https://www.thesun.co.uk/news/11440300/holocaust-survivor-dies-coronavirus-israel/
LONELY DEATH Holocaust survivor, 96, who escaped Nazi ‘death march’ to concentration camp dies of coronavirus in Israel
riley290In reply to Marcus Aurelius • 6:08pAG
yeah I didn’t realize there was this level of discussion, I haven’t been around texags much in a while.
I run them more wet than most people would likely prefer and once they move from the infectious to inflammatory stage I am very liberal with steroids and IL-6 inhibitors, almost everyone goes on anticoagulation unless you have a contraindication. My admissions come in incredibly ill now because nobody will come to hospital until they’re about to die so its hard for me to know what helps in the early infectious stage at this point. intubation is almost a death sentence, I will tolerate you tanking for a long time before I will intubate, prolonged RRs in the 40’s or hypoxia in the 60-70s for a few hours if you are not having arrhythmia issues. I’m praying for some type of legal immunity after this is over because it has truly been trial by fire the last few months.
I have a collection of maybe 250 of the worst CT scans I have ever seen. Imaging I would have believed was incompatible with life just a few months ago.
riley290In reply to Marcus Aurelius • 6:42pAG
I’m getting much more pushback from the pharmacy with the actemra now. They want hep panels and quantiferon and HIV screens. We’ve come to the agreement that they’ll give it to me as long as I draw the labs first but we don’t have to wait for the results.
Soon I’ll run into a supply issue like everything over the last two months. Currently I am short on ventimasks, MDIs, phlebotomists and its almost impossible to get blood products. I am lucky there are a lot of residents from India and Cuba who are expert phlebotomists from their time as medical students in their country who will help me obtain labs as I’m a worthless bougie American trained doctor. A lot of people here will hate me for saying it but the residents in NYC should all be given medals and offered permanent residence, they are legitimate heros who could have gone back to their homes and been doctors but chose to stay.
Marcus AureliusIn reply to FishrCoAg • 6:51pAG
FishrCoAg said:
Any thoughts on the theory the virus reduces oxygen carrying capacity of hemoglobin? Read that somewhere else saying ventilators did not help and maybe made things worse.
I have commented on this on several threads. IMO it is not. Their PO2s are damn low. And PO2s correlate with the normal O2 / Hgb dissociation curves. I.E. no rogue Hgb species.
https://texags.com/forums/84/topics/3105794/replies/56359323
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