Frontline NYC doctors think COVID19 should be treated like hypoxemia (altitude sickness) and not like ARDS (respiratory disease). This means less use of ventilators.
2020-04-04: Been chatting with retired docs in my family. Showed them some of the research (one study from March 3rd, that far back) of blood tests showing impaired hemoglobin in a large percentage of hospitalized WuFlu patients. Showed them the NY ICU doctor’s interview. We did some other searches and found recovered patients developing delayed post-hypoxic leukoencephalopathy (DPHL) weeks after recovery, which lines up with the 19-22 day cycle of myelin production in the brain getting impaired after prolonged hypoxia.
Something about WuFlu impacts the body’s ability (likely by interfering with hemoglobin as we saw) to absorb O2. This leads to pneumonia-like presentations in patients but it’s just a side effect.
It also seems to suppress the body’s normal reaction to low O2 saturation, such as increased heart rate. It’s like slowly dying of hypoxia without your body ever realizing it’s starving of oxygen. Also explains all the multiple organ failures as bodily functions start shutting down due to lack of O2.
Plasma-based treatments will therefore be ineffective for the severely ill. They’ll need full blood transfusions with not only the antibodies but also fresh hemoglobin to carry the O2 around.
Treatments like HCQ+Zpak interfere with the virus replicating, but if taken too late will do very little or nothing because by then there is enough of the virus circulating to impact the function of hemoglobin. https://www.reddit.com/r/Wuhan_Flu/comments/fuw9dr/covid19_patient_awake_and_browsing_on_phone_with/fmfcvl3/
200mg 2x daily Hydroxy Chloroquine
500mg 1x daily Azithromycin
220mg 1x daily Zinc sulfate
• Breathing restored 3-4 hours
• Zero deaths
• Zero hospitalizations
• Zero intubations
Info on doctor:
Hopefully you’re aware by now that there’s a significant chance you’re going to get COVID19 (1, 2). So what do you do about it if you get it? Here’s a bunch of stuff you can take that might help. Obviously they are no substitute for medical care if you can get it, and none of these are miracle cures, but none of them are likely to hurt you.
Vitamin supplementation will be more effective in those that are deficient. However-
“supplementation with vitamin C appears to be able to both prevent and treat respiratory and systemic infections”
“The vitamin C protocol was evaluated in patients with severe pneumonia. Hospital mortality tended to drop in the treatment group.”
There’s currently a clinical trial underway in China for it as a COVID19 treatment
“new global collaborative study has confirmed that vitamin D supplementation can help protect against acute respiratory infections.”
A saline nasal rinse multiple times a day may help: https://www.nature.com/articles/s41598-018-37703-3
A nurse here wrote that it is a good idea to do a
“saltwater steam inhalation every 4 hours to coat the lungs with antimicrobial properties”
I can’t find science to corroborate the claims, but nebulisers with saline do appear to be used to treat respiratory infections:
“May treat respiratory conditions… May help fight viral infections”
It’s an expectorant (clears mucus from lungs), reduces inflammation, and has antiviral properties.
It’s also used as an antimalarial: https://jamanetwork.com/journals/jama/fullarticle/438064
Zinc inhibits SARS/Coronavirus replication in vitro
From the Lancet’s Reducing mortality from 2019-nCoV:
“Zinc and other metal-containing formulations appear to have anti-viral activity, are safe, cheap, and readily available.”
“Clinical trial data support the value of zinc in reducing the duration and severity of symptoms of the common cold when administered within 24 hours of the onset of common cold symptoms”
However it is not recommended to take zinc for more than a few days in a row, or to use it long-term. (https://www.webmd.com/cold-and-flu/qa/is-longterm-use-of-zinc-safe)
Tonic water contains Quinine in small amounts. While there are no studies showing efficacy of quinine on COVID19 treatment, its chemically similar sibling Chloroquine does: https://www.sciencedirect.com/science/article/pii/S0166354220301145
83mg quinine / litre of Tonic Water, so several litres of it a day could possibly be helpful.
Additionally, this is controverial, but consider not rushing to reduce fever unless you have to:
“A moderate fever (less than 40 °C) is beneficial”
“Popping pills for flu fever might make things worse”
Avoiding a Cytokine Storm
An overreaction of the immune system called a Cytokine Storm is what is likely to be doing the killing, according to these two studies:
It may also be why children aren’t typically severe cases.
I can’t say this with authority as I can’t find the data, but what I’ve gathered is that the cytokine storm happens at the late stage of the disease. So if you get to that point, consider-
- Snaffling down as much garlic as you can handle:
“The present study produced some evidence for an immunomodulatory effect of garlic, as well as the modulation of cytokine production”
- And Turmeric:
“The suppression of cytokine release by curcumin correlates with clinical improvement in experimental models of disease conditions where a cytokine storm plays a significant role in mortality”
N.B. Turmeric is better activated in combination with black pepper: https://www.healthline.com/nutrition/turmeric-and-black-pepper#curcumin-absorption
- Additionally, avoid elderberry supplements as these increase cytokine inflammation: https://www.ncbi.nlm.nih.gov/pubmed/11399518/
Next, some of you are thinking that you’re young so you’re not worried about it. Let me change that for a moment. Not about dying. You know your chances are pretty good to not die from this. But, the numbers of fit, young, healthy people who require hospitalisation to survive are significant.
12% of 15-49 year olds (67 severe : 490 not severe) require hospitalisation, compared to 28.8% of >65 year olds.
Median ages of severe cases (so 50% of ICU patients were below these ages):
- 49: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30183-5/fulltext
- 57: https://www.medrxiv.org/content/10.1101/2020.03.03.20030593v1
- 65: https://twitter.com/dr_farrisd/status/1237499092835676162
Seattle Doctor confirming young patients in ICU: https://i.imgur.com/TLSxnF7.png
You don’t want to need intensive care, especially as getting it almost certainly means kicking off some old granny from an ICU bed and taking their place:
So, don’t be casual about this, or overconfident because you’re young. Take every care you can to avoid getting it.