Health and Medicine
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Posts posted by Health and Medicine
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So this thing is crazy infectious
And with 26% of patients requiring ICU treatment... an outbreak would saturate ICU capacity quickly. No wonder they are scrambling to build new facilities.
So many with mild symptoms need oxygen support. Even your best hospitals will be overwhelmed and unable to keep up with the demand. -
29% — that’s the % of the 138 #coronavirus infected patients who are actually infected medical staff in one Wuhan hospital. Almost 1 in 3 patients being hospital healthcare workers is just insane. New case series report in JAMA: https://t.co/j7HPV8j8dp pic.twitter.com/3Hmu3MaE7m
— Eric Feigl-Ding (@DrEricDing) February 7, 2020 -
#HongKong This was allegedly filmed at the Luohu Checkpoint (China side) today. It's packed & people were waiting to enter Hong Kong.
— W. B. Yeats (@WBYeats1865) January 27, 2020
Hundreds of thousands of people will enter Hong Kong from China this week as the Lunar New Year holiday is coming to an end.#WuhanCoronavirus pic.twitter.com/8uMcJ3mTXH -
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Scientists from Caltech created a camera that can take a trillion frames a second and capture “invisible” phenomena like shockwaves.
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Click the cc on the video to read in English
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Live: Chinese officials brief the media on novel coronavirus control
Asymptomatic man infects 14 medics with coronavirus. They are calling him "超级传播者" (Super-spreader), he took more than 15 days to start feeling symptoms, even though he was able to infect the doctors and nurses.
In 12/25/2019 Zhao, 69, was admitted to the Union Hospital of Huazhong University of Science and Technology in Wuhan. He was suffering from pituitary tumors, he didn't have a very good cardiac function, coronary heart disease, sinus bradycardia and other illnesses. He stayed in the hospitals for 12 days for preoperative examination and evaluation (until January 6th).
Before the brain surgery, he had no respiratory symptoms, normal body temperature, normal white blood cell and lymphocyte values. Preoperative x-rays showed he had some shadows on his left rib cage due to a long history of smoking. He was full of gas, good mental state, the doctors didn't have any reason to doubt he had an sort of viral pneumonia.
December 30, 2019 the hospital received an internal notice about cases of pneumonia of unknown causes and January 7th, 2020 the hospital staff started wearing protection clothes.
Zhao's surgery was done January 8th during the morning, it was done successfully and the patient was in stable conditions.
January 9th the hospital was informed that the unknown cause of pneumonia was a virus called coronavirus. But Zhao didn't have any symptom whatsoever.
January 11th Zhao suddenly got fever, but it was extremely difficult to determine the clinical reason since he made an cranial surgery, it could be changes in the body's stress, cerebral vascular irritation, changes in intracranial pressure...
Meanwhile a neurosurgeon issued a lung CT scan, image display showed multiple lung opacities sheet with right pleural effusion, interstitial pneumonia. Significant pulmonary infection performance has emerged. Also, leukocytes increased significantly, elevated neutrophils, lymphocytes low, these changes are not typical virus infection.
Doctor immediately reported the case and specialists did RNA tests confirming the patient got the virus and infected 14 people from the hospital staff. He was classified as "Super Spreader", that's when a person infects a large amount of people. The hospital doesn't know how many people were infected by the patient and the staff since hundreds of patients, medics and students go to that hospital daily and as observed the infected person might take 15 days to feel symptoms, but can infect others even before the symptoms appear.
Source: China Press
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If half your international workers are down with the flu (I'm "just" going off the flu symptoms here)... your company grinds to a halt.
What worries me is that the world's increasingly-interdependent medical goods supply chains operate very leanly and with comparatively lower stockpiles than we used to.
And any given country, the US for example, is less self-sufficient than ever before (in terms of established supply chains currently in use).
So any major disruption in the production and global distribution of medical goods will be very readily felt by hospitals.
And no one is prepared for that with adequate contingencies in place.
Huge amounts of basic medical supplies are manufactured in Asia.
China- masks, PPE, some fluid/ fluid bags, scapals/ instruments, wound dressings, IV machines/ mobile xray/ other machines;
South America- Certain IV fluids, medications, some anti viral/ antibiotic meds;
India- outer protection bag that some IV fluids are packed in
If the supply chain were to be interupted- at any point in the world where medical equipment is produced- that is almost unfathomable.
Germany gets 80% of it's pharmacies from foreign countries, most of it from China and India......
Outsourcing (globalizing) medicine is a disaster recipipe beyond pandemics, when you actively make yourself dependent.
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China's CDC report says Coronavirus "has higher pandemic risk than SARS" | Can be transmitted without symptoms within incubation period [from renowned Harvard scientist Dr. Eric Ding]
About 100,000 people could be infected with the new coronavirus around the world, experts have warned, as the UK government faced calls to reassure people that the NHS is ready to deal with any British cases within days.
In spite of the rigorous containment measures China has taken, its ban on flights and the UK checks on travellers from China at Heathrow, experts say it is only a matter of time until there is a case in the UK, given the ease with which the new coronavirus is now believed to pass from one person to another - possibly transmitted by people with mild or even no symptoms at all.
Secondly, there are reports from China of people who have infected others before they have experienced any symptoms.
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Hong Kong hospital staff to strike on Feb 3 if Hong Kong-China border remains open
Hong Kong hospital staff have issued 5 health demands for the government to meet by Jan 28:
Ban all travellers entering Hong Kong via China
Advise all Hong Kong residents to wear masks
Provide adequate quarantine control and suspend non-emergency services
Investigate cases of escapees
Provide sufficient medical supplies and resources
Deadline for government response: Jan 28
First stage industrial action: Feb 3
Second stage industrial action: Feb 4 - Feb 7
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#China Allegedly during the #WuhanPneumonia outbreak and 20 millions are trapped in lockdown cities, some Chinese decided to make $ by collecting and washing USED face masks and reselling them for profit.
— W. B. Yeats (@WBYeats1865) January 24, 2020
The filming person threatened to call the police.pic.twitter.com/xjPqoKB57M -
Bat soup anyone?
这东西长得像不像死神躺在你碗里?之前看纪录片,蝙蝠生活在山洞里,就地排泄,山洞里积了厚厚一层粪便,粪便里生活着各种恶心的虫子…经历这次事件能让中国人彻底放弃吃野味吗? pic.twitter.com/6mNQmBWCpi
— 陈秋实(陳秋實) (@chenqiushi404) January 22, 2020 -
Look how the Chinese people wait in line sick to get into what appears to be a clinic or hospital
视频来自网络~~武汉已经禁止私家车上路,出租车也要分单双号!请问医生怎么上班?患者怎么就诊?骑共享单车救死扶伤是么? pic.twitter.com/vzwHt5TJhC
— 陈秋实(陳秋實) (@chenqiushi404) January 26, 2020Reuters: Shangai reports first death in Coronavirus-related case on Jan 25 - State Media
Reuters: SHANGHAI REPORTS FIRST DEATH IN CORONAVIRUS-RELATED CASE ON JAN 25 - STATE MEDIA
— Vincent Lee (@Rover829) January 26, 2020Sources in #Wuhan shared the message with me, which allegedly shows that all staff at hospitals are forbidden to discuss about the latest development of #WuhanCoronavirus outbreak with family, relatives and friends through email, phone calls, texts, WeChat, Weibo or e-mail. pic.twitter.com/LD6DVamZvH
— William Yang (@WilliamYang120) January 24, 2020 -
Flu viruses can live on hard surfaces for around 24 to 48 hours in optimal conditions.
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Patient on days 8 and 11 after the onset of illness:
Full report: https://www.nejm.org/doi/full/10.1056/NEJMoa2001017
Heres a normal one for comparison:
Here is one showing pneumonia in the right lung base:
So basically it clogs up the lungs with the dense white stuff
The dense white stuff being fluid, mucus, and other stuff that generally shouldn’t be in your lungs. This is what all cases of pneumonia do, regardless of their origin (viral, bacterial, chemical, etc.) and relative severity.
How might the treatment in a hospital be for this?
They install apparatuses to aid breathing and create an environment in the body that counters inflammation. They basically try to support the bodies immune system as best as possible and try help the patient to breathe as best as possible.
In case of the Virus you need to take additional steps to make it harder for the pathogens to survive which in case of the Corona would be an alkaloid gastrointestinal environment as well as an increased PH value (which is hard to accomplish in a short time period).
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This week, U.K. Health Secretary Matt Hancock pledged that all British newborns will be able to have their genomes sequenced at birth. The babies don't get much of a say, but mums and dads can opt in. By receiving this genetic information, families could get advanced warning of heightened disease risks and plan for personalized treatment.
In the U.S., doctors used Crispr to snip the genes of cancer patients (a first in the country). The technology is quickly advancing: Last month, researchers announced a more precise, flexible version called "prime editing." The new genome-editing tool lets researchers ctrl-alt-delete or ctrl-v DNA with less collateral damage.
Zoom out: It took 13 years and nearly $3 billion to sequence the first genome. Now, a country wants to offer it to all newborns. Gene-editing tech is moving quickly, too.
But...centrally compiling human DNA could be a security risk and a privacy challenge. And some uses of DNA sequencing and Crispr are quite controversial. Get ready for a whole range of new ethical dilemmas.
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"A pack a day keeps lung cancer away" quoted Dr Ian McDonald prominent cancer surgeon. Dr Henry Garland said it was a "harmless pastime". Both men were enlisted by the FDA to do tests on Laetrile (B17) stating "No satisfactory evidence has been produced to indicate any significant cytotoxic effect of Laetrile on the cancer cell". Dr Ian McDonald died when his cigarette set his bed on fire, Dr Garland died of lung cancer.
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@James Thomas Rook Jr. I agree.
This is a silly attempt by those companies to get some free coverage and look "good"..... and they figure it will cost them little.
It could also backfire a little since they are picking a fight with a celebrity who is dead and cannot defend himself.
If we follow this logic then we will start banning President's Day in the US because a US President owned slaves and even had sex with them.
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Information about mineral deficiencies and the easy cure of diabetes male pattern baldness all kinds of other diseases that we all want rid of !!
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For more on the health effects of fasting:
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(Image caption: Hydration sensing neurons (red) and the glial cells (green) in a 🐭 brain. Essentially, when overhydration is detected by glial cells in the brain, the Trpv4 channel triggers the release of taurine, which inhibit hydration sensing neurons)
We are all familiar with the drawbacks of dehydration, but we rarely hear about the harmful effects of overhydration. It is known that excess fluid accumulation can lead to dangerously low sodium levels in the blood or hyponatremia – a life-threatening condition that can result in brain swelling. Similarly, more is known about the mechanisms in the body that detect and drive thirst while little is known about how the brain detects a state of overhydration.
“[Hyponatremia] occurs in common pathological conditions, including brain injury, sepsis, cardiac failure and in the use of drugs, such as MDMA (ecstasy),” says Dr. Charles Bourque, whose team from the Centre for Research in Neuroscience at the Research Institute of the McGill University Health Centre (RI-MUHC) uncovered a 🔑 piece to the puzzle of how our brains detect hyponatremia and regulate overhydration. The new study featured in Cell Reports unearths the fundamental mechanism of how hyponatremia is detected in the brain.
“Our specific data will be important for people studying hydromineral and fluid electrolyte homeostasis, and clinicians who treat patients faced with hyponatremia,” reports Dr. Bourque, who is a scientist in the Brain Repair and Integrative Neuroscience Program (BRAIN) at the RI-MUHC and a professor in McGill’s Department of Neurology. This condition is more common in elderly patients and can cause cognitive problems and seizures in this vulnerable group. While it remains uncertain how hyponatremia develops, a defect in the hydration sensing mechanism of the brain could be the culprit.
No strangers to studying the mechanisms of hydration in the body, Dr. Bourque’s team, located at the Montreal General 🏥, has also made several 🔑 discoveries in the past on how the brain detects and prevents dehydration; how salt intake increases blood pressure; and how the brain’s biological 🕜 stimulates thirst prior to 💤. In this instance, experiments by first study’s author Sorana Ciura, a PhD student in Dr. Bourque’s laboratory, who is now at the Institut Imagine, Hôpital Necker-Enfants Malades in Paris, revealed that the brain’s hydration sensing neurons don’t detect overhydration in the same way that they detect dehydration.
Inhibiting hydration sensing neurons
The new research shows that overhydration activates Trpv4, which is a cellular gatekeeper implicated in maintaining the balance of 💧 in the body. Trpv4 is a calcium channel that can be found in glial cells, which are cells that act to surround hydration sensing neurons.
“Our study shows that it is in fact glial cells that first detect the overhydrated state and then transfer this information to turn off the electrical activity of the [hydration sensing] neurons,” explains Dr. Bourque. The researchers also found that it is the release of the amino acid taurine that acts to inhibit hydration sensing neurons. Essentially, when overhydration is detected by glial cells, the Trpv4 channel triggers the release of taurine, which acts as a trip wire to inhibit hydration sensing neurons.
Hope for patients with hyponatremia
The brain’s ability to detect excess hydration is essential to maintaining fluid balance in the body and preventing conditions like hyponatremia. “Preclinical models of hyponatremia will be used to examine if the mechanism we report is affected in this condition with the long-term objective of designing new treatments or diagnostic tools,” says Dr. Bourque.
“Hyponatremia is common with as many as one-quarter of hospitalized patients suffering from a traumatic brain injury developing the condition,” says Dr. Judith Marcoux, a neurosurgeon at the Montreal General 🏥 of the MUHC, who collaborates with Professor Bourque to define the basis for the emergence of hyponatremia in patients that suffer from a traumatic brain injury (TBI).
“Nothing is really known about the mechanisms that lead to hyponatremia in these patients,” Dr. Marcoux adds. ‘’Hyponatremia can have catastrophic consequences such as causing seizures or leading to a coma, and raised intracranial pressure can cause further damage to the brain, which can lead to a decrease in neurological and functional outcomes for patients. ”
Coronavirus: Almost 1 in 3 patients being hospital healthcare workers is just insane.
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The United States needs to be building new ICU hospital capacity out immediately.
Let's see how fast they are compared to the Chinese new hospital in Wuhan.
I doubt they can be built fast enough though. Sad.