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re: Coronavirus Disease 2019 (COVID-19) ***W.H.O. DECLARES A GLOBAL PANDEMIC***

Posted on 3/28/20 at 8:59 pm to
Posted by GOP_Tiger
Baton Rouge
Member since Jan 2005
20974 posts
Posted on 3/28/20 at 8:59 pm to
quote:

1) Both of the medicines can rarely cause a heart arrhythmia which can result in death (do no harm part of the Hippocratic Oath). Not to mention 2 Governors are on record apparently forbidding docs from writing for them......which obviously doesn’t help things.

2) Some docs want to have the diagnosis confirmed before giving the medicines (which has been taking a while to get the results back).

Therefore, if docs knew the meds work the benefits would definitely outweigh the risks. If the medicine doesn’t work, in hindsight would it have been worth giving someone a fatal arrhythmia that would have possibly lived without the medicine?


Here's the really tricky ethical part, though: if the drug treatment were to cause some patients to recover who would otherwise die, and if it were also to quickly kill an equal number due to heart arrhythmia, then it would still be worth doing in places such as Lombardy where the ICUs are full and out of ventilators. In such a situation, the treatment would end up saving lives, because those who died would die more quickly and open up vents that could then save other lives.
Posted by tigerskin
Member since Nov 2004
46731 posts
Posted on 3/28/20 at 8:59 pm to
Basically, the QT prolongation is a change you see on EKG that can be caused by the meds. You don’t want that. The risk of that goes up with the risk factors they list.
Posted by Uncle JackD
Member since Nov 2007
59567 posts
Posted on 3/28/20 at 9:00 pm to
quote:

Are you recommending that a 20 year old take the meds at the onset of the disease?
No... But if my son was 20 y/o and started facing China virus symptoms and a single ounce of dyspnea, I’d absolutely want him to be on it. It seems this thing is gong 0-100 overnight In some instances.
Posted by tigerskin
Member since Nov 2004
46731 posts
Posted on 3/28/20 at 9:01 pm to
quote:

Here's the really tricky ethical part, though: if the drug treatment were to cause some patients to recover who would otherwise die, and if it were also to quickly kill an equal number due to heart arrhythmia, then it would still be worth doing in places such as Lombardy where the ICUs are full and out of ventilators. In such a situation, the treatment would end up saving lives, because those who died would die more quickly and open up vents that could then save other lives.


For me, in Lombardy, it would be hard to not be giving that stuff out like candy when they hit the ER and quickly trying to figure out the effects of the treatment.
This post was edited on 3/28/20 at 9:34 pm
Posted by tigerskin
Member since Nov 2004
46731 posts
Posted on 3/28/20 at 9:03 pm to
quote:

No... But if my son was 20 y/o and started facing China virus symptoms and a single ounce of dyspnea, I’d absolutely want him to be on it. It seems this thing is gong 0-100 overnight In some instances.


Understood but unfortunately my guess is the results are going to show that the positive effects (if they occur) are going to be moreso for those given the meds the earliest. I can’t back that guess up right now with facts. We will see.
Posted by Lsut81
Member since Jun 2005
85103 posts
Posted on 3/28/20 at 9:05 pm to
quote:

Basically, the QT prolongation is a change you see on EKG that can be caused by the meds. You don’t want that. The risk of that goes up with the risk factors they list.


Thanks for the explanation...

Speaking of illness, my scratchy throat came back this evening with some sinus drip and now stuffiness in my chest. No cough aside from the drip tickling my throat. However, doctor told me I had bronchitis and ear infection 2 weeks ago that I had gotten over. I know its just allergies, but damn, this whole thing doesn’t make me think twice.
This post was edited on 3/28/20 at 9:05 pm
Posted by Man With A Plan
Member since Nov 2019
899 posts
Posted on 3/28/20 at 9:16 pm to
Is one who gets COVID 19 immune from it or can you get it multiple times?
Posted by Lsut81
Member since Jun 2005
85103 posts
Posted on 3/28/20 at 9:18 pm to
quote:

Is one who gets COVID 19 immune from it or can you get it multiple times?


There have been claims of relapses, but I don’t think there is any hard data to support

When I went, I asked my doc and she said my respiratory issues were upper and that Covid is lower, so no reason to go any further and test. I took it on face. She gave me some antibiotics and called it a day.
Posted by Unknown_Poster
Member since Jun 2013
5758 posts
Posted on 3/28/20 at 9:23 pm to
Still unknown at this time. What is known is that someone who has recovered will have antibodies and there is some success in treating critically ill patients with plasma from those who have recovered.
Posted by Lsut81
Member since Jun 2005
85103 posts
Posted on 3/28/20 at 9:29 pm to
Stolen from the PT, but looks like India has banned the export of the cocktail drugs and its ingredients

quote:

India is one of the largest producers of hydroxychloroquine, with drugmakers Zydus Cadila and IPCA Laboratories among the biggest manufacturers. The country has also banned exports of the active pharmaceutical ingredient in the drug. “We are at the moment ramping up our production of hydroxychloroquine to meet the requirements to about 150m to 200m pills a month”, Zydus Cadila said
Posted by rds dc
Member since Jun 2008
21539 posts
Posted on 3/28/20 at 9:30 pm to
Beach in NE FL closed at the county line

Posted by GOP_Tiger
Baton Rouge
Member since Jan 2005
20974 posts
Posted on 3/28/20 at 9:31 pm to
quote:

Is one who gets COVID 19 immune from it or can you get it multiple times?



I think that the world has now had a grand total of three reports of re-infection. In each case, the likeliest explanation is the the first test was a false positive, and those people really just had the flu, recovered from the flu, and then were later infected with COVID-19.
Posted by Funky Tide 8
Bayou Chico
Member since Feb 2009
56871 posts
Posted on 3/28/20 at 9:41 pm to
quote:

Beach in NE FL closed at the county line


Good gracious, look at all of those people at the fkin beach
Posted by rds dc
Member since Jun 2008
21539 posts
Posted on 3/28/20 at 9:42 pm to
Posted by bayoudude
Member since Dec 2007
25907 posts
Posted on 3/28/20 at 9:49 pm to
You should see the redneck shenanigans going on at the creek by my property. A good ten cars this afternoon and a beer pong game going on down there ??
Posted by AUstar
Member since Dec 2012
19621 posts
Posted on 3/28/20 at 9:56 pm to
quote:

Both of the medicines can rarely cause a heart arrhythmia


TONS of medications out there can lengthen the QT interval. It's a pretty common thing. Most of the time it's ignored unless the person already has heart problems.
Posted by Bullfrog
Running Through the Wet Grass
Member since Jul 2010
61204 posts
Posted on 3/28/20 at 9:58 pm to
WTF is QT?
Posted by AUstar
Member since Dec 2012
19621 posts
Posted on 3/28/20 at 10:00 pm to
quote:

The QT interval is a measurement made on an electrocardiogram used to assess some of the electrical properties of the heart. It is calculated as the time from the start of the Q wave to the end of the T wave, and approximates to the time taken from when the cardiac ventricles start to contract to when they finish


Wikipedia

Basically the interval between Q and T has a normal length of time. Some meds can lengthen that time which could cause cardiac arrest in rare cases.
This post was edited on 3/28/20 at 10:01 pm
Posted by Bullfrog
Running Through the Wet Grass
Member since Jul 2010
61204 posts
Posted on 3/28/20 at 10:03 pm to
Well why TF didn’t you say that?

It’s not like you’re at Morning Report where everyone knows the acronyms.

ETA: Sorry. I didn’t see you were Aubie. I’ll see if we can get everyone to type in crayon.
This post was edited on 3/28/20 at 10:08 pm
Posted by AUstar
Member since Dec 2012
19621 posts
Posted on 3/28/20 at 10:06 pm to
quote:

Well why TF didn’t you say that?



Because I was responding to another guy who already knew what QT was.
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