Coronavirus Covid-19 - opšta tema

[InvisibleLight]

Just now, borris_ said:

 

Ne poznajem kedetin. Ako vam je doktor pripisao nešto njega slušajte. Ministarstvo fr je izdao ovo saopštenje u vezi protiv upalnih lijekova.

Typo, kafetin.

Ok, videcu mu sastav.ne pijem nista nego ako zatreba..

[borris_]

Coronavirus : en cas de fièvre, évitez la prise d'anti-inflammatoires de type ibuprofène ou cortisone

[vememah]

NHS England ramps up Coronavirus testing

I'm an NHS doctor treating coronavirus – you have no idea how bad things could get

If we go the way of Italy, we're going to run out of intensive care beds in two weeks

Anonymous
Thursday 12 March 2020 16:04 

By now, most people have accepted – even the government has accepted – that coronavirus is going to put considerable pressure on our NHS. Yet as an NHS doctor currently caring for coronavirus patients, let me tell you: you have no idea how bad it’s going to get.

Without wanting to sound alarmist, the numbers are inescapable.

One week ago, we had 40 confirmed cases in the UK. We took no specific general measures other than to contain and trace the contact patients had had with others. Yesterday, we had over ten times that number of cases, and still apart from screening intensive care patients, our testing criteria have barely changed. We still aren’t testing community cases that clinically look like coronavirus if they haven’t travelled or had contact with confirmed cases. Hospital cases are only beginning to be tested this week, and only at the discretion of clinicians.

Until now, a suspected case was not allowed to be tested unless they had an obvious link to certain countries or infected patients. I’ve seen at least three people with severe disease who weren’t allowed to be tested, and heard of dozens more. This long-overdue policy change will soon be reflected – possibly as soon as the next 24-48 hours – in a big spike in case numbers.

For an idea of how quickly case numbers can explode, look to Italy. One week after it hit 320 cases, the country reported 2,036; a week later, nearly 10,000; next week that number will likely rise to 50,000 or more. There’s nothing I have seen that tells me the exact same thing isn’t coming for us in the UK. We only have around 4,000 intensive care unit (ICU) beds in England, 80% of which are already full. If we follow the same trajectory as Italy, with 10% of coronavirus patients needing ICU treatment, we will need 200 beds next week, 1,000 the week after. That’s already the entire ICU capacity. Every two days after that, we will need twice the number of beds again.

Then there is the collateral damage coronavirus will create. For while we are obsessively tracking deaths from Covid-19, it’s really the non-virus mortality we should be worried about. For every coronavirus patient in an ICU bed, one non-viral patient – possibly older, possibly with more complex healthcare needs – may be turned away. If you need intensive care and you don’t get it, it’s unlikely you will survive.

Of course, the crisis will not end when the virus does. We have already begun shutting down some outpatient hospital clinics, and I suspect will close all of them to all this week. There is already a huge backlog of non-urgent surgery and cancer care, much of which will be cancelled entirely to cope with coronavirus. The knock-on effect will be felt for years to come.

Unabated, we could see a million coronavirus cases or more in a month’s time. What happens after that, I don’t know. One thing I do know, however, is that the Italian mortality rate seems much higher than China’s (around 7%, versus 4%), a fact mostly explained by how Italian local healthcare has been pushed to breaking point. Reading the accounts of Italian doctors dealing with their outbreak reads like a warzone. Hospitals diverting all clinical staff to the care of ventilated patients. This is not healthcare but “catastrophe medicine”, of the kind one usually encounters on the battlefield; save who can be saved, leave the rest.

China had the capacity to build 2,000-bed hospitals, lock down 750 million people, and fly in thousands of medical staff. Italy, despite having a well-resourced healthcare sector, has been overwhelmed. With 100,000 missing staff, 10,000 missing doctors, 40,000 missing nurses and around £3bn missing from our budget, we have neither Italy’s well-resourced healthcare system nor China’s capacity.

I come from a medical family and in my house, it feels like we are preparing for war. My husband and I have talked about wills; hundreds of healthcare workers have died so far on the frontline of this crisis. However I am young, fit and therefore low-risk – but that isn’t true of all my colleagues, all of whom will be out there, putting their lives on the line for their patients.

There have been plans mooted to recall recently-retired doctors to help shore up frontline services, or to train up final-year medical students. The government proposed both with some fanfare weeks ago – and yet nothing concrete has materialised on either front. The plans surrounding revalidation, supervision, and basic role expectations have simply not been laid out. I asked a medical student about coronavirus preparation today, he had looked at me blankly.

If we are going to be throwing everybody we have at this in two weeks, why aren’t we training them now? We should be throwing every single resource we have at this, immediately. Rishi Sunak promised “unlimited money” to fight the pandemic – and yet we haven’t seen anything. We should be recalling every medic we can find, rapidly training up existing staff and resourcing central hospitals with every scrap of PPE and ventilation equipment we can lay our hands on. Hospital managers should be told to do whatever they have to, and don’t worry about budget constraints or fiscal penalties. The government should be providing the public directly what we need to contain the epidemic: handwashing areas at transit hubs, supplies at foodbanks, mass disinfection of public transport. We are far behind where we need to be, and every second lost will cost lives.

It is not exaggerated – in fact, it is proportionate – to think of this as a war, a national crisis with a huge potential loss of life. Our army is poorly provisioned after years of neglect, our leaders are woefully underprepared. Now is the time the government must step up and truly deliver us the resources we need. No more delay – right now. Countless lives are on the line.

The author is a doctor working in the NHS.

https://www.independent.co.uk/voices/coronavirus-uk-doctor-nhs-hospital-symptoms-italy-china-a9397736.html

 

Edited March 14, 2020 by vememah

[ducca]

a kod nas sada ima neko mišljenje da je paracetamol kao kancerogen [emoji185] i da baš treba da se koristi ibuprofen
to mi rekla jedna obrazovana žena koja ima troje unučića i više im ne daje paracetamol
 
pa jbt, sad budi pametan

Ako se koristi paracetamol tih par dana sad pa ko zna kad, teško da će to izazvati kancer jebemu mater.

[borris_]

Sada pročitah da je nedavno izašla studija u kaliforniji u vezi toga (paracetamol). Ako ga predozirate, može da izazove problem.

[Budja]

11 hours ago, Indy said:

 

 

Zna se od početka da je najviše smrti od Covid-19 od komplikacija (posebno od zapaljenja pluća, koje ne dobija svako ko ima Covid-19.) Štaviše jedan od veoma starih postova na ovoj temi (mislim da ga je prosledio historian) je kineski problem sa Covid-19 statistikama tako i objasnio (inicijalno je procent smrtnosti bio vrlo nizak zato što su mnogi umrli posle infekcije Covid-19 upisani da su umrli od drugih faktora, tipa zapaljenja pluća, kardio-uzroka, itd.)

 

Ne znam da li je Google Translate dovoljno dobar da prevede nijanse, ali prva pomisao mi je bila da su zvaničnici u ITA rešili da skinu sa sebe koliko god mogu odgovornosti minimizovanjem smrti "direktno" od virusa... Što je prilično sholastička distinkcija... Većina ovih ljudi i bi sada bili živi da nije bilo infekcije Covid-19.

 

Gledajuci CNN, bilo je ovako. 20% ima ozbiljne komplikacije, koje ukljucuju pneumoniju. Od ostalih 80%, pola ima pneumoniju ali nije za klinicko lecenje. Dakle, oko 60% zarazenih dobije neki oblik pneumonije, jaci ili blazi. Tako sam ja to shvatio.

[borris_]

«Le traitement d’une fièvre mal tolérée ou de douleurs dans le cadre du COVID19 ou de tout autre virose respiratoire repose sur le paracétamol, sans dépasser la dose de 60 mg/kg/jour et de 3 g par jour» (pour les adultes, NDLR), rappelait le directeur général de la santé, précisant: «évitez toute automédication.»

 

Doza za paracetamol je 60/mg/kg/dan i 3g po danu i nikako više od toga. Preporučuje se za Cov19. I još jednom da ponovim, uvjek pitajte doktora.

Edited March 14, 2020 by borris_

[Tresko]

2 minutes ago, borris_ said:

Sada pročitah da je nedavno izašla studija u kaliforniji u vezi toga (paracetamol). Ako ga predozirate, može da izazove problem.

Ma to je bez veze. I to su dva leka iz različitih grupa. Paracetamol je antipiretik, a Ibuprofen je NSAD (non-steroidal antiinflamatory drug). Jedan služi za obaranje temperature, a drugi protiv bolova i upalnih stanja.

Dugotrajna upotreba i jednog i drugog su naravno štetni kao i svakog drugog leka. Temperatura može da se pusti i ne obara do nekih 38-38,5 posle toga treba da se obara jer u suštini temperatura kao reakcija na virus ili bakteriju jeste odbrambeni mehanizam, ali i predstavlja to da organizam počinje da troši sopstveno tkivo ako dugo traje i visoka je preko ove granice.

[pasha]

Ljudi koji kazu da virus ne ubija direktno u nekim slucajevima mozda govore istinu ali to ne znaci da virus nije uzrok smrti posto obori imuni sistem. Znam da sam cuo da eksperimentisali sa lekovima za HIV. Verovatno virus napada imuni sistem, sto je slicno sa HIV.

 

 

 

 

[InvisibleLight]

4 minutes ago, Budja said:

 

Gledajuci CNN, bilo je ovako. 20% ima ozbiljne komplikacije, koje ukljucuju pneumoniju. Od ostalih 80%, pola ima pneumoniju ali nije za klinicko lecenje. Dakle, oko 60% zarazenih dobije neki oblik pneumonije, jaci ili blazi. Tako sam ja to shvatio.

Doktorka penzos s infektivne govorila da virus zaobilazi gornje resp.puteve, ide direktno na pluca pa retrogradno na grlo koje samo grebucne

I da su u koreji lekari radili ct zarazenim koji nisu imali simptome i da se odmah uoce senke,mikrolezije na plucima koje su nevidljive rtg inace.

[Jumanji]

Koiko znam i dr Nestorovic je pobornik ideje da je paracetamol kancerogen.

#kazemsamo

 

Elem dzabe dreka, frka, panika, deljenje saveta, iskustva ljudi koji su prosli ovaj pakao, dzabe price, upozorenja, prorokoli ponasanja, dzabe sto nema maski i rukavica, kada je gomila ljudi napolju, seta, druzi se, piju kafe, bebe u kolicima, igralista puna, igra se basket, pika fuca, kafici krcati, a dve sam zene videla u Lidlu sa maskama. Ja jedina sa rukavicama, i cura u apoteci, a prosla sam pola grada iz moranja.

 

Kako cemo da se ceskamo...

 

 

[pasha]

Quote

AbbVie has announced plans to evaluate HIV medicine Kaletra / Aluvia (lopinavir / ritonavir) as Covid-19 treatment.

The company entered into partnerships with health authorities and institutions in various countries to investigate the efficacy and antiviral activity of the medication.

Furthermore, the company is aiding in clinical studies and basic research of lopinavir / ritonavir.

It is coordinating with European health authorities, the US Food and Drug Administration, Centers for Disease Control and Prevention, National Institutes of Health and Biomedical Advanced Research and Development Authority.

The company also allied with industry partners and the Innovative Medicines Initiative to research and identify targeted medicines against Covid-19.

https://www.pharmaceutical-technology.com/news/abbvie-hiv-drug-covid-19-treatment/

 

Mislim da i Korejanci ovo ispituju.

 

[InvisibleLight]

Sad ce zvalavi da procita da imamo 59 inficiranih i zato uvodi vanr.stanje i zatvara skole

Edited March 14, 2020 by InvisibleLight

[Lo Zingaro]

2 minutes ago, Jumanji said:

Koiko znam i dr Nestorovic je pobornik ideje da je paracetamol kancerogen.

#kazemsamo

 

Elem dzabe dreka, frka, panika, deljenje saveta, iskustva ljudi koji su prosli ovaj pakao, dzabe price, upozorenja, prorokoli ponasanja, dzabe sto nema maski i rukavica, kada je gomila ljudi napolju, seta, druzi se, piju kafe, bebe u kolicima, igralista puna, igra se basket, pika fuca, kafici krcati, a dve sam zene videla u Lidlu sa maskama. Ja jedina sa rukavicama, i cura u apoteci, a prosla sam pola grada iz moranja.

 

Kako cemo da se ceskamo...

 

 

У парми је прошлу суботу град био крцат људи, кафићи ресторани и сл а већ је била апокалипса. Нема ништа без декрета владе, људи су стока.

[Budja]

8 hours ago, maharaja said:

Praktično su svi univerziteti u UK obustavili nastavu uživo. Mnogi su dobili upustva da se prebace na Zoom uz već postojeći Moodle, kao da možeš tek tako da prilagodiš silabus i plan nastave na online učenje.

 

edit: Inače, Birkbeck mi je jedno od omiljenih mesta, imam baš drage kolege tamo

 

Slicno mom iskustvu od juce.