Wuhan Coronavirus Resource Thread

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sankum
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Re: Wuhan Coronavirus Resource Thread

Postby sankum » 15 Apr 2020 21:48

They are taking it on government direction.

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Re: Wuhan Coronavirus Resource Thread

Postby Gyan » 15 Apr 2020 21:49

It seems that HCQ has to be taken "early". In fact, even with traditional infectious diseases, if a Dr is confident with his diagnosis, he will start the treatment without waiting for culture tests "results". That 1-3 days gap is sometimes considered too important to let a patient go Unmedicated.

But the Political war in USA & Lying by China is distorting all analysis.

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Re: Wuhan Coronavirus Resource Thread

Postby chetak » 16 Apr 2020 00:17

quietly and quickly the begging bowl will be extended for PPE, ventilators and test kits, all of which the "bade bhai" will be expected to gift for free.


#CoronaVirusOutbreak | Pakistan asks India for Hydroxychloroquine to combat coronavirus outbreak pic.twitter.com/fzB4ibdq7H

— India TV (@indiatvnews) April 15, 2020
Last edited by chetak on 16 Apr 2020 00:20, edited 1 time in total.

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Re: Wuhan Coronavirus Resource Thread

Postby nam » 16 Apr 2020 00:18

DrRatnadip wrote:HCQ is working especialy in prophylactic use.. Almost all doctors directly involved in COVID care have taken it and number of serious cases amongst them are negligible.. In fact I would like it to be given to every patient showing fever , sore throat etc even before test.. Its clear that it becomes less and less useful as disease progress..


ICMR should initiate a study on the doctors and the contacts that were given HCQ, as preventive medicine.

Thousands of doctors and patients would be really good sample to monitor their health and viral load.

UK has now lost close to 35-40 medical staffs, including doctors.

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Re: Wuhan Coronavirus Resource Thread

Postby pankajs » 16 Apr 2020 00:26

https://theprint.in/health/modi-govt-ap ... ed/401861/
Modi govt approves made-in-India rapid test kits after Chinese supply is delayed
The government had placed an order for seven lakh kits with Chinese firms, which were supposed to deliver the consignment by 8 April. Overall, ICMR has invited bids for 45 lakh testing kits.

“There is a shortage of cargo planes due to which kits are stuck at ports. Basically, companies are facing logistics issues,” said G.S.K. Velu, chairman and managing director of Chennai-based Trivitron Healthcare, which imports kits from Chinese manufacturers.

<snip>

Apart from the Indian firms, the ICMR and Drug Controller General of India Tuesday approved new testing kit manufacturers from Korea, Germany and France, as well as more Chinese firms.

According to the 8 April list of approved manufacturers, 33 suppliers were approved — 31 Chinese firms, one Korean firm and one from Israel.

In the latest list, dated 14 April, 51 manufacturers have been approved, of which 40 are Chinese, five Korean, one French, one German, one Israeli and three Indian firms.
A rapid antibody test shows if a person once infected by the coronavirus has developed immunity to it.

The human body develops two kinds of antibodies — immunoglobulin M (IgM) and immunoglobulin G (IgG). These antibodies remain in the body from between a month to a year, or even longer in some cases.

The IgM antibody arrives within five to seven days of acquiring the infection, whereas IgG arrives later, when the person has recovered. When a person is IgG-positive, it means that the person has been exposed to the infection and their body has developed the immune response.

These tests are relatively cheap compared to the RT-PCR test, which is currently the standard Covid-19 test being carried out in the country. It costs Rs 4,500 to get an RT-PCR test done in a private lab. A rapid antibody test, meanwhile, costs approximately Rs 300.

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Re: Wuhan Coronavirus Resource Thread

Postby amar_p » 16 Apr 2020 01:20

Now this:
Prominent scientists have bad news for the White House about coronavirus antibody tests
https://edition.cnn.com/2020/04/14/health/coronavirus-antibody-tests-scientists/index.html

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Re: Wuhan Coronavirus Resource Thread

Postby Suresh S » 16 Apr 2020 03:20

Timely intubation and placing these patients on hemodialysis unfortunately is not saving many lives. Once you require intubation and you require dialysis your chances of coming out alive are very small . Most patients who are requiring intubation timely or not are dying.In fact more than 80% on vent support are dying and if u add hemodialysis to it that percentage is going to go higher.

Matter of fact a patient requiring intubation and hemodialysis is a sign of severity of disease and therefore chances of survival decreases dramatically.

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Re: Wuhan Coronavirus Resource Thread

Postby g.sarkar » 16 Apr 2020 03:25

chetak wrote:quietly and quickly the begging bowl will be extended for PPE, ventilators and test kits, all of which the "bade bhai" will be expected to gift for free.
#CoronaVirusOutbreak | Pakistan asks India for Hydroxychloroquine to combat coronavirus outbreak pic.twitter.com/fzB4ibdq7H
— India TV (@indiatvnews) April 15, 2020

And the decapitation of Indian soldiers in Kashmir? Will that go on without respite?
Gautam

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Re: Wuhan Coronavirus Resource Thread

Postby srai » 16 Apr 2020 03:34

srai wrote:https://www.worldometers.info/coronavirus/

Date: April 2, 2020
1 million cases
50,000 deaths

5% death rate average

By the end of this pandemic, the US will end up with the largest number of casualties followed closely by Europe.

Remains to be seen the true impact on the subcontinent. Not enough testing and reporting at this point.

Date: April 15, 2020
Over 2 million cases today
134,000 deaths

6.7% death rate average (known cases and deaths)

Known cases doubled in two weeks.

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Re: Wuhan Coronavirus Resource Thread

Postby hanumadu » 16 Apr 2020 03:49

srai wrote:
srai wrote:https://www.worldometers.info/coronavirus/

Date: April 2, 2020
1 million cases
50,000 deaths

5% death rate average

By the end of this pandemic, the US will end up with the largest number of casualties followed closely by Europe.

Remains to be seen the true impact on the subcontinent. Not enough testing and reporting at this point.

Date: April 15, 2020
Over 2 million cases today
134,000 deaths

6.7% death rate average (known cases and deaths)

Known cases doubled in two weeks.


The death rate is higher since there is a 2 week lag between diagnosis with infection and death. The death rate is more like 13%. The infections that we do not about and recovered must be 100 times higher to even make the death rate 0.13% which I believe is still high. I am really hoping people who are infected and recovered without being discovered is 150 to 200 times higher to make the death toll palatable before this disease runs through all of us.

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Re: Wuhan Coronavirus Resource Thread

Postby Primus » 16 Apr 2020 05:41

DrRatnadip wrote:
Primus wrote:
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 - who got hospitalized are immigrants, so must have had BCG in India.

According to my desi PA (who had fever and such for about two weeks and has recovered at home), several friends and extended family members have died - sadly they could not even attend the funerals. Two relatives of my ex-employees have died, all desis.

It is rare for so many people you know to either be so sick or die within such a short time period. No other disease in my lifetime has had this kind of impact.


Sir , How HCQ is being used ?? Are doctors taking it prophylactically?


Please Ratnadip Ji, no Sir, we are all brothers in arms.

Almost everyone I know is on chloroquine prophylactically, generally at once weekly dose, just like for malaria prevention. First dose is two tablets 6 hrs apart, then one tablet once a week. Hydroxychloroquine is being taken at first symptom even before test is done. It is also being prescribed in combination with azithromycin by many clinics and hospitals.

Anecdotally, several physician friends who got it have given azithromycin to their family members, no idea if it works.

IDSA published its guidelines on COVID-19 therapy yesterday.

The summary is, nothing is definitely recommended, everything is to be given in the context of 'a clinical trial'.

All of these apply only to hospitalized patients and in a clinical trial scenario:

HCQ, Chloroquine, with or without azithromycin
Steroids - not recommended unless ARDS
tocilizumab
Convalescent plasma

No mention of any anti-retroviral agents although remdisivir is being used in many centers as part of a placebo controlled trial.

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Re: Wuhan Coronavirus Resource Thread

Postby saip » 16 Apr 2020 05:42

Worldwide numbers crossed ONE million on 4/2/20 and today doubled to 2 million. Doubled in 13 days.

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Re: Wuhan Coronavirus Resource Thread

Postby Primus » 16 Apr 2020 05:55

suryag wrote:Thanks Ratnadip garu, hope the doctors in US have the option of taking this.

Docs in US wondering is it only bad in NY or the situation is same in California and everything is suppressed in this desire to open.

BTW, read reports yesterday saying that one particular strain detected in India was less virulent and had lower binding to ACE2 receptors, not sure what to make of it, are there any reports of sequencing being done on the strains in India ?
https://nypost.com/2020/04/14/newly-found-coronavirus-mutation-could-threaten-vaccine-race-study-says/


I think we know very little about this virus even after nearly four months. It seems to behave differently in different populations, countries and age groups, but there are no clear patterns other than what are obvious for any other serious infection.

In one of our local hospital systems (i.e. a single parent org), according to the daily bulletin I get, the number of people in the ICUs is 31% of all admissions which is alarming. However, for the first time today, the number of discharges are more than the admissions. Don't know if this is because they are 'accelerating' the discharges. They have opened up all possible wards to deal with COVID.

Louisiana is also in bad shape. California is having less of a problem. According to friends there, the intensity is much less, partly because they locked down earlier and also because LA and other cities are not as densely populated as New York. Here, counties like Queens, Bronx, Kings are packed like sardines. Strangely, New York county (Manhattan) is less affected.

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Re: Wuhan Coronavirus Resource Thread

Postby Kaivalya » 16 Apr 2020 07:04

sajo wrote:Gurus, will the full impact of the Bandra fiasco be felt two weeks down the line, when the lockdown is about to end? Can the cops hold everyone down in detention and force them to gulp copious amounts of HCQ to avoid any untoward happenings? Should they be rounded up and sent to isolation camps?


Bandra or no bandra - there is a process to initiate lockdown on areas where covid +ves reach a threshold. Every state government has mobilized like never before. Nothing can prevent these kujliwal type events. We have to be strong and not let our bleeding hearts when offenders like the markaz maulvi or vinay dubeys put a lot of lives at risk.

Still some rats are missing and are hidden - from single source. Only way we will know is when people just drop dead. At that time we have to initiate lockdown like we did now. It might lead to unpredictable situations- but such is life. I really hope that aroygya setu works ok ...yesterday alone 50 million registered. All of us have to be alert as crowd sourcing is the only way to detect events like didi led goondas silently disposing deceased

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Re: Wuhan Coronavirus Resource Thread

Postby suryag » 16 Apr 2020 08:27

All my prayers and wishes with you Primus, RAtnadip, Suresh S, Indra D and other doctors on this forum

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Re: Wuhan Coronavirus Resource Thread

Postby nandakumar » 16 Apr 2020 09:00

suryag wrote:All my prayers and wishes with you Primus, RAtnadip, Suresh S, Indra D and other doctors on this forum

I second that. Everyone on this forum I am sure joins me in wishing health and well being of all those forum members at the frontline of fighting this battle with Covid 19 infection.

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Re: Wuhan Coronavirus Resource Thread

Postby pgbhat » 16 Apr 2020 11:58

Great detail by Dr. Gangakhedkar of ICMR on testing strategy and procedures from Indian Perspective.
It is an hour long but totally worth it if you are staying back at home (even when the interviewer is Jyoti Malhotra. :mrgreen:)
https://www.youtube.com/watch?v=gmXjg7_gACc

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Re: Wuhan Coronavirus Resource Thread

Postby Karan M » 16 Apr 2020 12:33

Oldies amongst you might remember my efforts to point out Chinese quality even in their mil-gear sucked.

Here you go with further proof about what China's "massive capacity" really entails. Sub-par junk passed off to desperate customers.

https://swarajyamag.com/insta/coronavir ... t-drdo-lab

Coronavirus: Around 50,000 China-Made PPE Kits Fail Safety Test At DRDO Lab


And this OTOH is what DRDO, Ministry of Textiles and Pvt sector efforts have achieved.

China is already facing criticism from European countries over the quality of PPE kits and other equipment made in the country.

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 the weekend.”

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Re: Wuhan Coronavirus Resource Thread

Postby rsingh » 16 Apr 2020 13:52

g.sarkar wrote:
chetak wrote:quietly and quickly the begging bowl will be extended for PPE, ventilators and test kits, all of which the "bade bhai" will be expected to gift for free.

And the decapitation of Indian soldiers in Kashmir? Will that go on without respite?
Gautam


What ever happened to Lahore via Istanbul/Dubai route?

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Re: Wuhan Coronavirus Resource Thread

Postby chetak » 16 Apr 2020 14:19

Amitabh Kant@amitabhk87 · Apr 15

Telephone took 75 years to reach 50 milion users, radio 38 yrs,television 13 yrs, Internet 4 yrs, Facebook 19 months, Pokemon Go 19 days.

#AarogyaSetu, India’s app to fight COVID-19 has reached 50 mn users in just 13 days-fastest ever globally for an App

Salute the spirit of India!

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Re: Wuhan Coronavirus Resource Thread

Postby amar_p » 16 Apr 2020 14:26

Does it make sense for curious souls like me living outside India to download and install the Aargoya Setu app? Will it work outside India? Do I risk contaminating the data?

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Re: Wuhan Coronavirus Resource Thread

Postby pankajs » 16 Apr 2020 14:37

Karan M wrote: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 the weekend.”

https://twitter.com/abhimanyusrana/stat ... 0611317761
Abhimanyu Singh Rana @abhimanyusrana

PPE kits are being given to Delhi government hospital Doctors. Teamwork made possible by @nishant_india @RaviRanjanIn & donors
Private people/groups are collecting money to fund PPE for government hospitals.

This is one of the messages floating on twitter about such charity. Moreover, I have seen 2-3 fundraisers asking for money to supply PPE to doctors.

This is troubling to say the least.

1. PPEs are not available in adequate numbers.

2. GOI is unable to co-ordinate proper distribution.

3. How are supplies available to private individuals/groups when there is not enough production for GOI to supply its doctors?

4. Or, are these private supplies below standard and GOI rejects that are being supplied to unsuspecting doctors!

5. Open season for frauds at many levels, from bogus fund collection to defective supplies and everything in between.

Assuming no one was prepared for such a situation in Jan/Feb, GOI has been unable to create a proper chain between the producers and consumers of PPE in even in the last 4-6 weeks?!!

On top of that, the above tweet reached me via a blue ticked BJP supporter! Does the BJP think that this is the way to co-ordinate Covid response?

chetak
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Re: Wuhan Coronavirus Resource Thread

Postby chetak » 16 Apr 2020 14:46

As usual

Inspired messaging from AMUL


Image


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Re: Wuhan Coronavirus Resource Thread

Postby syam » 16 Apr 2020 18:10

We have done 274,599 tests so far. It's very large number. But like our gdp, when we see it with per capita type lens, the tests are very low, 199tests/million pop.

to have RaGa figures, we have to do 26 million tests.

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Re: Wuhan Coronavirus Resource Thread

Postby nam » 16 Apr 2020 18:41

We carried out something like 26K tests yesterday with 900 odd positive cases. UK for example was hitting 4K infected on 10K tests!

I hope ICMR does not get carried away by the media idiots and waste testing kits. PCR testing is expensive.


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Re: Wuhan Coronavirus Resource Thread

Postby pankajs » 16 Apr 2020 19:11

pankajs wrote:Private people/groups are collecting money to fund PPE for government hospitals.

This is one of the messages floating on twitter about such charity. Moreover, I have seen 2-3 fundraisers asking for money to supply PPE to doctors.

This is troubling to say the least.

1. PPEs are not available in adequate numbers.

2. GOI is unable to co-ordinate proper distribution.

3. How are supplies available to private individuals/groups when there is not enough production for GOI to supply its doctors?

4. Or, are these private supplies below standard and GOI rejects that are being supplied to unsuspecting doctors!

5. Open season for frauds at many levels, from bogus fund collection to defective supplies and everything in between.

Assuming no one was prepared for such a situation in Jan/Feb, GOI has been unable to create a proper chain between the producers and consumers of PPE in even in the last 4-6 weeks?!!

On top of that, the above tweet reached me via a blue ticked BJP supporter! Does the BJP think that this is the way to co-ordinate Covid response?

Another one, https://twitter.com/ManMundra/status/12 ... 4534040577
Manish Mundra @ManMundra

500 sets of #PPE received by LTMC hospital Sion #Mumbai #IndiaFightsCorona Let’s protect our medical team. Thanks a lot @IndiaPostOffic @Anubhuti009 for your information @priyankac19
#LetsDoMore
This guy is a film maker and has done a lot individually and is being thanked by the spokie of Shiv Sena!!! What is happening?
https://twitter.com/priyankac19/status/ ... 4223055874
Priyanka Chaturvedi @priyankac19

Thanks Manish!

However, I have the same questions as before. Where is the government both at the center and the state? IF PPEs are available to a private person why is the GOI not able to get hold of them and supply? Has GOI outsourced the supply of PPE across India to private individuals?

This just does not make sense!

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Re: Wuhan Coronavirus Resource Thread

Postby DrRatnadip » 16 Apr 2020 19:16

pankajs wrote:
Karan M wrote: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 the weekend.”

https://twitter.com/abhimanyusrana/stat ... 0611317761
Abhimanyu Singh Rana @abhimanyusrana

PPE kits are being given to Delhi government hospital Doctors. Teamwork made possible by @nishant_india @RaviRanjanIn & donors
Private people/groups are collecting money to fund PPE for government hospitals.

This is one of the messages floating on twitter about such charity. Moreover, I have seen 2-3 fundraisers asking for money to supply PPE to doctors.

This is troubling to say the least.

1. PPEs are not available in adequate numbers.

2. GOI is unable to co-ordinate proper distribution.

3. How are supplies available to private individuals/groups when there is not enough production for GOI to supply its doctors?

4. Or, are these private supplies below standard and GOI rejects that are being supplied to unsuspecting doctors!

5. Open season for frauds at many levels, from bogus fund collection to defective supplies and everything in between.

Assuming no one was prepared for such a situation in Jan/Feb, GOI has been unable to create a proper chain between the producers and consumers of PPE in even in the last 4-6 weeks?!!

On top of that, the above tweet reached me via a blue ticked BJP supporter! Does the BJP think that this is the way to co-ordinate Covid response?


We have started using autoclavable PPE kits.. It costs around 2800 / piece but quality is good and can be autoclaved after each shift.. disposable one costs around 2000.. Many hospitals can not afford such costly disposable kits.. They might use it beyond recommended time/ reuse it.. This is more dangerous.. Many private hospitals I know are struggling financially..

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Re: Wuhan Coronavirus Resource Thread

Postby pankajs » 16 Apr 2020 19:18

And more ...

https://twitter.com/ManMundra/status/12 ... 1133367298
Manish Mundra @ManMundra

We have today sent Venus masks to following [b]hospitals/ cities Mumbai/ Patna/ Ranchi / Banglore / Jaipur I personally thank @SandeepMall
for coordinating the supply chain
[/b]. #IndiaFightsCorona #LetsDoMore
Manish has done more than his bit for the country and that is very much appreciated.

Why are private individuals tracking down producers/suppliers, funding the purchase, coordinating the supply, and getting it to the doctors?!

Where is GOI?

GOI should have built an app in the lines of Aarogya Setu that would have tracked demand from the doctors and the suppliers of each item and allowed resources to be allocated efficiently all around plus tracked orders and supplies as well as history to check misuse. This is hugely disappointing.

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Re: Wuhan Coronavirus Resource Thread

Postby darshan » 16 Apr 2020 19:29

pankajs wrote:And more ...

https://twitter.com/ManMundra/status/12 ... 1133367298
Manish Mundra @ManMundra

We have today sent Venus masks to following [b]hospitals/ cities Mumbai/ Patna/ Ranchi / Banglore / Jaipur I personally thank @SandeepMall
for coordinating the supply chain
[/b]. #IndiaFightsCorona #LetsDoMore
Manish has done more than his bit for the country and that is very much appreciated.

Why are private individuals tracking down producers/suppliers, funding the purchase, coordinating the supply, and getting it to the doctors?! Where is GOI?


GoI needs to track exactly where they are coming from. And much bigger picture would emerge. Though this is for post Wuhan thread.

To sum it up in one example: one state gov't took deliveries of supplies for State level RFP weeks ago. A supplier bid at no profit at cost and won. This supplier was told to collect his payment from Modi. Only thorough investigations will tell where supplies snatched from suppliers like this are ending up.

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Re: Wuhan Coronavirus Resource Thread

Postby pankajs » 16 Apr 2020 19:33

^^ My last bit ..

pankajs wrote:GOI should have built an app in the lines of Aarogya Setu that would have tracked demand from the doctors and the suppliers of each item and allowed resources to be allocated efficiently all around plus tracked orders and supplies as well as history to check misuse. This is hugely disappointing.

So someone is diverting supplies and making money on the side. If the GOI had linked the payment to supplies to a confirmation from the doctor, verified via an app it would perhaps reduced the mid-chain robbery.

GOI missed a trick here.

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Re: Wuhan Coronavirus Resource Thread

Postby Bart S » 16 Apr 2020 20:10

amar_p wrote:Does it make sense for curious souls like me living outside India to download and install the Aargoya Setu app? Will it work outside India? Do I risk contaminating the data?


The app also has news, guidelines and stats, so useful, though you can get the same info elsewhere.

However in terms of tracking whether you have been near an infected person, probably not going to work outside of India.

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Re: Wuhan Coronavirus Resource Thread

Postby anmol » 16 Apr 2020 20:36

Why aren't ALL hospitals lying coronavirus patients on their front? NHS says placing dying people face down can save lives - but some medics are only using it as 'risky last resort' as one man reveals he had to beg for 'wacky' treatment to save his wife

By VANESSA CHALMERS HEALTH REPORTER FOR MAILONLINE

PUBLISHED: 12:45 BST, 16 April 2020 | UPDATED: 15:03 BST, 16 April 2020


A PR consultant has revealed how his wife made a dramatic recovery from COVID-19 after medics turned her on her stomach.Adam Fresco heartbreakingly said goodbye to his wife, Stacey, because NHS doctors were convinced she would die of the infection within a 'couple of hours'.

Out of desperation, he asked if there was anything 'weird and wacky' they could try, and the leading doctor offered one last solution - 'proning'.

They would lay Mrs Fresco on her stomach for 12 hours per day to improve her lung capacity and help drain fluid that built-up in the lungs as a result of pneumonia.   

Mrs Fresco improved overnight and slowly began regaining her strength. She was discharged from hospital less than two weeks later.

NHS England guidance issued to fight the coronavirus pandemic advises doctors use proning, a technique discovered in the 70s.

Doctors elsewhere in the world, in Italy, Portugal and the US, say they are relying on proning for almost every gravely patient to boost their survival odds. 

But the Fresco's story raises questions about how many doctors in the UK are aware of using it to save lives from COVID-19, after Mr Fresco suggested his wife's doctor 'heard about it' from abroad.

Before the pandemic, proning has been regarded as 'unfamiliar' to nurses. But now, full teams of up to eight are required to turn one body using detailed protocol.

There is still a balancing game when deciding whether to use proning based on each individual patient. 

The procedure has its own risks which can be fatal, the most significant being difficulties performing CPR if a patient goes into cardiac arrest.
Image
NHS England guidance issued to fight the coronavirus pandemic tells doctors to consider using proning based on experiences from Italy. Pictured, a patient in the prone position in Cremona hospital, Italy

WHY DOES LYING FACE-DOWN HELP PATIENTS WITH LUNG FAILURE? 


Doctors say laying patients face down if they have lung failure which stops enough oxygen getting into their blood can improve their chances of survival if they are on a ventilator in intensive care.

This is because lying on your back causes the fat, muscle and organs on the front of your body to weigh down on the lungs, limiting their ability to expand.

Ventilators, which force air into the lungs when they cannot breathe on their own, can also damage the insides of the lungs by putting too much air pressure into small areas and stretching or even bursting them.

Reducing pressure on the lungs allows them to open up more widely and distribute this pressure over a greater area.

One NHS doctor, Dr Sarfaraz Munshi, who works at Queen's Hospital in Romford, Essex, explained: 'The majority of your lung is on your back, not on the front. By lying on your back you're closing off more of the smaller airways and this is not good during a period of infection.'


Mr Fresco, whose cousin Monte Fresco is a renowned British photographer, said Mrs Fresco, whose age and occupation is unknown, was admitted to hospital on March 20.

Her condition has gone downhill quickly. Her heart, kidneys and lungs had started failing as a result of the coronavirus.

[..] 'I remember asking if there was “anything weird or wacky” he had heard about, anything experimental that was working abroad. It was a desperate plea that I knew he couldn’t answer.

'The doctor, Dave, came back in and said there was one last thing he could try, something called “proning”, whereby the patient is placed on their stomach for about 12 hours.'

The doctor explained how proning could work - it would help boost oxygen flow round the body and drain fluid that had accumulated in the lungs. 

Mr Fresco implied the doctor had heard about prone positioning from the experiences of colleagues abroad. However, proning has been used in the NHS from as early as the 1970s.

Doctors would also decide whether to use proning on a case by case basis based on a patient's health status, and it not clear why they wouldn't have given it earlier. 

'At the same time, the doctor warned there was a high probability that turning Stacey would lead to a fatal heart attack,' Mr Fresco said. 

Mrs Fresco was already at a critical stage of the disease and her heart was 'not working properly'.

COVID-19 causes a high inflammatory burden on the respiratory system that in turn induces problems in multiple other organs - including the heart. If the heart stops working entirely, causing the patient to stop breathing, this is called cardiac arrest.  

If a patient goes into cardiac arrest while lying on their stomach, doctors will not be able to give life-saving CPR.

They can doing chest compressions while the patient is prone, but there is 'little good evidence to guide the optimum position', according to The Faculty of Intensive Care Medicine, which trains ICU staff in the UK.

Despite the risks, the family and doctors agreed there was 'nothing to lose', and Mrs Fresco was proned overnight.

Mr Fresco expected a phonecall in the morning to say his wife had passed away. But miraculously, his wife was improving and doctors were optimistic.

On the Friday, Mrs Fresco was conscious. A few days later she was taken out of ICU, and on April 9 - 20 days after being admitted to hospital - she was able to go home. 

Mr Fresco said: 'If I hadn’t asked about anything weird they could try; if the incredible Dr Dave hadn’t heard about proning... would she have made it?'

Mr Fresco's story has raised questions about how many medics are utilising prone positioning to boost survival odds in the UK's most sickest COVID-19 patients. 

Proning has been used for decades for patients with acute respiratory distress syndrome (ARDS) - where the lungs cannot breathe in enough oxygen needed for vital organs. [..]

saip
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Re: Wuhan Coronavirus Resource Thread

Postby saip » 16 Apr 2020 20:55

Looks like Iran has harnessed Jinns in its fight against COVID19. They claim their device will detect COVID19 at 100 meters and that too in 5 seconds. Wow!!

Iran develops device to remotely detect COVID-19 in 5 seconds

"This device can detect the virus in a range of 100 metres. This is an operation that is done in five seconds. It has no physical contact with patients, and it does not require a blood test. None of them is required",


Haram Link

saip
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Re: Wuhan Coronavirus Resource Thread

Postby saip » 16 Apr 2020 20:58

CA started paying 25k as hazard pay (and probably for other essential workers) for physicians who are working. They do deserve it.

Primus
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Re: Wuhan Coronavirus Resource Thread

Postby Primus » 16 Apr 2020 21:06

Prone ventilation is useful if the infection is mostly in the posterior segments of the lung as it happens to be in COVID pneumonia, otherwise it is not. Even in many patients with COVID induced pulmonary complications, the consolidation maybe in the anterior parts of the lung in which case prone ventilation may not help. I am not a pulmonologist but this is my thinking.

For those who don't know, ventilating in the prone position is much harder. When we sleep prone it is different because our body will compensate. When somebody is sedated say for a procedure and is face down, ventilation reduces and oxygenation is harder. This has long been our observation in the field and every anesthetist and proceduralist knows this. This is especially true in the obese patient. Of course we are talking about healthy, normal lungs in this situation.

Primus
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Re: Wuhan Coronavirus Resource Thread

Postby Primus » 16 Apr 2020 21:09

Here is another report on the status of HCW in the US.

Basically, 10K people infected, 27 died so far. The true number infected is much likely higher. Also, significant number of deaths in those over 65. Most common source of infection is hospital setting - not surprising at all.

schinnas
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Re: Wuhan Coronavirus Resource Thread

Postby schinnas » 16 Apr 2020 21:17

pankajs wrote:And more ...

https://twitter.com/ManMundra/status/12 ... 1133367298
Manish Mundra @ManMundra

We have today sent Venus masks to following [b]hospitals/ cities Mumbai/ Patna/ Ranchi / Banglore / Jaipur I personally thank @SandeepMall
for coordinating the supply chain
[/b]. #IndiaFightsCorona #LetsDoMore
Manish has done more than his bit for the country and that is very much appreciated.

Why are private individuals tracking down producers/suppliers, funding the purchase, coordinating the supply, and getting it to the doctors?!

Where is GOI?

GOI should have built an app in the lines of Aarogya Setu that would have tracked demand from the doctors and the suppliers of each item and allowed resources to be allocated efficiently all around plus tracked orders and supplies as well as history to check misuse. This is hugely disappointing.


Such an app was proposed / being built as part of Coronathon - hackathon in India to fight Wuhan virus. Several good ideas and efforts there. Some govt involvement but lack of IT industry involvement is disappointing.

https://coronathon.in/

But most govt hospitals that have covid wards have been issued PPEs by GoI. It's non covid govt hospitals and pvt hospitals that are struggling. You never know when a Wuhan virus patient will come for regular treatment in normal hospitals.

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Re: Wuhan Coronavirus Resource Thread

Postby Deans » 16 Apr 2020 21:44

syam wrote:We have done 274,599 tests so far. It's very large number. But like our gdp, when we see it with per capita type lens, the tests are very low, 199tests/million pop.

to have RaGa figures, we have to do 26 million tests.


What is important is tests per positive case. In that respect we are up there with the best countries.


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