Showing posts with label covid19. Show all posts
Showing posts with label covid19. Show all posts

Thursday, November 25, 2021

Philippine positivity rate at 2.5%; is the pandemic over?

Live healthy and long

Is the country ready to declare fire out for Covid19?




The Philippines is currently seeking from the WHO if it can declare Covid19 over in the Philippines. It the positivity  rate  being 2.5% only.   However this post believe this is too early to declare based on a 11 day stats.  

1. Europe is an epicenter nd many Filipinos who live there might come home this Christmas;
2.  Only 40 million of the  110 million Filipinos have been vaccinated.  There is no herd immunity yet.
3.  Such declaration will cause many people to be complacent and infection can spread again  

As per WHO positivity rare should be lower than 5%.   Our positivity rate for the last 10 days is as follows:   

  • November 14 - 3.9%
  • November 15 - 4.1%
  • November 16 - 3.2%
  • November 17 - 3.5%
  • November 18 - 3.4%
  • November 19 - 3.5%
  • November 20 - 3.2%
  • November 21 - 2.8%
  • November 22 - 2.8%
  • November 23 - 2.3%
  • November 24 - 2.5%

Lagundi helps Covid19 patients recover faster - DOST

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According to clinical trials, patients who were on Lagundi protocols recovered faster.  This was according to DOST chief.  Fortunato Lapena. in a Laging Handa forum  They are also conducting tests on VCO.

I for one thing, whenever this post munched a fistful of Lagundi experienced a soothing menthol like effect whenever the leaves juice reach my throat.  Perhaps this effect makes for easier breathing

This is good for many of our citizens who cant afford an expensive Remdi dose which sometimes cost about a P100K in hospitals.  (It is P80K) in black market.   

Thursday, March 25, 2021

Surge in number of cases and infection amidst the family gatherings is very scary

Live healthy and long

Rizal Philippines
3.25.2021





Before, covid19 was just a third party conversation:   the rest of the town, country and most of us are pretty much uninvolved and concerned. 

However things changed much during the 2nd week of March.  Little did we know that we could be involved, or nearly infected   We held a wake for a deceased relative and little did we know that one of the  visitors during the first day of the wake, March 16 (and he too probably) was positive.  Well he knew of that only last Sunday  (March 21, 2021)   Although we did not have first handtier contact with him, we did huddle with the persons with whom he conversed.

So we had to do a lot of contract traicng and advised other relatives and visitors during the wake to 1.  go on self quantine,  2.  undergo antigen or the RT PCR testing.

We had this test yesterday and cost us a hefty sum to have this RT PCR testing.

We ought to be responsible during this pandemic to help prevent the virus spread:

1.  Follow the rules;;
2.  Stay at home
3.  Wear masks and face shield
4.  Be responsible enough not to mingle with others if you feel you have the virus

Friday, April 17, 2020

Covid 19 Management Protocol from East Virginia posted at FB of Dr. Sharif Sultan

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Trending - Thailand Medical News
                                      The new protocol does not support intubation.*

*Results in 100% fatality


It is an oxygenation failure, not a respiratory failure

The paper admonishes vs use of ventilators to prevent mechanical injury.  Let nature  heal the patient, according to their literature


Covid 19 Management Protocol

URGENT! Please circulate as widely as possible. It is crucial that every pulmonologist, every critical care doctor and nurse, every hospital administrator, every public health official receive this information immediately. This is our recommended approach to COVID-19 based on the best (and most recent) available literature including the Shanghai Management Guideline for COVID and recent information from Italy. We should not re-invent the wheel, but learn from the experience of others around the world. It is important to recognize that COVID-19 does not cause “typical ARDS”… this disease must be treated differently and it is likely that mechanical ventilation may be exacerbating this situation by causing ventilator induced lung injury (i.e. the ventilator may cause the disease we think we are treating). Patients suffer from oxygenation failure and not lung failure. Furthermore, this is predominantly an immune and clotting disorder and not a lung disease. This is a very dynamic situation; therefore, we will be updating the guideline as new information emerges. Please check on the EVMS website for updated versions of this protocol. EVMS COVID website: https://www.evms.edu/covid-19/medical_information_resources/ Short url: evms.edu/covidcare



https://www.evms.edu/media/evms_public/departments/internal_medicine/EVMS_Critical_Care_COVID-19_Protocol.pdf?fbclid=IwAR0Ra7gzMrBhtVk7W2GMZjNrdeCGajDByxkw6hSAg5OJo6wTXJpp-qBVw5Y


Intubation is not recommended


Prophylaxis While there is very limited data (and none specific for COVID-19), the following “cocktail” may have a role in the prevention/mitigation of COVID-19 disease. While there is no high level evidence that this cocktail is effective; it is cheap, safe and widely available. • Vitamin C 500 mg BID and Quercetin 250-500 mg BID • Zinc 75-100 mg/day (acetate, gluconate or picolinate). Zinc lozenges are preferred.


 After 1-2 months, reduce the dose to 30-50 mg/day. • Melatonin (slow release): Begin with 0.3mg and increase as tolerated to 1-2 mg at night • Vitamin D3 1000-4000 u/day (optimal dose unknown). Mildly Symptomatic patients (at home): • Vitamin C 500mg BID and Quercetin 250-500 mg BID (if available) • Zinc 75-100 mg/day • Melatonin 6-12 mg at night (the optimal dose is unknown) • Vitamin D3 1000-4000 u/day • Optional: Hydroxychloroquine 400mg BID day 1 followed by 200mg BID for 4 days


Mildly Symptomatic patients (on floor): • Vitamin C 500mg BID and Quercetin 250-500 mg BID (if available) • Zinc 75-100 mg/day • Melatonin 6-12 mg at night (the optimal dose is unknown) • Vitamin D3 1000-4000 u/day • Methylprednisolone 40 mg daily • Enoxaparin 40-60 mg daily • Optional: Hydroxychloroquine 400mg BID day 1 followed by 200mg BID for 4 days • N/C 2L /min if required (max 4 L/min; consider early t/f to ICU for escalation of care). • Avoid Nebulization and Respiratory treatments. Use “Spinhaler” or MDI and spacer if required. • Avoid non-invasive ventilation • T/f EARLY to the ICU for increasing respiratory signs/symptoms