Actual protocol for COVID is hydroxychloroquine + anti retroviral (already used for HIV) depending on concurrent therapy. Or hdroxychloroquine + azitromicine
For severe patients we use anti IL 6 (tocilzumab) because this virus induce an extreme infiammatory response in some patients (why don understand why). No vit C in our hospital or supplment.
We don t know how many strains. But in some area are concentrated most of cases and most of deadly case.
Probably in these area there are o more virulent type. And the gravity of case depends also on viral load because most of colleagues death or in ICU have been dealing with severe cases.

Hi Donjaun, thanks for sharing your experience. Do you know how long the doctors have been using hydroxychloroquine to treat the virus? Have you seen any improvements with patients compared to previous treatments? And how's the situation overall in the region? Always interested to get information straight from people on the ground.
 
I meant to add this is think is a signal they are going to 'nationalise' i.e take private but appear to be 'public' most major corporations and centralise their management/structures communist style (but not in the way we think of it). All those CEOS cleared their stock options, got their pay day and fled to their bunkers! The scale of the economic reset of how our world is run economically is I think likely to be enormous and we haven't seen anything the like before what is fast coming down the tracks.

The C's said all control comes back to money. Money is the root and branch of all their intended evil.

I think you are right @Michael Barker-Caven and probably the move will be towards a cashless society. See the call from the Italian PM for "innovative financial instruments". Basically they know they can promise any amounts in the existing paradigm, as this will change over night and won't mean anything, see how in the US they are talking about Trillions, others, more modest, like Canada, talk about Billions, etc. Interestingly in Russia they did not give a number, just a set of measures, probably meaning that it doesn't matter how much it will cost.
 
Update from the UK. This afternoon I went to our local supermarket. I was surprised to see so many people out walking with or without dogs, jogging or riding bikes. I saw families with children enjoying calm weather as if nothing happened. People were smiling to each other, waiving or saying "Hi" as usual or even more than before. This was very uplifting experience for me, especially after I nearly lost faith in our community.

In the supermarket an atmosphere was a little bit more dense but far from drama. There were special marks on the floor everywhere so that people could easier keep the required distance but nobody seemed to be bothered and the overall experience was again as if nothing happened. Only empty shelves were silently reminding that actually something did happen. I also met my neighbour there and while keeping safe distance she asked if I also noticed increased number of people outside.

On the humorous note: the positive conclusion one could come to after first few weeks of this parody, sorry I meant pandemic, is that people in this country finally learnt that they are entitled to hand washing and being out for a daily exercise.
 
-In the last 3 weeks the total ER access are composed of 50-85% of COVID suspect ( fever, dispnea, cough and combinatiion of symptoms). NEVER HAPPENED with other infective disease. Most are elder with comorbidities but we see also young people without previous illness.

[...]

-the clinical presentation in young and elderly is the same: atypical pneumonia. Some develop ARDS and extreme infiammatory response. 70% recover after 2-3 weeks
-is true that that old people goes worse and people with comorbidity also.
-i have seen many patient hospitalized and not hospitalized with mild form (MOST).

I'm a specialist in family medicine, and have ER experience and primary health care experience from various regions in Spain, and specialized experience (I did heart surgery in Milan, BTW).

I'm also in the front line right now in the primary health care sector (health centers), but we receive updates from our local hospital. I can see how this mess is/was created and you can read my posts by going to my username and checking what I posted in this thread in the past.

One problem that has brought up multiple times in this thread already, is that they're not testing people because they consider the entire population suspect. Those tested are hospitalized patients. The international codes for this COVID-19 are as follows:

B34.2 for both COVID-19 confirmed cases and PROBABLE cases, and Z20.828 for possible cases and contacts of those who were confirmed and/or are probable cases.

We just finally received detailed instructions TODAY as to how to use these codes in our primary health care patients. Before that, a bunch of people got labelled B34.2 when they should have received the second code. It will be taken into account for statistical purposes even though the data is not reliable. And notice how those whose tests were inconclusive (probable cases), still get piled up with the confirmed cases.

I highlighted in your post the problem that seems to be compounding this madness. A lot of people that could be at home with primary health care follow ups are staying in the hospital when they have no criteria of hospitalization. That is a luxury that you can't take in countries like Italy or Spain which has a very elderly population that could go into respiratory failure even with a banal bug. There are a lot of comorbidities in our populations as well.

It's true that the COVID factor is playing a role in atypical pneumonias in younger people that can go into respiratory distress. But I don't see much difference from previous flu seasons where I had to sell an elderly patient to the ICU doctor and the later would say no, so he can keep the beds for the younger population. It is often the case that an elderly patient with multiple diseases just wants to pass away and not be reanimated. The mortality right now still doesn't seem to match the mortality from previous seasons.

Right now, the problem is the hysteria and the directives which are fuelling ALL patients to the hospital (see below). The fact remains, MOST people in the general population will not go into respiratory distress. Perspective should be kept as to not break the hospital system - they're the only ones with ICU beds!

In my regional hospital, there are now 6 COVID confirmed cases. Most of them could be at home, but one woman specifically, demanded to be in the hospital. Her husband died last night and he had COVID. However, he also had a pneumonectomy AND lung cancer. I'm pretty sure he will be labelled COVID death, but he was already dying before COVID. The specialist decided to keep other COVID cases, even though we could have followed them from their homes.

I worked today in the COVID circuit and didn't saw a SINGLE patient. Yesterday I worked in the non respiratory circuit at the health center, and saw only 2 patients. I phoned half a dozen people with the common cold, and none have breathing problems, they're all doing better by the day. Nevertheless, as per protocol and because COVID patients are recovering and then after one week, it hits them again, we're doing follow ups after one week.

Now, before all of this began, I was seeing up to 60 patients with either the flu or the common cold in just ONE morning. It was one patient after the other with respiratory symptoms as you just described. But due to the directives of this emergency, these patients are all going to the ER and/or hospital (instead to primary health care centers) or essentially, staying at home instead. Now I'm seeing none or 2 patients at the most per the entire day. Again, primary health care has been effectively shut down. And we do a very important job in avoiding decompensations that otherwise ends up in the hospital. My patients have stuff like heart failure, cancer, COPD, diabetes, high blood pressure, etc, and they need constant check-ups and follow ups. None of this is being done during the "national emergency". They're waiting at home. If something happens to them that can't be managed by phone, they have to go to the hospital. A good number of my patients have 6 diseases or more in one single body.

If the regional hospital doesn't let go of the MILD cases, they will soon be in very big trouble. I can think easily of 100-300 people in my post which covers 1500 patients (1900 if you count the ones in the elderly residency hospital) that will easily go into respiratory failure or get into trouble if their check-ups are withheld for longer and/or if they catch a cold. And yes, this COVID is highly contagious and has its peculiarities. Fact remains, people have multiple comorbidities and MOST people, specially those without comorbidities, will only have a mild form.

Now, anything that happens to anybody, has to be dealt by the emergency services in the hospital because they can't come to me, nor I can derive them to specialists the usual way. And never mind the people that I was following up every week because they had either anxiety or depression, and I was leaving them homework and listening to their problems as to prevent suicide attempts.

It's like cooking up a storm. They emphasize so much the work of primary health care, but you don't see that in the news these days. They need hospital heroes and stories of how ER staff doesn't have time to eat and how a ICU nurse committed suicide after testing positive for COVID. I have received phone calls from people that I haven't heard of in decades because they are concerned about my welfare, now that I have only seen like 2 patients per day. Whereas before, when I didn't have time to eat nor go to the toilet, or was spending up to 4 consecutive days working non stop (sleeping like 2 hours per night) and even dealing with 4 significant emergencies at the same time, they didn't care for me. Such is life.
 
Things are getting pretty bad in the world now. Sooner or later they will enforce mandatory vaccines for everyone, like they did in China in December 2019.

They're already sneaking legislation past in Australia to do that for health care workers. Currently, health care workers are strongly discouraged from reading alternative information (on the basis that it's 'antivaxx' and therefore against government policy).

The nurses board has said that nurses are entitled to their opinion, they are just not allowed to discuss it! Especially with their colleagues, or on social media. They may end up facing disciplinary action and have their licence to practice removed if they do so.

It's quite a challenge to face removal of one's right to bodily integrity in order to make a living. No doubt this is only the first stage. The rest of the world is next... A crazy situation.


and

Yes, there were quite a few Countries recently where such legislation was pushed through: Denmark, Germany, Romania, etc.
We should probably start a separate page with information in a tabular fashion where the rows can be Countries and the columns can be things such as Mandatory Vaccination, Phone Geo/Data Tracking, and other similar new measures being pushed through.
 
Yes, that's what I meant when I said that Russia has now closed the borders for travel completely, so no international flights anymore, with few exceptions.

Inside the country though, the airlines are still mostly operating as usual, meaning they are not prohibited.

Oh I see. I thought that banning flights meant within Russia as well. So that's good, y'all can still fly.
 
I'm curious, are the doctors using Hydroxychloriquine, which seems to be working very well here in America?
Always interested to get information straight from people on the ground.

The other interesting thing is that in Spain they announced the benefit of this drug from the beginning. And what did they decided? To restrict the prescriptions only for hospital use. Essentially, piling up more of the workload to the hospital setting when the majority of the doctors (those in primary health care) are NOT located. I can't prescribe it any more, only to chronic patients who have lupus or rheumatoid arthritis. So even more work to the ER and those in the hospitals!
 
His aim in this article was to try to figure out WHY there are so much deaths in Italy, subject already much discussed here. He passes in review a part of the reasons already discussed here (but not the fact that there are more elderly nor talking about 5G), and he found quite an interresting reason : a recent vaccination campaign of early 2020 for the meningococci launched following a mini-epidemy of bacterial meningitis, here the traduced quote from the article :

I think we can assume that the elderly were principally the targets (victims) of this vaccination, but it's an hypothesis.

I will put in my two cents on this topic:

Last year (it was about a year ago) my sister was vaccinating CHILDREN. This is Russia (Petersburg), I will remind. I remember that she often complained that 70 children came to them every day for vaccination. You can consider that these are 350 children a week (and only one clinic, and there are dozens of them in the city). This is a real conveyor! She was very tired and worked in this mode (literally for a second you can’t sit down or go to the toilet!) For several months, after which she transferred to administrative work.
Yes, there were children of different ages, from infants to 6-7 years old, different vaccines (not from one disease, I will ask her another time what vaccines they were).
Adults in our country are vaccinated much less often, I don’t remember when the last time I was vaccinated myself (almost 20 years ago!). But children are vaccinated constantly.

And we know that children do not die from a coronovirus (correct me if I made a mistake), but they can be carriers of it.

Conclusions? I don’t know, I'm just an old sick man. (this is not a mockery)
 
I will put in my two cents on this topic:

Last year (it was about a year ago) my sister was vaccinating CHILDREN. This is Russia (Petersburg), I will remind. I remember that she often complained that 70 children came to them every day for vaccination. You can consider that these are 350 children a week (and only one clinic, and there are dozens of them in the city). This is a real conveyor! She was very tired and worked in this mode (literally for a second you can’t sit down or go to the toilet!) For several months, after which she transferred to administrative work.
Yes, there were children of different ages, from infants to 6-7 years old, different vaccines (not from one disease, I will ask her another time what vaccines they were).
Adults in our country are vaccinated much less often, I don’t remember when the last time I was vaccinated myself (almost 20 years ago!). But children are vaccinated constantly.

And we know that children do not die from a coronovirus (correct me if I made a mistake), but they can be carriers of it.

Conclusions? I don’t know, I'm just an old sick man. (this is not a mockery)
 
I have been reading a few individual cases over the last few days and this in particular made me angry... Yup, experienced anger when I read this story.

Excuse the rant... But how can a medic turn up, examine someone who is vomiting, can't breath and is LITERALLY one day away from death's door and say, nah not good enough for the hospital! How?

The medics who turned up must have been SUPER INCOMPETENT at their job. All those supposed years of training and they fail when it counts.... USELESS!

No doubt if it was Prince Charles or they'd been called out to a more affluent neighbourhood in London, the patient would have been taken to hospital to at least get given some level of care to have some sort of fighting chance.

Very sad! Can't imagine what the husband is going through... to not even have his wife taken to hospital... Not even that! Bloody hell...

NOT A PRIORITY'
Mr Williams, 49, said: “I called 999 because my wife was breathless, she was vomiting and she had pains in her stomach.

"As I was talking to them she was getting worse and they told me to put her on the floor and to make her body flat."


A paramedic who arrived tested Kayla and told him "the hospital won’t take her, she is not a priority".

But Kayla deteriorated the following day and Mr Williams found her dead in the front room.


He had earlier helped her to get dressed and had fed her some soup before finding her face down and slumped over in the front room.

Mr Williams added: “She was already dead.

“I put her on the ground – because that is what they had told me to do before – and I rang 999 again and they told me to put my hand on her chest and pump her chest.”

Paramedics who arrived a short time later battled in vain to resuscitate her.

 
Actual protocol for COVID is hydroxychloroquine + anti retroviral (already used for HIV) depending on concurrent therapy. Or hdroxychloroquine + azitromicine
For severe patients we use anti IL 6 (tocilzumab) because this virus induce an extreme infiammatory response in some patients (why don understand why). No vit C in our hospital or supplment.
We don t know how many strains. But in some area are concentrated most of cases and most of deadly case.
Probably in these area there are o more virulent type. And the gravity of case depends also on viral load because most of colleagues death or in ICU have been dealing with severe cases.

Another you can try that just might work is piperacillin/tazobactam. I have personal experience with this one and believe that it cured a case of CorVir with some extreme "extra" effects.
 
on YT, channel of Dr. Bodo Schiffmann.
around min 4:45 he explains the way they count now.

Ok. So "Swiss Propaganda Research" refers to an interview by ntv with Prof. Wieler (the head of RKI) on March 20, 2020.

Published: 24 March 2020 (LR)
The President of the German Robert Koch Institute confirmed on 20 March 2020 that test-positive deaths are counted as "corona deaths" regardless of the actual cause of death: "In Germany, a corona death is someone in whom a corona virus infection has been detected," said the RKI President in response to a question from a journalist.

According to experts, this puts the number of deaths into perspective, as in very many cases patients die from their previous illnesses and not from the virus. Data from Italy show that more than 99% of the deceased had one or more chronic pre-existing conditions, including cancer and heart problems, and in only 12% of cases is the coronavirus mentioned on the death certificate as a cofactor.

A look at the statistics of test-positive deaths in Germany shows that the median age of the deceased is over 80 years, similar to Italy, and that in most cases one or more serious pre-existing conditions were present. The so-called excess mortality due to Covid-19 is therefore likely to be at or near zero in Germany, similar to other European countries to date.
Translated with www.DeepL.com/Translator (free version)

Sadly the SPR site doesn't offer any link to the interview.
 
[
Do you think it may be a correlation between the coronavirus contagions in northern Italy and the vaccine campaigns promoted in those regions before the very outbreak in the region? Please see Niall's comment i've posted above.
[/QUOTE]

I don t have the demographic data on vaccination in these area/rest of italy. But vaccine campaign are managed by regions so for all people in the Lombardia region i do not expect a large variability of vaccination. Instead we recorded in different area of the same region different spreading and mortality rate. I am talking about Bergamo / Brescia in particular.. It's actually inexplainable that peak of cases. It's true that in these area there are more elder people but have died many people in 50-60years. In some town area dead more in people in 2 weeks that in one year.

The mortality rate is more explainaible: in these area the health system have collapsed with these numbers of cases: so ICU full, hospital beds full and the doctor/health personal went exausted. So the health assistance lowered. Ad example many people died at home because the ambulance refused to recover in Hospital the too severe cases (which died at home soon after) and all of mild cases (some of which suddenly worsened at home with out medical assistence).

So the mortality rate is high due to statistical bias (too mild understimated case escaped from the screening) and because in some area the health system collapsed.
But the main core problem - which i want to emphasize - is the huge number of cases of a virus infection in a restricted time frame.
Probably the real cases in Italy are 10 times, so we are talking of 1 miln people with the same virus in the same time (3-4 weeks).
This never happened before.
And it's true that most have mild symptoms but we have been found pneumoniae atypical also in people which undergone CT thorax for other reasons and were found covid+ after.. Also this is very unusual
 

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