re: Pretty confident my dad is about to die - The Covid blues

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Many patients opt for the vent even when they swore not to. When push comes to shove they want to be made comfortable. Nothing wrong with that.

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I know of probably 25 men or so that died with COPD. Whether from smoking, black lung, asbestos, etc. Not one of those men were ever placed on a ventilator. They were all on oxygen. A vent is used when your brain doesn't tell you to breathe. So I guess you are saying covid has some special ability to make your brain not tell you to breathe?

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They told me (The Doctor) it was too late to prescribe Ivermectin and he's not going to make it and that we should get a DNR on him because soon his heart is going to give out.

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late to the story here, sorry. This response makes me angry because if it is too late the dammit give it to him. The doctor is the one who has given up not your dad.

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They all had DNRs then. Most probably had experience with intubation. If they were end stage COPD they’ve probably been intubated before. They made a decision not to be intubated and the family had to agree and stick to it. Some family can’t.
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A vent is used when your brain doesn't tell you to breathe.


Not always. Hypercapnea can be a lengthy process. The vent is used to help blow off CO2. CPap maybe tried first.

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Thank you.

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No. You go frick yourself. You know exactly what you have been doing.

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He hasn’t been doing anything. He believes something you don’t believe. That’s it.

Now since we have determined you know what the frick your talking about would you care to discuss some common problems that occur with intubation? Especially intubation in patients with pneumonia?

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Nice. Now people wishing death on me. Real class acts. Go frick yourselves

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You put yourself in that position by making fun of a medication that the OP is wanting to try for his dad. No matter what people have shown you. You demean those people. You make fun of people for using it.

Yet here you are in a thread where the OP is talking about going to war with a hospital for refusing the drug for his father. It's kind of tasteless on your part.

Personally, I don't want you dead. I don't hope for your death. I do think you are a crap DR (if you are).

But isn't warp that you are upset with people wishing for your death over your actions and refusal to use a medication known to saves lives...

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Vents=money.

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When it comes to Covid, vents are a last resort and nothing more. Either it is a life or death decision or the person literally says that they can not do it anymore. Working and struggling to breath just becomes too much for them. I've seen this more times than I want to think about, it is sad and some of it will hang with me forever.

A vent is a 50/50 outcome of surviving and really there is no garauntee of what kind of quality of life you have if you pull through....seen too many strokes...too many people with non-compliant cardboard lungs...too many people who just lose all of their strength from the whole experience and will end up in a nursing home. The vent doesn't cause holes in covid lungs, it is the disease process that does it. Which is why people often need to be put in deep sedation and paralyzed in order to synch with the vent. In order for them to oxygenate and do so in a manner that is sustainable.

The best way to prevent/treat covid is sadly really all on the front end. Getting the vaccine and/or getting infusion therapy if you are unvaccinated are keys. When you get to the ICU and get put on a vent it turns into a waiting game on how your body can fight it off and hopefully you don't get a secondary infection or other complication. We have given ICU patients invectermin because the family wanted it, not because it was going to do anything but more just to comfort them. There really is no harm in doing so but of course it is going to be up to the discretion of the MD. Tocilizumab is really one of the drugs I have seen that can help in the ICU stage of Covid but like with everything the sooner it is used the better.

Not sure what the policy is at the hospital your father is in but where I work it is 20 days from first symptoms and after that 20 days the patient can be moved and can have visitors.

I heard a Dr they other day say they are using too low a dose of steroids. Way too low. And too late.

Yet they are hell bent on doing it the way that want to do it.

If you will recall, they were advising against steroids at all early in the pandemic. Then certain studies showed the clear necessity, so they begrudgingly started giving their micro doses which are not getting the job done.

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Have you seen any patients that have been taking Ivermectin plus Zinc and VitaminD3 as a prophylaxis?

I’m sure those medicines would be included upon admission.

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I know nurses that use Zinc and Vit D3 for prophylaxis which is good, not really much regarding Ivermectin. Infusion therapy is really the thing to do if you are at risk upon diagnosis, some places wait until it is too late to get on that. I have seen rural hospitals/clinics literally do nothing for people, it is sad. Then they come to us and like I said in the ICU I've seen literally everything tried. Hydroxychloriquine, ivermectin, remdisivir, blood transfusions, etc.

Maybe Tocilizumab has the best results that I have seen as a treatment. Ecmo is a possibility that is getting pushed more where I work but ecmo brings its own set of complications because of how invasive it is. Only so many facilities even have the staff to do it in the first place.