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by DrRatnadip
22 Apr 2020 20:01
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

There are more than 50 people dying every day. So are they dying with using a ventilator? I thought all critical patients needed ventilators. That was what people initially thought, hence the hype about ventilator shortage and everybody trying to manufacture one. But it looks like the virus causes ...
by DrRatnadip
21 Apr 2020 15:28
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

I think every death in confirmed hotspots should be notifiable.. There are unconfirmed reports of significantly more than usual burials in such areas.. If we miss those cases , even longest and most stringent lockdown will not work..
by DrRatnadip
20 Apr 2020 22:28
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

Forgive the question. I have not been able to understand why MERS and SARS could be controlled but chinese virus could not. Does anyone have an explanation or a reference to an article that explains this. Thank you in advance. -Covid 19 has high number of asymptomatic carriers.. - Viral load in nos...
by DrRatnadip
20 Apr 2020 21:50
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

Herd immunity for covid means almost every member has been infected.. R0 for covid is very high.. Without lockdown it will be even higher.. Single individual with unrestricted movement is able to infect 100s .. Pc ( no. of immune individuals) = 1-1/R0 Even if we assume modest R0 of 10 , we need at l...
by DrRatnadip
20 Apr 2020 18:44
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

Our fight against RNA viruses have not been very successful till date - simply put the vaccines have not been very effective (e.g., SARS, MERS etc). While the Covid-19 pandemic spread will slow down in a few weeks and may stop in it's track for the time being, it will not go away. Seasonality also ...
by DrRatnadip
20 Apr 2020 15:18
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

Dear all.. This is just cruel, evil and selfish. People have do not have any sense of dignity and compassion. :x Third such incident in last few days.. Same thing happened with late Dr. Sailo and Dr. Reddy.. India is only country where such things are happening as far as I know.. Saving any ICU pt ...
by DrRatnadip
20 Apr 2020 14:10
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

Two days back Doctor was beaten again in Malegaon civil hospital.. Doctors who die fighting COVID are our national heros.. If people are " protesting" against proper burial of our fallen heros , we might not get committed doctors to fight against corona.. Its highly demoralizing for entire...
by DrRatnadip
20 Apr 2020 14:04
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

Dear all Our closest friend Dr. Pradeep who was the doctor who drove the ambulance wearing the PPE and buried Dr. Simon with his own hands narrated the horrific inhuman act that happened yesterday. The ambulance with the mortal remains was stopped in front of Ega theatre and the drivers were beaten ...
by DrRatnadip
20 Apr 2020 14:03
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

20.04.2020 *Press Release* TamilNadu Govt Doctors Association (TNGDA) condoles the death of Dr Simon at Chennai due to Covid19 yesterday. He got infected when he unsuspectedly treated at patient. TNGDA condemns the the action of unruly mob preventing the burial of Dr Simon yesterday. The TNGDA deman...
by DrRatnadip
17 Apr 2020 22:11
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

14 new cases in Malegaon.. Total 61 cases till now..It will be one of biggest hotspots in country..
by DrRatnadip
17 Apr 2020 15:26
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

https://m.timesofindia.com/world/china/ ... 193108.cms


China revised number of dead..
still I dont believe in Chinese number of COVID fatalities..
by DrRatnadip
17 Apr 2020 15:18
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

http://www.drugtodayonline.com/medical- ... itals.html

More than 70 percent of India's healthcare is dependant on private sector.. Many small and medium sized hospitals are finding it difficult to survive in present circumstances..
by DrRatnadip
16 Apr 2020 19:16
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

The person further states,“Domestic PPE production has increased to 30,000 kits a day, hitting the target a week earlier than scheduled, and is expected to touch 50,000 by the end of the month. Cumulatively, we have produced over 150,000 suits and should be able to manufacture an additional 100,000...
by DrRatnadip
15 Apr 2020 21:24
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

sankum wrote:
DrRatnadip wrote:
Sir , How HCQ is being used ?? Are doctors taking it prophylactically?

Doctors in rural Uttar Pradesh are taking one HCQ dose every 21 days.

I have taken it 400bd for two days and then weekly since 2 wks..
by DrRatnadip
15 Apr 2020 20:47
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

Especially Indians who have been vaccinated with BCG in India, are they faring better than whites, blacks and hispanic people? No definite data yet. Anecdotally, not doing so well, at least in NY metro area. BCG is irrelevant so far, although the numbers are small. The two people - both desi docs -...
by DrRatnadip
15 Apr 2020 19:53
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

Is the treatment with HCQ Combination working? Such dire situation in ER & Hospitals seems to raise doubt about effectiveness of HCQ. In normal course only 2%-4% patients seem to be seriously affected by COVID. So is it possible that HCQ is giving false sense of cure because it seems to treat p...
by DrRatnadip
15 Apr 2020 19:31
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

DRDO's contact list of individuals for counter CoVid-19 technologies plus the industry partner and contact number. Dr Ratnadip and other doctors, if you are running short of anything, contact these guys directly. They are authorized to put you in touch with the right people or even get you the gear...
by DrRatnadip
15 Apr 2020 02:41
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

An Update from UK. 90% of the NHS workers who I'm friends with or have acquainted with, have all been infected with this virus. They have all recovered in about 1 weeks's time. Fever and body ache was the most common symptom. They all are relatively healthy people and aged less than 50 and most of ...
by DrRatnadip
14 Apr 2020 14:09
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

Local newspaper reported that multiple societies in pune have REQUESTED govt to keep doctors / nurses away from their neighborhood..
by DrRatnadip
14 Apr 2020 08:59
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

https://www.thehindu.com/news/cities/ch ... 2rJ1BJJPNo

Incidence like this will have widspread negative impact on morale of doctors and healthcare workers..
by DrRatnadip
13 Apr 2020 23:23
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

If dupatta saab is praising someone am super wary about following them BTW, Docs here looks like plasma/serum is the solid solution here ? We have enough people recovering so shouldnt be a problem getting blood from them, challenge would be to process it and then be able to send it across to differ...
by DrRatnadip
12 Apr 2020 14:07
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

I crossed Malegaon on day of Janta curfew.. mumbai Agra highway goes from outskirts of Malegaon.. I observed many open shops along highway.. People were not concerned about social distancing at all..Local MLA was involved in physically assaulting medical superintendent who was working for quarantini...
by DrRatnadip
12 Apr 2020 10:55
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

One of the surprising early finding from the intensive care deaths is that the commonest underlying condition in the patients who are dying is hypertension in almost upto 50% of cases. One would have thought on common sense grounds that you are going to find smoking as the commonest condition, it i...
by DrRatnadip
12 Apr 2020 10:40
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

Please check QTc after intitiation of hydroxychloroquine as well. Just picked up prolonged QTc in a lupus patient after starting the drug. Reverted to normal after discontinuance. You are probably correct, however, millions of people take it (or chloroquine) without getting an EKG. Still, does not ...
by DrRatnadip
12 Apr 2020 01:46
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

https://twitter.com/kiranshaw/status/1248872344245776384 Kiran Mazumdar Shaw @kiranshaw A team from @iitbombay is working to develop a nasal gel using a new technology that can capture and inactivate the #coronavirus inside human beings. The team hopes that the nasal gel will be ready for use in ab...
by DrRatnadip
11 Apr 2020 20:52
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

Hcq has NO benefits in late course of disease.. It will help in decreasing number of patients getting serious if given in early course of disease.. It seems due to political maneuvering, Liberal politicians in USA & Europe are preventing use of HCQ early and are then claiming that it has failed...
by DrRatnadip
11 Apr 2020 20:16
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

Paper yet to be published in NEJM about a clinical trial shows HCQ when given after severe Covid19 has set in worsens outcome. Hydroxychloroquine administration to the hospitalized SARS-CoV-2 positive population was associated with an increased need for escalation of respiratory support. There were...
by DrRatnadip
11 Apr 2020 09:03
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

Sir, * It is not included in any Covid 19 protocol in India i am aware of..Treatment is mostly supportive.. * Effectiveness of zinc in Respiratory viral infections is not conclusively proven.. There is no harm in adding it though , multivitamin / trace minerals are routinely used in India for other...
by DrRatnadip
10 Apr 2020 22:25
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

More than 1K cases coming just today, with 410 of them from Maharashtra. I am afraid Maharashtra may have got into the community spread stage. This is going to be really hard to contain now. https://www.covid19india.org/ I agree.. It will take heroic efforts to contain disease in Mumbai and Pune
by DrRatnadip
10 Apr 2020 21:56
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

re HCQ several trials , mostly involving small patient group case series type indicate HCQ works when started EARLY in the course of illness. Once disease is set in, nothing works, that is why ITU are struggling with mind numbing mortality figures. Here family doctors and general physicians have bi...
by DrRatnadip
10 Apr 2020 16:18
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

1) HCQ and Azee seem to work well early in disease.. Once patient detoriates NOTHING seem work.. Risk / benefit ratio is certainly in favor of using these drugs.. 2) Mumbai and Pune are huge populations with proportionately big population of morons , who are not co operating with govt efforts.. We ...
by DrRatnadip
10 Apr 2020 00:44
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

Looks like HCQ+Azithromycin+Zinc is the best defence and works well when used at early onset of symptoms. Dr.Ratnadip and other doctors in India any updated anecdotal inputs from you. In the US the CNN and other idiots politicized it so much that even before trying Doctors(few of them) are saying T...
by DrRatnadip
08 Apr 2020 10:19
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

Primus sir , Thank you for your inputs.. COVID 19 leads not only to SIRS but also CARS (counterregulatory anti inflamatory response syndrome).. It is also possible that Young previously healthy patients who suddenly detoriate are more likely to have SIRS.. This will explain presence of myocarditis ,...
by DrRatnadip
08 Apr 2020 01:52
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

If it's related to haemoglobin and iron, then why are men more susceptible? I thought women were more likely to be iron deficient. Or is it because men are more likely to have those toxic free radical iron ions? Also, I wish these guys wouldn't present their thoughts in such a glib and gleeful tone...
by DrRatnadip
08 Apr 2020 01:09
Forum: Strategic Issues & International Relations Forum
Topic: Wuhan Coronavirus Resource Thread
Replies: 7943
Views: 886073

Re: Wuhan Coronavirus Resource Thread

People came with very interesting theories regarding COVID 19 in last few days.. What they want to say is 1) Its not ARDS 2) It is some sort of pulmonary vasculitis leading to unusual microthrombi in pulmonary vasculature 3) problem is not with gas exchange at respiratory membrane i.e alveoli, but p...

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