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Cornell University Medical Hospital, NY, Front-line Doctor Shares His Realities, and Good News!

 
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03/28/2020 06:10 PM
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Cornell University Medical Hospital, NY, Front-line Doctor Shares His Realities, and Good News!
Cornell University Medical Hospital, NY, Front-line Doctor Shares His Realities, and Good News!

Dr. David Price, pulmonary, acute respiratory distress, and critical care medicine at Weill Cornell Medicine the biomedical research unit and medical school at Cornell University in New York City, shares the following:

1. Always know where your hands are
2. again and again, throughout the day, wash your hands
3. DO NOT touch your face without specifically washing your hands first
4. aerosolized CoVid infection is very rare, as you have to be in an enclosed space, small room, and for a 20-30 minute period of time, to expose yourself to a likely problem; even still, your odds are better than 90% that if you catch the virus, it won’t be in an aerosolized format
5. carry in your pocket a small anti-bacteria / anti-viral spray (Purell brand mentioned), and every time you touch something where there is a possibility that someone else has touched it, i.e. door knobs, pens/pencils, tables / desks, TV remote, dishes, utensils, etc., spray your hands after you touch the device.
6. CoronaVirus is easily killed on surfaces you may touch, or have touched. CoVid 19 is NOT a hardy virus that requires extraordinary actions to kill. Any anti-viral sprays and hand soaps will do just fine; it doesn’t have to be ‘Purell’.
7. by far the greatest danger is you touch something that has been infected by another, perhaps by someone that doesn’t even know they have the virus, which, in the beginning, is the strongest probability
8. because it is so difficult to remember to not touch your face; it’s extremely commonplace, consider wearing a mask when you go anywhere outside your home environment. With a mask on, you will not be touching your face nearly so much; in fact, with the mask on, you will remember to avoid touching your face.
9. since the aerosolized virus form is so unlikely, any mask quality will work to remind you to avoid touching your face. You don’t need a surgical quality or better mask to train yourself to avoid touching your face. Even a bandana will work to stop you from touching your face.
10. keep your distance from other people

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10. keep your distance from other people
11. There is a 99.9% chance of avoiding the disease if you simply stop touching your face and eyes without first washing your hands; specifically, and more generally, if you go outside your home where you might touch things that others may have touched.
12. Don’t fear other people. Those people are going through the same calamity that you are.
13. Shrink your social and inner circle. Avoid people outside your family and those within your absolute inner circle. Don’t invite the virus in.
14. Throughout the world, the transmission of the disease is 99.9% through direct contact with the disease; be it through family, friends, co-workers, fellow travelers, or otherwise contacts that have not taken necessary precautions to safeguard their inner circle.
15. If you begin to get sick, with a fever, body aches, and sore throat, then isolate yourself from those in your inner circle, and don’t venture out, which may put others at risk. Take your own temperature. As much as possible, take care of yourself, and avoid spreading the virus to others within your inner circle. Up to 90% of victims have a fever, usually mild, but just because you do or don’t have a fever, you may or may not have contracted the virus. The most important factor is difficulty breathing. If you have difficulty breathing, you need to get to the hospital.
16. If available, have the sick person in their own room and bathroom; if the infected person must come out of their room for any reason, the victim must wear a mask and gloves, and this after the victim has washed their hands, face, and hair with anti-viral cleaner. The family or members of the inner circle should be forewarned to put masks, and gloves on, in case the victim needs to touch anything; i.e. sitting down to eat dinner with the family. These are obvious precautions that people all over the world commonly take when someone in their family is sick with the flu.
17. If sick, avoid sustained contact with others in your family or inner circle.
18. During the time you are sick, be vigilant about taking precautions for your family and yourself.
19. The virus bug typically runs a 3-7 day course; but can extend to 10 days. If the victim hasn’t begun to feel like the bug hasn’t peaked after 7 days, consideration should be given to getting them to the hospital. You may still feel really bad after the 7th day, but the high fever and the worst of it should have ended by the 7th day. If you have trouble breathing, and are coughing more than one might expect, excessive mucous, consideration should be given to taking the person to the hospital.
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20. When the victim starts feeling better, and feels like they can start interacting with people once again, the victim should be allowed outside their isolation; but always with a mask on, until they get 2-3 weeks past their sickness.
21. If you feel like you are coming down with a cold, or even the flu, then try to take typical actions you normally take, more rest, more fluids, more isolation, more cleaning of utensils, surfaces in your home, and wait to see if the bug goes beyond the 7 day period, or gets worse beyond what you would ordinarily expect from the flu bug.
22. If you feel like you are coming down with a cold or flu bug, ASSUME you have CoVid 19, and take all necessary precautions, as described above.
23. If someone in your inner circle is particularly vulnerable, i.e. someone dealing with cancer, other viral disease, elderly, etc., then you should take extraordinary precautions to isolate them, should they get early signs of cold/flu bug.
24. When should you go to the hospital?
a. ONLY when you feel shortness of breath, difficulty breathing
b. its NOT when you think you have a fever, you have body aches,
c. of the people that catch CoVid 19, only 10% need to go to the hospital
d. of the 10% that go to the hospital, only 1-2% need to be admitted to ICU and put on a ventilator
e. of those put on a ventilator, the vast majority end up coming off the ventilator 7 – 10 days later
f. go to the hospital when you have shortness of breath, not just because you think you may have CoVid 19
g. Assume that if you have flu-like symptoms, you have CoVid 19, and you should therefore take all the precautions cited above
24. Should you get tested?
a. if you know someone in your inner circle has, or may have CoVid 19, and if the tests are readily available to you, then get tested
b. Don’t get tested just because you want to get tested
25. Kids, generally speaking, do not get sick from CoVid 19
26. Healthcare, Emergency care, and doctors (private practice or in hospital), who take precautions as described above, DO NOT get CoVid 19.
27. If you are in a city, yes you can go outside; just follow the rules above
28. Typical incubation period is 3-7 days, with some cases up to 14 days after exposure. The very rarest of cases may extend beyond the 14 days.
29. The virus affects everyone over 14 years old; even without some additional underlying disease. The younger you are, typically you would have a more robust immunity response.
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Re: Cornell University Medical Hospital, NY, Front-line Doctor Shares His Realities, and Good News!
There is debate amongst doctors and hospitals worldwide regarding the use of NSaids / Ace inhibitors, such as Ibuprofen (Advil, Motrin, et al) and Acetaminophen (Tylenol et al). The Cornell University Hospital where Dr. Price works does not administer Ibuprofen because they feel virus victims have a greater instance of inflammation while on Ibuprofen. Other doctors and hospitals around the world disagree. Dr. Price and Cornell Med administer Acetaminophen (Tylenol).
31. Nearly every victim of CorVid 19 has a: cough, fever, they are nervous, and in rare instances people will have shortness of breath, but some of those people have breathing problems due to their anxiety. If the breathing problem increases over a day or two, then they should be in the hospital for observation. If the breathing becomes so difficult they can’t get up to go to the bathroom, they are put on a ventilator. The victim usually stabilizes after going on the ventilator; and between 7-10 days later, they are typically taken off the ventilator. Typically, the entire course, from getting sick for 1-3 days, feeling sick enough to go to the hospital, being put on a ventilator, spending a few days or more on the ventilator, recovering and sent home, is 14 +/- days.
32. Don’t Be Afraid to Go to the Hospital – There is an overwhelming probability you will recover and go home.
33. There may well be 2nd small spike in the curve/arch for virus infections, and any 3rd wave will be short-lived or non-existent, and the virus will play itself out. This will probably take a few months, but it could take as much as a year. People need to be prepared to continue social distancing and the rigors of hand washing protocol described above, for some time.
35. Asymptomatic cases do exist, but most people that have the virus, 2-4 days later get the symptoms, and are no longer asymptomatic. So if you become a victim, follow the above protocol, AND reach out to those you know or suspect you may have been in close contact with, and let them know of your new symptoms and concerns for their well-being. The vast majority of people that are asymptomatic become symptomatic shortly thereafter.
36. People that get infected with the virus, and recover, have a much stronger defense system. If they suffer from any “rebound” after they were released from the hospital, or if they never had to go to the hospital, are likely only suffering from some limited final flushing of the disease from their system.
37. Dr. Price and Cornell believe that in say 5-years m/l, the CorVid virus will become just another in a long line of flu viruses going around; highly recognized and treatable, if necessary.
38. If you have shortness of breath, go to the hospital. If you have a fever, stay home.


March 22, 2020

vimeo.com/399733860
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Anonymous Coward
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03/28/2020 06:19 PM
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Re: Cornell University Medical Hospital, NY, Front-line Doctor Shares His Realities, and Good News!
5 stars
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03/28/2020 06:20 PM
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Re: Cornell University Medical Hospital, NY, Front-line Doctor Shares His Realities, and Good News!
I would think this is both important and good news, but the posting has already fallen to the dustbins of CoronaVirus supportable facts, rather than mega-drama chirping all day long, day after day.
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Fluffy Pancakes

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03/28/2020 06:23 PM

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Re: Cornell University Medical Hospital, NY, Front-line Doctor Shares His Realities, and Good News!
Nice info.

Thanks!
Things are bad enough, there is no need to make anything up.

"Never interrupt an enemy in the process of destroying himself."...Q

"The Chinese virus can't be the only thing made in China that actually works as designed."~Fluffy Pancakes

Quercitin and zinc...Get it. Take it.
And Release the Kraken
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03/28/2020 06:26 PM
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Re: Cornell University Medical Hospital, NY, Front-line Doctor Shares His Realities, and Good News!
5 stars
 Quoting: Anonymous Coward 75913295


one would think; but alas, I am without bumps or stars, so I give this hopeful and good news a few more minutes before it burns bright and out. Too bad.

At least the information should be shared with family and friends and co-workers and more. If so, maybe enough people will stop their hysteria, and the world will get back to some semblance of its former self, be that good or bad.

I know that when I saw this impassioned doctor speak, his worn out, worn thin voice adding to the sincerity of his message, made his impressions far outweigh the commonplace that we come to expect for so many.

Regardless, this information was well-received by those close to my nest.
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Anonymous Coward
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03/28/2020 06:29 PM
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Re: Cornell University Medical Hospital, NY, Front-line Doctor Shares His Realities, and Good News!
This is B.S. 86% of people with Covid-19 worldwide that end up on a Ventilator die. A nurse in a ICU in Italy last week told a BBC film crew that every one was has needed to put on a ventilator in her ward has died. Every last one.

31. Nearly every victim of CorVid 19 has a: cough, fever, they are nervous, and in rare instances people will have shortness of breath, but some of those people have breathing problems due to their anxiety. If the breathing problem increases over a day or two, then they should be in the hospital for observation. If the breathing becomes so difficult they can’t get up to go to the bathroom, they are put on a ventilator. The victim usually stabilizes after going on the ventilator; and between 7-10 days later, they are typically taken off the ventilator. Typically, the entire course, from getting sick for 1-3 days, feeling sick enough to go to the hospital, being put on a ventilator, spending a few days or more on the ventilator, recovering and sent home, is 14 +/- days.
Anonymous Coward
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03/28/2020 06:33 PM
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Re: Cornell University Medical Hospital, NY, Front-line Doctor Shares His Realities, and Good News!
Italian ICU nurse "No one who has had to be put on a ventilator has recovered". They all die.

[link to www.youtube.com (secure)]
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03/29/2020 11:49 AM
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Re: Cornell University Medical Hospital, NY, Front-line Doctor Shares His Realities, and Good News!
This is B.S. 86% of people with Covid-19 worldwide that end up on a Ventilator die. A nurse in a ICU in Italy last week told a BBC film crew that every one was has needed to put on a ventilator in her ward has died. Every last one.

31. Nearly every victim of CorVid 19 has a: cough, fever, they are nervous, and in rare instances people will have shortness of breath, but some of those people have breathing problems due to their anxiety. If the breathing problem increases over a day or two, then they should be in the hospital for observation. If the breathing becomes so difficult they can’t get up to go to the bathroom, they are put on a ventilator. The victim usually stabilizes after going on the ventilator; and between 7-10 days later, they are typically taken off the ventilator. Typically, the entire course, from getting sick for 1-3 days, feeling sick enough to go to the hospital, being put on a ventilator, spending a few days or more on the ventilator, recovering and sent home, is 14 +/- days.
 Quoting: Anonymous Coward 74139809


So you trust information that has gone from an Italian nurse and filtered through the BBC (spook) more than information coming directly from a preeminent doctor on the front line of the biggest hospital in New York, and a hospital that is ranked # 5 in the country and #1 in the state of New York?

Sounds about right.
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03/29/2020 11:51 AM
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Re: Cornell University Medical Hospital, NY, Front-line Doctor Shares His Realities, and Good News!

 Quoting: Chip


thanks for the embed
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