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Thursday, March 26, 2020

An MD in New Orleans

One doctor's clinical perspective on fighting Corona-chan.
I am an ER MD in New Orleans. Class of 98. Every one of my colleagues have now seen several hundred Covid 19 patients and this is what I think I know.

Clinical course is predictable.
2-11 days after exposure (day 5 on average) flu-like symptoms start. Common are fever, headache, dry cough, myalgias(back pain), nausea without vomiting, abdominal discomfort with some diarrhea, loss of smell, anorexia, fatigue.

Day 5 of symptoms- increased SOB, and bilateral viral pneumonia from direct viral damage to lung parenchyma.

Day 10- Cytokine storm leading to acute ARDS and multiorgan failure. You can literally watch it happen in a matter of hours.

81% mild symptoms, 14% severe symptoms requiring hospitalization, 5% critical.

Patient presentation is varied. Patients are coming in hypoxic (even 75%) without dyspnea. I have seen Covid patients present with encephalopathy, renal failure from dehydration, DKA. I have seen the bilateral interstitial pneumonia on the xray of the asymptomatic shoulder dislocation or on the CT's of the (respiratory) asymptomatic polytrauma patient. Essentially if they are in my ER, they have it. Seen three positive flu swabs in 2 weeks and all three had Covid 19 as well. Somehow this ***** has told all other disease processes to get out of town.

China reported 15% cardiac involvement. I have seen covid 19 patients present with myocarditis, pericarditis, new onset CHF and new onset atrial fibrillation. I still order a troponin, but no cardiologist will treat no matter what the number in a suspected Covid 19 patient. Even our non covid 19 STEMIs at all of our facilities are getting TPA in the ED and rescue PCI at 60 minutes only if TPA fails.
It sounds like they need to implement the TrumpCure+ as soon as possible. And the early observers who observed the need to prevent the cytokine storm with massive doses of Vitamin C, Vitamin D3, and zinc appear to have been precisely on point.

Labels:

103 Comments:

Blogger Crew March 26, 2020 11:22 AM  

More countries are reporting that the TrumpCure works!

https://www.zerohedge.com/health/bahrain-belgium-report-covid-19-treatment-touted-trump-working-patients

Blogger Lazarus March 26, 2020 11:32 AM  

Bahrain, Belgium report coronavirus treatment touted by Trump is working for patients

Blogger Grooveware March 26, 2020 11:34 AM  

2 weeks ago the French government had 100% success with the Trump cure wish the British government would let people know about it, a lot of despair building up here.

Blogger Doug Cranmer March 26, 2020 11:39 AM  

* hypoxic (even 75%) without dyspnea.
* bilateral interstitial pneumonia on the xray of the asymptomatic shoulder dislocation
* etc.

This would explain the videos coming out of China early in the pandemic of people walking along or standing and then suddenly collapsing. They had no conscious idea how low their oxygen levels were. They continued on as usual until their body went lights out.

Blogger Jill March 26, 2020 11:45 AM  

I've been taking 4000 IUs vit D, cod liver oil, vit C and very occasional zinc during flu season for years. It has greatly improved my immune system. The vitamin A in cod liver oil helps to keep the D in balance. If I take both, my ng/mL of D stays about 60.

Blogger Gettimothy March 26, 2020 11:49 AM  

Patient presentation is varied. Patients are coming in hypoxic (even 75%) without dyspnea.

Matches up with AnonymousConservative's speculation in his post today.

Blogger map March 26, 2020 11:56 AM  

The one thing I don't understand is why statistical analysis has not been applied to this virus? If you have a city on lock-down, then the next logical step is to sample households. Every lot in a city has a PIN number and every PIN number has one or more addresses attached to it. Assign a number from "1 to N" to every address and then have a computer generate a random statistical sample from this population of addresses. Once you have your sample, then go out and test. Find out who has the coronovirus and who is symptomatic, so you can deploy resources there. You can assume that each positive hit from the virus will create a coronovirus cluster in the local area so that area may need to be locked down and mobile hospital units deployed.

As far as I can tell, none of this is being done. The spread of the virus is simply being tracked by hospitalizations. This is not right...but just goes to show the level of deep-state involvement.

Blogger Akulkis March 26, 2020 12:03 PM  

"Patients are coming in hypoxic (even 75%)"

75% is terrible.

I was once, one spring morning with the air full of mold spores, after running around from truck to truck getting my reserve company's radios up and running before moving out to an army base for rifle qualfication. I was really dragging.
As I was finished, and was finally able to sit down, in the truck I was assigned to, I realized that I was really close to being in trouble, even just SITTING for the next 2~3 hours.

So, I was taken to a nearby hospital (about 2 miles) by ambulance. My blood oxygen was at 80%.

75%

Blogger Jack Amok March 26, 2020 12:13 PM  

China reported 15% cardiac involvement. I have seen covid 19 patients present with myocarditis, pericarditis, new onset CHF and new onset atrial fibrillation.

This jives with the initial reports from Evergreen Hospital in WA State. A third of the initial patients (who skewed elderly, which might explain the higher rate) developed cardiomyopathy during their illness, and the docs at Evergreen believe it was caused by massive inflammation triggered by the virus. Other organ damage from inflammation was also observed.

We are a small community hospital. Our 22 bed ICU and now a 4 bed Endoscopy suite are all Covid 19. All of these patients are intubated except one. 75% of our floor beds have been cohorted into covid 19 wards and are full...worldwide 86% of covid 19 patients that go on a vent die.

Does anyone still want to wonder why we're taking this so seriously?

Blogger Azure Amaranthine March 26, 2020 12:19 PM  

So if you're in the ER in an infected area, you have it, even if you're there for something else. Pretty much as expected, except that if it's showing up clearly in the hospital, it would often have been obtained prior to arriving at the hospital. So, more evidence of being particularly contagious.

Multi organ failure isn't just any old cytokine storm, it's a massive cytokine storm. Probably due to long latent period.

Presumably hydroxychloroquine works because of its mild anti-inflammatory effect dampening the extreme yet delayed immune response that manifests as cytokine storm? In addition it is being said that it aids cellular uptake of zinc, which limits viral reproduction at RNA replication. If both are true that would make it a two-pronged solution. Stop virus from spreading, stop immune system from freaking out and killing self.

The bad part of it all is you can potentially have a mortal case of it and not notice it until you fall down.

Blogger Jim H March 26, 2020 12:21 PM  

As I was decoding the Dr's medical lingo, it looks like they are using hydroxychloroquine under the brand name Plaquenil.

Blogger Jack Amok March 26, 2020 12:34 PM  

The one thing I don't understand is why statistical analysis has not been applied to this virus? If you have a city on lock-down, then the next logical step is to sample households.

Seattle is trying something like this, but there aren't enough tests (thanks to CDC and FDA bungling) to do it widely, and they take too long to get results (thanks to CDC and FDA bungling) for something that's nailing people on Day 5.

Blogger Canada78Bear March 26, 2020 12:35 PM  

Sadly zinc is out of stock everywhere it seems.
Only way to get massive dose would be to weld galvanized steel and breath it in. But you can't control dose so emergency use only.

Blogger Timmy3 March 26, 2020 1:01 PM  

Malpractice to not use TrumpCure. Criminal for Nevada Governor to outlaw it.

Blogger cheddarman March 26, 2020 1:01 PM  

Right on!

Blogger Dr. J March 26, 2020 1:11 PM  

His numbers line up with the available data so far. Of test positive cases, 5% are critical and require a ventilator. But this is the money quote:

worldwide 86% of covid 19 patients that go on a vent die.

Using the more optimistic Seattle rate of 70% death on the vent, it gives you the 1.5% death rate. This is why, despite how horrifying it is to Americans to ration care, the Italians are correct to prioritize patients who have the best chance to make it if intubated. A typical ICU stay for a patient on a vent will cost $300-$400K.

The hardcore over-reaction in leftist states will result in more death, misery, and poverty than letting the virus run amok. And the efforts at containment are coming too late. But there will be a lot of real estate, stock, and businesses at fire sale prices for the large entities that can weather the economic damage. Looks like the globalists will make out pretty well on the plague economy.

Blogger Ominous Cowherd March 26, 2020 1:13 PM  

Canada78Bear wrote:Only way to get massive dose would be to weld galvanized steel and breath it in. But you can't control dose so emergency use only.
``Galvanized flue'' can kill. I wouldn't take that approach. Everything we're seeing says that without an ionophore like Cloroquine or Quercetin the zinc doesn't do much for you anyway.

Blogger Damelon Brinn March 26, 2020 1:23 PM  

I keep seeing that 4.5-5% number from people who seem to understand the math. If you put it together with the predictions from authorities that 50% of the population will be infected, at least in cities like New York, that seems very bad. And that other 14% that require hospitalization are going to be in trouble too if the beds fill up soon.

Blogger Aeroschmidt March 26, 2020 1:25 PM  

Pennies are zinc.

Blogger Snidely Whiplash March 26, 2020 1:49 PM  

Canada78Bear wrote:Only way to get massive dose would be to weld galvanized steel and breath it in. But you can't control dose so emergency use only.
NO NO NO NO NO NO!

NO WAY. DO NOT DO THIS.

DO NOT EVER BREATHE ZINC FUMES.

IT WILL KILL YOU.

Really and for true. I knew someone who was killed by zinc fumes. It was slow and agonizing.

Don't even suggest this.

Blogger Snidely Whiplash March 26, 2020 1:53 PM  

Aeroschmidt wrote:Pennies are zinc.

Seriously, what is wrong with you people?

Blogger Ominous Cowherd March 26, 2020 1:57 PM  

Dr. J wrote:The hardcore over-reaction in leftist states will result in more death, misery, and poverty than letting the virus run amok.
Globohomoleftism is a death cult. Death, misery and poverty are the whole point.

Blogger Unknownsailor March 26, 2020 2:05 PM  

Is there a consistent pattern that indicates who is more likely to wind up in the 5% critical category? Underlying comorbidities are present in most if not all of them, I think, but is there a pattern?

Blogger awildgoose March 26, 2020 2:07 PM  

The plant-based flavonoid quercetin appears to have useful antiviral properties.

Pretty good write up here:
https://www.lewrockwell.com/2020/01/joseph-mercola/more-health-benefits-of-quercetin-revealed/

You can get a natural dose of quercetin from capers, red onions, and green tea. So, look for NV and NY to ban those next.

Blogger Solon March 26, 2020 2:11 PM  

@breathing zinc fumes

That's about as stupid as ingesting fish tank additive for "chloroquine" like that guy and his wife did.

He died in 20 minutes and his wife is (was?) in critical care.

If you want to do this, expect Darwin to chuckle in his grave and God to smack his forehead in shame and disgust, and you'll find no sympathy from anyone here either.

Blogger Azure Amaranthine March 26, 2020 2:16 PM  

"Seriously, what is wrong with you people?"

Relatives removed the warning labels?

Blogger Revelation Means Hope March 26, 2020 2:32 PM  

I will never understand why people take massive doses of anything on any regular or sustained basis.

Your body will ALWAYS adapt to achieve homeostasis. It will shut down processes, up the expression of other molecules, open the floodgates on your kidneys to get rid of the excess and likely get rid of other vital molecules that are similar, and so forth.

Why not just add antibiotics to your daily regimen?

Save your ammo for when you are exposed or detect the onset of symptoms. Else when you need it, your body won't respond anymore.

Blogger Revelation Means Hope March 26, 2020 2:36 PM  

Well, every good medical study needs a control group. We all owe thanks to the state of Nevada for volunteering by electing an idiot for governor.

Blogger dadofhomeschoolers March 26, 2020 2:44 PM  

Welding zinc gets you chlorine gas.
Didnt the nazi's use something like that?
Ive poisoned myself with that, it was pretty sucky

Blogger Gurpgork March 26, 2020 2:45 PM  

Yes, and they aren't seeing positive effects.

Blogger Gregory the Tall March 26, 2020 2:54 PM  

Didier Raoult, the French professor who inspired the Trumpcure said in a recent video that the cure only helps in the early phase, not when the patients already have advanced pneumonia and need artificial respiration. At that stage he said the viral load is usually very low, so it makes no sense using antiviral medication any more.

Blogger Dire Badger March 26, 2020 2:57 PM  

Neil Ferguson utterly screws the pooch on his Covid Warning Model Almost singlehandedly causing the entire panic.

Blogger borsabil March 26, 2020 2:57 PM  

OK there's a few things giving me pause reading this submission.

An 'ER Doctor" who can cite case progressions for his patient cohort numbering in the hundreds? WTF? What he's following them up in the ward and ICU, checking their case notes or is he relying on what he's hearing from their treating doctors? Emergency medicine is triage, diagnose, stabilise and move on. He shouldn't have time to be reading case notes for hundreds of patients and telling us how many went on to develop other organ failure. Also why is he citing stats regarding 80% being mild cases? Most of the infected go nowhere near hospitals, eg in Italy they estimate that at least 90% are not even tested or diagnosed. Frankly this is scare mongering bullshit and it makes me mad reading it.

Regarding multiple organ failure. In Critical Care this almost always happens in response to treatment. For example if a patient is proving hard to ventilate we will sedate them, usually with a mix of Midazolam (a short acting benzo) and Propofol (the stuff that killed MJ). This will dump blood pressure so we will start a Noradrenaline infusion and fill with iv fluids- usually saline. This alone puts massive stress on the kidneys and heart, the older you are the worse the outcomes. Renal failure is extremely common in ICU as is heart failure. Patients in septic shock are particularly difficult to treat as you're chasing an ever growing list of things you've fucked by treating the other thing you've fucked. I'm highly skeptical that a corona virus would be directly causing anything apart from a severe viral pneumonia in the worse cases.

There's so many articles floating around that are obvious propaganda aimed at the masses. The many stories about how poor bastards are being denied family visits when they're taking their last breath. Again WTF? Why? They don't have PPE for family members? The families can't sign waivers and go self isolate after? Big giveaway is how the fuck are dying people, intubated and severely unwell 'using face time' to say goodbye to their loved ones? Someone in a coma with a tube down his throat is using face time eh? LMFAO. Folks eat this shit up.

Blogger Akulkis March 26, 2020 3:02 PM  

"The one thing I don't understand is why statistical analysis has not been applied to this virus? If you have a city on lock-down, then the next logical step is to sample households. Every lot in a city has a PIN number and every PIN number has one or more addresses attached to it. Assign a number from "1 to N" to every address and then have a computer generate a random statistical sample from this population of addresses. Once you have your sample, then go out and test. ...

...

As far as I can tell, none of this has been done."

That's because they still don't have enough test kits to even test the number of people showing up with severe symptoms.

Blogger Ron Templeton Jr. March 26, 2020 3:09 PM  

Is it possible that those infected by being a party to the classic NO Mardi Gras debauchery are likely not living a clean and virtuous lifestyle that would decrease their susceptibility to viral infections?

Blogger awildgoose March 26, 2020 3:24 PM  

Just caught some of Cuomo's press conference today.

He was going on about how he's trying to communicate facts, tries to stay fact-based, what facts can do.

These conferences are definitely his audition to be the brokered DNC candidate and he knows it.

Blogger Mr.MantraMan March 26, 2020 3:33 PM  

FTR NOLA is Haiti North IMHO. I'm going with Denninger and others who guess that the WuFlu has spread much further that we think and that RO might be on or close to the downslope or something mathematical like that.

Anyway thanks to everyone who has actually aided in maintaining health.

FTR this "Lockdown" is a joke, we personally know two D-voting families that are evading it, one of whom is an weekly international traveler to London and on the side working at a chain drug store helping to fill prescriptions for sick people. So all the Trump bashing by Leftards is virtue signaling which allows them to rationalize evading the "lockdown."

Blogger borsabil March 26, 2020 3:41 PM  

"I keep seeing that 4.5-5% number from people who seem to understand the math. If you put it together with the predictions from authorities that 50% of the population will be infected, at least in cities like New York, that seems very bad. And that other 14% that require hospitalization are going to be in trouble too if the beds fill up soon"

Nonsense. There has been no population wide testing in western countries but we can do rough estimates. In Lombardy it's estimated that a maximum of 10-20% of cases are being identified. That means 80- 90% of people showing an immune response to the virus are either asymptomatic (the old fashioned term being immune) or are suffering such mild symptoms they are not seeking medical care. Of the 10% who are presenting for testing 20% require hospitalisation. Of those a further 20% require respiratory support of some kind.

I'm tired of the propaganda and fake news. They're procuring tens of thousands of extra 'ventilators' are they? Who exactly is managing all these thousands of ventilated patients? Are they also training tens of thousands of Critical Care doctors and nurses to staff these beds? In a few days? Bullshit. The limits on ICU beds is governed by available trained staff not equipment.

Asymptomatic carriers of the virus are infecting the healthy? How exactly? They aren't coughing or sneezing, they're not expectorating aerosoled droplets, minimal spread. Showing no signs or symptoms for a disease while developing antibodies to it is called being immune, the 'silent spreader' story is fake news. Why are we closing all the schools when children are overwhelmingly immune? Why are we denying them visits to their grandparents and isolating them in their homes?

Corona-Chan is a nasty bug that can cause a viral pneumonia for a small percentage of the population. It's a problem for sure, but a problem that requires us to destroy our economies and societies? To mire ourselves in even more debt we can never pay down? The mass hysteria driven by the obvious fake news tells me there is an agenda to scare the living fuck out of the masses to accept ever more draconian social control. Never let a good crisis go to waste.

Blogger rikjames.313 March 26, 2020 3:51 PM  

From a lawyer who has taken a lot of depositions from physicians (me): I have never heard a doctor say what year he graduated med school in either conversation or discovery. They either say when they finished residency, their fellowship, or when they passed their boards. Not saying this is fake, but the wording is not my experience.

Blogger William Hughes March 26, 2020 3:57 PM  

DO NOT BREATH ZINC FUMES FROM WELDING.

Your Darwin Award awaits...

Blogger borsabil March 26, 2020 4:05 PM  

Speaking of propaganda Kathy Griffin is tweeting that she's got muh muh muh my Corona.

https://twitter.com/kathygriffin/status/1242894756415332352

Hilariously fake. Not sure if is this is clout chasing, it's apparently a thing for celebrities to pretend to have Corona for attention, or this is part of the propaganda campaign to scare the masses. I'm thinking the former as no one gives a fuck if Kathy Griffin lives or dies. OK I'm lying most people would be praying she dies.

Blogger borsabil March 26, 2020 4:09 PM  

"The one thing I don't understand is why statistical analysis has not been applied to this virus? If you have a city on lock-down, then the next logical step is to sample households."

Yep. Doing random sampling to figure out likely infection rates among the general population would be very very useful for all kinds of reasons. It also has nothing to do with the shortage of test kits.

Blogger glueballs March 26, 2020 4:17 PM  

A “friend” stockpiled PPE, medical supplies, vitamins and other materiel as part of general preps and subsequently topped off before coronavirus struck in preparation for his wife’s therapeutic radiation zaps which were completed months ago. Highest quality, and surprising quantity, disposable medical masks, surgical gloves, caps and aprons and booties. The wife is arguably still vulnerable insofar as her autoimmune recovery approaches roughly 95%. The friend is utilizing the supplies at modest consumption levels to address covid 19 and radiological effects, and it appears majority of his stockpile will not be consumed this year a current rate.
Question: Is it ethical as a Christian to sit atop these supplies “just in case” and in view of a second viral wave or should the friend release “excess inventory” by donating it to caregivers? He would _never_ resell these goods under conditions of covid 19. For guidance, what are the dentists and cosmetic surgeons doing with their stockpiles? This isn’t hypothetical.

Blogger Jack Amok March 26, 2020 4:21 PM  

I have never heard a doctor say what year he graduated med school in either conversation or discovery.

Stop with the Miss Marple. He wrote that piece on an alumni site for his college - TexAgs. He was Aggies class of 98, he's telling his fellow alumni what years he went there.

Blogger Jack Amok March 26, 2020 4:42 PM  

It also has nothing to do with the shortage of test kits.

Depends on which test kits you're talking about. A group in Puget Sound was / is doing this, has been for a while, with their own test kits and their own volunteers, but they were getting nothing but grief from the bureaucratic bungholes at the CDC until this blew up at the national level and Trump started taking an active role.

We do have a shortage of "official" test kits - an artificial one created by the CDC and FDA, either out of incompetence or malice.

Blogger HoosierHillbilly March 26, 2020 4:48 PM  

@dadofhomeschoolers

No...no it doesn't. You weld something coated with a cleaner, sure. That makes phosgene...not zinc.

Blogger Akulkis March 26, 2020 4:50 PM  

"Relatives removed the warning labels?"

Warning labels on pennies?


Based on some of these comments, I suppose we need them.

The body needs a bit of copper, but not much.

Every modern zinc penny comes with a toxic dose of copper sandwiching -- which could be lethal to those with Wilson's Disease (a genetic disease which allows excess Cu to accumulate in the body).

Blogger Akulkis March 26, 2020 4:54 PM  

" 'ER Doctor" who can cite case progressions for his patient cohort numbering in the hundreds? WTF? What he's following them up in the ward and ICU, checking their case notes or is he relying on what he's hearing from their treating doctors? "

You think they don't talk to each other in the hospital's cafeteria?

Blogger Akulkis March 26, 2020 4:57 PM  

"There's so many articles floating around that are obvious propaganda aimed at the masses. The many stories about how poor bastards are being denied family visits when they're taking their last breath. Again WTF? Why? They don't have PPE for family members? The families can't sign waivers and go self isolate after? Big giveaway is how the fuck are dying people, intubated and severely unwell 'using face time' to say goodbye to their loved ones? Someone in a coma with a tube down his throat is using face time eh? LMFAO. Folks eat this shit up."

Don't fall for the 'poisoned well' fallacy.

Just because SOME evidence is faked does not make ALL evidence fake.

Blogger Akulkis March 26, 2020 4:58 PM  

"Is it possible that those infected by being a party to the classic NO Mardi Gras debauchery are likely not living a clean and virtuous lifestyle that would decrease their susceptibility to viral infections?"

It's like a modern day Angel of Death.

Coming for Boomers, and those who live for debauchery in any of several forms.

Blogger Reader March 26, 2020 5:06 PM  

I admit that I don't know what to believe. I go back and forth from one extreme to the other. I refuse to watch the news. Haven't watched it in years and I am not about to start now. Liars lie. I am functioning in a controlled freakout at this time until this whole narrative/pandemic plays out. Unprecedented has become a common word.

Where I live there is a shelter in place order until April 3(?) and I am complying. Thank God, I am still employed but restricted to working from home, where normally I'd be out in the field.

It is good to read about the benefits of green tea. I was diagnosed with PVC (premature ventricular contraction) about 18 months ago - a common, not dangerous heart thing, but the doc said to lay off the coffee. So I started drinking green tea, 32oz every morning. Hopefully I have built up some resistance, should the benefits of quercetin be real and should this Corona crap be real as well.

Blogger HoosierHillbilly March 26, 2020 5:06 PM  

@43 can a Christian ethically have a savings or retirement account?

Blogger Akulkis March 26, 2020 5:07 PM  

"Is it possible that those infected by being a party to the classic NO Mardi Gras debauchery are likely not living a clean and virtuous lifestyle that would decrease their susceptibility to viral infections?"

It's like a modern day Angel of Death.

Coming for Boomers, and those who live for debauchery in any of several forms.

Blogger lowercaseb March 26, 2020 5:44 PM  

borsabil wrote:I'm thinking the former as no one gives a fuck if Kathy Griffin lives or dies.

People should recommend to her that she take up welding to beat her virus...and that Trump supporters are trying to shut down access to Zinc Gas.

Blogger Ingot9455 March 26, 2020 5:53 PM  

This comment has been removed by the author.

Blogger Jack Ward March 26, 2020 6:05 PM  

Zinc: Just checked to be sure. Carotec in fla. has plenty in stock. I got some more in today. Link below. And, its the good stuff. Everything I've ever used from them is top shelve. More expensive than walmart but you get what you pay for.

https://www.carotec.com/

Blogger borsabil March 26, 2020 6:14 PM  

"I admit that I don't know what to believe. I go back and forth from one extreme to the other."

Don't panic, at least don't panic about Corona-Chan. The more testing that's done the lower the mortality rate. The countries that are doing a lot of testing are still only picking up a fraction of the infected. Australia is showing a less than 2% hit from testing, which tells me the pandemic is still in it's early stages here. The US is getting a ?30% hit on tests, which tells me the pandemic there is much, much bigger as they're obviously confining their tests to the unwell who're showing up to hospitals with severe symptoms. You can multiply the reported cases in the US by a minimum of ten, which means there are around a million people in the US who've been exposed to the bug. Btw this is a very conservative estimate. So far a thousand people have died which gives us a 0.1% mortality rate. The problem is not the mortality number the problem is that we're dealing with a viral pneumonia which is very hard to treat and so people need hospitalisation for weeks and not days, unlike bacterial pneumonia where we can give antibiotics. I'm not saying Corona is a nothing burger, it's a problem to manage in the health system, but frankly the number of infected, or should I say the number who've experienced an immune response to the virus, in the United States is now so large that all the stay at home and lock down bullshit is a complete waste of time.

They should have completely shut the borders at an early stage and invested resources in rolling out population wide testing and public education around social distancing, hand hygiene and wearing face masks in public. Instead they left the borders wide open, refused to roll out testing and actively encouraged people to mix together in mass gatherings including, for example, New York public health officials telling people to go down to Chinatown and take part in street parties to celebrate the lunar New Year with all the Asian coofers. Why it's almost like they wanted a pandemic.

Anyway it is what it is. Go ahead and panic and pearl clutch, it will solve nothing. If you're American you will gain herd immunity in a couple of months anyway. Deliberately destroying your own economy and throwing half the people out of work will do precisely nothing to stop the Corona, that ship sailed a while ago.

Blogger Dire Badger March 26, 2020 6:23 PM  

Welp, I have several of the symptoms, myself, including being phlegmy and losing a lot of my sense of smell.
Decided to start drinking Tonic water, after about 6 hours the phlegmyness seemed to clear up a lot, as did the cough.

This is obviously anecdotal, as I cannot get tested here in Utah without guaranteeing exposure, but I have been drinking tonic water (with quinine) for 3 days... If you don't hear from me in 2 days, assume it didn't work.

Still, assuming I am still good in 2 days, I will go get tested at the VA and report back. I have asked my wife to both post and send E-mail to Vox if I have to get hospitalized.

Blogger Jad March 26, 2020 6:26 PM  

Mhm... We will see. 5% death rate worldwide isn't small though... I too am seeing draconian measures be installed. Will they be removed after? One wonders...

Blogger Uncle Maffoo March 26, 2020 6:46 PM  

If you want more zinc, eat more eggs and tree nuts, ok?

Blogger Ingot9455 March 26, 2020 6:51 PM  

@43 Not to any government group.

By his foresight, work, skills, and God-given good fortune, a Christian finds himself in possession of resources. He has provided for his family.

He is now called upon to be a good steward of the remaining resources.
He must continue to provide for his family of course.

Some general guidelines for being a good steward of resources are: Only give them to those you know and trust. You can still be fooled, but you have a chance.
If you hear a voice or a calling or a feeling in your gut to give to a stranger, you can do it. And you might have been tricked or fooled. But you have a chance and you were called.

In general donation to a government agency leads to too many other hands so you can't have trust. Smaller charitable organizations that you've worked with before and have a relationship can be worthwhile.

But in all cases, make sure you can provide for your family.

Blogger SCBen March 26, 2020 7:28 PM  

The libermedia had no problem calling it the TRUMPVIRUS so will they now be ok with THE TRUMP CURE???

Blogger Theproductofafineeduction March 26, 2020 8:02 PM  

Jesus. I’ve been fighting on again off again bronchitis the last two months and was just thinking about going to urgent care to get a steroid....

Blogger Kiwi March 26, 2020 8:40 PM  

I decided to start keeping daily data for NZ.

In NZ so far, from the data I can get, which is often from the mouths of officials rather than written somewhere for me to access, very roughly

2.89% of those tested are positive (Hardest data to find is tests done)
2.47% of those testing positive are hospitalised

None have gone into the intensive care unit and none are dead.

It's ad hoc but the best I can do atm. Hopefully, it will be enough to tell me how fast it's moving, if something is going seriously pear shaped, or if someone is lying.

Blogger awildgoose March 26, 2020 8:40 PM  

map wrote:The one thing I don't understand is why statistical analysis has not been applied to this virus?

The God Emperor has already issued a directive that more granular analysis should be performed with the intent to fine-tune the management of the situation:

President Trump Urges Governors To Rank Counties By Virus Risk In Bid To Re-Open America's Economy

https://www.zerohedge.com/political/president-trump-urges-governors-rank-counties-virus-risk-bid-re-open-americas-economy

Blogger Crew March 26, 2020 8:44 PM  

@60: Red meat is a better source of Zinc, or at least the mighty internet says so!

Blogger Max March 26, 2020 9:12 PM  

Here on the US the government orgs and the medical profession have not made a big push to study the data in a scientific way. Testing only people with symptoms is pointless and doesn't give us the information we need. Trump gets blasted for questioning the hysteria and gets little backup from people who should know better.

The philosophy should be "Take extra precautions while we race to study the situation," instead it's just "FLATTEN CUUURVEEE..." What curve? That meaningless chart based on a skewed testing regime?

Blogger Silly but True March 26, 2020 9:19 PM  

OTOH, Mardi Gras was successful: the parade routes were shoulder-to-shoulder 10 deep; this, more than a month after US cases were already being reported.

Blogger Borsabil March 26, 2020 9:51 PM  

Birx has held a press conference

https://www.c-span.org/video/?c4864096/dr-deborah-birx-modeling

As has been stated many times by non retards the real world data is not matching the model predictions. So either the RO is much lower than predicted OR the asymptomatic numbers are WAY higher.

The projected death count in the UK has been reduced from half a million to twenty thousand. Extrapolating to the US that means a total of 100K deaths. In other words a bad flu season.

So they've destroyed the global economy, made hundreds of thousands of businesses insolvent and put tens of millions of people out of work for this? Fuck me.

Not to say Corona-Chan isn't bad, viral pneumonia sucks and is a bitch to treat. We need to be having conversations about the feasibility of keeping grandpa on the ventilator for 30 days, but unless I'm missing something the lock downs need to end now.

Blogger cyrus83 March 26, 2020 9:52 PM  

Blood oxygen saturation level can be approximately measured at home with an inexpensive pulse oximeter. They can be purchased at Amazon or Walmart for as little as $20 and local pharmacies may also sell them. It can't help with breathing, but low readings are a warning sign to seek medical attention.

From personal experience, hypoxia severe enough to cause blackout can come with no pain and no warning sign other than a mild light-headed feeling right before blacking out. For the truly unfortunate in that circumstance, they can go from walking to appearing before the judgment seat of God without knowing what hit them.

Blogger Reader March 26, 2020 9:53 PM  

The following can be filed under "It can't hurt. And may help":

Regarding staying away from infected surfaces, one can store one's toothbrush in hydrogen peroxide. I have been doing this for years with my electric toothbrush. I have a little shot glass that I fill with H2O2 and stick the brush part of the toothbrush into it after I've finished brushing my teeth and rinsing it with water.

Imagine if you managed to keep the virus from getting into your lungs but had deposited it onto your toothbrush while brushing your teeth. You could reinfect yourself next time you use your toothbrush.

Blogger Silly but True March 26, 2020 10:17 PM  

NOLA stats for the number crunchers:
3/9: 1 case
3/10: 3 cases
3/16: 136, 2 deaths; at this point infection was 35 per 100,000

3/18:
10am: 176 cases, 5 deaths
7pm: 196 cases, 5 deaths

3/19:
5:30pm: 249 cases, 8 deaths

3/20:
10:45am 299 cases, 8 deaths

3/21:
10:35am 352 cases, 12 deaths
7:51pm 418 cases, 12 deaths

3/23:
12:15pm 567 cases, 20 deaths

3/24:
12:29pm 675 cases, 26 deaths

3/25:
12:29pm 827, 37 deaths

3/26:
12:26pm 997, 46 deaths including 17 year old

Blogger crescent wrench March 26, 2020 10:53 PM  

@71

Hydrogen Peroxide decays into water when left in open light.
Recommend a closed, opaque container if you intend to do this.

Blogger Reader March 26, 2020 11:48 PM  

Our society has been so utterly delusional, so utterly devoid of common sense, reality, and practicality, for so long that it should be of no surprise that this situation, whatever it may be, should be handled in the worst possible way by the most inept people in control. They have no experience with cause and effect and the very immediate consequences of this are death and economic devastation. Reality has crashed down on their heads and no amount of political correctness nor wokeness is going to make it go away.

Of course, this is all assuming that the system is working to fix this problem, which may be an incorrect assumption. Our society is also so utterly evil, that it is not inconceivable that this virus is supposed to cause as much death and economic destruction as possible. The fact that one cannot know, one way or the other, serves only to demonstrate that the ruling class is a worse threat than the Corona virus.

Blogger Theproductofafineeduction March 26, 2020 11:54 PM  

Because asymptomstic carriers carry substantial viral load in their nose. You breath out through your nose so.......

Blogger Colonel Blimp March 27, 2020 3:18 AM  

Be fair, how is this different from any other day in mask-wearing midern China....??

Blogger Akulkis March 27, 2020 4:12 AM  

Borsabil, you're an idiot.

Go play in traffic. I'm sure it's safe.

Blogger RMH in StL March 27, 2020 5:56 AM  

If the choice is between a higher death rate of among Boomers or my children and grandchildren facing a life of abject poverty, give me a whittling down of the Boomers, even if I must meet my maker.
The way this stuff is played in the media is so insanely one dimensional. They act so lofty with shrill voices and talk as if Trump is purely valuing money above grandma's life. We are not talking about having to forgo luxsurey in place of the elderly. This is a choice between leaving this nation in a condition of opportunity for the young or leaving them a nation where the most basic necessities become a far greater struggle.
There is a direct connection between income levels and mortality rates. The poorer you are, the lower your life expectancy. Yet we boomers are so cowardly that we are going to demand our three score plus way more, and the future of our progeny be damned. It is flat out evil.

Blogger FrankNorman March 27, 2020 6:30 AM  

If you want Zinc, eat foods that are rich in it: including but not limited to:

Broccoli
Avocado
Spinach

Blogger Hieroglyph March 27, 2020 7:49 AM  

It's all bullshit, and I think that MD is a fake. He appears to be working on surface terminology, like all liars. I happily concede, I could be mistaken, and can prove nothing.

However, Corono-Chan is definitely all bullshit. No doubt in my mind at all, I'll cautiously admit it's a severe flu, at best. Bluntly, that's a back-down on my part which I'm not sure I should make. Because, after all, if we are to believe nothing in the MSM - and we shouldn't - why should we believe any statistic whatsoever about Corono-Chan? SDL know much better than I can this is a rhetorical question, but it's still a reasonable one.

None of this is real. It's not even particularly effective against Boomers, which would at least be a positive. When the nonsense subsides, and God Emperor wins 2020, the MSM will duly show no shame whatsoever, and the retard class will thank the health services which would happily gas them. And the world moves on.

Blogger VD March 27, 2020 8:23 AM  

The philosophy should be "Take extra precautions while we race to study the situation," instead it's just "FLATTEN CUUURVEEE..." What curve? That meaningless chart based on a skewed testing regime?

It's not a meaningless chart nor is it based on a skewed testing regime. It's pure logic based on historical epidemiological data, and it is obviously relevant as the difference between Corona-chan and other epidemic daily death counts are already showing.

Blogger VD March 27, 2020 8:24 AM  

It's all bullshit, and I think that MD is a fake. He appears to be working on surface terminology, like all liars. I happily concede, I could be mistaken, and can prove nothing.

So, if people listen to you, it will do them no good at all and you know nothing anyhow. That's... substantive?

Go hug a Chinaman if you're so certain it's harmless. That's what the Mayor of Florence recommended, after all.

Blogger crescent wrench March 27, 2020 8:35 AM  

There has been an explosion lately in the number of auto-immune related medical maladies, and the openness with which the therapies designed to stem the cytokine storm phase of severe covid-19 are being banned by certain western politicians is exposing the corrupt root of it all.

They straight-up outed the pharma connections to this in France. Frankly, I find the lack of curiosity on this open thread concerning. I suspect tugging on it would reveal suppression of research, therapies, and cures for various other conditions such as a host of chronic inflammatory conditions by financially-interested international parties.

Blogger pyrrhus March 27, 2020 9:35 AM  

@71. Couldn't you just use alcohol for sterilizing the toothbrush?!

Blogger Zeroh Tollrants March 27, 2020 10:30 AM  

NOOOOO! Never ever do this! People die from doing this! Wtf is wrong with you?!?

Blogger Zeroh Tollrants March 27, 2020 10:36 AM  

"Didn't the Nazi's use something like that?"

NO.
Is "Nazi gassings" the type of thing you're teaching your homeschooled children?
Might as well send them to public school for their 3 month required Holocaust guilt indoctrination.

Blogger Zeroh Tollrants March 27, 2020 10:44 AM  

When my hubby was put in a medically induced coma for a week when he was going into renal heart failure, (he pulled thru!), he wouldn't have known where I was, because he was in a COMA.
Even BC (before coma) he was barely lucid and intubated. AC wasn't much better. He has ZERO memory of that hospital visit despite being in the hospital for 3 1/2 weeks.
Matter of fact, he has been in the ICU 5 separate times and remembers none of them and very little of even being in the hospital days or weeks in the non-ICU part of the hospital.
I totally agree that is just propaganda hokum.

Blogger Zeroh Tollrants March 27, 2020 10:54 AM  

All kinds of ppl have masks and gloves. Exterminators, lawn care folks, jewelry makers, painters, house and art, welders, folks that work with polyresins for art and boat building... give me half an hour and I can come up with dozens more.
As for ethics, it would be nice if he has a huge stock for him to donate a small portion to a local nursing home or pediatric office, but I don't know that he's required to do so.

Blogger Zeroh Tollrants March 27, 2020 11:03 AM  

My mother always soaked our toothbrushes undiluted bleach and washed them well in hot water afterward. As long as you get all of the bleach out of them and make sure they dry, it is fine.
Or, just buy a handful of new cheap toothbrushes and replace frequently.

Blogger Up from the pond March 27, 2020 11:49 AM  

The propaganda hokum is coming from tons of little demons who want the economy to tank deeper because lol.

Someone else said it best: Crying doctors are the new crying refugees. On Tucker last night, one doctor (?) who looked like a diamond merchant was interviewed standing in the street claiming that New York City hospitals are "hell" because they have no ventilators. Dr. Birx gave a White House presser later and said NYC hospitals have 2000 unused ventilators, as well as plenty of empty ICU beds.

Something is starting to stink.

Blogger Jack Amok March 27, 2020 11:51 AM  

If the shutdowns and social distancing work, there won't be millions dead. But if there aren't millions dead, the midwits will complain the shutdowns and social distancing were unnecessary.




Blogger Up from the pond March 27, 2020 1:33 PM  

+1

It's like "if the woman floats, she's a witch; if she drowns, she wasn't a witch." That's rhetoric; a dialectical term is "unfalsifiable."

Unfalsifiable, because AFAIK no control group exists on the nation-state or city level, i.e., a group which chose to do nothing in response to the virus threat.

It's all charts 'n' graphs and spinning bowties. A mountain of horseshit.

Blogger Tino March 27, 2020 1:35 PM  

From outside NYC (Stamford, CT) looking in, NYC has very poor leadership and coordination. The hospitals, which unfortunately have their own leadership problems, are caught in the wake of DeBlasio and Cuomo edicts. None dare prescribe hydroxychloroquine or anything off SOP unless it is the FDA trial framework. Which means virtually no one is short-circuiting the cytokine storm issue with Vit C+E. Even more stupid considering this morning's news that Bahrain is being successful with the TrumpCure.

Ventilators are also a problem because the underwhelmed institutions are not moving ventilators to the overwhelmed institutions mostly due to ineptness and poor communications/coordinations. Hell, even within NYU they aren't balancing within their allied facilities.

Blogger Damelon Brinn March 27, 2020 1:56 PM  

@91 Jack, yep. And they'll push the "nothingburger" line right up to whatever the end result is, so they can declare they were right all along. Secret Kings win again.

Blogger Reader March 27, 2020 2:16 PM  

crescent wrench wrote:@71

Hydrogen Peroxide decays into water when left in open light.

Recommend a closed, opaque container if you intend to do this.


Thanks. That's good to know. I will get the right containers.

pyrrhus wrote:@71. Couldn't you just use alcohol for sterilizing the toothbrush?!

I wouldn't rinse my mouth with alcohol but I have used H2O2. Sterilization with substances that would not harm the mouth is the goal here. There may be other ways but that's what I've always used. I wonder if the microwave would kill viruses/bacteria?

Blogger Avalanche March 27, 2020 6:32 PM  

@90 "Dr. Birx gave a White House presser later and said NYC hospitals have 2000 unused ventilators, as well as plenty of empty ICU beds."

Do YOU know how to hook someone in severe breathing difficulty to one? And monitor them to make sure they are getting the right pressure both in and out? And suction out their lungs when they need it,and track their O2 saturation and know what level of 02 to set depending on their saturation levels? Do you know how to deal when they come part way awake and begin choking on the intubation and fighting to pull it out?

What USE are 2,000 ventilators if you have not got the TRAINED PEOPLE to use them?

Blogger Avalanche March 27, 2020 6:37 PM  

@92 "no control group exists ... a group which chose to do nothing in response to the virus threat.
It's all charts 'n' graphs and spinning bowties. A mountain of horseshit."

So, if you board up your seaside house because a hurricane is bearing down on your stretch of coast, but at the last hour it veers off and destroys some other coastline -- was that preparation a "mountain of horsesh|t"? Should YOU have chosen "to do nothing in response to the" hurricane threat? Just wait to see if the hurricane HITS your house and THEN try to prepare?!

Have you ever heard of the phrases "play the odds" or "cost-benefit analysis? Look 'em up.

Blogger Avalanche March 27, 2020 6:40 PM  

@93 "Ventilators are also a problem because the underwhelmed institutions are not moving ventilators to the overwhelmed institutions mostly due to ineptness and poor communications/coordinations."

If you are managing resources at your 'underwhelmed hospital, and you can either send a ventilator to another hospital, or hang onto it because you can SEE the likely 'hurricane' coming your way -- what do you do? Give up your resources and then YOU have to let people in your area of responsibility DIE because you did?

No easy answers. Best guesses and play the odds ONLY!

Blogger Didas Kalos March 27, 2020 6:45 PM  

If there was no zinc in the soil where said veggies are grown how much will they contain?

Blogger Avalanche March 27, 2020 6:47 PM  

I order 35% 'hospital grade' hydrogen peroxide (on Amazon) and dilute it down with distilled water to a safe level. (As I understand it:) The 3% crap you get in stores has preservatives and stuff in it. With the pure 35% stuff - -which is *nothing* to fool around with, you can make a higher level to use when appropriate. I keep the bottles (the ones I buy come as a 3-pack) vacuum sealed in a fridge drawer. The one I open is also in the fridge.

If you have kids in the house -- just DON'T get it!

However, used carefully -- and knowing that you'll get some on your skin, which will turn the skin STARK white and burn and itch for 5-10 minutes; then go away with no residue or injury -- it's useful as a very strong cleaner. I also dilute it down to about 10%, and add about 1/8 tsp to my humidifier reservoir on my apnea machine. Still use an ozone cleaner regularly -- but I figure the tiny little bit (of very diluted!) in the approx 1 Cup of distilled water provides some cleaning of the tub and hoses, and maybe my lungs. Dunno; willing to try it. (Been doing it for nearly three months; no negative effects of any kind.

Blogger Snidely Whiplash March 27, 2020 7:10 PM  

Didas Kalos wrote:If there was no zinc in the soil where said veggies are grown how much will they contain?
If there is no zinc, they don't grow.
Not to worry though, zinc is extremely common and virtually omnipresent in soil.

Blogger MrNiceguy March 27, 2020 7:38 PM  

So you're saying pennies and fish tank cleaner, and I'm good?

Right now, we've got a virus that kills Boomers, and a homebrew "cure" that kills the stupid.

Blogger Gregory the Tall March 27, 2020 7:56 PM  

From the treatment guidelines of the Shanghai Medical Association (Google translation):
6. Prevention and treatment of cytokine storm: large doses of vitamin C and unfractionated heparin are recommended. Large doses of vitamin C are injected intravenously at a dose of 100 to 200 mg / kg per day. The duration of continuous use is aimed at a significant improvement in the oxygenation index. The use of large doses is recommended.

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