Search found 572 matches

by DrRatnadip
07 Apr 2020 19:07
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

In India HCQ is given in all positive patients.. Prognosis is very bad in pts needing ventilator.. But Number of patients actually needing ventilator support seems less in India.. Even pts showing moderate symptoms are less.. This info I got from informal talk with someone actualy managing COVID ho...
by DrRatnadip
07 Apr 2020 17:59
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

"Once on ventilator mortality is 50% + !" That's also what I heard from some people who have gone thru it and survived. This brings into question the usage protocol of CHQ + Azm. Assuming it is effective, the current ICMR guideline is to give it to patients in an advanced/critical stage. ...
by DrRatnadip
07 Apr 2020 13:53
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

Dr, after reading the above, I'm wondering if asymptomic patients and those who have shown symptoms will have the same levels of acquired immunity after getting cured? Are we in a position to know this currently? Thank you. Level of protection does not depend on symptomatic status of patient.. So e...
by DrRatnadip
07 Apr 2020 13:42
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

I saw some discussions on herd immunity and I'm a bit confused. Absent a vaccine, it seems the way to get immunity is to get infected first and recover from it. So, the question is: if someone is infected and recovers, does that confer immunity to covid-19 (like in chickenpox) against re-infection ...
by DrRatnadip
07 Apr 2020 10:42
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

To determine Exact efficacy of these drugs large study will be needed.. But in limited patients they seem to work fine.. Currently used protocol in all COVID positive pts in MH is as follows.: 1) asymptomatic but without comorbidities receive HCQ only 2) asymptomatic but with comorbidities receive ...
by DrRatnadip
07 Apr 2020 10:24
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

Dr Sirs how is Hydroxychloroquine+zinc+azithromycin doing ?Read a number of anecdotal accounts that emerged today that it is clearing it up in a few hours. Additionally, ivermectin, favipiravir, BCG studies also seem underway. Anyways, am pretty sure you are all reading up on all new emerging studi...
by DrRatnadip
07 Apr 2020 00:24
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

https://m.timesofindia.com/city/surat/s ... 014061.cms

People assaulting doctors for treating covid patients..I have no words for this..
by DrRatnadip
07 Apr 2020 00:02
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

Not sure if this makes sense but there is a video from an ER doc at Maimonides in Brooklyn claiming we've all got it wrong and that the virus does not cause ARDS but a form of hypoxia similar to HAPE and that PPV is in fact more harmful. There is a paper out from China suggesting viral proteins bin...
by DrRatnadip
06 Apr 2020 23:08
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

Doctor, A hundred and fifty thousand children and healthy adults and old-timers die in road accidents on our roads every year. A lot of them die horrible deaths. As a nation, we should care for the families of the dead, but as for the dead themselves, "life's a bitch and then you die." It...
by DrRatnadip
06 Apr 2020 22:38
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

Which to me indicates we are way overreacting. Certainly the mortality monitor data from EU indicates there’re other concerns than public health afoot. Excluding TJ, the positive tests - even among likely carriers is just 2.5% (TJ attendees are under 5% positive). Dont just look at the numbers sir....
by DrRatnadip
06 Apr 2020 16:34
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

This is prof Knut M Wittkowski. Impeccable credentials. https://www.linkedin.com/in/knutmwittkowski What does he say? Stop the lockdowns and let the population acquire herd immunity as that is the only way to stop it. https://www.youtube.com/watch?v=lGC5sGdz4kg Ultimately lockdown has to be lifted....
by DrRatnadip
06 Apr 2020 10:40
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

In a shocking incidence , 40 doctors and nurses have been quarantined as one of the operated pt later turned as COVID positive.. He concealed history of attending Jamat event in delhi.. He has not only put his family members in danger but also greatly affected working capacity of that hospital
by DrRatnadip
05 Apr 2020 13:53
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

.. Trump Urges PM Modi To Release Hydroxychloroquine Orders Placed By US Yeah.. why would Indian establishment serve a section of people only (from USA) it's not like they can take away state resources on priority at cost of Indian population and ask details or play blame game for disease from Wuha...
by DrRatnadip
04 Apr 2020 20:03
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

If source is uncovered and receiver is using tightly sealed N95 mask workplace protection factor is 118.. Dr., I understand what you are saying but GoI is mandated that N95 masks should be used only for healthcare personals like yourself. Firstly, N95 masks are not available in pharmacies or online...
by DrRatnadip
04 Apr 2020 19:15
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

CDC has issued directives about Americans using mask when they step out (they have also said that even a cloth mask would be helpful compared to nothing)...I dunno if similar directives will be issued in India as well (I hope).................... Point is, all countries are covertly fighting for Me...
by DrRatnadip
03 Apr 2020 18:53
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

More I think about exiting lockdown more I realize how tough it is going to be.. If we see sudden increase in cases after curfew is lifted , people will start questioning very purpose of this 21 days lockdown.. If govt increases lockdown further we will see less and less compliance from people and ...
by DrRatnadip
03 Apr 2020 15:21
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

More I think about exiting lockdown more I realize how tough it is going to be.. If we see sudden increase in cases after curfew is lifted , people will start questioning very purpose of this 21 days lockdown.. If govt increases lockdown further we will see less and less compliance from people and m...
by DrRatnadip
03 Apr 2020 13:05
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

The weekly death statistics haven't exceeded the historical averages and is not deviating significantly from the weekly death averages for other years. Further from the Swiss doctor's article: "The mortality profile remains puzzling from a virological point of view because, in contrast to infl...
by DrRatnadip
02 Apr 2020 23:12
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

I would like to share my personal understanding about COVID 19 here.. This is just summary of what most of us already know.. we can group infected individuals in three groups.. Group(A )Infected but asymptomatic or with very mild symptoms which people tend to ignore.. These individuals comprise larg...
by DrRatnadip
02 Apr 2020 17:03
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

Dr. Ratnadip, I read reports that ARDS from Covid-19 is not same as from flu. It's more damaging. yes sir..Some pts do show rapid detoriation .. I am trying to collect case histories of pts on ventilator or those who are dead due to COVID directly from treating physicians and residents ..My special...
by DrRatnadip
01 Apr 2020 20:49
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

I have seen many elderly pts in OPD boasting that they are not scared of death and all.. If they are Hindus, ask them if they're ok with facing their next life with the consequences of having passed on the disease to some other vulnerable person, and they will fall in line pretty quickly. Indian Do...
by DrRatnadip
01 Apr 2020 20:46
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

Interesting article: https://www.nature.com/articles/s41392-020-0148-4 Questions to doctors: * What is this LYM% number? * Can this be boosted through treatment? * If so, is it going to help, i.e., is it likely to be the cause of the severe disease, or is it more like a symptom? Lymphocyte percenta...
by DrRatnadip
01 Apr 2020 20:39
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

There are so many patients cough , fever ,tiredness.. Considering everybody as COVID 19 will consume significant efforts, money and manpower.. Labs have to test other diseases too .. We have to treat other patients too.. Giving too much attention to COVID will increase morbidity and mortality due t...
by DrRatnadip
01 Apr 2020 19:48
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

https://twitter.com/epigiri/status/1245112071135649794 To be successful in tackling #covid19india, @tarunb20 we urge for review of containment measures by the PM @PMOIndia of each state. We propose a syndromic approach as the way forward for containment measures. We plead to use #techn…https://lnkd...
by DrRatnadip
01 Apr 2020 19:31
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

DrRatnadip sir, whats your opinion about use of splitter for ventilator? i see that FDA has approved it for COVID19 patients . The reason i am asking is my friend owns a small 3D printer. thought of creating one and test. i had floated this idea in my company when they asked for ideas. however one ...
by DrRatnadip
01 Apr 2020 17:45
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

1)Though they expect more cases in coming days nobody expects too many deaths in India.. 2) Indians appear immune against severe form of disease.. Endemic arboviral infections gives cross immunity against other RNA viruses.. Almost universal BCG immunization is also positive factor 3) Our physician...
by DrRatnadip
01 Apr 2020 17:25
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

[/quote] Sir, first of all thanks your family for being a frontline combatant for this pandemic. Regarding PPE, are private hospitals not carrying any stocks of their own which can be utilized? Also, despite claims of it being otherwise, the newspapers carry reports of COVID19 deaths in people who h...
by DrRatnadip
01 Apr 2020 17:18
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

https://m.timesofindia.com/city/pune/sinhagad-road-woman-punes-first-critical-covid-19-patient-taken-off-ventilator-to-go-home-in-a-week/articleshow/74922140.cms Many congratulations to courageous efforts by ICU team.. They have used combination anti viral/ anti malarial and anti biotic medications ...
by DrRatnadip
01 Apr 2020 16:12
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

Getting test for COVID in private hospitals is easier now as private labs are involved.. time lag between sample collection and getting actual report is considerable though.. I ordered test of three pts since last week.. Got reports after 2 days.. Many senior physicians and pulmonologists I met rece...
by DrRatnadip
01 Apr 2020 10:33
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

Italy and Spain are showing almost 10% fatality rate. Any guesses? 1) Their healthcare system is probably exhausted.. 2) routine protolcols for deconamination and fumigation might have become difficult to follow due to lack of adequate manpower / overcrowding of patients.This will lead to secondary...
by DrRatnadip
01 Apr 2020 08:59
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

Not everyone requires ventilation or extracorporeal membrane oxygenation (ecmo) ... many can survive using CPAP if used at the very onset of respiratory distress and is non-invasive. F1 team is making a low cost CPAP. https://www.bbc.co.uk/news/health-52087002 I have seen this story making rounds o...
by DrRatnadip
31 Mar 2020 21:01
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

22 cases in tirunelveli and 18 cases in namakkal. The spread triggered by the Tableeghi Jamaat preachers? Namakkal is a district bordering Erode. We are working tirelessly to fight this virus.. Wife is posted in designated COVID hospital and every day when I go to drop her I pray to God that she sh...
by DrRatnadip
31 Mar 2020 20:54
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

Govt of India guidelines on 30 march recommended use of HCQ and Azithromycin as off label indication with appropriate ecg monitoring..Its not recommended in children bellow 12 ys and lactating/pregnant females..
by DrRatnadip
31 Mar 2020 10:52
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

https://techstartups.com/2020/03/28/dr-vladimir-zelenko-now-treated-699-coronavirus-patients-100-success-using-hydroxychloroquine-sulfate-zinc-z-pak-update/ Dr. Vladimir Zelenko has now treated 699 coronavirus patients with 100% success using Hydroxychloroquine Sulfate, Zinc and Z-Pak [UPDATES] I j...
by DrRatnadip
31 Mar 2020 00:27
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

Zynda wrote:A pretty basic question: Does hand wash solutions like Dettol, Lifebuoy & Salvon etc., are as, less or more effective when compared to soap (bars) during hand washing?

If used correctly both should be equally good..
by DrRatnadip
29 Mar 2020 14:52
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

https://punemirror.indiatimes.com/pune/civic/scare-prompts-pvt-docs-to-shut-clinics/articleshow/74868283.cms? Govt expects private doctors to work without proper PPE and diagnostic tools.. politicians are even turning public opinion against doctors by calling them cowards.. But frankly if you see sm...
by DrRatnadip
29 Mar 2020 13:28
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

South Korea has done most extensive testing. So i feel more confident of the numbers. If we go by their numbers total cases is 9583 and total fatality is 152. This puts case fatality ratio of just under 1.5% and total serious ill is 1%. This puts the number close to less than common flu. With this ...
by DrRatnadip
29 Mar 2020 02:13
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

Docs working in India, or those who know medical professionals working in India, are you seeing a spike in pneumonia cases ? No abnormal increase in pneumonia cases here in pune.. most cases in OPD are of sore throat and dry cough.. people are panicking it for COVID though.. it takes much effort to...
by DrRatnadip
29 Mar 2020 02:09
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886094

Re: Wuhan Coronavirus Resource Thread

one more question for Docs - Does asthma inhalers like albuterol early help avoid the pneumonia/breathing issues? Not much.. It is broncodilater.. It increases diameter of airways.. in pneumonia problem is mostly due to accumulation of fluid in alveoli which are microscopic breathing units of lung....

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