Posted on 04/24/2020 2:44:30 AM PDT by Zhang Fei
SEATTLE —
As critically ill, elderly patients streamed into his emergency room outside Seattle, Dr. Ryan Padgett quickly came to understand how deadly COVID-19 could be.
Of the first two dozen or so he saw, not a single one survived.
It took longer for Padgett and his colleagues at EvergreenHealth Medical Center — the first hospital in the country to treat multiple coronavirus patients — to learn how easily the disease could spread.
At first, the medical workers wore only surgical masks and gloves. Later, they were told to wear respirators and other gear, but the equipment was unfamiliar and Padgett couldn’t be certain he put it on and took it off correctly each time.
A 6-foot-3, 250-pound former football star who played for Northwestern in the 1996 Rose Bowl, he wasn’t fazed by much.
“To worry about myself, as a 44-year-old healthy man, didn’t even cross my mind,” he said in an interview Monday.
But on March 12, with his wedding day two months away, Padgett became the patient.
Soon after being admitted to his own hospital with a fever, cough and difficulty breathing, he was placed on a ventilator. Five days after that, his lungs and kidneys were failing, his heart was in trouble, and doctors figured he had a day or so to live.
He owes his survival to an elite team of doctors who tried an experimental treatment pioneered in China and used on the sickest of all COVID-19 patients.
Lessons from his dramatic recovery could help doctors worldwide treat other extremely ill COVID-19 patients.
“This is a movie-like save, it doesn’t happen in the real world often,” Padgett said. “I was just a fortunate recipient of people who said, ‘We are not done. We are going to go into an experimental realm to try and
(Excerpt) Read more at latimes.com ...
An ER Doctor surely would have been wearing a proper mask. You think my old t-shirt that I shaped into a mask-like item will work, right?
Anecdotal=meaningless.
Just a puff piece to boost China which is getting hammered over the China Virus.
This story isn’t principally about the nauseating throwaway line that mentioned the so-called Chinese treatment. It’s about how a 44-year-old ER doctor who was one of the foremost athletes in the country and a contender for the NFL came close to death after a coronavirus infection. The ecmo machine is what they plug you into just before delivering last rites. The wife of a (presumably straight) 41-year-old Broadway actor in good health talks about how he lost his leg while on an ecmo:
Amanda Kloots opened up about her husband Nick Cordero’s surgery to have his right leg amputated during Monday’s episode of Today.
The Broadway actor is currently in a medically induced coma following the surgery, which needed to be performed due to complications that resulted from his battle with COVID-19, the disease caused by the novel coronavirus. Prior to the amputation, Cordero struggled with blood clots while on a ventilator and ECMO machine, which is used to help oxygenate the blood.
“It came down to a point where honestly it was life or leg, and we had to choose life,’’ Kloots told Kathy Park. “I choose life.”
“They put the ECMO machine in him to save his life,” Kloots said. “It was literally to save his life, and it did, thank God. And sometimes the repercussion of putting that machine on can cause some blood issues, and it did with his leg.”]
1. ECMO Extracorporeal membrane oxygenation
2. Immune system cytokine storm destroyed blood vessels and filled lungs with fluid
3. Actemra, originally designed to treat rheumatoid arthritis. Approved in 2017 to treat cytokine storms in cancer patients. 4 days.
4. High-dose vitamin C.
5. Other unspecified therapies,
An open label, non-controlled, non–peer reviewed study was conducted in China in 21 patients with severe respiratory symptoms related to COVID-19. All had a confirmatory diagnosis of SARS-CoV-2 infection. The patients in the trial had a mean age of 56.8 years (18 of 21 were male). Although all patients met enrollment criteria of (1) respiratory rate of 30 breaths/min or more, (2) SpO2 of 93% or less, and (3) PaO2/FiO2 of 300 mm Hg or less, only two of the patients required invasive ventilation. The other 19 patients received various forms of oxygen delivery, including nasal canula, mask, high-flow oxygen, and noninvasive ventilation. All patients received standard of care, including lopinavir and methylprednisolone. Patients received a single dose of 400 mg tocilizumab via intravenous infusion. In general, the patients improved with lower oxygen requirements, lymphocyte counts returned to normal, and 19 patients were discharged with a mean of 15.5 days after tocilizumab treatment. The authors concluded that tocilizumab was an effective treatment in patients with severe COVID-19. [155]
A drug for rheumatoid arthritis? A drug like hydroxychloroquine?
If he didn’t know how to wear PPE as an ED doc i’m calling BS. The gear is not u familiar to a third year medical student. ECMO is nothing like a ventilator it is complete cardiopulmonary bypass as is done in open heart surgery. Being on a ventilator requires only a tube through the mouth into the lungs. This is hooked up to a ventilator that any ICU nurse or respiratory therapist can operate. ECMO requires very large vascular catheters places into a large artery and vein usually by a vascular surgeon. the machine which only a few hospitals have has to be run 24/7 by a specially trained perfusionist of which there are not many in the country. It literally circulates your blood outside the body through a machine which oxygenates it and returns it to the body. it is a rarely successful very drastic hail Mary. I’m glad it worked for this individual if he was indeed on it but the first couple sentences are so full of error anything else said here is highly suspicious
experimental treatment pioneered in China, keep carrying the water a##wipes. Added to the list of “experts” “analysts” “undisclosed sources”
this is the theory as to why hydroxy chloroquine works
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122858/
Here’s your Coronavirus cure. Read it and laugh. Laugh long and hard.
Coronavirus Pandemic Update 59: Dr. Seheult's Daily Regimen (Vitamin D, C, Zinc, Quercetin, NAC) Skip to 10:55 (but entire update is good)
Wow.
That would be great for me if it’s true.
[If he didn’t know how to wear PPE as an ED doc i’m calling BS.]
https://www.evergreenhealth.com/dr-ryan-g-padgett-md-emergency-medicine
That he failed to take the necessary precautions is something you kind of expect from an athletic god. These high-level athletes take risks that mere mortals don’t. He came face-to-face with his mortality after coming down with this bug.
The article said PPE was unfamiliar to him and he didn’t know how to use it properly. Every 3rd year medical student knows PPE and how to use it. Where did he train? Under a rock?
It is disturbing when someone who appears to otherwise be in good health contracts a serious coronavirus infection.
There must be some as yet unidentified factors responsible and as to what they might be, we can only speculate at this point.
According to the CDC, there have been 168 influenza-associated pediatric deaths this flu season, and that has escaped the attention of the media.
[The article said PPE was unfamiliar to him and he didn’t know how to use it properly. Every 3rd year medical student knows PPE and how to use it. Where did he train? Under a rock?]
[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122858/
Here’s your Coronavirus cure. Read it and laugh. Laugh long and hard.]
https://health.wusf.usf.edu/post/despite-skeptics-alternative-doctors-detoxifying-blood-uv-rays
I have not heard of any docs booked up to ecmo period unless during open heart surgery . i’m just calling BS on the rampant BS in the first few sentences of this article. It’s long on error and short on fact and as such meant to cause more fear. i’m tired of the drama and hysteria. Most people who get this don’t even know they have it. Most of the rest have the sniffles. Yes some people get ill and unfortunately some get very ill and die. like with any other illness. What is different about this is mass hysteria has been incited and it is being used to crash our economy and fear our society apart for no reason other than to drive a political or some other agenda. I’m over it
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