Archive for 12 maggio 2020

Gli inglesi curano la COVID-19 con paracetamolo, limonate e brodo di pollo

12 maggio 2020

Ecco cosa scrive un medico inglese, Dr. Clare Gerada, che racconta di aver preso la COVID-19 e di essersi curata solo con due compresse di paracetamolo tre volte al giorno, limonate e brodo di pollo, che ella chiama “la penicillina di Dio”:

«The only souvenir I thought I’d brought back from my recent trip to a conference in New York was a fridge magnet of the Statue of Liberty. Barely two days later, I realised I’d brought a lot more.

Tucked somewhere in my body was developing Covid-19, which began to show itself a few days after arriving back in the UK. The symptoms merged in with jet lag – tiredness, headache and feeling ‘out of it’.

The dry cough I put down to the long flight home and the effects of rebreathing cabin air. What I couldn’t dismiss, however, was the temperature – which was now above 102 degrees F. My coronavirus experience had started.

Over the next five days, I lived through this nasty illness, wishing it away but never feeling that it would finish me off. Soon after I started becoming unwell, I contacted 111 and went to a testing pod to have swabs taken. Then, I returned to bed, and that is where I stayed for days, rising only to use the bathroom.

The symptoms are as we have been told. Flu-like, with a temperature, dry cough and sore throat. I also had a vice-like headache, muscular chest pain from coughing, rigours and, when I did get out of bed, dizziness.

Five days into the illness, almost in the same order, the symptoms disappeared, leaving only an odd metallic taste in my mouth, nasal mucosal ulcers and intense fatigue. I didn’t need any heroic medicines or interventions.

Despite now being on the ‘other side’ of youth [Dr. Clare Gerada è nata nel 1959, nota mia], I have no underlying health conditions and two paracetamol three times a day and lemonade was all I needed. I had God’s penicillin – chicken soup – which seemed to have a miraculous effect of bringing back my appetite [il neretto è mio]…

…What advice would I give, going forward?

Firstly, each family needs a plan as to what to do when we get sick. This should include calling each other regularly. Someone who is low risk might be a designated carer, to be with the sick person (even if covered by a mask and more than two metres away). This is better than being alone.

Secondly, remember that most people will be fine, even if infected. Our role as GPs is to help those who need more help to get it. We are good at this.

And finally, as GPs, we are crucial in calming the nervous brows of patients and communities.

I’m now out the other end, and very glad that very soon I’ll be back at work and helping my colleagues with the heavy lifting created by this crisis.

Dr Clare Gerada is the former chair of the RCGP [Royal College of General Practitioners, nota mia], the co-chair of the NHS [National Health Service, nota mia] Assembly and a GP [General Practitioner, nota mia] in Lambeth [il neretto è mio]

Editor’s note – Pulse approached Dr Gerada to write something on this, with us believing it would be something that will help GPs. Dr Gerada graciously did this for us.»

As a GP who’s overcome coronavirus, here’s what I want you to know

16 March 2020

Dr Clare Gerada

http://www.pulsetoday.co.uk/views/blogs/as-a-gp-whos-overcome-coronavirus-heres-what-i-want-you-to-know/20040354.article

Come avrete già letto sopra, Dr. Clare Gerada non è affatto un semplice medico di base, ecco cosa riporta di lei Wikipedia in lingua inglese:

«Clare Mary Louise Francis Gerada, Lady Wessely MBE FRCP FRCGP FRCPsych (born November 1959) is a London-based general practitioner who was chairperson of the Council of the Royal College of General Practitioners from 2010 to 2013. She has professional interests in mental health and substance misuse.

She is a convenor of the cross-party political movement, More United.[1]…

…She has also been Director of Primary Care for the National Clinical Governance Team and Senior Medical Advisor to the Department of Health,[6] and is Medical Director of the NHS Practitioner Health Programme, which provides confidential medical advice for doctors and dentists.[7]

She is one of the partners in the Hurley Group which runs a number of GP practices and walk-in centres across London.[8]

In November 2010 she became chairperson of the Council of the Royal College of General Practitioners for a three years term of office.[6] She was the college’s first female chairperson for 50 years, the previous female chairperson having been Dr Annis Gillie.[9]

In September 2013 she was appointed as the chairperson of Clinical Board, Primary Care Transformation, NHS England (London Region), to take up the position the following month.[10] She resigned from this position in April 2015 so she could speak out against what she calls the Conservatives’ “desperate quest for privatisation”.[11]

In April 2016, she was elected to the council of the Council of the British Medical Association (BMA).[12]

She established the Practitioner Health Programme to support general practitioners, dentists and other health professionals with mental health and associated issues. In March 2019 The Care Quality Commission rated the service outstanding.[13]

In September 2016 she was named as one of the Liberal Democrats’ “new Beveridge group” of advisers.[14] She had been a lifelong supporter of the Labour Party until the 2016 United Kingdom European Union membership referendum.[15]

In March 2019 she was appointed co-chair, with Sir Chris Ham, of the forum to implement the NHS’s long-term strategy.[16][17]…

In February 2013 she was assessed as one of the 100 most powerful women in the United Kingdom by Woman’s Hour on BBC Radio 4.[19] [il neretto è mio]…

She was named as one of the “top 500 Influential Britons” by The Sunday Times and Debrett’s in January 2014,[22] and number 4 in Health.[23] [il neretto è mio]…

…Awards and honours

– Fellow of the Royal College of General Practitioners
– Member and Honorary Fellow of the Royal College of Psychiatrists
– Fellow of the Royal College of Physicians.[27]
– Member of the Order of the British Empire (MBE) in the 2000 Birthday Honours “for service to medicine and to drug misusers”.[28]
– 2012, honorary member of Malta’s National Order of Merit.[29]»

Clare Gerada – Wikipedia

https://en.wikipedia.org/wiki/Clare_Gerada

Non meraviglia che Boris Johnson sia stato ospedalizzato e abbia rischiato di morire da COVID-19.

Non meraviglia che al momento in cui scrivo (5.30am CEST, 12 maggio 2020), secondo la World Health Organization (WHO), i morti totali da Covid-19 in The United Kingdom siano 31,855 e che il Regno Unito sia al secondo posto nel mondo per morti totali da COVID-19, dopo gli Stati Uniti d’America.

Al momento in cui scrivo (vedi sopra) è possibile scaricare da internet un pdf:

Guidance and standard operating procedures – General practice in the context of coronavirus (COVID-19)
Publications approval reference: 001559 – Date: 6 April 2020, Version 2.1 – NHS

www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/C0133-COVID-19-Primary-Care-SOP-GP-practice_V2.1_6-April.pdf

In esso non c’è traccia di alcun protocollo terapeutico, comunque a pag. 15 c’è scritto:

Guidance on diagnosis, assessment and management of COVID-19 pneumonia in the community can be found on the NICE website at

https://www.nice.org.uk/guidance/ng165/chapter/4-Managing-suspected-or-confirmed-pneumonia

Andando a questo indirizzo troviamo questa pagina:

COVID-19 rapid guideline: managing suspected or confirmed pneumonia in adults in the community
NICE guideline [NG165] Published date: 03 April 2020 Last updated: 23 April 2020

Riporto solo quanto riguarda riferimenti a farmaci:

«Antibiotic treatment

4.5 As COVID-19 pneumonia is caused by a virus, antibiotics are ineffective.

4.6 Do not offer an antibiotic for treatment or prevention of pneumonia if:

– COVID-19 is likely to be the cause and

– symptoms are mild.

Inappropriate antibiotic use may reduce availability if used indiscriminately, and broad-spectrum antibiotics in particular may lead to Clostridioides difficile infection and antimicrobial resistance.

4.7 Offer an oral antibiotic for treatment of pneumonia in people who can or wish to be treated in the community if:

– the likely cause is bacterial or

– it is unclear whether the cause is bacterial or viral and symptoms are more concerning or

– they are at high risk of complications because, for example, they are older or frail, or have a pre-existing comorbidity such as immunosuppression or significant heart or lung disease (for example bronchiectasis or COPD), or have a history of severe illness following previous lung infection.

4.8 When starting antibiotic treatment, the first-choice oral antibiotic is:

– doxycycline 200 mg on the first day, then 100 mg once a day for 4 days (5-day course in total); doxycycline should not be used in pregnancy

– alternative: amoxicillin 500 mg 3 times a day for 5 days.

Doxycycline is preferred because it has a broader spectrum of cover than amoxicillin, particularly against Mycoplasma pneumoniae and Staphylococcus aureus, which are more likely to be secondary bacterial causes of pneumonia during the COVID-19 pandemic. [amended 23 April 2020]

4.9 Do not routinely use dual antibiotics.

4.10 For choice of antibiotics in penicillin allergy, pregnancy and more severe disease, or if atypical pathogens are likely, see the recommendations on choice of antibiotic in the NICE antimicrobial prescribing guideline on community-acquired pneumonia.

4.11 Start antibiotic treatment as soon as possible, taking into account any different methods needed to deliver medicines to patients during the COVID-19 pandemic (see recommendation 1.3).

Oral corticosteroids

4.12 Do not routinely offer a corticosteroid unless the patient has other conditions for which these are indicated, such as asthma or COPD.»

Non ho trovato altri riferimenti a farmaci, né nella pagina suddetta, né nelle pagine ad essa collegate.

Sulla situazione della COVID-19 negli Stati Uniti d’America c’è un articolo della Association of American Physicians and Surgeons (AAPS):

«Governments are hoarding more than 100 million doses of hydroxychloroquine (HCQ) while victims of COVID-19 are dying from lack of early treatment, which an increasing number of physicians and scientists believe is crucial for saving lives. In many places, particularly in nursing homes, victims of COVID-19 are still unable to access HCQ, states the Association of American Physicians & Surgeons (AAPS).

Pharmaceutical companies donated tens of millions of doses of HCQ to federal and state governments. At least 14.4 million doses of HCQ have been distributed to 14 city governments, the Federal Emergency Management Agency (FEMA) announced.

Yet virtually none of this has gone for early treatment of COVID-19 victims. Many governors and other officials have impeded the availability of HCQ to millions of Americans, including front-line medical personnel in hospitals, COVID-19 patients’ caregivers, and others exposed to the virus.

“Medication is not doing anyone any good sitting in a government warehouse,” observes AAPS executive director Jane Orient, M.D. “This hoarding by government means that most of that medication will probably expire without ever being used.”

U.S. deaths from COVID-19 are estimated to exceed 65,000; very few of these patients received any treatment with HCQ. Reports to date of results in more than 2,300 persons who received HCQ show that more than 90 percent experienced clinical improvement or did not become ill.

Many foreign governments support using HCQ early to treat COVID-19, but many tens of thousands of Americans become severely ill, need intensive care, are put on ventilators, and even die without a chance to try HCQ treatment.

The interference by the governor of Nevada with early HCQ treatment has been so egregious that he is being sued by a group of physicians. In most states, officials have issued orders prohibiting or severely restricting access to HCQ by COVID-19 victims. New York refuses to make its enormous stockpile of HCQ available outside a clinical trial. Florida, which has done remarkably well in this crisis, has welcomed, dispersed, and promoted HCQ for its residents.

HCQ is also being used successfully as a prophylaxis in other countries, including India, to protect medical workers, first responders, household contacts, and other persons at risk of exposure. The COVID-19 mortality rate in India is only one per million in population, compared with more than 200 per million in the U.S.

In the U.S., officials in states that have received donations of many doses of this medication falsely claim that rationing is needed to prevent people from hoarding it and to assure that lupus and rheumatoid arthritis patients can get their prescriptions filled. It is government that should stop hoarding, declares AAPS.»

Coronavirus Victims Die While Government Hoards Medication

May 4, 2020

aapsonline.org/coronavirus-victims-die-while-government-hoards-medication/

Vedi anche quest’altro articolo dell’Association of American Physicians and Surgeons (AAPS):

«Apr 27 data show that U.S. COVID-19 death rates are at least eight times higher than in countries with early and prophylactic use of HCQ.

Opinion leaders should be demanding to know why this treatment option is not widely discussed or might even be forbidden.»

Where’s the Evidence on COVID-19 Treatment?

April 28, 2020

aapsonline.org/evidence-hydroxychloroquine/

Ebbene, invito il lettore a porsi proprio questa domanda: perché in Occidente non si vuole somministrare l’idrossiclorochina (Plaquenil), anzi la si vuole praticamente vietare?

Basta il paracetamolo, limonate e brodo di pollo?

È solo stupidità o qualcosa d’altro?

Propenderei per la seconda ipotesi, perché è inverosimile che inglesi e statunitensi siano meno intelligenti dei russi, dei cinesi, ecc. ecc.

Vedi a questo proposito il mio precedente post:

Perché l’Occidente non sta vincendo?

11 maggio 2020

https://luigicocola.wordpress.com/2020/05/11/perche-loccidente-non-sta-vincendo/

N.B.: tutti i link sono stati verificati in data odierna.

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