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"Coronavirus and the US" or "We are all going to die!!!!"

Just get rid of the ones who go to Panto shows. I have just learned of those atrocities being a thing at all and a popular British tradition. Any society which would allow them does not deserve to exist.
 
small number of COVID survivors develop psychosis

https://www.nytimes.com/2020/12/28/health/covid-psychosis-mental.html?action=click&module=Top%20Stories&pgtype=Homepage


Most had no history of mental illness and became psychotic weeks after contracting the virus. Cases are expected to remain rare but are being reported worldwide.


The patient, a 42-year-old physical therapist and mother of four young children, had never had psychiatric symptoms or any family history of mental illness. Yet there she was, sitting at a table in a beige-walled room at South Oaks Hospital in Amityville, N.Y., sobbing and saying that she kept seeing her children, ages 2 to 10, being gruesomely murdered and that she herself had crafted plans to kill them.

“It was like she was experiencing a movie, like ‘Kill Bill,’” Dr. Goueli, a psychiatrist, said.

The patient described one of her children being run over by a truck and another decapitated. “It’s a horrifying thing that here’s this well-accomplished woman and she’s like ‘I love my kids, and I don’t know why I feel this way that I want to decapitate them,’” he said.

The only notable thing about her medical history was that the woman, who declined to be interviewed but allowed Dr. Goueli to describe her case, had become infected with the coronavirus in the spring. She had experienced only mild physical symptoms from the virus, but, months later, she heard a voice that first told her to kill herself and then told her to kill her children.

At South Oaks, which has an inpatient psychiatric treatment program for Covid-19 patients, Dr. Goueli was unsure whether the coronavirus was connected to the woman’s psychological symptoms. “Maybe this is Covid-related, maybe it’s not,” he recalled thinking.

“But then,” he said, “we saw a second case, a third case and a fourth case, and we’re like, ‘There’s something happening.’”

Indeed, doctors are reporting similar cases across the country and around the world. A small number of Covid patients who had never experienced mental health problems are developing severe psychotic symptoms weeks after contracting the coronavirus.

This is some weird, scary shit, especially when some of these people only had mild symptoms when they were infected by COVID.

In interviews and scientific articles, doctors described:

A 36-year-old nursing home employee in North Carolina who became so paranoid that she believed her three children would be kidnapped and, to save them, tried to pass them through a fast-food restaurant’s drive-through window.

A 30-year-old construction worker in New York City who became so delusional that he imagined his cousin was going to murder him, and, to protect himself, he tried to strangle his cousin in bed.

“My guess is any place that is seeing Covid is probably seeing this,” said Dr. Colin Smith at Duke University Medical Center in Durham, who helped treat the North Carolina woman. He and other doctors said their patients were too fragile to be asked whether they wanted to be interviewed for this article, but some, including the North Carolina woman, agreed to have their cases described in scientific papers.

Medical experts say they expect that such extreme psychiatric dysfunction will affect only a small proportion of patients. But the cases are considered examples of another way the Covid-19 disease process can affect mental health and brain function.

Although the coronavirus was initially thought primarily to cause respiratory distress, there is now ample evidence of many other symptoms, including neurological, cognitive and psychological effects, that could emerge even in patients who didn’t develop serious lung, heart or circulatory problems. Such symptoms can be just as debilitating to a person’s ability to function and work, and it’s often unclear how long they will last or how to treat them.

Experts increasingly believe brain-related effects may be linked to the body’s immune system response to the coronavirus and possibly to vascular problems or surges of inflammation caused by the disease process.



Sporadic cases of post-infectious psychosis and mania have occurred with other viruses, including the 1918 flu and the coronaviruses SARS and MERS.

“We think that it’s not unique to Covid,” said Dr. Jonathan Alpert, chairman of psychiatry and behavioral sciences at Albert Einstein College of Medicine, who co-wrote the report on the Montefiore patients. He said studying these cases might help to increase doctors’ understanding of psychosis.

The symptoms have ranged widely, some surprisingly severe for a first psychotic episode, experts said. Dr. Goueli said a 46-year-old pharmacy technician, whose family brought her in after she became fearful that evil spirits had invaded her home, “cried literally for four days” in the hospital.

He said the 30-year-old construction worker, brought to the hospital by the police, became “extremely violent,” dismantling a hospital radiator and using its parts and his shoes to try to break out of a window. He also swung a chair at hospital staff.

How long the psychosis lasted and patients’ response to treatment has varied. The woman in Britain — whose symptoms included paranoia about the color red and terror that nurses were devils who would harm her and a family member — took about 40 days to recover, according to a case report.

The woman who was first mentioned in this article finally was treated successfully after 4 weeks on the antipsychotic drug, risperidone. The article gives a lot more details. I had no idea that some viral infections could cause secondary psychosis. A lot more needs to be learned about this and how it cam be treated.
 
bilby, feeling pretty good about yourself in Australia?

So far.

NSW is looking dodgy, but our state border is closed to Sydney residents, and we haven't had a case outside quarantine in Queensland for four months.

As Sydney is in the process of demonstrating, it could easily all go to shit. But so far, so good.
 
We are finally at the point where some hospitals in the US are in a triage situation. More people will die as more ICU wards fill to capacity.
 
Anyone have an opinion about Ivermectin or the proper dosage of dexamethasone for covid?

If you or a loved one was coming down with covid pneumonia how much dexamethasone would you want the doctor to give?
 
Anyone have an opinion about Ivermectin or the proper dosage of dexamethasone for covid?

If you or a loved one was coming down with covid pneumonia how much dexamethasone would you want the doctor to give?



The UK RECOVERY trial showed that low-dose dexamethasone (6 mg PO or IV daily for10 days) randomized to 2104 patients reduced deaths by 35% in ventilated patients (P = 0.0003) and by 20% in other patients receiving oxygen only (P = 0.0021) compared with patients who received standard of care (n = 4321). No benefit was seen in patients who did not require respiratory intervention
 
Anyone have an opinion about Ivermectin or the proper dosage of dexamethasone for covid?
Mate, every fucker has an opinion. Opinions are like arseholes - everyone's got one, and usually they're full of shit.
If you or a loved one was coming down with covid pneumonia how much dexamethasone would you want the doctor to give?

The amount that his professional opinion as a medical expert tells him is appropriate. I am not qualified to influence his decision on this matter in any way that isn't likely to worsen the outcome.

Nor are most of the random people on the Internet.

This is not a question that a sane person would outsource to a bunch of random Internet denizens with unknown identities and unverifiable qualifications (if any) in the subject matter.

Even if I were a medical specialist in exactly this field, you would have no way to be confident that that was the case.

Seriously. Stop asking the Internet for opinions that can only be useful from qualified professionals. Stop. Desist. Don't do it any more, ever. No, not even if you mistrust the professional you asked first; Get a second opinion by all means, but get THAT from a qualified expert too.

That you would even for a second contemplate the possibility of asking an Internet discussion board a question like this is a perfect illustration of why the world is currently fucked up beyond all recognition. Stop it.
 
Anyone have an opinion about Ivermectin or the proper dosage of dexamethasone for covid?

If you or a loved one was coming down with covid pneumonia how much dexamethasone would you want the doctor to give?

Why are you asking us? Ask a medical professional! :rofl:
 
I am not a doctor but I think the dose depends on the conditions of the patient. Having said that, I would rather use maximum safe dose of the steroid which is kinda proven to work than nothing and risk complications from COVID-19. I think it's now safe to say complications are severe. I read the claims about average 10 years from life expectancy. And that's life expectancy, forget about life quality. So yeah, steroids help to modulate immune system down.
 
I am not a doctor but I think the dose depends on the conditions of the patient. Having said that, I would rather use maximum safe dose of the steroid which is kinda proven to work than nothing and risk complications from COVID-19. I think it's now safe to say complications are severe. I read the claims about average 10 years from life expectancy. And that's life expectancy, forget about life quality. So yeah, steroids help to modulate immune system down.

"Maximum safe dose" is something of an oxymoron. The higher the dose the more side effects.
 
I am not a doctor but I think the dose depends on the conditions of the patient. Having said that, I would rather use maximum safe dose of the steroid which is kinda proven to work than nothing and risk complications from COVID-19. I think it's now safe to say complications are severe. I read the claims about average 10 years from life expectancy. And that's life expectancy, forget about life quality. So yeah, steroids help to modulate immune system down.

"Maximum safe dose" is something of an oxymoron. The higher the dose the more side effects.
You can have both, it being safe and having side effects.
 
I am not a doctor but I think the dose depends on the conditions of the patient. Having said that, I would rather use maximum safe dose of the steroid which is kinda proven to work than nothing and risk complications from COVID-19. I think it's now safe to say complications are severe. I read the claims about average 10 years from life expectancy. And that's life expectancy, forget about life quality. So yeah, steroids help to modulate immune system down.

"Maximum safe dose" is something of an oxymoron. The higher the dose the more side effects.
You can have both, it being safe and having side effects.

No, you really can't.

As dose increases, so does risk of issues due to the therapeutic agent.

When the risk of NOT providing the therapeutic agent outweighs the risk of administering it, you should go for it.

But that's something that has to be a case by case determination.

The "maximum safe dose" is completely dependent on the individual's risk level if not treated. And that varies wildly from patient to patient.
 
You can have both, it being safe and having side effects.

No, you really can't.

As dose increases, so does risk of issues due to the therapeutic agent.

When the risk of NOT providing the therapeutic agent outweighs the risk of administering it, you should go for it.

But that's something that has to be a case by case determination.

The "maximum safe dose" is completely dependent on the individual's risk level if not treated. And that varies wildly from patient to patient.
Steroid side effects are well known and described. You are not going to die from them or have lasting problems. The worst that can happen is starting a War with Iran. They are safe.
 
You can have both, it being safe and having side effects.

No, you really can't.

As dose increases, so does risk of issues due to the therapeutic agent.

When the risk of NOT providing the therapeutic agent outweighs the risk of administering it, you should go for it.

But that's something that has to be a case by case determination.

The "maximum safe dose" is completely dependent on the individual's risk level if not treated. And that varies wildly from patient to patient.
Steroid side effects are well known and described. You are not going to die from them or have lasting problems. The worst that can happen is starting a War with Iran. They are safe.

So is asymptomatic CoVID19

Whether it is reasonable to take a given dose of any drug is dependent upon the degree of harm to be expected if you do NOT take it. Whether that projected harm is greater than or less than the projected harm from the disease is entirely dependent on the severity of the disease, which varies from patient to patient.

There's no one size fits all "maximum safe dose". Even a massive dose that is known to cause serious risks would be worth administering if the patient is certain to die without it.

"Safe" is a relative term. No drug is safe, but all the ones you should prescribe are safer than letting a disease run its course untreated.

This is why individual patients need to consult qualified and trained medical specialists, and not random posters on Internet discussion boards, no matter how much those random netizens might claim to know.
 
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