my wife and I... not worried about our teens, they will do just fine if they get it.


150 posted on 04/06/2020 11:36:29 PM PDT by Ancesthntr ("The right to buy weapons is the right to be free." A. E. van Vogt, The Weapons Shops of Isher)
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