Trying not to be negative.But. We have to face reality. I see govt and social media pushing for massive ventilator production, as if this is the savior and solution for this crisis. It isn't!!! Not at point without proven effective Rx. 75% mortality in recent Seattle paper for intubated COVIDs.It it is higher anecdotally. Push more $$ into pharma acute Rx and cytokine storm . I have had 100% mortality in my ARDS COVID pts that require intubation so far.
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Ventilators.......
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Last: 5 yr ago by milkman00
On the NYT Daily podcast they were talking about how in 2012 the CDC saw lack of ventilators as a potential risk for a pandemic so signed an agreement to purchase 70,000 for the national stockpile in case of emergency with a small company. By 2014, that small company was purchased by a larger company, who wriggled out of the agreement and refused to provide the agreed upon ventilators. The CDC claims the company backed out because the less expensive stockpile ventilators would compete with and hurt the margins on the more high end products they sold. The company argued that the smaller company bit off more than they coukd chew and couldn't complete the agreement. No matter what the result, it seems like that failure may cost some amount of lives today.
Isn't the mortality 100% if a ventilator was not available? In other words, the availability of a ventilator is saving 25% of rhe people who need it, right?
I'm just a dumb engineer, but this is absolutely true IMO!
So much this!!!!
We've put a lot of emphasis on reducing the spread via social distancing, and the medical emphasis for treatment is on the critical cases. Almost nothing for the people in between who are having symptoms and may or may not need hospitalization in the future.
We've put a lot of emphasis on reducing the spread via social distancing, and the medical emphasis for treatment is on the critical cases. Almost nothing for the people in between who are having symptoms and may or may not need hospitalization in the future.
HotardAg07 said:
Isn't the mortality 100% if a ventilator was not available? In other words, the availability of a ventilator is saving 25% of rhe people who need it, right?
But his point is you don't need a ventilator if you can find a way to stop it from getting to that point.
It is frustrating reading about doctors not being able to try some of these cocktails earlier on in the disease because they're waiting on a slow test confirmation. Maybe we could keep more people off the ventilators in the first place.
Small study but yes. Currently for my pts if you require intubation for COVID-19 the survival is zero. Anectdote.
Moxley said:
So much this!!!!
We've put a lot of emphasis on reducing the spread via social distancing, and the medical emphasis for treatment is on the critical cases. Almost nothing for the people in between who are having symptoms and may or may not need hospitalization in the future.
I've seen a ton about possible treatments as well as multiple sources for possible vaccines. Those things all take a lot of time to get through FDA trials.
Have any of you doctors been pushing the states to push the feds for more HCQ and Zithromax under the DPA?
Based on the fact that they just now are hitting 3M with the DPA regarding masks, it seems to me that we need to make sure the Feds know we want more meds and can't get them now, and that providing more drugs is a solution.
If test results are taking too long, then we need to be able to get the meds without a positive test if our Doctor agrees that we likely have Covid and want the cocktail.
With the FDA approval, I would hope suppliers are maxing out production, but it seems the squeaky wheel gets the grease.
Can someone post a phone number of who we need to contact to get the system working for us?
I dont want a 1 in 4 chance of survival. I would rather take the small risk of getting side effects from the cocktail.
Even with some liver issues, my GI today told me there wasn't sufficient risk to keep me from trying the HCQ cocktail.
Based on the fact that they just now are hitting 3M with the DPA regarding masks, it seems to me that we need to make sure the Feds know we want more meds and can't get them now, and that providing more drugs is a solution.
If test results are taking too long, then we need to be able to get the meds without a positive test if our Doctor agrees that we likely have Covid and want the cocktail.
With the FDA approval, I would hope suppliers are maxing out production, but it seems the squeaky wheel gets the grease.
Can someone post a phone number of who we need to contact to get the system working for us?
I dont want a 1 in 4 chance of survival. I would rather take the small risk of getting side effects from the cocktail.
Even with some liver issues, my GI today told me there wasn't sufficient risk to keep me from trying the HCQ cocktail.
I should clarify that I was speaking with my GI as part of a regular appointment and asking hypotheticals based on me being the only public contact person taking care of elderly parents with high comorbidities and a high risk wife. If the flu is ruled out and a person has many symptoms of Covid, why should we have to wait for a positive test result?
The Feds need to streamline production and distribution of meds. What can we do to help get this point across?
The Feds need to streamline production and distribution of meds. What can we do to help get this point across?
Just for clarification, I'm not a doctor. I see my post could be read that way. I'll edit my post a bit.
I've just read in multiple places docs are mostly having to wait to start up some of these cocktails until a patient turns up positive, which is a long lag in most cases currently.
I've just read in multiple places docs are mostly having to wait to start up some of these cocktails until a patient turns up positive, which is a long lag in most cases currently.
Beat40 said:
I've just read in multiple places docs are mostly having to wait to start up some of these cocktails until a patient turns up positive, which is a long lag in most cases currently.
I've read the same thing and multiple doctors have advised me of this as well. I believe it is mainly due to a lack of supply of drugs. In the same way the CDC recommendation not to wear a mask for the general public was likely put in place due to a lack of masks. Now that the mask supply is coming up, the mask recommendations are changing.