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Reason: None provided.

Please do exactly this:

  1. Make sure the hospital does not administer Remdesevere. Say she is allergic if you have to on admission. If this has already happened it is important to help her detox in whatever way possible by smuggling in NAC and Ivermectin. They will say no so don't ask. Just find a way.

  2. If she was not hospitalized until after a couple weeks of illness like you posted she is likely already in the pulmonary phase of the illness (10+ days of symptoms) in which case she would not even be a candidate for Remdesevere. That is good news in terms of making sure she isn't poisoned in hospital. Instead they will give her a corticosteroid and blood thinner and supplemental oxygen. This is the correct treatment in the pulmonary phase. Most hospitals are defaulting to Dexamethasone for the steroid and Lovenox injections for the blood thinner.

The Lovenox is fine. Leave that alone. Ask them to switch from Dexamethasone to Methylprednisolone. If they haven't given the steroid yet ask then to administer Methylprednisolone. Dexamethasone and Methylprednisolone are in the same drug class so doctor should not object to the switch. If they refuse it isn't the end of the world but patients are having MUCH better results with the Methylprednisolone so I recommend that you do push for it. There are studies supporting M over D that you can provide if the doctor is very stubborn.

  1. Don't panic if they won't administer Ivermectin. She should have it, yes, and you should get it to her if you can smuggle it in and they won't administer. Ivermectin is effective at every stage of the illness but possibly most important during the viral replication phase early on because we do not have many other drugs effective at preventing viral replication. If she is in the pulmonary phase of illness the most important thing is to manage inflammation and microclotting and there are many drugs that can be helpful for that that don't have the stigma of Ivermectin. Ivermectin is a great anti inflammatory too but if they won't give it to her and you can't get it to her, just make sure she gets the right steroid and focus on working with the doctors on what they ARE willing to do versus battling with them on what they won't do. There just isn't time in this situation so any legal wars won would be won at the potential cost that she isn't treated or is even harmed in the meantime.

  2. Request that she receive recommended doses of every vitamin in the hospital protocol at covid19criticalcare.com/protocols Ask for every other drug in the hospital protocol too. I recommend requesting Ivermectin LAST after all your other requests have been fulfilled. I recommend not mentioning the specific protocol you're using because a doctor who is receptive will recognize the treatments you're requesting and work with you and a doctor who is not receptive may be more inclined to deny you if he or she thinks you're an anti vaxxer. Saving Ivermectin for last gives you a chance to get all the non controversial things taken care of as well as allowing you to gauge the doctor's receptivity to your input.

Vitamins are considered benign treatments so most doctors will not object and most vitamins in the protocol are water soluble so excess consumption will be excreted in waste. If they push back or indicate they won't go as high as recommended dose in protocol, use the water soluble argument and tell them her body will expel what it doesn't need but as a benign treatment it is not appropriate to deny it to a patient in case it will help.

  1. Have whoever is speaking on her behalf make it known that everything in her treatment is being documented by loved ones at home and then follow up with at minimum, twice daily phone calls, one with each shift nurse to confirm what medicines were administered and to track data like D dimer number (healthy people have a number around or below 200. COVID patients are usually between 600-900 on admittance and can go up over 6,000 while in hospital...it goes up faster than it comes down so don't be too scared if there is an initial spike or if it doesn't come down as fast as you'd like), blood oxygen level and liters of oxygen needed. They will not discharge her until she needs 3 liters or less of oxygen.

Speak to doctors as you can get their attn., hopefully once daily, and be prepared with a list of your requests. Doctors need the calls to move quickly. With the doctors it is more important to have daily contact with them in early days of hospitalization to make sure they are ordering the vitamins and meds for her that you're requesting. Read the protocol carefully and track changes to D dimer and oxygenation to ensure she is receiving enough steroid and blood thinner to keep her stable. After 4-5 days if you don't talk to the Dr. daily it is ok as long as nurses are giving you updates and patient is making progress.

Make it clear that the patient is accepting high flow oxygen treatment but is not willing to accept ventilation. Ask the nurses to CLEAN HER CANNULA or OXYGEN FACE MASK at least once daily. When first admitted she may be too weak to complete the task on her own and it is critical that this be done to ensure there are no blockages for oxygen flow. I'm sorry to report this is not happening as a standard of care in hospitals right now and the blockages may very well be contributing to their justifying more invasive measures like ventilation.

  1. Ask the nurses to help her move around as much as possible. She will not want to or feel very able to move and they will not want to be bothered with her but she will lose tremendous muscle mass and delay recovery the longer she is idle. Make sure physical therapists are seeing her daily and incorporating any movements she is able to make even from a lying down position. They should be getting her out of that bed to stand up and then graduate to walking as soon as possible but it may take several days depending on how far the illness progresses

  2. Probably best to prepare yourself for at least 12 days in the hospital. Hopefully she recovers sooner. When you can get food and supplements to her in the hospital or at home, choose walnuts for oxygenation, tangerines for VITAMIN C and a high quality fish oil like Genestra brand. Also NAC and of course Ivermectin. This is not the time for dairy or meat as consuming both can create inflammation in the body. Those treats can be enjoyed again in the future. If you give her Quercetin and Zinc be sure to give the Quercetin at the opposite time of day as the Ivermectin since they may not react well together.

‐--------------------‐----‐-----‐-----------------‐------------------------‐ For future, buy the drugs I mentioned above, no prescription necessary, from buy-pharma.md

Ships from Mumbai and takes 20 days to arrive but may be the difference between hospitalization or home care for future illnesses.

Or if you want to choose another pharmacy, find one here: covid19criticalcare.com/pharmacies

Make sure you have a pulse oximeter waiting at home to monitor her blood oxygenation levels when she returns from the hospital.

Get very familiar with the covid19criticalcare.com website including reading the "Complete guide to the care of the COVID 19 patient" which will go into more detail about the general protocol.

Best wishes on a full and complete recovery!

2 years ago
2 score
Reason: Original

Please do exactly this:

  1. Make sure the hospital does not administer Remdesevere. Say she is allergic if you have to on admission. If this has already happened it is important to help her detox in whatever way possible by snuggling in NAC and Ivermectin. They will say no so don't ask. Just find a way.

  2. If she was not hospitalized until after a couple weeks of illness like you posted she is likely already in the pulmonary phase of the illness (10+ days of symptoms) in which case she would not even be a candidate for Remdesevere. That is good news in terms of making sure she isn't poisoned in hospital. Instead they will give her a corticosteroid and blood thinner and supplemental oxygen. This is the correct treatment in the pulmonary phase. Most hospitals are defaulting to Dexamethasone for the steroid and Lovenox injections for the blood thinner.

The Lovenox is fine. Leave that alone. Ask them to switch from Dexamethasone to Methylprednisolone. If they haven't given the steroid yet ask then to administer Methylprednisolone. Dexamethasone and Methylprednisolone are in the same drug class so doctor should not object to the switch. If they refuse it isn't the end if the world but patients are having MUCH better results with the Methylprednisolone so I recommend that you do push for it. There are studies supporting M over D that you can provide if the doctor is very stubborn.

  1. Don't panic if they won't administer Ivermectin. She should have it, yes, and you should get it to her if you can smuggle it in and they won't administer. Ivermectin is effective at every stage of the illness but possibly most important during the viral replication phase early on because we do not have many other drugs effective at preventing viral replication. If she is in the pulmonary phase of illness the most important thing is to manage inflammation and microclotting and there are many drugs that can be helpful for that that don't have the stigma of Ivermectin. Ivermectin is a great anti inflammatory too but if they won't give it to her and you can't get it to her, just make sure she gets the right steroid and focus on working with the doctors on what they ARE willing to do versus battling with them on what they won't do. There just isn't time in this situation so any legal wars won would be won at the potential cost that she isn't treated or is even harmed in the meantime.

  2. Request that she receive recommended doses of every vitamin in the hospital protocol at covid19criticalcare.com/protocols Ask for every other drug in the hospital protocol too. I recommend requesting Ivermectin LAST after all your other requests have been fulfilled. I recommend not mentioning the specific protocol you're using because a doctor who is receptive will recognize the treatments you're requesting and work with you and a doctor who is not receptive may be more inclined to deny you if he or she thinks you're an anti vaxxer. i Saving Ivermectin for last gives you a chance to get all the non controversial things taken care of as well as allowing you to gauge the doctor's receptivity to your input.

Vitamins are considered benign treatments so most doctors will not object and most vitamins in the protocol are water soluble so excess consumption will be excreted in waste. If they push back or indicate they won't go as high as recommended dose in protocol, use the water soluble argument and tell them her body will expel what it doesn't need but as a benign treatment it is not appropriate to deny it to a patient in case it will help.

  1. Have whoever is speaking on her behalf make it known that everything in her treatment is being documented by loved ones at home and then follow up with at minimum, twice daily phone calls, one with each shift nurse to confirm what medicines were administered and to track data like D dimer number, blood oxygen level and liters of oxygen needed. Speak to doctors as you can get their attn., hopefully once daily, and be prepared with a list of your requests. Doctors need the calls to move quickly. With the doctors it is more important to have daily contact with them in early days of hospitalization to make sure they are ordering the vitamins and meds for her that you're requesting. After 4-5 days if you don't talk to the Dr. daily it is ok as long as nurses are giving you updates and patient is making progress.

Make it clear that the patient is accepting high flow oxygen treatment but is not willing to accept ventilation. Ask the nurses to CLEAN HER CANNULA or OXYGEN FACE MASK at least once daily. When first admitted she may be too weak to complete the task on her own and it is critical that this be done to ensure there are no blockages for oxygen flow. I'm sorry to report this is not happening as a standard of care in hospitals right now and the blockages may very well be contributing to their justifying more invasive measures like ventilation.

  1. Ask the nurses to help her move around as much as possible. She will not want to move and they will not want to be bothered with her but she will lose tremendous muscle mass and delay recovery the longer she is idle. Make sure physical therapists are seeing her daily and incorporating any movements she is able to make even from a lying down position. They should be getting her out of that bed to stand up and then graduate to walking as soon as possible.

  2. Probably best to prepare yourself for at least 12 days in the hospital. Hopefully she recovers sooner. When you can get food and supplements to her in the hospital or at home, choose walnuts for oxygenation, tangerines for VITAMIN C and a high quality fish oil like Genestra brand. Also NAC and of course Ivermectin. This is not the time for dairy or meat as consuming both can create inflammation in the body. Those treats can be enjoyed again in the future. If you give her Quercetin and Zinc be sure to give the Quercetin at the opposite time of day as the Ivermectin since they may not react well together.

‐--------------------‐----‐-----‐-----------------‐------------------------‐ For future, buy the drugs I mentioned above, no prescription necessary, from buy-pharma.md

Ships from Mumbai and takes 20 days to arrive but may be the difference between hospitalization or home care for future illnesses.

Or if you want to choose another pharmacy, find one here: covid19criticalcare.com/pharmacies

Make sure you have a pulse oximeter waiting at home to monitor her blood oxygenation levels when she returns from the hospital.

Get very familiar with the covid19criticalcare.com website including reading the "Complete guide to the care of the COVID 19 patient" which will go into more detail about the general protocol.

Best wishes on a full and complete recovery!

2 years ago
1 score