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Message
re: Supplemental oxygen? What's the big deal here?
Posted on 10/5/20 at 2:08 pm to LSURussian
Posted on 10/5/20 at 2:08 pm to LSURussian
quote:
Either you're really gullible, ignorant or dishonest. Which is it?
Ignorant and thus I'm deferring to Trump's NIH's indications for the use of dexamethasone in the treatment of COVID. If you think the indication is wrong take it up with them.
Posted on 10/5/20 at 2:17 pm to longwayfromLA
quote:If you're saying the NIH advises prescribing dexamethasone only for the most severe cases of COVID then dishonesty is the correct answer for what you are.
Ignorant and thus I'm deferring to Trump's NIH's indications for the use of dexamethasone in the treatment of COVID.
The NIH website recommends the use of dexameth for all hospitalized COVID patients who use supplemental oxygen.
Since almost all hospitalized COVID patients use supplemental oxygen as a standard course of treatment, then it's not reserved for only "the most severe cases of COVID19."
NIHI Guiddelines
Posted on 10/5/20 at 2:23 pm to longwayfromLA
quote:
What's weird are the folks who believe that simply saying that the very sick man is very sick is somehow an attack. I certainly don't see it that way.
You’re ate up.
Also, dexamethasone at 6mg dosage is indicated for treatment of the following:
quote:
Allergic States
Control of severe or incapacitating allergic conditions intractable to adequate trials of conventional treatment in asthma, atopic dermatitis, contact dermatitis, drug hypersensitivity reactions, perennial or seasonal allergic rhinitis, and serum sickness.
Dermatologic Diseases Bullous dermatitis herpetiformis, exfoliative erythroderma, mycosis fungoides, pemphigus, and severe erythema multiforme (Stevens-Johnson syndrome).
Endocrine Disorders Primary or secondary adrenocortical insufficiency (hydrocortisone or cortisone is the drug of choice; may be used in conjunction with synthetic miner-alocorticoid analogs where applicable;in infancy mineralocorticoid supplementation is of particular importance), congenital adrenal hyperplasia, hypercal-cemia associated with cancer, and nonsuppurative thyroiditis.
Gastrointestinal Diseases To tide the patient over a critical period of the disease in regional enteritis and ulcerative colitis.
Hematologic Disorders Acquired (autoimmune) hemolytic anemia, congenital (erythroid) hypoplastic anemia (Diamond-Blackfan anemia), idiopathic thrombocytopenic purpura in adults, pure red cell aplasia, and selected cases of secondary thrombocytopenia.
Diagnostic testing of adrenocortical hyper-function, trichinosis with neurologic or myocardial involvement, tuberculous meningitis with subarachnoid block or impending block when used with appropriate antituberculous chemotherapy.
Neoplastic Diseases For the palliative management of leukemias and lymphomas.
Nervous System Acute exacerbations of multiple sclerosis, cerebral edema associated with primary or metastatic brain tumor, craniotomy, or head injury.
Ophthalmic Diseases Sympathetic ophthalmia, temporal arteritis, uveitis, and ocular inflammatory conditions unresponsive to topical corticosteroids.
Renal Diseases To induce a diuresis or remission of proteinuria in idiopathic nephrotic syndrome or that due to lupus erythematosus.
Respiratory Diseases Berylliosis, fulminating or disseminated pulmonary tuberculosis when used concurrently with appropriate antituberculous chemotherapy, idiopathic eosinophilic pneumonias, symptomatic sarcoidosis.
Rheumatic Disorders As adjunctive therapy for short-term administration (to tide the patient over an acute episode or exacerbation) in acute gouty arthritis, acute rheumatic carditis, ankylosing spondylitis, psoriatic arthritis, rheumatoid arthritis, including juvenile rheumatoid arthritis (selected cases may require low-dose maintenance therapy). For the treatment of dermatomyositis, polymyositis, and systemic lupus erythematosus.
The Recovery study of dexamethasone in the UK simply had oxygen support as a criteria for entry.
quote:
But, based on these results, guidelines from UK chief medical officers and the National Institutes of Health were quickly updated to recommend the cheap, widely available steroid for treatment of COVID-19 patients requiring ventilation or oxygen, and the drug is now in wide use.
LINK
Posted on 10/5/20 at 3:27 pm to longwayfromLA
quote:
I don't know
I see.
Posted on 10/5/20 at 3:44 pm to IslandBuckeye
quote:
We use it in all Covid cases in hospital to prevent them from getting critical, with great results.
Right.
And he was in the hospital. He is in a high risk age bracket and has a comorbidity.
You wouldn’t advise family to go to the funeral home but you’d tell them to take it seriously. That’s no insult to him.
And most would still make it out ok even in his demographics
This post was edited on 10/5/20 at 3:47 pm
Posted on 10/5/20 at 3:51 pm to longwayfromLA
quote:
Nope. I'm an administrator who has a several docs reporting to me
quote:
My understanding is that this drug can be dangerous for diabetics in particular
At this dose you are off track again.
Please stick to administration. I have enough problems with them at work.
What seems aggressive to you has no bearing in the clinical world.
Posted on 10/5/20 at 5:52 pm to LSURussian
quote:
If you're saying the NIH advises prescribing dexamethasone only for the most severe cases of COVID then dishonesty is the correct answer for what you are.
The NIH website recommends the use of dexameth for all hospitalized COVID patients who use supplemental oxygen.
Since almost all hospitalized COVID patients use supplemental oxygen as a standard course of treatment, then it's not reserved for only "the most severe cases of COVID19."
I see what's going on. You're too stupid to know what the words mean and so you misunderstand and get mad. Let me help you out.
CDC illness severity
quote:
Mild to moderate (mild symptoms up to mild pneumonia): 81%
Severe(dyspnea, hypoxia, or >50% lung involvement on imaging): 14%
Critical (respiratory failure, shock, or multiorgan system dysfunction): 5%
The bolded items are related. If your doctor sees fit to hospitalize you with COVID, it's because you have a severe or critical case of COVID or they think you'll develop one shortly. If you have a moderate, mild, or asymptomatic case you'll be managed at home or not at all. No one ever suggested that Trump had a critical case, but his having been admitted for hypoxia and needing dex as a result is all because he had a CDC defined severe case of COVID.
Posted on 10/5/20 at 5:54 pm to longwayfromLA
Give it up. Sorry he didn’t die and make you radicals happy.
He’s back at the White House. Move on to the next outrage.
He’s back at the White House. Move on to the next outrage.
This post was edited on 10/5/20 at 5:54 pm
Posted on 10/5/20 at 5:54 pm to longwayfromLA
quote:
The bolded items are related. If your doctor sees fit to hospitalize you with COVID, it's because you have a severe or critical case of COVID or they think you'll develop one shortly. If you have a moderate, mild, or asymptomatic case you'll be managed at home or not at all. No one ever suggested that Trump had a critical case, but his having been admitted for hypoxia and needing dex as a result is all because he had a CDC defined severe case of COVID.
That's right and he kicked its arse in 3 days, obviously he has superhuman strength.
Posted on 10/5/20 at 5:56 pm to longwayfromLA
Your doctors must roll their eyes a lot. You’re more stupid than you originally appear.
This post was edited on 10/5/20 at 5:56 pm
Posted on 10/5/20 at 5:59 pm to the808bass
quote:
Also, dexamethasone at 6mg dosage is indicated for treatment of the following:
And severe COVID which is the one we're talking about. I don't think he has any of the rest of those.
Posted on 10/5/20 at 6:00 pm to longwayfromLA
The point, which you’re probably purposefully skipping over, is that dexamethasone is used for non-serious maladies. There’s not some huge risk to prescribing it.
Stop wishcasting. It’s embarrassing.
quote:
severe COVID
Stop wishcasting. It’s embarrassing.
This post was edited on 10/5/20 at 6:01 pm
Posted on 10/5/20 at 6:03 pm to the808bass
He’s probably a lot of fun on the 0T hurricane threads
Posted on 10/5/20 at 6:04 pm to roadGator
quote:
Give it up. Sorry he didn’t die and make you radicals happy.
He’s back at the White House. Move on to the next outrage.
Oy.
you: Why is it a big deal that he's been admitted and is on supplemental oxygen and dex?
me: Because it means he was pretty sick.
you: You're a radical who wants him to die.
Posted on 10/5/20 at 6:05 pm to longwayfromLA
None of your talking points have stuck.
You tried.
You tried.
Posted on 10/5/20 at 6:05 pm to the808bass
quote:
Your doctors must roll their eyes a lot. You’re more stupid than you originally appear.
Weird that. I was thinking the same about you.
Posted on 10/5/20 at 6:08 pm to longwayfromLA
Doctors love me. I don’t say stupid shite when I don’t know what I’m talking about.
Posted on 10/5/20 at 6:11 pm to the808bass
quote:
None of your talking points have stuck.
You tried.
You mean members of a Trump-worshiping Board continue to for some reason be triggered by the suggestion that very sick President was very sick? Seem psychologically important for some folks to believe that Dear Leader is above such human concerns. Fascinating really.
Posted on 10/5/20 at 6:18 pm to LSB
Holy shite, some uneducated people in here.
Posted on 10/5/20 at 6:19 pm to longwayfromLA
What’s the average length of stay in the hospital for a very sick Covid patient? I’ll accept ballpark figures.
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