I liked this message..makes sense to me

As time passes in a pandemic there’s a greater chance of survival for those getting infected 3 months later like June 2020 than those who got infected 3 months earlier say February 2020. The reason for this is that Doctors and scientists know more about Covid-19 now than 3 months ago and hence are able to treat patients better. I will list *5 important things* that we know now that we didn’t know in February 2020 for your understanding.

1. COVID-19 was initially thought to cause deaths due to *pneumonia- a lung infection*- and so Ventilators were thought to be the best way to treat sick patients who couldn’t breathe. *Now we are realising that the virus 🦠 causes blood clots in the blood vessels of the lungs* and other parts of the body and this causes the reduced oxygenation . Now we know that just providing oxygen by ventilators will not help but we have to prevent and dissolve the micro clots in the lungs. This is why we are using drugs like *Asprin and Heparin ( blood thinners that prevents clotting) as protocol in treatment regimens in June 2020. *

2. Previously patients used to drop dead on the road or even before reaching a hospital due to reduced oxygen in their blood- OXYGEN SATURATION. This was because of *HAPPY HYPOXIA*- where even though the oxygen saturation was gradually reducing the COVID-19 patients did not have symptoms until it became critically less, like sometimes even 70%. **Normally we become breathless if oxygen saturation reduces below 90%. **This breathlessness is not triggered in Covid patients and so we we’re getting the sick patients very late to the hospitals in February 2020. Now since knowing about happy hypoxia we are monitoring oxygen saturation of all covid patients *with a simple home use pulse oxymeter and getting them to hospital if their oxygen saturation drops to 93% or less*. This gives more time for doctors to correct the oxygen deficiency in the blood and a better survival chance in June 2020.

3. We did not have drugs to fight the corona virus 🦠 in February 2020. We were only treating the complications caused by it... hypoxia. Hence most patients became severely infected.
```**Now we have 2 important medicines
FAVIPIRAVIR & REMDESIVIR**```

Which are ANTIVIRALS that can kill the corona virus 🦠. By using these two medicines we can prevent patients from becoming severely infected and therefore cure them BEFORE THEY GO TO HYPOXIA. This knowledge we have in JUNE 2020... not in February 2020.

4. Many Covid-19 patients die not just because of the virus 🦠 but also due the patients own immune system responding In an exaggerated manner called *CYTOKINE STORM*. This stormy strong 💪 immune response not only kills the virus 🦠 but also kills the patients. In February 2020 we didn’t know how to prevent it from happening. Now in June 2020, we know that *easily available medicines called Steroids,* that doctors around the world have been using for almost 80 years *can be used to prevent the cytokine storm in some patients*.

5. Now we also know that people with hypoxia became better just by making them lie down on their belly- known as prone position. Apart from this a few days ago Israeli scientists have discovered that a chemical known as Alpha Defensin produced by the patients White blood cells can cause the micro clots in blood vessels of the lungs and this could possibly be prevented by a drug called Colchicine used over many decades in the treatment of Gout.

So now we know for sure that patients have a better chance at surviving the COVID-19 infection now in June 2020 than in February 2020 for sure. India has not peaked in March or April because of the lockdown. This strategy has postponed the Covid-19 pandemic in INDIA by 3 crucial months that has enabled us to save thousands of lives.

Going forward there’s nothing to panic about Covid-19 if we remember that a person who gets infected later has a better chance at survival than one who got infected early.

Let’s all follow simple precautions like
-6 feet distancing from others
-Wear proper masks
-Work from home whenever possible
-Order delivery and take away of food groceries and vegetables
- Stay at home during lockdown
- Hand 🤚 wash & hygiene

With this we can beat the virus 🦠. If someone tells you every one is going to get infected, tell them that you are willing to wait to be the last person... who knows by then we might even have a VACCINE.
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Ann mark this message contains misinformation
originally written by Ann
目前新冠病毒無標準特效藥,文中提到的藥物各國使用方法與批准狀況不同,部分也仍在臨床試驗階段,以研究是否能有效降低症狀、縮短療程。

7月2日全球新冠肺炎的死亡率約為4.8%,相較於前幾個月仍無顯著下降。

1. 部分確診患者確實出現凝血異常或血栓,一歇醫院也為住院患者提供低劑量抗凝劑,但澳洲心臟研究所的科學家Bob Graham認為,大多數患者仍只對呼吸系統有影響。目前也未有證據證明阿斯匹靈與Heparin等藥物能「預防」輕度患者的凝血異常狀況。

2. Favipiravir尚未被確認能殺死冠狀病毒!Remdesivir則是於5月開始,陸續於美國、日本等國家緊急批准,僅針對「重症患者」使用。

Favipiravir原是日本用於治療流感的藥物,目前僅在俄羅斯、中國和印度批准於治療新冠肺炎,但其減輕症狀的療效仍在試驗階段,美國FDA也未正式批准使用。

美國試驗認為,Remdesivir有助於縮短恢復時間,雖對死亡率影響並不顯著,仍成為美國緊急授權使用的藥物。

3. 目前台灣的臨床指引表示,除非特殊原因,否則勿常規給予全身性皮質類固醇治療。世界衛生組織也建議,新冠肺炎感染初期不要使用類固醇,因為可能會阻礙免疫系統清除體內病毒的能力。

4. 以色列哈達薩大學醫學中心,確實在患者血液濃度中發現Alpha Defensin濃度偏高,但應對的藥物實驗,目前仍在等待批准,才能進行人體臨床測試。

References

Coronavirus affects the blood vessels as well as the lungs. Understanding this may be key to treating it
https://www.abc.net.au/news/health/2020-07-02/coronavirus-covid-19-respiratory-vascular-disease/12410684

Can taking aspirin help prevent covid-19 strokes?
https://www.healthyfood.com/ask-the-experts/can-taking-aspirin-help-prevent-covid-19-strokes/

史丹佛大學醫學院 正進行以Favipiravir治療COVID-19的臨床試驗 Stanford Medicine trial to test favipiravir for treating COVID-19 outpatients
http://med.stanford.edu/news/all-news/2020/06/stanford-medicine-trial-tests-favipiravir-for-covid-19.html

Glenmark:抗病毒藥物Favipiravir在輕度,中度COVID-19病例中顯示出臨床改善
https://www.dnaindia.com/india/report-anti-viral-drug-favipiravir-shows-clinical-improvement-in-mild-moderate-covid-19-cases-glenmark-2828856

新型冠狀病毒(SARS-CoV-2)感染臨床處置暫行指引第七版
https://www.cdc.gov.tw/File/Get/9TbUYJQ4kyiqdSdvqlQPVA

英研究類固醇可救新冠重症 專家:可能是兩面刃
https://www.commonhealth.com.tw/article/article.action?nid=81906

全球單日新增確診突破14萬!22國陷入更嚴重擴散、死亡率居高不下(2020.06.15)
https://heho.com.tw/archives/86976?utm_source=延伸閱讀&utm_medium=heho&utm_campaign=click

COVID-19 Patients Develop Fatal Blood Clots Due to High Alpha Defensin Protein Levels, Find Researchers
https://www.hospimedica.com/covid-19/articles/294783178/covid-19-patients-develop-fatal-blood-clots-due-to-high-alpha-defensin-protein-levels-find-researchers.html

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