Wuhan Coronavirus Thread

Is coronavirus a biological warfare agent released by China?

  • yes

    Votes: 75 94.9%
  • no

    Votes: 4 5.1%

  • Total voters
    79

Bhumihar

Cheeni KLPDhokebaaz
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I think general consensus is to combat the symptoms of Corona and take medicine in adherence to it.
There is no acute drug that is gonna help combat Corona
 

Flying Dagger

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What are these degenerates from China lurking in forum doing ?

I really hope All nation combine forces and destroy china world will.be much better place without those shameless bloodsuckers.

Rest guys we may survive corona but it's going to infect us many a times not just once that means life expectancy of all will take a hit unless there is a vaccine which can definitely cure it.

It will be like AIDS which can infect through air and by touching.
 

Cheran

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What are these degenerates from China lurking in forum doing ?

I really hope All nation combine forces and destroy china world will.be much better place without those shameless bloodsuckers.

Rest guys we may survive corona but it's going to infect us many a times not just once that means life expectancy of all will take a hit unless there is a vaccine which can definitely cure it.

It will be like AIDS which can infect through air and by touching.
Sir, they are enjoying the show.

Meanwhile,


#steel firms of #India rise to supply #Oxygen for #medical use with
@TataSteelLtd - 300Tons/day
@AMNSIndia - 200T/day
@SAILsteel - 33300Tons in one go .
@JSPLCorporate -100T/day

Also,

1618761374604.png
 

temujin

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The Delhi Government's CoviD bed portal is showing 51 ICU beds available but once you dig deeper, 26 of these are in a Children's Hospital. I hope I'm wrong but that would suggest there are 25 vacant adult ICU beds for whoever needs one, CoviD or not, in a city of 17 million tonight. That is scary
 

here2where

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The Delhi Government's CoviD bed portal is showing 51 ICU beds available but once you dig deeper, 26 of these are in a Children's Hospital. I hope I'm wrong but that would suggest there are 25 vacant adult ICU beds for whoever needs one, CoviD or not, in a city of 17 million tonight. That is scary
Shocking considering we had 1 year to ramp up.
 

another_armchair

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I have some pretty noob questions to knowledgeable folks from the healthcare industry.

What is the price of an ICU ventilator and what are the operational costs per hour/day?

Why are ICU charges so high even for non-covid patients? An average day's charges in a private hospital ICU/SICU even for regular hospitalization and monitoring is between 40k-60k INR. Is there a way to bring it down?

Why can't Govt. hospitals open up multi-bed specialty wings, ICU's which can provide good medicare at a reasonable price even during non-covid times?
 

here2where

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did delhi govt hospitals ramp up?
I don’t think so, only reallocation of hospital beds happened all over the country.

central govt ramped up using PSU and military hospitals.
while ramping up physical facilities is possible with political will, its impossible to do so w.r.t medical staff.... you simply cannot elastically spit out more doctors/nurses/technicians overnight.
 

ladder

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I have some pretty noob questions to knowledgeable folks from the healthcare industry.

What is the price of an ICU ventilator and what are the operational costs per hour/day?

Why are ICU charges so high even for non-covid patients? An average day's charges in a private hospital ICU/SICU even for regular hospitalization and monitoring is between 40k-60k INR. Is there a way to bring it down?

Why can't Govt. hospitals open up multi-bed specialty wings, ICU's which can provide good medicare at a reasonable price even during non-covid times?
I know of a govt hospital wherein a new building was built taking the potential bed capacity to about 400. But as that hospital had a sanction of only 180 odd bed the district administration wanted to lease out infrastructure for extra 200 beds to private firm who would provide services at reasonable cost.
But guess what happened? Locals opposed it. Sat on a dharna that govt should increase the approved strength to 400 rather than leasing out.
Govt. agreed. But the approval and actual increase in bed strength is yet to come/ yet to be done.

So, my point being govt. is struggling to increase the bed strength in hospitals, let alone creating multi bed speciality units. Although what you are saying happening under AIIMS plus scheme but the scheme is limited to one or two per state which is grossly inadequate.
 
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temujin

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I have some pretty noob questions to knowledgeable folks from the healthcare industry.

What is the price of an ICU ventilator and what are the operational costs per hour/day?

Why are ICU charges so high even for non-covid patients? An average day's charges in a private hospital ICU/SICU even for regular hospitalization and monitoring is between 40k-60k INR. Is there a way to bring it down?

Why can't Govt. hospitals open up multi-bed specialty wings, ICU's which can provide good medicare at a reasonable price even during non-covid times?
I can't answer your queries in relation to equipment etc but the ICU charges are not just to do with equipment but manpower too. Each ITU patient requires 1:1 care by a highly specialised nurse and the doctor to patient ratio in ICU is very low, typically 1 consultant and a junior doctor to 5-10 patients- these costs are passed on to the patients obviously. In fact manpower is also the primary rate limiting factor when considering ramping up ICU capacity, as is being discussed now. The government could easily set up a 100 bedded ICU but staffing it would be a struggle.
 

indus

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I have some pretty noob questions to knowledgeable folks from the healthcare industry.

What is the price of an ICU ventilator and what are the operational costs per hour/day?

Why are ICU charges so high even for non-covid patients? An average day's charges in a private hospital ICU/SICU even for regular hospitalization and monitoring is between 40k-60k INR. Is there a way to bring it down?

Why can't Govt. hospitals open up multi-bed specialty wings, ICU's which can provide good medicare at a reasonable price even during non-covid times?
I used to sell ICU beds few years ago. An electric ICU bed of a reputed brand costs atleast 1.1 to 1.3 Lakhs. While with added functionality prices can go multifold upto 5-8L also.
Similarly ventilators of basic functionality costs few thousands. But a proper ventilator of brand such as Philips, Seimens may cost few lakhs. Then each ICU bed is accompanied by a patient monitor which again costs few thousands. Then each ICU patient needs a MGP i.e medical gas pipeline unit which normally have three outputs for Oxygen, Nitrogen and vaccum. This is the basic package required for an ICU unit. Staffing and nursing costs extra. Out of the total bedded capacity of a hospital usually 10-20 pcnt are ICU beds. So if there is a 100 bed hospital, it will have no more than 10-20 ICU units.
 

captscooby81

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Oxygen Allocation to different states by central govt again its inter state happening a lot , Again maximum is given to MH and DL and UP . Funny big state like TN and KA are not having any oxygen shortage as of now , Again some highly learned person may call this fudged data too but still PIB released it today .

For people who are interested in stock market , Here is a good tip there is one company in this list you can pick easily for 10-15 % gain in next two months . and it starts with L

Oxygen.jpg


Sir, they are enjoying the show.

Meanwhile,


#steel firms of #India rise to supply #Oxygen for #medical use with
@TataSteelLtd - 300Tons/day
@AMNSIndia - 200T/day
@SAILsteel - 33300Tons in one go .
@JSPLCorporate -100T/day

Also,

View attachment 85823
 

captscooby81

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An Excellent thread go through it to understand what you can do instead of simply ranting , Also clears some myth around remdisivir


We have 2 options – one, rant & rail against the ‘system’ and lament how it has let us down; second, do whatever we can to avoid getting infected & if infected, minimize adverse consequences to ourselves & others. If you belong to the first, you can stop reading now

How can we avoid getting infected? There’s no magic bullet, I’m afraid. This is primarily a “stick to the basics” approach. More difficult than it sounds.

First, maintain all precautions that we know help. These include masks (whenever you are not at home and not alone), physical distancing to the extent possible, and washing hands frequently. The 3 Ws – Wear a mask, Watch your distance, Wash your hands.

Masks work, and are probably the most important precaution given our current understanding that aerosols are the predominant mechanism of spread. The best is a well-fitting N95 mask, which is now widely available & not too expensive – you could re-use them too.

How can you optimally use an N95? Get 5 masks, and rotate their use – this is safe, burns less of a hole in your pocket, and is environment-friendly. The next best option is to use two masks – wear a surgical mask first, and a cloth mask over it for a snugger fit.

How physically distant need you be? The simple answer is “the more the better”. 6 feet preferable, but a minimum of 3 feet. Better still, avoid crowds as much as you can. Meet others only if absolutely necessary – most meetings can be done virtually.

Being outdoors is better than indoors, but while open gardens and parks are low-risk (where permitted by law), avoid large gatherings – whether they be weddings, parties, and yes, election rallies and religious (all religions) gatherings too.

Second, get your vaccine as early as you can. In India now, anyone over the age of 45 is eligible for the vaccine. Getting a vaccine gives you 70-80% chance of avoiding getting infected and 95% chance of serious illness. That’s as good as it can get.

There’s been a lot of noise about which vaccine to take. Anyone who strongly recommends one over the other is talking nonsense. There are no studies so far(& unlikely in the immediate future) to directly compare two vaccines to show which is better. So, take the first one you get

What about side effects of vaccines? We’ve heard of blood clots etc. Yes, they do occur, but they are extremely rare events, and the benefits of taking a vaccine far outweigh the risks

What happens if you do get #COVID_19? Yes, you still can get it even in spite of taking all precautions, and yes, even after you’ve taken the vaccine. Remember, none of this is 100% effective – but 70 to 95% effective is a whole lot better than 0%

Make preparations even before you get infected. Buy a thermometer and a pulse oximeter to keep at home. These are two important instruments you need in case you get infected.

First, don’t panic on getting a #COVID_19 positive report – 98% get through without major issues. Isolate yourself from others. You can do this at home if possible.

Chart your temperature using the thermometer, & your oxygen saturation with the pulse oximeter. Check both 2-3 times/day, the latter before & after a brisk 6-min walk. Make sure you drink enough fluids and keep yourself hydrated. Stay positive – you’ll get through this.

When should you be concerned and seek medical help? If your baseline saturation falls under 94% or if your fall in saturation before and after the 6-minute walk is 4% or more. Contact a hospital, and start proning yourself (lie chest down, back up)

What medicines should you take? If your oxygen saturation is fine & you have no symptoms other than fever, all you need is Paracetamol

There is some data that inhaled Budesonide helps you recover faster, but no hard endpoints like reduced mortality There is no evidence to suggest that anything helps – including Favipiravir/ Ivermectin. Don’t waste your time desperately trying to procure them

What medicines help for #COVID_19? Unfortunately, very few. What definitely works is proning and oxygen (when saturation is low), and steroids (Dexamethasone) for moderate to severe disease.

But what about #Remdesivir, #Tocilizumab and #ConvalescentPlasma?

#Remdesivir doesn’t help much, and certainly not in all patients; there is probably a small subgroup in which it helps – those requiring oxygen, but not sick enough that they require ventilation. And even here, it doesn’t reduce mortality, probably helps earlier recovery

#Tocilizumab also helps only in very specific subgroups – those sicker than described above, requiring rapidly increasing levels of oxygen or rapidly deteriorating respiratory parameters

My plea here is to please allow your physician to decide when Remdesivir/ Tocilizumab is required – there are very limited situations when they are beneficial & please don’t pressurize them to prescribe it – much of the shortage today is because of unnecessary prescriptions

There is even less evidence to support the use of #ConvalescentPlasma for COVID_19. almost all studies done so far have shown that it is of no benefit. Please don’t waste your time looking for a donor.

In short, these are difficult times, but each of us can do our bit to protect ourselves, our loved ones, and the world at large by some simple, but effective measures. Stay safe, folks, and we'll see this through.
 
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