Black People : The Infection That’s Silently Killing Coronavirus Patients - Must Read

OldSoul

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The Infection That’s Silently Killing Coronavirus Patients
April 20, 2020
By Dr Richard Levitan, an emergency doctor​
I have been practicing emergency medicine for 30 years. In 1994 I invented an imaging system for teaching intubation, the procedure of inserting breathing tubes. This led me to perform research into this procedure, and subsequently teach airway procedure courses to physicians worldwide for the last two decades.​
So at the end of March, as a crush of Covid-19 patients began overwhelming hospitals in New York City, I volunteered to spend 10 days at Bellevue, helping at the hospital where I trained. Over those days, I realized that we are not detecting the deadly pneumonia the virus causes early enough and that we could be doing more to keep patients off ventilators — and alive.
On the long drive to New York from my home in New Hampshire, I called my friend Nick Caputo, an emergency physician in the Bronx, who was already in the thick of it. I wanted to know what I was facing, how to stay safe and about his insights into airway management with this disease. “Rich,” he said, “it’s like nothing I’ve ever seen before.”
He was right. Pneumonia caused by the coronavirus has had a stunning impact on the city’s hospital system. Normally an E.R. has a mix of patients with conditions ranging from the serious, such as heart attacks, strokes and traumatic injuries, to the nonlife-threatening, such as minor lacerations, intoxication, orthopedic injuries and migraine headaches.
During my recent time at Bellevue, though, almost all the E.R. patients had Covid pneumonia. Within the first hour of my first shift I inserted breathing tubes into two patients.
Even patients without respiratory complaints had Covid pneumonia. The patient stabbed in the shoulder, whom we X-rayed because we worried he had a collapsed lung, actually had Covid pneumonia. In patients on whom we did CT scans because they were injured in falls, we coincidentally found Covid pneumonia. Elderly patients who had passed out for unknown reasons and a number of diabetic patients were found to have it.
And here is what really surprised us: These patients did not report any sensation of breathing problems, even though their chest X-rays showed diffuse pneumonia and their oxygen was below normal. How could this be?
We are just beginning to recognize that Covid pneumonia initially causes a form of oxygen deprivation we call “silent hypoxia” — “silent” because of its insidious, hard-to-detect nature.
Pneumonia is an infection of the lungs in which the air sacs fill with fluid or pus. Normally, patients develop chest discomfort, pain with breathing and other breathing problems. But when Covid pneumonia first strikes, patients don’t feel short of breath, even as their oxygen levels fall. And by the time they do, they have alarmingly low oxygen levels and moderate-to-severe pneumonia (as seen on chest X-rays). Normal oxygen saturation for most persons at sea level is 94 percent to 100 percent; Covid pneumonia patients I saw had oxygen saturations as low as 50 percent.
To my amazement, most patients I saw said they had been sick for a week or so with fever, cough, upset stomach and fatigue, but they only became short of breath the day they came to the hospital. Their pneumonia had clearly been going on for days, but by the time they felt they had to go to the hospital, they were often already in critical condition.
In emergency departments we insert breathing tubes in critically ill patients for a variety of reasons. In my 30 years of practice, however, most patients requiring emergency intubation are in shock, have altered mental status or are grunting to breathe. Patients requiring intubation because of acute hypoxia are often unconscious or using every muscle they can to take a breath. They are in extreme duress. Covid pneumonia cases are very different.
A vast majority of Covid pneumonia patients I met had remarkably low oxygen saturations at triage — seemingly incompatible with life — but they were using their cellphones as we put them on monitors. Although breathing fast, they had relatively minimal apparent distress, despite dangerously low oxygen levels and terrible pneumonia on chest X-rays.
We are only just beginning to understand why this is so. The coronavirus attacks lung cells that make surfactant. This substance helps the air sacs in the lungs stay open between breaths and is critical to normal lung function. As the inflammation from Covid pneumonia starts, it causes the air sacs to collapse, and oxygen levels fall. Yet the lungs initially remain “compliant,” not yet stiff or heavy with fluid. This means patients can still expel carbon dioxide — and without a buildup of carbon dioxide, patients do not feel short of breath.
Patients compensate for the low oxygen in their blood by breathing faster and deeper — and this happens without their realizing it. This silent hypoxia, and the patient’s physiological response to it, causes even more inflammation and more air sacs to collapse, and the pneumonia worsens until oxygen levels plummet. In effect, patients are injuring their own lungs by breathing harder and harder. Twenty percent of Covid pneumonia patients then go on to a second and deadlier phase of lung injury. Fluid builds up and the lungs become stiff, carbon dioxide rises, and patients develop acute respiratory failure.
The rest: (pdf download) https://whgbetc.com/infection-coronavirus.pdf


 

OldSoul

Permanent Black Man
PREMIUM MEMBER
May 16, 2002
2,195
1,115
Bronzeville USA
www.BLACKLAND.ORG
Occupation
Staying Alive
A little more:
...Silent hypoxia progressing rapidly to respiratory failure explains cases of Covid-19 patients dying suddenly after not feeling short of breath. (It appears that most Covid-19 patients experience relatively mild symptoms and get over the illness in a week or two without treatment.) A major reason this pandemic is straining our health system is the alarming severity of lung injury patients have when they arrive in emergency rooms. Covid-19 overwhelmingly kills through the lungs. And because so many patients are not going to the hospital until their pneumonia is already well advanced, many wind up on ventilators, causing shortages of the machines. And once on ventilators, many die. Avoiding the use of a ventilator is a huge win for both patient and the health care system. The resources needed for patients on ventilators are staggering. Vented patients require multiple sedatives so that they don’t buck the vent or accidentally remove their breathing tubes; they need intravenous and arterial lines, IV medicines and IV pumps. In addition to a tube in the trachea, they have tubes in their stomach and bladder. Teams of people are required to move each patient, turning them on their stomach and then their back, twice a day to improve lung function. There is a way we could identify more patients who have Covid pneumonia sooner and treat them more effectively — and it would not require waiting for a coronavirus test at a hospital or doctor’s office. It requires detecting silent hypoxia early through a common medical device that can be purchased without a prescription at most pharmacies: a pulse oximeter. Pulse oximetry is no more complicated than using a thermometer. These small devices turn on with one button and are placed on a fingertip. In a few seconds, two numbers are displayed: oxygen saturation and pulse rate. Pulse oximeters are extremely reliable in detecting oxygenation problems and elevated heart rates.
The rest: (pdf download) https://whgbetc.com/infection-coronavirus.pdf
 

Orisons

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Jan 14, 2005
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London in the United Kingdom
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QUOTE="OldSoul, post: 1030979, member: 765"]
merlin_171602058_32b3ae67-634b-4884-a430-7f4b7cee51e4-jumbo.jpg


The Infection That’s Silently Killing Coronavirus Patients
April 20, 2020
By Dr Richard Levitan, an emergency doctor
I have been practicing emergency medicine for 30 years. In 1994 I invented an imaging system for teaching intubation, the procedure of inserting breathing tubes. This led me to perform research into this procedure, and subsequently teach airway procedure courses to physicians worldwide for the last two decades.

So at the end of March, as a crush of Covid-19 patients began overwhelming hospitals in New York City, I volunteered to spend 10 days at Bellevue, helping at the hospital where I trained. Over those days, I realized that we are not detecting the deadly pneumonia the virus causes early enough and that we could be doing more to keep patients off ventilators — and alive.

On the long drive to New York from my home in New Hampshire, I called my friend Nick Caputo, an emergency physician in the Bronx, who was already in the thick of it. I wanted to know what I was facing, how to stay safe and about his insights into airway management with this disease. “Rich,” he said, “it’s like nothing I’ve ever seen before.”

He was right. Pneumonia caused by the coronavirus has had a stunning impact on the city’s hospital system. Normally an E.R. has a mix of patients with conditions ranging from the serious, such as heart attacks, strokes and traumatic injuries, to the nonlife-threatening, such as minor lacerations, intoxication, orthopedic injuries and migraine headaches.

During my recent time at Bellevue, though, almost all the E.R. patients had Covid pneumonia. Within the first hour of my first shift I inserted breathing tubes into two patients.

Even patients without respiratory complaints had Covid pneumonia. The patient stabbed in the shoulder, whom we X-rayed because we worried he had a collapsed lung, actually had Covid pneumonia. In patients on whom we did CT scans because they were injured in falls, we coincidentally found Covid pneumonia. Elderly patients who had passed out for unknown reasons and a number of diabetic patients were found to have it.

And here is what really surprised us: These patients did not report any sensation of breathing problems, even though their chest X-rays showed diffuse pneumonia and their oxygen was below normal. How could this be?

We are just beginning to recognize that Covid pneumonia initially causes a form of oxygen deprivation we call “silent hypoxia” — “silent” because of its insidious, hard-to-detect nature.

Pneumonia is an infection of the lungs in which the air sacs fill with fluid or pus. Normally, patients develop chest discomfort, pain with breathing and other breathing problems. But when Covid pneumonia first strikes, patients don’t feel short of breath, even as their oxygen levels fall. And by the time they do, they have alarmingly low oxygen levels and moderate-to-severe pneumonia (as seen on chest X-rays). Normal oxygen saturation for most persons at sea level is 94 percent to 100 percent; Covid pneumonia patients I saw had oxygen saturations as low as 50 percent.

To my amazement, most patients I saw said they had been sick for a week or so with fever, cough, upset stomach and fatigue, but they only became short of breath the day they came to the hospital. Their pneumonia had clearly been going on for days, but by the time they felt they had to go to the hospital, they were often already in critical condition.

In emergency departments we insert breathing tubes in critically ill patients for a variety of reasons. In my 30 years of practice, however, most patients requiring emergency intubation are in shock, have altered mental status or are grunting to breathe. Patients requiring intubation because of acute hypoxia are often unconscious or using every muscle they can to take a breath. They are in extreme duress. Covid pneumonia cases are very different.

A vast majority of Covid pneumonia patients I met had remarkably low oxygen saturations at triage — seemingly incompatible with life — but they were using their cellphones as we put them on monitors. Although breathing fast, they had relatively minimal apparent distress, despite dangerously low oxygen levels and terrible pneumonia on chest X-rays.

We are only just beginning to understand why this is so. The coronavirus attacks lung cells that make surfactant. This substance helps the air sacs in the lungs stay open between breaths and is critical to normal lung function. As the inflammation from Covid pneumonia starts, it causes the air sacs to collapse, and oxygen levels fall. Yet the lungs initially remain “compliant,” not yet stiff or heavy with fluid. This means patients can still expel carbon dioxide — and without a buildup of carbon dioxide, patients do not feel short of breath.

Patients compensate for the low oxygen in their blood by breathing faster and deeper — and this happens without their realizing it. This silent hypoxia, and the patient’s physiological response to it, causes even more inflammation and more air sacs to collapse, and the pneumonia worsens until oxygen levels plummet.

In effect, patients are injuring their own lungs by breathing harder and harder. Twenty percent of Covid pneumonia patients then go on to a second and deadlier phase of lung injury. Fluid builds up and the lungs become stiff, carbon dioxide rises, and patients develop acute respiratory failure.

The rest: (pdf download) https://whgbetc.com/infection-coronavirus.pdf
[/QUOTE
Are YOU going to address/answer this post below, or not as hasn't Senegal provided an easily doable cost-effective template for ending the worldwide lockdown without EVERYONE being vaccinated?

PEOPLE, isn't DO FOR SELF the obvious way FORWARD in the 21st century as highlighted by the manner in which a Senegalese Research facility in Dakar has come up with a Corona-virus testing kit that costs less than $1.00 US?

They are systematically testing ALL of Senegal 16 million inhabitants to make absolutely sure that their country is not going to have a serious problem with the Corona-virus, while also producing millions more testing kits for other African countries to utililize.


Isn’t ANYONE who genuinely believes they are not programmed
graphically illustrating that their programming is COMPLETE?

 

Orisons

Well-Known Member
REGISTERED MEMBER
Jan 14, 2005
2,993
496
London in the United Kingdom
Occupation
Mechanical Designer/Project Manager
PEOPLE, isn’t Khristopher J. Brooks article highlighting that the consistent systematic blocking and outright destruction of African American economic development within the USA has been and still is curtailing economic growth which has been and is still doing damage to the USA’s balance sheet?

Undeniably, this is standard PALEFACE behaviour as highlighted by the wholesale slaughter of the USA’s buffalo to undermine the ease with which Native Americans could survive as don’t whites consciously prefer to be supreme, captains of even a crippled, sinking ship as opposed to being equal citizens on ship based on a real DEMOCRACY for all of the people by the people as opposed to the SHAMOCRACY currently in place in the USA, UK and many other countries?

PEOPLE, isn't the most challenging thing about adult relationships, friendships, generally, specifically re political discussions and debates sometimes simply having to agree to disagree; because I NOW get Donald Trump in that he has at least 10 faces ranging from the one that a rabid White Supremacist RACIST to the one a decent Black family man like Herschell Walker wants to SEE, isn't the big question, which one is the real Donald Trump [hopefully he KNOWS because we don't, truly don't have a CLUE]?

Right now I have several black friends [especially 2 Ghanaians] who genuinely believe that Donald Trump is some sort of Saviour of humanity from the current Luciferian LUNATIC inc’s Zionist Jews Rothschild BANKSTERS coalition with Europe’s feudal nobility’s ongoing focus on enslaving ALL of humanity [ten times more efficiently than the irons utilized on our enslaved African ancestors and their siblings and comrades who were tortured, mutilated and murdered for refusing to BOW/be BROKEN and as the means of traumatizing the rest of us into total subservience, without apology or reparation to date] this time via 2020’s Corona virus PLANDEMIC and their various other population reduction initiatives?

Though I truly don’t agree, doubt that ANYONE can confront and derail this One World Government, Currency and Religion juggernaut [but I would LOVE to be wrong], however as highlighted by Donald Trump okaying Jerusalem becoming Israel’s capital and the Cares Act HR748 bailout of corporate USA I’m not convinced of his ‘Saviour” status; but didn’t HELLery Clinton very publicly expose the Democrats dark side when she was so publicly flippant, laughed about Muammar Gaddafi’s murder [whereas at least Barack Obama hadn’t been briefed was obviously shocked by David Cameron’s “No Fly zone” announcement or of Goldman Sachs utilizing £1000 million Libya gave them to invest {crashed was only worth £10 million in January 2011} to bribe Zuma, Goodluck and co, pay for the NATO bombardment and still make £100 million profit]?

Though Donald Trump comes across as overly egotistical, self-centered, and serving if he truly is clearing the swamp of high profile paedophile perverted deviant infestation within the current POWER ELITE along with frustrating their One World Government, everyone enslaved agenda would explain why both mass and social media are so constantly on his case; in that doesn’t the USA’s electorate consistently have to choose between staying in the frying pan or jumping in the fire, I [am glad I didn’t move to the USA] truly don’t know which one I’d vote for, and if you really think about it, neither do any of you, do YOU?


Isn’t ANYONE who genuinely believes they are not programmed
graphically illustrating that their programming is COMPLETE?
 

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