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ancianita

(36,031 posts)
Thu Apr 23, 2020, 06:43 PM Apr 2020

This Coronavirus Video Is Worth Your Time and Thought



Drugs For High Altitude Sickness Spread Oxygen To Body Systems Better Than Ventilators

(Headphones recommended, since she speaks softly.)

Given extensive legal disclaimers made here, this is offered for viewers' consideration only. It is not kooky or extremist, since it's given credence by doctors and professional mountaineers.

With an 80% death rate for ventilators, there are doctors (Cameron Kyle Sidell in New York) who say that oxygenation can't work solely through the cv eaten lung tissue. To improve the cells' ability to oxygenate during the pulmonary gas exchange in lungs, oxygenation that can't happen with ravaged lung cells. It's what ventilators that force oxygen input cannot do -- improve cell performance.

There are drugs that can help, though:

acetazolamide, or Diamox
Nifedipine
Dexamethasone
Liquid Oxygen


I've read that dexamethasone is prescribed only for mountain climbers, so I've written that one off.

However, I've used Liquid Oxygen in high altitudes (6,000+ elevation) in NM and CO. It works. The copper in it helps red blood cells bind better with oxygen, which gets delivered to all body systems, unlike the oxygen received only through compromised lungs on ventilators.

imo, it stands to reason that if all systems are better oxygenated, the immunity system and the heart are not as stressed (heart attacks are common when cv hits the lungs) and can do their jobs to fight off cv wherever else it travels in the body (autopsies show COVID-19 virus has been found in all major organs beyond the lungs).

My son was diagnosed with high altitude sickness soon after moving to Silver City, NM, elevation 6,000 ft. His diamox prescription worked.

Mountain climbers on Mt. Everest use these OTC drugs to prepare 2 weeks in advance to help their lungs deliver oxygen better for their highest climbs.

I've just received a double order of LiquidOxygen and Diamox, and will get back with info about their effectiveness if I get cv symptoms here in Florida.

It's a preventive measure that prepares your body to oxygenate better if you feel symptoms.


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MontanaMama

(23,308 posts)
1. I watched the whole video.
Thu Apr 23, 2020, 06:56 PM
Apr 2020

Interesting. My neighbor is an ICU nurse on the Covid-19 floor at our local hospital. I'll ask her about this. Can't hurt. Might help.

Make7

(8,543 posts)
3. Dangerous Ideas?
Thu Apr 23, 2020, 07:42 PM
Apr 2020
...

Dangerous Ideas?

While calling Gattinoni's [Luciano Gattinoni, MD, of the University of Gottingen in Germany] comments reasonable, Luks said he's concerned about other ideas that may appear to be valid but aren't vetted, and that get floated quickly with the amplification of social media.

One example, he says, involves discussion about how COVID-19 pneumonia looks more like high altitude pulmonary edema (HAPE). Luks has spent several weeks taking care of patients with COVID-19 at Harborview Medical Center in Seattle, but one of his long-standing academic interests has been high-altitude medicine and physiology.

One publication that was particularly concerning, he said, discussed the use of medications used to treat HAPE that could be damaging to COVID-19 patients.

"Using acetazolamide or nifedipine for COVID patients is just wrong," Luks said. "First, while there are some similarities between HAPE and COVID ... the mechanisms by which these diseases develop are fundamentally different from each other."

"Nifedipine is used to treat HAPE because it lowers the blood pressure in the lungs, which is responsible for fluid build-up in the lungs," he said. "If you give that medication to someone with lung injury due to COVID-19, that's going to make their oxygenation worse. It's going to mess up the balance between ventilation and perfusion in the lungs."

Acetazolamide can also interfere with ventilation/perfusion matching as well as harming the diaphragm and affecting blood transportation of carbon dioxide, he added.

"We don't want people looking at these diseases as the same thing," Luks said. "We don't want them to be using these medications in the treatment of COVID-19."

...

https://www.medpagetoday.com/infectiousdisease/covid19/86046

The person in that video doesn't need to worry about getting the word out — medical professionals have their own communication channels where they discuss observations, treatments, possibilities, etc. They are gathering information on Covid-19 rapidly and they are sharing ideas with each other to try to get out in front of this.

Doctors, nurses and chemists are all brainstorming to come up with new courses of treatment that might help — they are in a much better position to make judgements as far as the viability of any particular course of treatment. The fact the Covid-19 mimics (in some ways) high altitude pulmonary edema doesn't mean the remedy will be similar.

The unique presentation of low oxygen levels in some Covid-19 cases is disturbing, but I have already seen multiple doctors talking about it — which means there are probably many more looking into it as well.

Medical ideas from some random YouTuber, however well intentioned, is not something that needs to be passed around. If someone has something that they believe needs attention by the medical community, reach out to any medical professionals in your circle of friends and family and pass it on to them and trust that they will get it where it needs to be. Odds are pretty good that they are already discussing it amongst themselves.

ancianita

(36,031 posts)
5. I'm pretty sure that the video was intended to help people prepare their oxygenation levels, not
Thu Apr 23, 2020, 08:07 PM
Apr 2020

be used simultaneously with ventilator treatment. Yep, she's random. Building credentials in a pandemic isn't possible except for doctors, scientists, and politicians. I held back posting this video for two weeks, considering its helpfulness. But when I see people around here talking about using Z-paks for treating COVID-19, I thought, on the scale of relevance, what the hey.

Your points about how this pandemic is being dealt with are welcome.

I hear you about the levels of expertise in conversations across a pandemic. I've read around ten reports on such medical discussions, but nothing from medical journals, yet, and what I could gather is that countries with different protocols might be talking past each other. Doesn't mean there isn't constant study and communication, though.

There's so much direct action needed, reporting on that action and data collection, that analysis time on possible improvements, and national communications about them come through the heads of ICU's. Last night I heard the head of Brooklyn's ICU talk about communicating daily with his cohorts across the country.

I only posted this for further exploration, only as information that laymen could consider. Like I said, I'm my own guinea pig. One thing I'm pretty sure of is that no one's going to hand my oxygenation enhancers to any medical personnel at some hospital that I might end up in.

Thanks for your post.

jimlup

(7,968 posts)
8. That's the opposite of what they need to do according to their hypothesis..
Thu Apr 23, 2020, 09:54 PM
Apr 2020

They are concerned that the problem is the fluid buildup within the lungs. Just forcing O2 in is damaging. Increasing pressure would simply increase the damage. They want to lower the pressure and change the fluid balance.

It is not clear to me as a non-expert which is correct but I would be extremely skeptical until more experts weigh in.

markpkessinger

(8,395 posts)
9. There is a limit to how much you can safely increase the air pressure of a ventilator . . .
Thu Apr 23, 2020, 10:52 PM
Apr 2020

There is a something known as "Ventilator-induced lung injury," which can exacerbate and worsen people who are suffering with Acute Respiratory Distress Syndrome. See https://pulmccm.org/review-articles/ventilator-induced-lung-injury-review-nejm/ .

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