The wrinkles in the curtains :/
I Spent Seven Weeks in a Wuhan ICU
21–30 of 115 posts
Re: I Spent Seven Weeks in a Wuhan ICU
#22"Indeed, in our experience, no medicine was particularly useful. Instead, the most effective solution was oxygen. For around 60% of our patients, oxygen saturation was improved by using oxygen masks with a reservoir bag. In more severe cases, we would also use a nasal cannula and an oxygen mask to increase the volume of oxygen."
> though many of our patients experienced severe side effects and couldn’t continue the treatment I took chloroquine years ago as a preventative anti-malaria when I was in India. I didn't get the weird dreams, but I got the harsh bowl movement, heart palpations, etc. I had to stop taking it and so did someone else on the trip. Had I got malaria I knew it would be worse, but I could start taking them again as a treatm…
Just out of curiosity, how long ago was it?
Malaria nowadays is very easy to prevent and treat with a course of atovaquone/proguanil, which have low side effect on the short run.
I want to know if doctors are still prescribing chloroquine despite of that. I know they do sometimes in the army.
Re: I Spent Seven Weeks in a Wuhan ICU
#23"Indeed, in our experience, no medicine was particularly useful. Instead, the most effective solution was oxygen. For around 60% of our patients, oxygen saturation was improved by using oxygen masks with a reservoir bag. In more severe cases, we would also use a nasal cannula and an oxygen mask to increase the volume of oxygen."
So basically, our best chance now is not to cure them, but to help them survive until their immune system fight it off?
Re: I Spent Seven Weeks in a Wuhan ICU
#24What's up with the weird texture applied to all the photos?
Wondering if it's not a way to prevent editing detection software to work. Anybody knows something about this?
Re: I Spent Seven Weeks in a Wuhan ICU
#25Interesting read. But always remember, China is a country that does not let their people know the truth what happens in the world (the great firewall). So I'm not all convinced that they let the world know the truth what happens in China. The article could be an honest personal report or it could be government-backed propaganda. How do we know?
Everything is propaganda, so put on your critical thinking cap and judge for yourself.
The question here is, "is is CCP propaganda, and how much of it?"
Re: I Spent Seven Weeks in a Wuhan ICU
#26FYI, this publication, and its parent is pretty much People's Daily in disguise. It is made along the lines of Shanghai Oriental Morning Post 2.0. Without a doubt, it is an even more of a state organ media than it's spiritual predecessor, despite the mandate to push "dissenting" view. Unlike something like Southern Weekly, which had not a single party cadre in its editors, despite being overtly party ran, but closed…
I'm surprised that they let him admit that he arrived to a ward covered in rubbish and medical waste staffed only by two opthamologists and two nurses tbh. At -2 (and counting) for this currently, any downvoters care to comment as to why? If indeed this publication is a propaganda mouthpiece, then my surprise that they're publishing something that reflects badly on their medical providers should be easy to understand
Actually there are a lot of posts(pics, videos) on China social media from doctors showing they were lack of PPE, and using even plastic bags. It is not they said that china gov controls all media and social posts. And most of the videos u saw on twitter which gov staffs' violence are posted on Chinese social media first to explore and report this to the gov. They are just similar to other countries' gov staffs' enforcement violations. It happends sometimes, but when it happened in China, they tagged "CCP violence".
Re: I Spent Seven Weeks in a Wuhan ICU
#27Earlier quoted context omitted.
>and as the great w would say, mission accomplished Sorry, but the use of this quote out of context is one of my pet peeves, and the similarity is striking. In the case of G.W, he was receiving sailors returning to port after completing their deployment in harm's way. Their mission was accomplished. The message was not that war is over, as the media insinuated. In fact, the counterpoint was made in the speech[1], alt…
The funny coincidence with that story: Osama bin Laden's stated purpose for the 9/11 attacks was, in part, the presence of US troops in Saudi Arabia. The US announced the withdrawal of troops from Saudi Arabia on April 29, 2003. Four days later Bush made that "Mission Accomplished" speech as the US was effectively complying with bin Laden's demand and surrendering their presence in Saudi Arabia.
Whether the individual phrases in your comment are true in isolation or not, the implied cause and effect are not logical.
> surrendering their presence in Saudi Arabia.
Saudi Arabia pays the US to occupy military bases temporarily during crises, for example when Iraq annexed Kuwait. I presume the contract ended, and the US military left. It's not any more complicated than that.
One of the reasons that Saudi Arabia trusts the US is that the US has rarely occupied a country in modern times with a plan for long-term occupation or colonization. They either leave, or maintain a base, and then leave.
That's very unlike Russia, for example, whose doctrine is that if a country shares a border, then they get permanently occupied.
Re: I Spent Seven Weeks in a Wuhan ICU
#28The title would be more useful if it made it clear that this is a doctor's POV, not a patient's. (Not least because a patient spending 7 weeks in an ICU would likely be sedated for most of it.)
Re: I Spent Seven Weeks in a Wuhan ICU
#29"Indeed, in our experience, no medicine was particularly useful. Instead, the most effective solution was oxygen. For around 60% of our patients, oxygen saturation was improved by using oxygen masks with a reservoir bag. In more severe cases, we would also use a nasal cannula and an oxygen mask to increase the volume of oxygen."
So basically, our best chance now is not to cure them, but to help them survive until their immune system fight it off?
It's more subtle than that. Here's some background before I answer your question.
One doctor has said that corona patients should be treated like altitude sickness patients, not like viral patients (and this Wuhan article implies that.)
All doctors say that ventilator intubation is the equivalent of major surgery, requiring anesthetics for the duration of ventilation and a long recovery period. High air pressure damages lung tissue, so afterwards you won't be walking or talking much for weeks or months.
So when you put those together, the best US approach today so far is to provide supplemental oxygen with face masks or cannula until the patient faints repeatedly (turns blue or purple), then make a decision to intubate. (China learned and published this in Jan. or Feb., but we learned it in Mar. or Apr.)
The only problem there is that mouth-breathing patients aerosolize corona virua and infect staff and other patients, so they should be moved out of the hospital to a quarantine facility or sent home. I don't think we are doing this yet, and it's an important step to stopping lockdown since we'll have thousands of new patients to monitor and help breathe.
The US mistakes made pre-Apr. 1 were early intubation based on traditional oxygen level monitoring (and to prevent aerosolization to protect staff.) That had a 66% - 90% mortality rate and consumed too many ventilators.
> out best chance now is not to cure them, but to help them survive until their immune system fight it off?
There is no plan, cure or pattern except we give them oxygen and see what happens next. We have no diagnostic tools that tell us cause and effect. For example, X-rays can show corona virus lung congestion, but there's no measurement or inference we can draw from any image. All we know is that ventilators are a one-way trip for most patients. It is what it is.
Re: I Spent Seven Weeks in a Wuhan ICU
#30"Indeed, in our experience, no medicine was particularly useful. Instead, the most effective solution was oxygen. For around 60% of our patients, oxygen saturation was improved by using oxygen masks with a reservoir bag. In more severe cases, we would also use a nasal cannula and an oxygen mask to increase the volume of oxygen."
So basically, our best chance now is not to cure them, but to help them survive until their immune system fight it off?
Welcome to Viral Pneumonia, population hopefully not us.
If any of the antiviral drugs they are trying actually work it'll be the biggest stroke of luck in medicine.