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

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                                      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

Many uses of Guavas as Cheap Cures vs various diseases

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Rizal Philippines
October 5, 2019

Do you know that Guava that abounds in Philippine is a cheap cure for many diseases:
cancer, diabetes, ending diarrhea, as anti septic, for skin care and many more

Guava leaves as home remedies

Advice to Senior Citizens to avoid SDS while sleeping

Live healthy and long

Rizal Philippines
October 5, 2019


This was sent via messenger by a fellow Senior Citizen and I am sharing this with every one:  especially the Seniors.  who must take the necessary precaution

My name is Alexander, I am a cardiologist and a paramedic. A very important warning for those who wake up at night to go to the bathroom...
You must be careful with the " One-and-a-Half-minute law " that is scientifically proven " by waking up suddenly " to make your physiological needs normally, you hear that someone " was well in health and died suddenly during the night without Reason ". the most likely reason is that when that person woke up to go to the bathroom, she got up from bed in a hurry, right now, the brain needs greater blood flow, for having rested, causing a state of fainting there The stroke happens...
In this case, it is recommended to learn the " One-and-a-Half-minute law " that can " save
When you wake up to go to the bathroom, you must first: " lie down for 30 seconds after waking up " and then " sit in bed for 30 more seconds ", lower your legs quietly and " sit on the End of bed for another 30 seconds " and only then get up to go to the bathroom.
With these steps the chances are gigantic to survive a sudden stroke, regardless of age...
Share with all your family and friends. Remember that you can save yours and the lives of many people sharing this information...

Prevention is better than healing *

Pressure
Arterial

120/80 normal
130/85 normal
(requires control)
140/90 high
150/95 very high

Heartbeat per minute
72 BPM (Default)
60 to 80 BPM (normal)
40 to 180 BPM (abnormal)
-----------------

Temperature
Degrees Celsius
36 'to 36.7'
Temp. Normal
37.3 'to 37.8'
Febrile / attention
37.8 ' above
Fever / severe

-----------------

Compatibility of blood groups

What's your blood type and how common is it?

O+ (1 IN 3)
A+ (1 IN 3)
B+ (1 in cada12)
Ab+ (1 in 29)
O-(1 in cada15)
A-(1 in 16)
B-(1 in 67)
AB-(1 in 167)

Water effect
About the body
We know that water is important but you never knew the right time to drink!

Did you know?
Drinking water in the correct time maximizes the effectiveness of the human body;

1 Glass of water after waking up, helps activate internal organs...

1 Glass of water 30 minutes before meal helps digestion.

1 Glass of water before showering helps lower blood pressure.

1 Glass of water
Before sleeping avoids stroke or heart attack.

' when someone shares something important with you, take advantage of this and share with more people.

I did my part.
Do yours and pass