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Second wave inevitable: The Most useful tips from a doctor treating coronavirus in NYC

Second wave inevitable: The Most useful tips from a doctor treating coronavirus in NYC

My friend is working as a doctor at the frontline fighting against the infectious many-headed monster in a hospital in New York. The following is his advice to everyone.

"Please listen very carefully about what I say and try to let more people know.

I participated in the treatment of dozens of COVID19 patients, here are my personal advice as a friend:

The cure won't be available for the foreseeable future. 

  1. China conducted a double-blind trial on a AIDS med, Lopinavir/ritonavir, but then proved it to be useless on March 18th when the trial was unblinded, thus it is discarded as a treatment.
  2. The prospects for chloroquine (recommended by Trump) are even less promising. Many patients with osteoarthritis/osteodystrophy and Lupus take chloroquine for long periods of time, but no reports are showing such patients are less likely to get infected or become severely ill.
  3. It's worth noting that the United States is working on a new vaccine, mRNA, but the effect is hard to predict.

Even though there is no miracle cure in hospitals, the two magic weapons, oxygen and ventilator, can still save some lives. They are both to make sure the patient get enough oxygen. So even if you get infected, as long as your symptom is mild enough: no shortage of oxygen, it is possible to stay at home self-quarantine and recover. So it is important to monitor the blood oxygen, because there could be cases that some people may function with a low blood oxygen and not have a shortage of breathe until it is already too late. This happens to stronger and healthier people as well. Everyone should get a fingertip pulse oximeter to be sure of what your blood oxygen is, it should be over 95%. 

With so many asymptomatic infections, it's virtually impossible to stamp out the coronavirus in short term. So like the flu, most people might get infected sooner or later in their lifetime, and there's no guarantee that they won't get it again in a few years.

If you have flu-like symptoms in the future, a fever, a dry cough and a sore throat, please treat it as the worst case:  Rest at home and measure your oxygen every four hours. Go to the hospital as long as it is lower than 95%.

Even if you got tested and it is negative, but you do have symptoms, the test could be a false negative, and you should be quarantined with blood oxygen closely monitored. If you have a fever, take Tylenol only by the dose written on the bottle.

In addition, I think there are two things to keep in mind:

First, no need to drink lots of water. This is suggested in-hospital treatment is to minimize the water supply to avoid lung water Pulmonedema, so drink water at home just enough, do not deliberately drink more water than needed. Chicken soup is better than water because your body needs salt.

Second, do not stay in bed with one position for a long time. Getting more sleep and rest is good for recovery, but prolonged bed rest can lead to a pulmonary embolism. Pulmonary embolism, which is treated with injecting blood thinning meds in hospitals, can be avoided by exercising more at home. It is recommended to get up at least every four hours and walk slowly at home for 15 inutes. Also, when lying in bed, move your legs, and change your posture.

Now that the surge and demand for hospital bed is not as severe as before, and the total case is gradually subsiding, we might be able to re-open economy with proper social distancing. As it is now in Washington state, for example, it looks like you can gradually return to work within a week or two while maintaining social distance.

What is certain, however, is that the new coronavirus, a class of respiratory viruses, will return six months later in the fall and winter. So start planning for the second wave in the next six months. I suggest that when this wave is over and things are less expensive in the summer, make sure you have: OXIMETERS (everyone need to learn how to use them on their own), thermometers, Tylenol, canned chicken soup. If your job involves frequent travel or going to a crowded area, get enough face masks, N95 respirators, and goggles, depending on the level of risk. When you get to return to work, save money and set aside in case things get bad. "

Pulse oximeter can be bought for less than $100 at a local pharmacy, but it's said that they are all sold out. Here are some available ready to ship out from Dallas and arrive in 3 days.

Buy a Pulse Oximeter now (FDA510K)

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