Health, Nutrition and Science Thread
#71
A great video from our Cardiologist from York, UK. 

COVID-19 and ACE inhibitors. 

A lot of people with high blood pressure, diabetes and heart failure take ACE inhibitors. Recently there have been some reports that ACE inhibitors may expose patients to a more severe form of COVID-19 infection. In this video, I share my understanding of this subject.

Some people embraced big pharma to change nature whereas I listened to Jesus and embraced nature to improve the change. The heavenly Father said, "This is my daughter in whom I am well pleased". 18.1.2020. 
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#72
(03-23-2020, 10:34 AM)ELIAKIM Wrote:
(03-23-2020, 10:14 AM)ELIAKIM Wrote:
(03-22-2020, 10:16 PM)ELIAKIM Wrote: Some more digging. 


Finland is a country that boasts over 3 million saunas for some 5.5 million people. Like many Finns, Jari Laukkanen, a medical doctor with the Central Finland Health Care District and cardiovascular researcher with the University of Jyväskylä, has made sauna sessions a daily part of his life. He tries to go once a day, using a sauna inside his home. “Afterwards, it’s like you’re a new person,” he says.

He discovered that research into the medical effects of sauna use is somewhat scant. “There are some old studies on sauna, but they were very small, and from years ago,” says Laukkanen. So Laukkanen decided to conduct a series of studies of his own. He’s now produced several medical studies that dive deep into the relationship between regular sauna use and a variety of health benefits, and experts say his work is contributing to an uptick in interest in saunas from wellness seekers around the world.

Laukkanen and his colleagues found that the more often the men in the study visited the sauna — where they were exposed for a brief period of 20 to 30 minutes to temperatures between 176 to 212 degrees Fahrenheit — and the more time they spent there, the less likely they were to suffer from sudden cardiac death, fatal coronary heart disease, and cardiovascular disease. Men in the study who said they went to the sauna four to seven times a week also had around a 65% lower risk of developing Alzheimer’s and dementia than the men who only went to the sauna once a week.

Doesn't that temperature debunk the debunkers?


Laukkanen’s subsequent studies, including an article published in the journal Mayo Clinic Proceedings, also found that people who visited saunas at least four times a week had a more than 60% lower risk of stroke compared to people who went once a week. Other data he found during his research indicated that sauna use was associated with improved lung function, longer lifespan, and less pain from arthritis and headaches. People who visit saunas also frequently report an endorphin high.

“The really big numbers were unexpected,” says Laukkanen, who emphasized that more studies are needed, including research to determine how long-lasting the positive effects of sauna use are on measurements like blood pressure. But “finally we can say the sauna itself is important.”

https://elemental.medium.com/the-emergin...67534ade3e

There has only been 1 death in Finland from the virus and he was elderly with an existing condition.

https://www.helsinkitimes.fi/finland/new...lands.html


The other country that embrace sauna's for health is SWEDEN.

So I took a look at that and this article says that in 2018, the Swedish government sent a leaflet to it's people telling them to PREP for a crisis.

https://www.politico.eu/article/coronavi...ld-you-so/

Seriously, as this been planned since 2018?

Just another titbit.

"Swedes don’t generally whack themselves with bundles of birch leaves while in the sauna (it’s common practice in Finland and parts of Russia, and supposedly helps to stimulate the pores). There’s nothing to stop you giving it a go if you really fancy it, though."

https://www.routesnorth.com/planning-your-trip/sauna-etiquette-in-sweden/





Clinical Effects of Regular Dry Sauna Bathing: A Systematic Review.


Sauna bathing is a form of whole-body thermotherapy that has been used in various forms (radiant heat, sweat lodges, etc.) for thousands of years in many parts of the world for hygiene, health, social, and spiritual purposes. Modern day sauna use includes traditional Finnish-style sauna, along with Turkish-style Hammam, Russian Banya, and other cultural variations, which can be distinguished by the style of construction, source of heating, and level of humidity. Traditional Finnish saunas are the most studied to date and generally involve short exposures (5−20 minutes) at temperatures of 80°C–100°C with dry air (relative humidity of 10% to 20%) interspersed with periods of increased humidity created by the throwing of water over heated rocks [1]. In the past decade, infrared sauna cabins have become increasingly popular. These saunas use infrared emitters at different wavelengths without water or additional humidity and generally run at lower temperatures (45–60°C) than Finnish saunas with similar exposure times [2]. Both traditional Finnish and infrared sauna bathing can involve rituals of cooling-off periods and rehydration with oral fluids before, during, and/or after sauna bathing.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5941775/





Some people embraced big pharma to change nature whereas I listened to Jesus and embraced nature to improve the change. The heavenly Father said, "This is my daughter in whom I am well pleased". 18.1.2020. 
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#73
Saunas essential for this timeline. 

Some people embraced big pharma to change nature whereas I listened to Jesus and embraced nature to improve the change. The heavenly Father said, "This is my daughter in whom I am well pleased". 18.1.2020. 
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#74
(03-25-2020, 04:55 PM)ELIAKIM Wrote: Saunas essential for this timeline. 

Some people embraced big pharma to change nature whereas I listened to Jesus and embraced nature to improve the change. The heavenly Father said, "This is my daughter in whom I am well pleased". 18.1.2020. 
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#75
Red Eyes have been recognised as a symptom. 

A nurse treating patients with the novel coronavirus says red eyes may be a sign that someone is infected. 
Chelsey Earnest, a worker at the Life Care Center in Kirkland - the epicenter of the outbreak in Washington - told CNN that the eyes were 'the single most important' sign that residents had COVID-19, the disease caused by the virus.
'It's something that I witnessed in all of [the patients],' she said.
'They have, like...allergy eyes. The white part of the eye is not red. It's more like they have red eye shadow on the outside of their eyes.'  


The Centers for Disease Control and Prevention (CDC) doesn't have red eyes - or any eye issues - on its list of symptoms.
What is included are fever, cough and shortness of breath. Persistent pain or pressure in the chest and bluish lips are listed as emergency signs.     
But the American Academy of Ophthalmology sent an alert on Sunday about reports that the virus can cause conjunctivitis, which is inflammation of the membrane that lines the eyelid.  
Earnest said patients at Life Care Center often would go from having no other symptoms but red eyes to dying. 
https://www.dailymail.co.uk/health/artic...ction.html
Some people embraced big pharma to change nature whereas I listened to Jesus and embraced nature to improve the change. The heavenly Father said, "This is my daughter in whom I am well pleased". 18.1.2020. 
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#76
$100 Portable Steam Sauna 8-Month Review | Best Practices | Routine | Benefits

13 mins great sharing.


Some people embraced big pharma to change nature whereas I listened to Jesus and embraced nature to improve the change. The heavenly Father said, "This is my daughter in whom I am well pleased". 18.1.2020. 
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#77
(03-26-2020, 09:25 AM)ELIAKIM Wrote: $100 Portable Steam Sauna 8-Month Review | Best Practices | Routine | Benefits

13 mins great sharing.


I wasn't able to put mine together last night on my own, so Michael came to do it for me today. Once the hood was on, the structure of it stays firmly in place and that was what I was concerned about whether it would stay up once erected. 

I just had 12 minutes in it, it is farking awesome, highly recommend it to everyone.

The portable sauna that I bought for £43 was worth every single penny, the thing is where do I put it, as I can't leave it in the centre of the lounge. So we've discussed the option of the bedroom or buying a temporary shed to put it outside my bedroom window has it has to be close to an electric point. 

I should make an important point that with some of the portable saunas they're not really collapsible daily to put away after use, with my one you would really need it to be up in situ like the woman in the video.

Although you can get portable saunas that are far more easily collapsible and easily carried around. Mine came with a two point plug so you have to have an adaptor if you don't live in a country with two point sockets. Also with the Flower Tree model the chair provided is child size rather than adult size. So my neighbour gave me one of his collapsable camping chairs to use. Although any wooded collapsible garden chair would also do and I have a spare one of those in the garden. 

This is an essential in this timeline and I could happily include it in my daily routine. Get up, sauna, shower, inversion, then breakfast.

It's like being in a really hot bath without the water.

NOTE DRINK WATER PRIOR TO HAVING A SAUNA. 

AMAZING
Some people embraced big pharma to change nature whereas I listened to Jesus and embraced nature to improve the change. The heavenly Father said, "This is my daughter in whom I am well pleased". 18.1.2020. 
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#78
Found this over on my EQ thread on GLP and wanted to share.  About the steroids, National Jewish Hospital that I go to, the doc told me if I think I get this and it triggers the bad asthma, Do Not use any prednisone or other steroids including my inhalers.  It will kill you!!!!!!!!!!!!!  


Quote:Good morning! Got some much needed sleep last night and am enjoying my day off before returning to the ER tomorrow.

I'm a member of several nurse groups and thought y'all would enjoy reading this that was written by an ER doc in New Orleans. Very interesting read:

"I am an ER MD in New Orleans. Class of 98. Every one of my colleagues have now seen several hundred Covid 19 patients and this is what I think I know.

Clinical course is predictable.
2-11 days after exposure (day 5 on average) flu like symptoms start. Common are fever, headache, dry cough, myalgias(back pain), nausea without vomiting, abdominal discomfort with some diarrhea, loss of smell, anorexia, fatigue.

Day 5 of symptoms- increased SOB, and bilateral viral pneumonia from direct viral damage to lung parenchyma.

Day 10- Cytokine storm leading to acute ARDS and multiorgan failure. You can literally watch it happen in a matter of hours.

81% mild symptoms, 14% severe symptoms requiring hospitalization, 5% critical.

Patient presentation is varied. Patients are coming in hypoxic (even 75%) without dyspnea. I have seen Covid patients present with encephalopathy, renal failure from dehydration, DKA. I have seen the bilateral interstitial pneumonia on the xray of the asymptomatic shoulder dislocation or on the CT's of the (respiratory) asymptomatic polytrauma patient. Essentially if they are in my ER, they have it. Seen three positive flu swabs in 2 weeks and all three had Covid 19 as well. Somehow this ***** has told all other disease processes to get out of town.

China reported 15% cardiac involvement. I have seen covid 19 patients present with myocarditis, pericarditis, new onset CHF and new onset atrial fibrillation. I still order a troponin, but no cardiologist will treat no matter what the number in a suspected Covid 19 patient. Even our non covid 19 STEMIs at all of our facilities are getting TPA in the ED and rescue PCI at 60 minutes only if TPA fails.

Diagnostic
CXR- bilateral interstitial pneumonia (anecdotally starts most often in the RLL so bilateral on CXR is not required). The hypoxia does not correlate with the CXR findings. Their lungs do not sound bad. Keep your stethoscope in your pocket and evaluate with your eyes and pulse ox.

Labs- WBC low, Lymphocytes low, platelets lower then their normal, Procalcitonin normal in 95%
CRP and Ferritin elevated most often. CPK, D-Dimer, LDH, Alk Phos/AST/ALT commonly elevated.
Notice D-Dimer- I would be very careful about CT PE these patients for their hypoxia. The patients receiving IV contrast are going into renal failure and on the vent sooner.

Basically, if you have a bilateral pneumonia with normal to low WBC, lymphopenia, normal procalcitonin, elevated CRP and ferritin- you have covid-19 and do not need a nasal swab to tell you that.

A ratio of absolute neutrophil count to absolute lymphocyte count greater than 3.5 may be the highest predictor of poor outcome. the UK is automatically intubating these patients for expected outcomes regardless of their clinical presentation.

An elevated Interleukin-6 (IL6) is an indicator of their cytokine storm. If this is elevated watch these patients closely with both eyes.

Other factors that appear to be predictive of poor outcomes are thrombocytopenia and LFTs 5x upper limit of normal.

Disposition
I had never discharged multifocal pneumonia before. Now I personally do it 12-15 times a shift. 2 weeks ago we were admitting anyone who needed supplemental oxygen. Now we are discharging with oxygen if the patient is comfortable and oxygenating above 92% on nasal cannula. We have contracted with a company that sends a paramedic to their home twice daily to check on them and record a pulse ox. We know many of these patients will bounce back but if it saves a bed for a day we have accomplished something. Obviously we are fearful some won't make it back.

We are a small community hospital. Our 22 bed ICU and now a 4 bed Endoscopy suite are all Covid 19. All of these patients are intubated except one. 75% of our floor beds have been cohorted into covid 19 wards and are full. We are averaging 4 rescue intubations a day on the floor. We now have 9 vented patients in our ER transferred down from the floor after intubation.

Luckily we are part of a larger hospital group. Our main teaching hospital repurposed space to open 50 new Covid 19 ICU beds this past Sunday so these numbers are with significant decompression. Today those 50 beds are full. They are opening 30 more by Friday. But even with the "lockdown", our AI models are expecting a 200-400% increase in covid 19 patients by 4/4/2020.

Treatment
Supportive

worldwide 86% of covid 19 patients that go on a vent die. Seattle reporting 70%. Our hospital has had 5 deaths and one patient who was extubated. Extubation happens on day 10 per the Chinese and day 11 per Seattle.

Plaquenil which has weak ACE2 blockade doesn't appear to be a savior of any kind in our patient population. Theoretically, it may have some prophylactic properties but so far it is difficult to see the benefit to our hospitalized patients, but we are using it and the studies will tell. With Plaquenil's potential QT prolongation and liver toxic effects (both particularly problematic in covid 19 patients), I am not longer selectively prescribing this medication as I stated on a previous post.

We are also using Azithromycin, but are intermittently running out of IV.

Do not give these patient's standard sepsis fluid resuscitation. Be very judicious with the fluids as it hastens their respiratory decompensation. Outside the DKA and renal failure dehydration, leave them dry.

Proning vented patients significantly helps oxygenation. Even self proning the ones on nasal cannula helps.

Vent settings- Usual ARDS stuff, low volume, permissive hypercapnia, etc. Except for Peep of 5 will not do. Start at 14 and you may go up to 25 if needed.

Do not use Bipap- it does not work well and is a significant exposure risk with high levels of aerosolized virus to you and your staff. Even after a cough or sneeze this virus can aerosolize up to 3 hours.

The same goes for nebulizer treatments. Use MDI. you can give 8-10 puffs at one time of an albuterol MDI. Use only if wheezing which isn't often with covid 19. If you have to give a nebulizer must be in a negative pressure room; and if you can, instruct the patient on how to start it after you leave the room.

Do not use steroids, it makes this worse. Push out to your urgent cares to stop their usual practice of steroid shots for their URI/bronchitis.

We are currently out of Versed, Fentanyl, and intermittently Propofol. Get the dosing of Precedex and Nimbex back in your heads.

One of my colleagues who is a 31 yo old female who graduated residency last may with no health problems and normal BMI is out with the symptoms and an SaO2 of 92%. She will be the first of many.

I PPE best I have. I do wear a MaxAir PAPR the entire shift. I do not take it off to eat or drink during the shift. I undress in the garage and go straight to the shower. My wife and kids fled to her parents outside Hattiesburg. The stress and exposure at work coupled with the isolation at home is trying. But everyone is going through something right now. Everyone is scared; patients and employees. But we are the leaders of that emergency room. Be nice to your nurses and staff. Show by example how to tackle this crisis head on. Good luck to us all."

[b]Tarnished Halo
[/b]
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#79
Found this today from Dan if anyone is interested. 

https://future-world.com/mcatalog/home/c...mmon-cold/

It would be interesting to know what he cited as research to back up his claims, has other research shared on this thread backs up his claims too scientifically. 

Perhaps some of our guys that do radio shows in the states, could give this guy a chance, and listen to what he has to say.
Some people embraced big pharma to change nature whereas I listened to Jesus and embraced nature to improve the change. The heavenly Father said, "This is my daughter in whom I am well pleased". 18.1.2020. 
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#80
Gut Bacteria and Viruses 

Some people embraced big pharma to change nature whereas I listened to Jesus and embraced nature to improve the change. The heavenly Father said, "This is my daughter in whom I am well pleased". 18.1.2020. 
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