Sunday, March 29, 2020

The next reassessment is April 30th.

"To slow the spread" (click here)

The White House guidelines have to be updated as most children are not in school and many people are home from work.

I don't like the way the president demeans other people that are capable of good work. I don't like it and for that reason, I don't watch the news conferences until the end. I don't like the way he insults people.

As far as the distribution of medical equipment and supplies, there is no reason to suspect there is wrongdoing. The distribution systems in the cities have to catch up with the demand and I am sure that is being evaluated as the demand has picked up. It is one thing to deliver much-needed equipment and supplies by tractor-trailer to a warehouse it is another thing to move them to the hospitals. Even the hospitals aren't ready to receive all these supplies. The distribution doesn't happen overnight.

I can only imagine the warehouse manager that has the street lined up with ten tractor-trailers and having to make room for the supplies. So, while the supplies are making it to the cities it is not necessarily making it to the hospitals in an expedited manner.

This entire paradigm is a difficult lift, but, I think the country is getting there. These issues need to be solved but it takes patience and not name-calling.

Pulmocort and Bacrtrim

I have no idea what the treatment protocol is for COVID-19, but, I was looking at a scan posted online in a news article. It was a 3-D image of the lungs that rotated. The shaded areas were active virus and lung inflammation. Now, while something needs to be decided about ending the virility of the virus, there is something that can be done about the inflammation. I am thinking of the people in critical care and those not in critical care but in hospital beds and those in some areas of the country on homecare.

Inflammation is a defense mechanism of the lungs. But, in cases of asthma, it can also be part of the problem because the mucous can become thick rather than watery and actually block available lung space. That is why during an asthma attack a person needs to cough and deep breathe, which is counter-intuitive. Not the cough, but, the deep breathing.

If patients, especially those on vents are having inflammation, then they could be experiencing higher than normal antibodies, but, also a higher degree of mucous production. To inject or give intravenously any systemic steroids would in all likelihood suppress the immune response, but, if a critically ill patient is provided nebulizer treatments of medication like Pulmicort it would act in time to reduce the inflammation. In reducing the inflammation a physician could be providing more alveolar space, hence, more oxygen to the body.

My other thought is to have a back up to Zithromax. It is believed that Zithromax and Chloroquine are treatments, but, a patient's reaction to antibiotics may be questionable. I simply thought a back up of a broadspectrum antibiotic that also assists the kidneys and the ear infections these folks complain about would be a good alternative. 

That is my two cents after seeing that video online in a news article.