Sunday, April 5, 2020

Equal Time

Posted below is an interesting discussion by an ER doc comparing the use of ventilators to filtered CPAP machines for Covid-19 patients.  Ventilators are rough on a patient and often cause collateral damage.  Covid-19 patients also have a lower survival rate once they are placed on a ventilator compared to overall ventilator patients.    The panelists wonder if patients start going south because the vents are used too early.  Some are experimenting with CPAP machines and report positive results.   The podcast is less than 15 minutes.   





You people are about credentials so here is some cred.  Dr. Scott Weingart, MD hosts the podcast.  Dr. Weingart went to medical school and did his emergency medicine residency at the Mount Sinai School of Medicine. He later   did a fellowship in trauma and surgical critical care at the Shock Trauma Center.    He is an ER Intensivist.

Dr. Josh Farkas's training consists of  medical school at Cornell University followed by Internal Medicine residency at Dartmouth University and a Pulmonary and Critical Care fellowship at Albany Medical Center.  He is trained and board certified in both Pulmonology and Critical Care. 



10 comments:

Anonymous said...

Wow this is after Elon Musk was mocked in online for buying 500+ older model (new)ResMed CPAP machines and shipping them to NYC.

Btw I have a ResMed CPAP for sleep Apnea and it is a good machine for that use.

Kingfish said...


Most home cpap's don't have filters.

Anonymous said...

A home cpap viral/bacterial filter costs like $5. Better go get them while you still can if you have a cpap.

Anonymous said...

Thanks for the tip 1:54, I'm going to do that. I get a new filter every month but I dont know if it is a viral/bacterial filter.

Anonymous said...

Interesting. I understand it is much easier said than done, especially with things like models and predictions, but the basic medicine needs to make some determinations as to what's what. If the "front line" doctors cannot even agree on when to vent, that's a problem. See, for example:

For those with a NYT sub: https://www.nytimes.com/2020/04/04/world/europe/germany-coronavirus-death-rate.html/


For those without:
https://dnyuz.com/2020/04/04/a-german-exception-why-the-countrys-coronavirus-death-rate-is-low/

The in-field, front-line meds NEED to get this coordinated and do it now, to hell with bureaucracy, egos, etc.

Case in point - If immunosuppressant rheumatoid arthritis drugs like Plaquenil, tocilizumab, etc., work somehow, anyhow, whether by lessening cytokine storms, inactivating the virus, or just because they taste like chicken, fuck the goddamned bureaucratic nonsense and start using them. Certainly, do careful pre-administration levels-testing, take careful notes, etc., but this "normal procedure" phase-testing horseshit is beyond stupid. If it takes someone to go over to FDA (or to the homes of regulators and bureaucrats) with a foul mouth and a cattle prod, and a willingness to try the former but perfectly ready to use the latter, send them now and wish them God's speed. No, I'm not auditioning or volunteering.

Anonymous said...

Meanwhile: At Mississippi State's High Voltage Lab School...

https://www.msstate.edu/newsroom/article/2020/04/msu-high-voltage-lab-works-retrofit-550-ventilators-use-covid-19-response

Anonymous said...

"Meanwhile: At Mississippi State's High Voltage Lab School...

https://www.msstate.edu/newsroom/article/2020/04/msu-high-voltage-lab-works-retrofit-550-ventilators-use-covid-19-response

April 6, 2020 at 3:52 AM"

Ya know...here's an idea:

All the school rivalry across the country and no outlet for it. Yet. Why not use it for something important. With that in mind, I hereby challenge Ole Miss to one-up State on doing something to fight COVID-19, and of course, challenge State to one-up that, ad infinitum. The same goes for every single collegiate rivalry in the US. Heck, it's something fans could follow, cheer on, argue about, and even bet on. All from home. And it has no "season."

Who knows, maybe one day schools and their wealthy alums will be doing really crazy stuff like trying to bribe the smartest kids to come play on _their_ STEM team. And speaking for myself, I say not only let them do it, but encourage it. I'd much rather hear someone brag about having been the person who got the next Einstein to a Mississippi university than them sneak around trying to get some kid for the football team who can contribute mostly just an ego boost for some middle-aged jocksniffers.

Anonymous said...

MSU, You're the engineering school - it's your time to shine!

Anonymous said...

Wow all of you who are posting that the Cow College is teaching future engineers how to connect a Chinese made DC power supply are seriously ignorant. They aren't actually soldering together transformers or anything.

They are learning to connect the black wire to the black terminal and the red wire to the red terminal.

The rest of the class consists of them student instruction against using terms like master and slave terminal or male and female connection.

Classes are dumbed down now because there are no minimum standards for admissions. Making it too hard is discrimination.

Anonymous said...

4:35 is a perfect example. Each of you can decide of what he is a perfect example. But, it's out there. I suggest rather than go to class at UMAA, he laid in the rack most of the day eatin' cheetos with one hand under the covers. He's now, nine years after graduation, working at a pizza shack.

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There will be a hugging booth where in exchange for your young son, Frank Melton will give you a loooong hug. Trollfest will have a dunking booth where Muhammed the terrorist will curse you to Allah as you try to hit a target that will drop him into a vat of pig grease. However, in the true spirit of Separate But Equal, Don Imus and someone from NE Jackson will also sit in the dunking booth for an equal amount of time. Tom Head will give a reading for two hours on why he can't figure out who the hell he is. Cliff Cargill will give lessons with his .80 caliber desert eagle, using Frank Melton photos as targets. Tackleberry will be on hand for an autograph session. KIM Waaaaaade will be passing out free titles and deeds to crackhouses formerly owned by The Wood Street Players.

If you get tired come relax at the Fox News Tent. To gain admittance to the VIP section, bring either your Republican Party ID card or a Rebel Flag. Bringing both will entitle you to free drinks.Get your tickets now. Since this is an event for trolls, no ID is required, just bring the hate. Bring the family, Trollfest '07 is for EVERYONE!!!

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