I am a doctor ER and here's why you should fear Covid

This emergency medicine doctor is involved with the recent decree of the President.


In the light of President Trump Tweeting "do not be afraid of Covid" while with hospitalized with Covid, we asked doctors what they did in the commander's opinion. Read it to see how Darren P. Mareiniss, MD, Facece, reacted and ensure your health and health of others, do not miss theseWithout signs that you have already had coronavirus.

It's a dangerous message of public health

I am a medical medicine who both has treated many coovidian patients and has been hospitalized with the disease. The current Covid-19 pandemic has been a worst scenario of physicians and public health officials. It is a highly transmissible virus with significant mortality. In addition, it is actively propagated while patients are asymptomatic.

Currently, we have limited medicines to treat infected patients. Coldesivir is an intravenous anti-viral agent that has been demonstrated to significantly reduce the duration of the disease. In addition, dexamethasone appears to have a mortality delivery for ventilated covidant patients. To date, more than 7 million Americans have been infected and more than 200,000 died. The United States has the greatest number of infections and deaths from any country in the world.

In the light of our limited tools to fight against the virus and the current lack of a vaccine, we have urged the public at the socially distance, to carry masks and to perform hands hygiene to limit the spread of the disease. This is important because the American health system simply does not have enough resources (such as fans, ICU beds and non-invasive ventilation hardware) to take care of massive volumes of patients if the propagation of the virus N ' is not verified.

A recent study inNature has shown that such restrictions have prevented millions of infections in the United States, a Markel et al study. in theAMERICAN MEDICAL ASSOCIATION JOURNAL In 2007, previously showed that non-quantitative interventions as social distancing and school closures decreased significantly from mortality rates in 1918 at the Great Influenza Pandemic. Cities that delayed by adopting these social distancing interventions had considerably increased diseases and mortality rates compared to more proactive cities.

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Mixed messages have aggravated things

During the COVID-19 pandemic, efforts to limit the spread of the virus have been hampered by an administration that has provided mixed messages, has minimized the dangers of the virus and did not fully support health measures. public. The CDC has been limited in its ability to communicate important public health interventions and reopening advice.

Recently, the President has been infected by Covid-19 and although we did not know much of his clinical condition, we know he was admitted to the National Military Medical Center of Walter Reed on Friday and wasTreated with several drugs including remesivir, dexamethasone and a mixture of experimental antibodies byRegenerate. This medicine cocktail is not a standard processing regime.

With regard to remesivir, this medicine is generally used only for hypoxic covidant patients and require additional oxygen. There is a limited medication offer and my hospital specifically attributes it. The anti-viral drug acts to inhibit viral replication and may have benefited the president by preventing the progress of the course of the disease.

If he was really symptomatic only on Thursday, he would have received the drug on the second day symptoms. This early intervention could speed up the president's recovery. With regard to dexamethasone, it is given to intubated covidant patients or requiring additional oxygen.

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We need to be properly fearful of this virus

Today, the president tweeted that he would leave Walter Reed at 18:30. He said he was "feeling really good! Do not be afraid of Covid. Do not let him dominate your life. We developed, under the Trump administration, very big drugs and knowledge. I feel better. I'm doing 20 years ago! "

These chair's statements are extremely troubling from the point of view of public health. As an emergency medicine doctor who was admitted to the ICU with COVID pneumonia and treated dying patients with the disease, I disagree with the message.We need to be properly fearful of this virus and respect the damage caused.

The President's statement is essentially a messaging to the public that they should not be afraid and modify their lives because of the virus, that is, they should not observe the social and non-pharmaceutical interventions we need to prevent propagation, deception and additional constraint. Limited hospital resources. This is exactly the opposite of what the public must understand.Winter arrives and is therefore the second wave of the disease. In the 1918 pandemic, the winter wave was the most destructive and murderer. Now more than ever, we need people to follow guidelines for social distancing,mask and washing by hand. Otherwise, we can have a massive push of illness and death in the coming winter months.

As far as the president itself is concerned, it is always infected and if it will come back to the White House, it should be quarantining staff members and family members to avoid spreading. It is unclear whether it will pursue a five-day Coldesivir IV course at the White House (the drug is generally given only in hospitals). Beyond that, if he is always early in his course, his symptoms could worsen. Often, patients can become sick day 5 to 10 symptoms. If the president became a symptom on October 1, his symptoms could still move in next week. Only time will say. As for yourself: go through this pandemic at your healthier, do not miss these35 places you are most likely to catch Covid.


Categories: Health
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