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My husband (53) no health issues at all was in ICU on a rotoProne bed, ventilated, ARDS, sepsis- 5 days. 9 days total in ICU. (Almost life-flighted for ECMO.)Pulsoxs of 78 when he went in. 2018 flu. We had an EXCELLENT ARDS specialist. This condition presented itself just 5 days into being sick. Three days in, ER, Z-PAC & steroids, 3 days later ICU. Today 100% recovered no side affects praise God! Great video doctor, thank you
My mom lived 4 years on a vent with ALS. She always wanted us to point a fan toward her for more air. She was an anxious person and being ventilated increased her anxiety. She lived 4 yrs after being diagnosed with amyotrophic lateral sclerosis. God gave her grace and love and family and friend visits during this very difficult period in her life. Cindy
Hi..Really I had some question to know please. I want to know 1. Did they faint you when putting you on ventilator? 2. How it felt when first time putting you on ventilator? 3. After ventilator putted successfully then whole time how you feel breathing using that ventilator? Was that hard to breathe or when breathing you felt more suffocated?
@@itrop9952 They put you to sleep so you don't really much, but sometimes even tho I'm "asleep" I can hear some things the doctors and nurses say. Then when the doctor feels you're ready to come off the ventilator, the medication that put you to sleep slowly wears off and you wake up. I was so happy to wake up because once you get put on a ventilator, you never know if you'll wake up again.
@@mintyjang @제니스 Thanks a lot for reply. But not sure Then why my was scriming and also doctors if they put my father to sleep ( is their any chance they didn't use that medicine to sleep him). And again When I went to see he was sleeping with ventilator. I am also curious maybe later after putting ventilator 1. You feel too much irritated as can't cough? I mean even in sleep you feel those irritation? 2. The ventilator was mechanical didn't you feel pain as it pumped mechanically and didn't you feel suffocated as can't cough as well? Thanks! It will be great help if I got those answer!
@@itrop9952 well it's a scary experience so maybe that's why your dad was screaming. No there is no way they will put him on ventilator without the medicine to put him to sleep. They put a tube in your mouth and you don't feel the irritation because of the anesthesia (sleeping medication) they give you. You really don't feel anything because you are asleep. When the doctor thinks you are ready to come off, you slowly wake up ,but you're not able to talk yet because of the breathing tube in your mouth. Once they remove the tube, your throat might be a little bit sore from the irritation, but that goes away.
@@mintyjang thanks for early reply. Actually my dad was scriming also the doctors at him when he was putted ventilator and after putting on ventilator within 1 hour he died while he was sleeping.
You are one of the BEST drs. I can tell by your tone of voice, the way you explain things into detail. My mommy was on the ventilator for 22 days and fought so hard and I wish we had you in her ICU floor to help us understand things better. I truly come here to watch your videos now to advocate people and help the understand covid and the vaccine and it's importance, and how I would HATE for everyone to live what I lived in that time my mom was on a ventilator. Thank you for taking the time to make these videos as well. You are God sent. 🙏🏽🙏🏽❤️❤️
My father is 81 fighting for his life at Massachusetts general hospital. Hes in the ICU intubated on ventilator. Hes doing all the breathing on his own but the doctors are telling me its hard to take the vent out he then struggles. Hes been in the ICU only 6 days now and talk of palliative care has been mentioned so worried I want my dad to come home and be with us please pray for him. His name is Jean Ridley ♡ hes moving all extremities on neuro test but not opening eyes yet. Please pray for him thank you
I think it's phenomenal that you are putting this information out in such an easy to understand way for us non-medical types. Thank you for doing this, and for all you do to help people.
God Bless All First Responders, Physicians, Nursing Staff, EMS, Emergency room staff, Paramedics, Medicvac, Public Safety, Fire fighters etc. Thanks for Be Selfless and Caring for the Sick especially during this very difficult time period. Advocate, Author, Jason Sandifer, Michigan, 4/6/2020, 4/9/2020
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when all of this turns out to be quackery on the highest order are we going to demand brix and fauci and other public health celebrities answer for their idiotic recommendations or are we just going to pretend like everything is cool?
This is nothing new. Chinese doctors already knew and gave instructions: use ventilator could increase pressure on lungs with fluid inside. They took out the fluid, reduce inflammation, combined with the ventilator, dramatically decreased the death rate. Also, the ventilator is to be used early on, not until the lung is already damaged. You can't let patients stay home until it is too late to use ventilator. Do you guys listen or want to reinvent the wheel?
My mom was one of those people who didn’t make it off the ventilator … I miss her everyday . This Covid disease has caused so much trama in my life… I’ll never forget how hard my mom fought to live. Rest well Mommy
This guy has been right on the ball with good advice throughout this horrible time. Being a family man this advice has really helped me out ! And i appreciate the time and patience you have put into your videos despite also working as a ICU Doctor.. My Mrs works as a care worker in a residential home and am worried about her & my family/children. Not a nice subject, but your videos have helped shed light were needed. Thank you Dr. And stay safe yourself pal :)
@@smerk429 Well I'm talking from my personal experience. 4 months back my father went to the hospital on his feet and never came back. They put him on the killing machine while he was talking, eating and using washroom on his own. he passed away after 11 days. We can only regret now.
@@fkrockerzz91 Pakistan. We didn't have any choice . We had to send him to the hospital's and emergency as he had severe fever and left eating and drinking since 4 to 5 days. He was sugar patient as well. Well..... We plan and Allah plans and Allah is the best planner. قدر اللّٰہ وما شاء فعل۔ ( Allah has decreed it and what He willed has happened.) And Allah does not respite a soul when its appointed term has come, and Allah is aware of what you do. ( Surah Al Munafiqoon ; Aayat 11) May Allah سبحان و تعالیٰ bless my family with patience. آمین
I was thinking exactly the same thing I was starting to breath in as watch this video, not sure how good it is to watch these videos way too much though. Yet, I can't stop watching, this doc is very informative and detailed. Now, breath in...
These lectures are the perfect example to show someone ignorance is indeed bliss. Your mind cannot stop checking for parameters that can go wrong after these lectures. Not to know these is in a way bliss. At least until we start suffering.
I was already scared of this virus but this just made me a little more nervous. The media makes it sound like they are putting people on ventilators as soon as they come in for breathing issues. They all say they are doing it to help the patient rest. The way I see it is if you get to a point you need a vent with this virus you are not coming home😔 My anxiety is awful. I just want this to be over! Thanks again for educating everyone on what can happen with this virus.
I think a lot of them are being put on oxygen for difficultly breathing but if that doesn’t work intubation is the last resort for someone who’s not improving with regular oxygen and taking a drastic decline heading for acute respiratory failure. If the data is accurate 5 % of patients will require a ventilator. I’m not really sold on the numbers just yet because we’re not testing like we should. The media definitely doesn’t ease anyone’s anxiety.
My dad was on a ventilator for 4 days because of COVID-19 and he was given Hydroxychloroquine. He's out of the ICU and so far he's doing well. He just needs to show continuous improvement to be discharged from the hospital soon. The ventilator does help the lungs rest and unfortunately, there are people that haven't survived. You have no idea how much my heart aches for the families and victims of this virus. If it's already life or death for a patient, they SHOULD BE GIVEN HYDROXYCHLOROQUINE AND AZITHROMYCIN because even though it is still being tested, more and more studies are coming out that it drastically reduces symptoms of COVID.
@@s.t.5311 I am so glad to hear your dad is doing well!! How old is your dad if you dont mind me asking? This is great to hear a success story! And I do agree, the meds you mentioned should be given as soon as they start showing respiratory issue if not sooner! I have cried so many times reading stories about people who have died and cried for their families too! This virus is needs to go away!!! Thank you for sharing your dads story, hopefully he will be home soon❤
Real life and Truths Thank you! I just wanted to share my story because time passes very slowly when your loved one is in the hospital and you’re quarantined. I remember I would search for some good news for patients in the ICU but would never find any. I want to let people know if your loved one is in the ICU, there is still hope! He’s 53 years old and his oxygen still has to improve more so I’m hoping he can peacefully recover here at home.
Remdesivir seems to be working as well for some . I have read from other doctor’s that they have better outcomes with the hydroxychloroquine and azithromycin when they give it to patients with milder symptoms so it basically halts the virus from getting worse. Which is what an anti viral would normally do. What’s killing people with this virus is the cytokine storm that massive inflammatory response where the immune system goes into overdrive and starts attacking the bodies healthy lung tissue and other organs in the body. Once you get to that point you have a small window to act and try and control it. That’s where the immunosuppressants come to play to help counter act that inflammatory response and the antibiotic prevents or treats the bacterial infection that sets in. This is a nasty virus that does damage very quickly for those who have these types of reactions to the virus. What sucks is scientists don’t really know why this cytokine response happens in some people they can be completely healthy and their immune system just goes haywire if you’re one of the unlucky ones to have this happen.
14%. Pretty bleak. My son is an RT on COVID unit at UMass Med...I passed your videos on to him, altho I'm sure they're doing the same treatments. Thank you for your updates...stay safe!
Thank you for this Mike. Much better to hear this how, so I can digest it, rather than hearing later during a time of personal or family confusion. Great video.
Thank you for your explanation of ventilator use , for patient’s with COVID -19 and ARDS . I really thought less than 5% of patients with ARDS survived. Also thought < 200 on pao2/fio2. Anyway . That was a great chest film for an example of ARDS. It felt like I was at work . My husband died of ARDS/MODS due to sepsis from a ruptured colon . I am a retired critical care RN . Stay safe and well 😷🧼🦠🧼
Thank you. And sorry to hear about your husband. Prognosis with ARDS really depends on severity and underlying cause, which unfortunately, is not good with COVID. Stay safe as well
Respiratory Therapist here. We try desperately to keep the covid patient from getting intubated. Many we can help turn around but, there are those that no matter what we do, intubation is inevitable. When this happens, it is heartbreaking knowing the stats are against them. I am praying for a better way to support and treat these patients.
@@jason5409 my uncle who is healthy was on high flow oxygen but his O2 sat is still not stable and they’re putting him on a ventilator today. He’s in his late 40s but not vaccinated.
You're a much better doctor/teacher than you are an audio engineer. 😉 But in all seriousness. Thank you for what you're doing, both on the frontlines and with these videos.
Sunday my dad was killed by hospital, they were told oxygen only, ok they put him on ventilator, but they restrained him, tied him down because they were pumping too much pressure, in their words he died by collapsed lungs, they mean ruptured, they tortured him by tying him down as he couldn’t stand the pain from the incorrectly calibrated ventilator, they didn’t have the right to tie him up, if he wanted it off, its his choice, at least he would have a better chance or die in peace.
My friend/sister husband is in the hospital right now from covid (50 year old with 10 kids 15-30 he works and takes care of ) he's been in there 18-20 days in an induced coma on a ventilator, supposably at first the CPAP machine wasn't holding his oxygen up (or working his lungs to hard or something) and made his left top lung collapse so they had to put him on a ventilator and now his right lung has totally collapsed, they're telling us he's not going to make it😠😢😠, I suspected sabotage I figured they were looking at him like a bill charging it up to the maximum and now they can't charge it anymore I feel like they did him in ( triage = Wipeout the people that they can't make any more money on or are worst-case scenarios, to make room for new income/people), it's so crazy because at first he was getting better on the CPAP then his top left lung collapsed out of nowhere( when he was about to sign a release to go home and deal with it at home with oxygen tanks that he had from previous grow setups he was going to have the hospital fill them with oxygen because they wouldn't Supply him with one of course they wanted him to keep making them money , then all of a sudden maybe eight hours later the top of his left lung collapse and he needs to be on a ventilator in a induced coma, it's like they silence him/Rodney Swanson) we spoke with him on the phone and we could not understand what he was saying he sounded inebriated to the max ( all of his text messaging was unreadable like he was in the first grade all of a sudden ) then when he was talking to us all-you-can hear was bells and whistles going off in the room and the nurse saying he has to go he has to go we must do the procedure now!! this is crazy ....... do I have to mention he's Afro American, wears alot of gold and has gold and diamonds in his mouth(big Gold rings big Gold chains), to them I'm sure he just looks like a thug (but he's not he's from the south, he has always worked payed his child support and drove truck and stayed gambling at the casino) where in the 702 ...... if u fell like it say a prayer for fam he's a good dude I've seen him give his new J's off his feet to a kid in need that couldn't afford them growing up in a single family home .. This is messed up😢
Similar experience. They had my wife handed tied down to keep her from pulling out the tube. They had her on at least 30 drugs including remdesivir, dexamethasone, vacomycyn, fentanyl, seroquel, morphine, ativan, levophed, midazolam, and merrem.
Thank you for the best and most straightforward layperson presentation I've seen on this subject. Bless you for taking your valuable time and making yourself available to us.
Thanks for this. There's so much misinformation out there... and how utterly refreshing that you don't assume ignorance on the part of the listener and over-explain every word!
Persona experience of covid-19 taught me: it will dry snot on your nose and snot in part of lungs higher part, but that is only stiff cover on top of gummy snot. Dry air, low humidity is worst things for that situation, cuffing is dangerous coz it breaks big sharp pieces of dry snot cover which will cut on mucosa surface and it will make bleeding and more snot. Moist, high humidity air is best. Avoid upper chest breathing, try to breath only with stomach area, upper part have those dry snot covers and you don't want break and do cutting inside lungs. Switching between lying on back and stomach are best positions to be, humming lowest bass as you can do, like monks, will release/break/crunch dry snot and gently cuffs after that while lying on back will get those out, breathing returns close to normal after few minutes of humming. After several minutes of monk humming you're able to cuff all upper lung chest area dry snot out, which is moist now because of your humming. Avoid standing, be on level most of your time. Only medicine what I used was ketoprofein at low dozes (3x25mg/day) and that was mainly coz cuffed bit too hard on start of symptoms. Above is only my way, it may be good for others too. Low Bass Monk Humming was the key for breathing problems.
My son has been on a respirator for 3 days ...was taken off and was slowly getting better says the hospital, but yesterday was put back on it ....due to him taking of the oxygen mask and the nurse explained that he wasn't comfortable... I'm hoping and praying there will be not complications because of too much time on the ventilator But over all nurses informed that he is not getting worse, I pray Not !🙏
One of the last text my old friend got from his mom was “See you in a few days they are putting me to sleep for a few.” She lasted a week on the ventilator.
my father was on ventilator for 5 days then was extubated. dr said hes doing well then he deteriorated and died. its so painful that i still have anxiety and depression.
I am an asthmatic all my life I've had low oxygen in my blood its very scary thankfully i have just needed a week in hospital been injected with steroids plus nebs and had the needle inserted in my arterie in my whrist .That is so painful omg I had it done every day never forget it but thanks to the amazing doctors in Dublin Ireland were i am from they were amazing .pls god i dont get covid 19.I know what its like not been able to breathe so god bless anyone going trough this virus gbless great videos doc thank you
I'm not a doctor but it's common sense to me that aside from the ventilator, you have to give medication to treat the underlying corona virus infection.
Thank you for taking your time to produce these excellent videos! Could you please also comment on the mystical(?) differences between COVID19 pneumonitis and ARDS, and on DIC and anticoagulant treatment, and on rumours that intubated ventilation might worsen the lung status? Thank you! /Olle Kjellin, MD, Sweden
What I don't get is why people are laying down when they can't breath well. I almost died twice as a child from asthma and my heart stopped. I survived by sitting up and forcing myself to breath because I couldn't do this laying down. Even if it took two weeks, I would not lay down.
If you do survive after being on a ventilator, how compromised is your lung function? In other words, if your alveoli were so affected, do you now survive with COPD?
Diane Richard corticosteroids (prednisone) 24/7 oxygen replacement, albuterol and combo/corticosteroid inhalers, ect. EDIT: I misunderstood the question. I thought you meant how do people survive having COPD in general without the virus scenario. I apologize.
Great question. There is no direct, concrete answer to your question. Lots of factors determine that (underlying reason for requiring intubation, how long you require mechanical ventilation, everyone's unique immune system, etc..). For someone with severe ARDS due to viral infection, people lungs can be normal, or there might be impaired lung function.
Doctor Mike Hansen Thank youDr Mike. I think many of us need some additional details to agree if we want intubation, if placed with that decision. Outcome is more important than just surviving. 🙏🏻
I just watched my loved one die on a ventilator. She was doing fine 85% Oxygen saturation they didn’t even give her a time. By the time I came to the hospital she was intubated on ventilation. The ER doctor should not have rushed to the ventilator. I’m so torn. That hospital did more harm than good. I know it.
I'm so sorry for your loss. Was she put on redemsivir? The protocol for covid can honestly do more harm than good. The standard protocol is administer redemsivir and put them on a ventilator. There are several issues with this. They are too quick a lot of the time to put these patients on ventilators because it is proven that less invasive breathing treatments work a lot better for covid. Second is that redemsivir which they give to patients is known to cause organ failure. When you get severe covid, your body is bombarded by the spike protien which causes organ damage, then your body releases cytokines which can cause a cytokine storm which also causes organ damage. So not only does the covid spike protein damage your organs but cytokine storm further damages your organs and then they put you on redemsivir which is known for organ failure, then they put you on a ventilator which is known not to work well with covid because ventilators mainly only help with ARDS but covid effects your lungs in a different way than ARDS does, much like severe altitude sickness. Surely they could use a different sedative other than redemsivir which causes organ failure. It seems like the standard covid protocol is doing more harm than good
I understand! I am so sorry. I myself had a similar experience. We need to form support groups to get the truth out. The mainstream media, mainstream medical establishment, and the government have all been lying! Most of the people (over 90%) did not have to die!
@@chandleryoung9515 Glad to see people waking up and doing their research! Yes, that good ole remdesivir!!! That's what they put my wife on, then dexamethasone, then the vent which they could not wean her off. This went on for over 3 months during which time she was on some 30 different drugs and milked my insurance for all they could get. Some of those drugs were Ativan, propanol, vancomycin, seroquil, midazolam, morphine, levopherd ...just mostly sedatives, antibiotics, steroids, and diuretics.
@@thewatchmanonthewall3755 I have gone through the same with my dad, lost him 1/24. DEATH BY PROTOCOL. I am tossing ideas around, do NOT want his death to be in vain. I want our stories heard.
ve@@treshiaknipper2274 I am so sorry! No, Do not allow you dad's death [which definitely was a needless death] to go in vain - 1/24? Ouch! I lost my wife 1/20 last year; It still hurt! We have unite, join support group, engage in rallies, and d our best to wake people. I just became a part of a remdesivir FDA death protocol group.
Dr Hansen thank you for educating the public. You’re awesome. I’m a nurse in Las Vegas. We do multidisciplinary rounds daily. This is how our Intensivists teach us. We our using Flolan drip or inhaler for our intubated patients. We are also doing manual proning on our intubated pts. Btw, I’m originally from Knox, In very close to Valpo, In. Still have my family in Knox. Always looking forward to your next video. Stay safe!
What about the research which shows that COVID resembles high altitude sickness rather than ARDS thus lower pressure with higher oxygen settings is better for the ventilator for COVID ?
What type of Respiratory Therapy are these patients given to try and keep them from needing mechanical ventilation. Next, this virus is causing a lot of fluid in the lungs. When I was trained in Respiratory Therapy I was taught that when there is a lot of fluid in the lungs we need to give then moisturized air to help brake up that fluid. Then, I was taught to help break up the fluid you can cup your hands and pat on the back to help break it up using vibration. Also, have them on a slight incline to encourage flow of the fluid using gravity toward the head. I've heard that it's a dry cough so is this a really dry sticky fluid in the lungs. Please talk about what if any kind of Respiratory Therapy can be done to help keep them off the ventilator. Also, one man who got this who was on one of the cruise ships almost had to be intubated. The doctor told him that if his oxygen level were to go much lower he'd need ventilation. He knew that if he went on the ventilator his chance of survival was low. So, he starts doing special breathing exercises by expanding the lungs. This raised his O2 levels and he avoided the ventilator. Please provide your thoughts on this things not only for those in the hospital but also for someone at home.
@Joe Bordo I thought that hydroxychloroquine was acting as a zinc ionophore, an agent that helps higher than normal levels of zinc to be transported across the cellular walls into the cells where the zinc interferes with the virus' RNA synthesis.
@@videomaniac108 It does several things. Apparently it also raises the pH around your cells to slow/prevent/interfere with the virus from getting inside; alkaline environments are more difficult for viruses to spread - they work better in acidic environments (low pH).
Velo1010 RN here. Yes, these meds do have anti inflammatory properties but not powerful enough in this situation. That is why they many times need to add steroid therapy. They need to suppress inflammation and cytokines release, but at the same time not suppress the immune response too much. Delicate process.
Sheba Can2010 So that means that people who are showing easily signs could self-medicate early with an OTC anti-inflammatory and antihistamine. Sure wouldn’t hurt to try.
Thank you for this not only accurate but simplified info so non medical trained persons can follow. I am a trained medical professional and wonder under which criteria facial trauma and burn victims needing mechanical ventilation will be placed. Thank you 🙏🏾
Doctors in New York are stating that covid presents altitude sickness like symptoms more than pnuemonia like symptoms thus ventilating patients is the wrong procedure
I quit 6 months ago, the difference is amazing, hardly get any signs of asthma anymore at all like it's been cured, I usee to go through a puffer every week now I have one around just in case but hardly ever use it.
Smokers aren't dying of covid 19 don't know if if it because they are used to having higher c02 lower o2 in blood or if nicotine actually kills covid but 1.4 % of deaths was smokers when 14% of the population are smokers.
Please read my post above. The 15% chance of survival is a huge underestimate based on a case series of only 22 patients in China. If you need it, get medical attention. With supportive care you are very likely to survive even if you get the virus.
There is a reason for vents and you need to buy time for medication to work. You would takened the medication you like but still die from respiratory failure. Wasted drug. Vent only reverses impending respiratory failure and also helps with sepsis with atb ect.
Maybe this study showed low survival, but in general survival for pneumonia for people on ventilators is 60%, increasing to 80% if they lay face down and are unconscious. For Covid-19 it seems to be much lower, at 40 to 60%, but if you start with ventilator on a 90 year old patient I can tell you the outcome, and if you did a study only with really sick people, you could get a very low number. In Norway, if you are very old they dont put you on a ventilator. In Italy they dont put you on a ventilator if you are over 60.
@@bjorn2fly elderly have shallow breathing in general or you can say hypoventilation. Prone is used due to gravity and mobilizes those critters away off flooded aveoli so it can receive 02. Ventilation is needed for gas exchange in order to avoid respiratory failure. Pneumonia will place you in septic shock and later ARDS. Which is why it is difficult. Covid-19 is very aggressive at attacking pulmonary. Elders have deteriorating organs in general due to aging which is why they are vulnerable. For youth, it will depend on their ace2 levels and their immune system.
Lost my friend this week after she was sedated on ventilator for 10 days with Covid..You explained and provided many answers to my questions..Thankyou Sir
@@marcelinoresendez8934 I lost my wife because they were not able to wean her off the vent. Over 3 months. Finally they unplugged her, but I didn't know at the time they euthanized her with morphine, Atavan and midazolam.
@Paul coronavirus certainly is infecting and depleting lung tissue this is how the virus is replicating contracting capillaries not allowing a immune response without ventilating the ICU patient would die sooner, reducing viral load is key
@@su8111 yes I've listened to him, reducing inflammation a result of viral overload is necessary possibly slowing replication with the capillaries that carry the red blood cells are constricting not allowing a effective immune response possibly causing a buildup of red blood cells in the bloodstream this may result in bloodstream inflammation or the opposite of viral overload but a antibody overload
Can you explain what drugs you need to administer in order to place someone on a ventilator(morphine, fentanyl ,ketamine, etc...)? Discuss why they need to be put in a coma, how horrible life support is. Most people just don’t get it.
Think about this from the patient's experience for a moment. They go into ARDS, fighting to breath, then they are paralyzed and sedated in unconsciousness...and the vast majority of them never wake up. It's very much like an execution by lethal injection.
if you look at it dispassionately its a good way to die - I assume theres no pain & you are unaware that its happening at the time (although you know its highly likely to happen before you are ventilated) - the tragedy is that there is no family around you & for younger people they are losing a lot of years of life
What is your point? don't you want to give them any medication? or give them a chance of being one of the 14%. Honestly you are as smart as your own analogy.
@@DoctorMikeHansen not gonna lie I saw the preview and thought not another RUclips doctor that uses Google for research, I was wrong you're the real deal, liked and subbed
@@EricK-tb2dn to be fair, I’m sure even he uses google when he’s researching new areas in his field. But I get you, it’s different when it’s their specialty.
I had a Covid patient die on the vent not long ago (May he RIP ❤️) and when I tried going deep on his inline suction to grab a sputum for culture, I had a very hard time passing the catheter. I thought it was very odd and he wasn’t biting the tube (mouth was wide open). I was thinking maybe it felt that way from massive inflammation? It felt tight. However I don’t know if it’s possible for me to feel the resistance from inflammation. It was very different from other ARDS I’ve suctioned. This virus sucks.
My dad (75yrs old with diabetes & lung disease) was hospitalized after 4 days of showing COVID symptoms (chills, fever, nausea, abdominal pain, diarrhea ) his oxygen was at a 92 unfortunately, he developed COVID pneumonia. Today marks 10 days of being hospitalized at St. Jude in Fullerton. He went from cannulas (4liters of oxygen) to oxygen mask (8 liters of oxygen) and now on a super high flow mask on (8 liters of oxygen) the first 3 days he was fine.. but just yesterday (12/17/20) his oxygen level dropped down to 75.. he is currently trying to fight for his life & catch his breathe. Doctors say he has a slight chance of survival others say he will make it out alive 🙏🏽 . It’s hard enough not being able to see him physically. He is a strong man and a fighter! He is in good spirit when we FaceTime him. Always giving us a thumbs up 👍🏼 regardless, my family and I are praying everyday for my dad’s recovery. We need him to make it out of this alive. Please keep him in your prayers (Juan Pineda). This is very hard for us, wear your mask. Take this serious, please!
My mother in law, has breast cancer was on her last chemo ,when she got covid. She also has diabetes and high blood pressure. She is in the icu fighting for her life .
That does not seem like good odds! Personally with odds like that, I would not take the chance! But, strangely enough, too many hospitals are still using the dangerous drug remdesivir and sticking patients on a vent. As the old saying goes, only a fool would keep doing the same thing over and over again...
One thing I don't get: how exactly are you not able to get patients oxygenation/ventilation up with high flow and high fio2 but without resorting to intubation? COULD IT BE THE GAS TEST CAN BE WRONG sometimes? Or maybe the cheaper CPAP setup wasn't maintained properly? Them breathing by themselves should always by physiologically better than positive pressure alone. The whole recruitment idea is ludicrous in that the patient is easily able to maintain a beep by themselves by not breathing out fully and taking shallow breaths. That goes for air trapped in their lungs too. I imagine if you take a deep enough breath, at some point you get enough pressure for air to leave your lungs. How would ventilator be any different? At least you are guaranteed no lung damage from overinflating ventilation requiring 3x the pressure of negative pressure breathing.
Question: for most hospital around the world (even first world countries) are coronavirus patients being given drugs to try to counteract this thing or are they just left on a ventilator (if they can even get one) to either recover or die? If not, why not? Also, how many on ventilators survive without any attempt at a cure?
What about hyperbaric O2? I am a Western Australian Pearl Diver. We have a unique diving regime where we use in water (hyperbaric) 100% O2 to rapidly deplete accumulated nitrogen. The process supersaturates Blood O2 and this allows us to recover from nitrogen absorption an order of magnitude faster. Sometimes in a situation where a diver might develop decompression sickness, we will treat in a decompression chamber on O2 at 20 meters for 30 minuits ( table 6 treatment) My point here is that administration of O2 in this way is many times more efficient than breathing naturally or by machine at one atmosphere. So my question is....how might hyperbaric O2 administration work for Covid treatment? I saw some work was done with hyperbaric treatments during the Spanish flue way back. Thank you, Stephen Arrow We think that when the body is under depleted O2 duress, the pulmonary toxic dose changes rapidly. Be great to hear your thoughts on this please.
I am going to tell you a really sad story because it was more than twenty years ago now. It concerns my mum having contracted pneumonia, and having been a sufferer of asthma and COPD long term. She always disregarded her own health and put others first, but she had been at a meeting in London and was taken ill. I drove her home and you know she could have died on the journey, I administered her portable nebuliser on the journey home. Yes no pandemic then but it took an extraordinary time to admit her onto a ward she spend the best part of the day on a corridor gurney. ( I know now that they expected her to die) She fought too hard and they had to find her a bed but she was in a bad way. I was asked by the registrar who was not a lung specialist but a gut specialist (who later died falling off a ladder putting up lights on a christmas tree which is another story) not to consent to putting her on a ventilator. I said that I could not make that decision and he would have to ask her, but in the end I had to ask her and she agreed not to be ventilated. And so I saw her go into Cheyne Stokes breathing. Here is something else, I had pneumonia too whether I got it off her or from the same source who knows, but I was not well when I watched her drift out of this world. I forewent any treatment until after she was dead, not a nice memory at all. I am not sure to this day whether the suggestion not to ventilate was medical or economic!!!!!!
Today i am watching this video because my near one is in icu and serious because of covid.... His oxygen is low and he's a cancer patient. Please pray for him and suggest what can we do?
I remember in your previous video with the autopsy report that the results were that the deceased might have survived had he been intubated because you said there were treatments that could be done intubated that couldn't be done with only nasal cannulas. I understand that ventilators are not a cure, but should we still use intubation over nasal cannulas if recommended for COVID-19 patients? Additionally are most ventilated patients sedated & how does this sedation affect the body's ability to fight the virus?
Dr. Hansen with all do respect, allowing a Patient to die without their love one in the room is not acceptable. if you know as a highly experienced physician that the Patient did not have COVID 19, or even if he did, you put the PPE equipment on the family member, ( have them sign an acknowledgement of the risk of infection) and let them sit at the bedside or hold the Patient's hand through a glove. These Patient's are people first not diagnoses and I am afraid you have forgotten this. Patient's get to chose what they want done , even if the chances of survival are ZERO as you mentioned. I realize your stats are accurate, but people often defy any stat no matter how absolute it maybe. As a physician, if a Patient wants all measures, no scoring system or the physician's personal experience or bias should determine the level of measures to be taken. It is either the patient's or the families right only. Thanks you for your sacrifice in caring for your patients, and your consideration.
They don't have enough PPE for nurses to take care of pts. So they will not spare any for non emergency purposes. They will not put another healthy person at risk either.. They don't have enough equipment for 1 much less 2 sick people..
If this was a normal situation in general most health care workers would want to do just what you suggest but this if far from normal - It is sad and I know that this is taking a toll on all not just the patient or family - It is also taking its toll on the health care workers because we know that these are people. If we could we would.......
Dr. Hansen, sounds like there is a slim chance, less than 15%, a intubated patients will survive. Is it possible to predict which patients may develop to ARDS and before it actually happens? If so, could these patents be treated with more proactive approach, such as experimental treatment of hydroxychloroquine, etc, to prevent these patients from needing the ventilators?
@@DoctorMikeHansen Thank you! Now we know there are drugs available! Unfortunately, most hospitals and mainstream doctors are very reluctant to use them. BTW, Doctor, why would a patient on a ventilator be given a drug like [Versed] midazolam? That seems counter productive????
But often is the elderly have many other issues, not just COV-19. most death rate even in China not just die in COV-19 or with COV-19. that is why it shows more than the elderly than Children, I think
The survival rate of post-ARDS while hospitalized has improved greatly over the years. I myself survived bacterial pneumonia that led to ARDS in the hospital. I was on a vent for about 12 days, suffered no long-term damage thankfully. Physicians will learn more and more quickly as more covid-19 patients present themselves at the hospital. On data highlighted on medcram, the survival rate was more like 50% aka a toin coss for covid-19 if you needed a vent. It's going to be highly variable per individual patient. If you're 80 and a chronic smoker, of course your chances of survival are statistically less han a 40 year old with no comorbidities. A vent is not a pancea, but without one, since covid-19 has no treatment, you are much more likely to die than without one.
@Ken Hudson I don't know any data concerning quality of life. For me it took about 3 weeks just to learn how to walk again do simple things like showering and brushing my teeth. I walked around with a portable oxygen concentrator for several months until I got my strength back. Laying still 24/7 in the hospital causes your muscles to waste away.
@@matty00926 j completely understand I was 16 days hospitalized from Covid 19 . Loss my ability to walk in the hospital , couldn't dress and couldn't even remove my own bowels by myself . The nurses would have to come in just to sit me up in bed to eat after I came off my CPAP mask which is one step away from being ventilated . I am home now from the hospital but still on home oxygen therapy until further notice . I still cannot shower on my own , get dressed on my own or walk well . I can walk but it's almost as if I had a stroke . I did not suffer a stroke but just saying Covid looks like it mimicked a stroke to me . I am only 39yrs old strong male before this all happened. Covid is serious as can be . If I had to name the virus myself I would call it "THE STRANGULATION VIRUS" as when this virus has you in it's authority it feels like an anaconda has locked your body all around from circulation. How long did it take you to recover ? Also would you say you're 100% with no left behind issues ? Hope to hear from you soon . Until then God Bless 🙏
@@Myworldmymind908 It took me a good few months to for the most part recover. When I became sick I already had several chronic medical conditions, which are progressive in nature. The best advice I can give is to push yourself to achieve small goals every day, no matter how slow you start off. I would crank my oxygen concentrator up and walk on the treadmill and simply stop once my O2 saturation went below 90, rinse and repeat. After a while you become more conditioned and you can do a little more, and you just keep going. Also take the effort to optimize your sleep as much as you can; without proper sleep it's really hard to get better, and maintain health.
@@matty00926 wow your story is amazing ! How many liters of oxygen were you on while home after dismissed from the hospital ? I am currently on 4 liters low flow . Been dropping on my O2 in the lower 80's only when coming outside to go to doctors appointments . Also how long were you hospitalized?
Acetazolamide, or Diamox, is the standard medical prophylaxis agent for high altitude illness. The medication is effective in preventing acute mountain sickness (AMS), high altitude pulmonary edema (HAPE), and high altitude cerebral edema (HACE). Its mechanism is via inhibition of the carbonic anhydrase enzyme which counteracts the respiratory alkalosis which occurs during ascent to altitude. It facilitates the excretion of bicarbonate in the urine. As a result, acetazolamide hastens acclimatization and helps prevent high altitude disorders. Current recommended dosing is 125 mg, orally twice daily, started 24 hours prior to ascending in elevation. Side effects include tingling of the fingers and toes and perioral numbness which may be erroneously interpreted as stroke symptoms. Since acetazolamide is a mild diuretic, frequent micturition may occur leading to interruption of daytime activities as well as broken sleep. These effects can affect safety at high altitude. Acetazolamide is normally discontinued 2 days after the user has reached their highest elevation or a plateau in elevation.
Those statistics at the end..... If I was a gambler, I wouldn't like those odds at all. It's very sobering........ But on a more positive note. "Prone position " I'm wondering is that the reason some people like me sleep on their side and stomach ? Which I've been doing most of my life, going way back to childhood. I just can't fall to sleep on my back. It's not natural...... ☮️⚛️🌏
There is a nurse thst worked in 2 different hospitals in NY one used the ventilators and most died and the other hospital didn't use the ventilators and most survived .. so people what do you think. ...
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My husband (53) no health issues at all was in ICU on a rotoProne bed, ventilated, ARDS, sepsis- 5 days. 9 days total in ICU. (Almost life-flighted for ECMO.)Pulsoxs of 78 when he went in. 2018 flu. We had an EXCELLENT ARDS specialist. This condition presented itself just 5 days into being sick. Three days in, ER, Z-PAC & steroids, 3 days later ICU. Today 100% recovered no side affects praise God! Great video doctor, thank you
Thank God he could be treated in time and a ventilator was available. For a lot of patients this may not have the same favorable out come.
😍👍🏽😍
Praise god!!
Praise GOD
Praise the doctor!
@@dcm1987 For Sure
Prayers for my dad fighting Covid-19 ❤️😭🙏🏼
💗💗💗💗💗
Ethan Weeter he was 61 healthy never was sick. He passed away yesterday 😩😢😭🥺
@@jennyreyes3852 💝💝💝💝😥
@@jennyreyes3852 same with my dad except he passed yesterday. 61 strong & healthy.
H2O CO2 im so sorry for your lost 😢🥺💔😭
My mom lived 4 years on a vent with ALS. She always wanted us to point a fan toward her for more air. She was an anxious person and being ventilated increased her anxiety. She lived 4 yrs after being diagnosed with amyotrophic lateral sclerosis. God gave her grace and love and family and friend visits during this very difficult period in her life. Cindy
Glad to be part of that 14% 😭
I am a covid ventilator survivor.
Hi..Really I had some question to know please. I want to know
1. Did they faint you when putting you on ventilator?
2. How it felt when first time putting you on ventilator?
3. After ventilator putted successfully then whole time how you feel breathing using that ventilator? Was that hard to breathe or when breathing you felt more suffocated?
@@itrop9952 They put you to sleep so you don't really much, but sometimes even tho I'm "asleep" I can hear some things the doctors and nurses say. Then when the doctor feels you're ready to come off the ventilator, the medication that put you to sleep slowly wears off and you wake up. I was so happy to wake up because once you get put on a ventilator, you never know if you'll wake up again.
@@mintyjang @제니스 Thanks a lot for reply. But not sure Then why my was scriming and also doctors if they put my father to sleep ( is their any chance they didn't use that medicine to sleep him). And again When I went to see he was sleeping with ventilator. I am also curious maybe later after putting ventilator
1. You feel too much irritated as can't cough? I mean even in sleep you feel those irritation?
2. The ventilator was mechanical didn't you feel pain as it pumped mechanically and didn't you feel suffocated as can't cough as well?
Thanks! It will be great help if I got those answer!
@@itrop9952 well it's a scary experience so maybe that's why your dad was screaming. No there is no way they will put him on ventilator without the medicine to put him to sleep. They put a tube in your mouth and you don't feel the irritation because of the anesthesia (sleeping medication) they give you. You really don't feel anything because you are asleep. When the doctor thinks you are ready to come off, you slowly wake up ,but you're not able to talk yet because of the breathing tube in your mouth. Once they remove the tube, your throat might be a little bit sore from the irritation, but that goes away.
@@mintyjang thanks for early reply. Actually my dad was scriming also the doctors at him when he was putted ventilator and after putting on ventilator within 1 hour he died while he was sleeping.
You are one of the BEST drs. I can tell by your tone of voice, the way you explain things into detail. My mommy was on the ventilator for 22 days and fought so hard and I wish we had you in her ICU floor to help us understand things better. I truly come here to watch your videos now to advocate people and help the understand covid and the vaccine and it's importance, and how I would HATE for everyone to live what I lived in that time my mom was on a ventilator. Thank you for taking the time to make these videos as well. You are God sent. 🙏🏽🙏🏽❤️❤️
My father is 81 fighting for his life at Massachusetts general hospital. Hes in the ICU intubated on ventilator. Hes doing all the breathing on his own but the doctors are telling me its hard to take the vent out he then struggles. Hes been in the ICU only 6 days now and talk of palliative care has been mentioned so worried I want my dad to come home and be with us please pray for him. His name is Jean Ridley ♡ hes moving all extremities on neuro test but not opening eyes yet. Please pray for him thank you
Can we have an update?
I hope your Dad is home and doing well🙏
I think it's phenomenal that you are putting this information out in such an easy to understand way for us non-medical types. Thank you for doing this, and for all you do to help people.
The way the news talks about ventilators.i would of guess the survival rate would of been much higher then 14 percent.
Higher much higher We see many patients left dying bec of lack of ventilators
@@simaturna9765 so you're saying the study is wrong?
@@SawmillerSmith people in Spain are left to die bec of lack of ventilators
The point is to try and save everyone that can be saved, even if that's just a small proportion of the people with severe symptoms.
@@simaturna9765 How much fewer deaths if patients were given hydroxychloroquine for *EARLY treatment* ?
God Bless All First Responders, Physicians, Nursing Staff, EMS, Emergency room staff, Paramedics, Medicvac, Public Safety, Fire fighters etc. Thanks for Be Selfless and Caring for the Sick especially during this very difficult time period.
Advocate, Author, Jason Sandifer,
Michigan,
4/6/2020,
4/9/2020
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If you're placed on a ventilator becsuse of Covid-19 mortality rate are 80% - 87%, rather be put on CPAP first?
You are like a friend to me, accept intelligent! 😁
oooh oooh let me answer. NO they actually most likely are worse than NO TREATMENT at all considering the 10-20% success rate.
when all of this turns out to be quackery on the highest order are we going to demand brix and fauci and other public health celebrities answer for their idiotic recommendations or are we just going to pretend like everything is cool?
This is nothing new. Chinese doctors already knew and gave instructions: use ventilator could increase pressure on lungs with fluid inside. They took out the fluid, reduce inflammation, combined with the ventilator, dramatically decreased the death rate. Also, the ventilator is to be used early on, not until the lung is already damaged. You can't let patients stay home until it is too late to use ventilator. Do you guys listen or want to reinvent the wheel?
Truly, God bless our doctors and nurses!
This is an outstanding wealth of information that lay people can understand! Thank you 😊
My mom was one of those people who didn’t make it off the ventilator … I miss her everyday . This Covid disease has caused so much trama in my life… I’ll never forget how hard my mom fought to live. Rest well Mommy
Same here .
Awesome job with your presentation. As a RRT I’ve never heard a better explanation of the topic.
This guy has been right on the ball with good advice throughout this horrible time. Being a family man this advice has really helped me out ! And i appreciate the time and patience you have put into your videos despite also working as a ICU Doctor.. My Mrs works as a care worker in a residential home and am worried about her & my family/children. Not a nice subject, but your videos have helped shed light were needed. Thank you Dr. And stay safe yourself pal :)
Mechanical Ventilators are killing machines. And those 14% who survive on ventilators would have probably made it without ventilation.
EXACTLY !
FINALLY I SEE SOMEBODY WITH BRAINS !
@@smerk429 Well I'm talking from my personal experience. 4 months back my father went to the hospital on his feet and never came back. They put him on the killing machine while he was talking, eating and using washroom on his own. he passed away after 11 days. We can only regret now.
@@fkrockerzz91
انا للہ و انا الیہ راجعون ۔
Same happened with us. And Allah knows the best.
@@sumbulkhan7843 Inna lillahi wa Inna ilayhi rajioon. You are from which country brother?
@@fkrockerzz91
Pakistan. We didn't have any choice . We had to send him to the hospital's and emergency as he had severe fever and left eating and drinking since 4 to 5 days. He was sugar patient as well.
Well..... We plan and Allah plans and Allah is the best planner.
قدر اللّٰہ وما شاء فعل۔
( Allah has decreed it and what He willed has happened.)
And Allah does not respite a soul when its appointed term has come, and Allah is aware of what you do. ( Surah Al Munafiqoon ; Aayat 11)
May Allah سبحان و تعالیٰ bless my family with patience. آمین
You are an amazing instructor
Plz pray for my mummy she is on ventilator plz plz pray I love my mummy most in my life
May God bless ur mother don't worry
Wt happen to her
God heal her mom. Amen
I don’t have anything to add but I really do wanna thank you for what you are doing in that ICU. Stay healthy and stay safe.
Who else has become acutely aware of their breathing in the past weeks? I've actually hyper-ventilated a few times!
too true!!
Hysteria tends to cause that!
Good exercise, that. Super oxygenate once per day.
I was thinking exactly the same thing I was starting to breath in as watch this video, not sure how good it is to watch these videos way too much though. Yet, I can't stop watching, this doc is very informative and detailed. Now, breath in...
I have asthma and I keep getting minor asthma attacks every time I watch these videos.
These lectures are the perfect example to show someone ignorance is indeed bliss. Your mind cannot stop checking for parameters that can go wrong after these lectures. Not to know these is in a way bliss. At least until we start suffering.
I was already scared of this virus but this just made me a little more nervous. The media makes it sound like they are putting people on ventilators as soon as they come in for breathing issues. They all say they are doing it to help the patient rest. The way I see it is if you get to a point you need a vent with this virus you are not coming home😔 My anxiety is awful. I just want this to be over! Thanks again for educating everyone on what can happen with this virus.
I think a lot of them are being put on oxygen for difficultly breathing but if that doesn’t work intubation is the last resort for someone who’s not improving with regular oxygen and taking a drastic decline heading for acute respiratory failure. If the data is accurate 5 % of patients will require a ventilator. I’m not really sold on the numbers just yet because we’re not testing like we should. The media definitely doesn’t ease anyone’s anxiety.
My dad was on a ventilator for 4 days because of COVID-19 and he was given Hydroxychloroquine. He's out of the ICU and so far he's doing well. He just needs to show continuous improvement to be discharged from the hospital soon. The ventilator does help the lungs rest and unfortunately, there are people that haven't survived. You have no idea how much my heart aches for the families and victims of this virus. If it's already life or death for a patient, they SHOULD BE GIVEN HYDROXYCHLOROQUINE AND AZITHROMYCIN because even though it is still being tested, more and more studies are coming out that it drastically reduces symptoms of COVID.
@@s.t.5311 I am so glad to hear your dad is doing well!! How old is your dad if you dont mind me asking? This is great to hear a success story! And I do agree, the meds you mentioned should be given as soon as they start showing respiratory issue if not sooner! I have cried so many times reading stories about people who have died and cried for their families too! This virus is needs to go away!!! Thank you for sharing your dads story, hopefully he will be home soon❤
Real life and Truths Thank you! I just wanted to share my story because time passes very slowly when your loved one is in the hospital and you’re quarantined. I remember I would search for some good news for patients in the ICU but would never find any. I want to let people know if your loved one is in the ICU, there is still hope! He’s 53 years old and his oxygen still has to improve more so I’m hoping he can peacefully recover here at home.
Remdesivir seems to be working as well for some . I have read from other doctor’s that they have better outcomes with the hydroxychloroquine and azithromycin when they give it to patients with milder symptoms so it basically halts the virus from getting worse. Which is what an anti viral would normally do. What’s killing people with this virus is the cytokine storm that massive inflammatory response where the immune system goes into overdrive and starts attacking the bodies healthy lung tissue and other organs in the body. Once you get to that point you have a small window to act and try and control it. That’s where the immunosuppressants come to play to help counter act that inflammatory response and the antibiotic prevents or treats the bacterial infection that sets in. This is a nasty virus that does damage very quickly for those who have these types of reactions to the virus. What sucks is scientists don’t really know why this cytokine response happens in some people they can be completely healthy and their immune system just goes haywire if you’re one of the unlucky ones to have this happen.
14%.
Pretty bleak.
My son is an RT on COVID unit at UMass Med...I passed your videos on to him, altho I'm sure they're doing the same treatments.
Thank you for your updates...stay safe!
Thank you for this Mike. Much better to hear this how, so I can digest it, rather than hearing later during a time of personal or family confusion. Great video.
Thank you for your explanation of ventilator use , for patient’s with COVID -19 and ARDS . I really thought less than 5% of patients with ARDS survived. Also thought < 200 on pao2/fio2. Anyway . That was a great chest film for an example of ARDS. It felt like I was at work . My husband died of ARDS/MODS due to sepsis from a ruptured colon . I am a retired critical care RN . Stay safe and well 😷🧼🦠🧼
Thank you. And sorry to hear about your husband. Prognosis with ARDS really depends on severity and underlying cause, which unfortunately, is not good with COVID. Stay safe as well
Doctor Mike Hansen ...Thank you . I share your posts on FB,
Respiratory Therapist here. We try desperately to keep the covid patient from getting intubated. Many we can help turn around but, there are those that no matter what we do, intubation is inevitable. When this happens, it is heartbreaking knowing the stats are against them. I am praying for a better way to support and treat these patients.
Can't they be given oxygen?
@@jason5409 They are given oxygen, as much as we can give.
@@jason5409 my uncle who is healthy was on high flow oxygen but his O2 sat is still not stable and they’re putting him on a ventilator today. He’s in his late 40s but not vaccinated.
@Ewa Feen he passed away on the 19th at 49 years old. His memorial was yesterday.
@Ewa Feen thank you for asking, though.
Prayers for my mom 💙she’s fighting COVID 19, pneumonia and ARDS. They intubated her today💔
Prayers that the Lord heal your mom
Hi how is your mum mine is in the same situation
My grandfather had ALS back in the 80s. He had this done and it left him unable to speak and trachea so sore it was paralyzed.
You're a much better doctor/teacher than you are an audio engineer. 😉
But in all seriousness. Thank you for what you're doing, both on the frontlines and with these videos.
Please pray for my mom who is fighting for her life on a ventilator due to COVID-19. Thank you all and God bless.
@@ISHAANSINGH0007 I Guess yes
Is she is fyn now
Sunday my dad was killed by hospital, they were told oxygen only, ok they put him on ventilator, but they restrained him, tied him down because they were pumping too much pressure, in their words he died by collapsed lungs, they mean ruptured, they tortured him by tying him down as he couldn’t stand the pain from the incorrectly calibrated ventilator, they didn’t have the right to tie him up, if he wanted it off, its his choice, at least he would have a better chance or die in peace.
Word is Hospital gets more money by killing covid patients, something like. $30k
My friend/sister husband is in the hospital right now from covid (50 year old with 10 kids 15-30 he works and takes care of ) he's been in there 18-20 days in an induced coma on a ventilator, supposably at first the CPAP machine wasn't holding his oxygen up (or working his lungs to hard or something) and made his left top lung collapse so they had to put him on a ventilator and now his right lung has totally collapsed, they're telling us he's not going to make it😠😢😠, I suspected sabotage I figured they were looking at him like a bill charging it up to the maximum and now they can't charge it anymore I feel like they did him in ( triage = Wipeout the people that they can't make any more money on or are worst-case scenarios, to make room for new income/people), it's so crazy because at first he was getting better on the CPAP then his top left lung collapsed out of nowhere( when he was about to sign a release to go home and deal with it at home with oxygen tanks that he had from previous grow setups he was going to have the hospital fill them with oxygen because they wouldn't Supply him with one of course they wanted him to keep making them money , then all of a sudden maybe eight hours later the top of his left lung collapse and he needs to be on a ventilator in a induced coma, it's like they silence him/Rodney Swanson) we spoke with him on the phone and we could not understand what he was saying he sounded inebriated to the max ( all of his text messaging was unreadable like he was in the first grade all of a sudden ) then when he was talking to us all-you-can hear was bells and whistles going off in the room and the nurse saying he has to go he has to go we must do the procedure now!! this is crazy ....... do I have to mention he's Afro American, wears alot of gold and has gold and diamonds in his mouth(big Gold rings big Gold chains), to them I'm sure he just looks like a thug (but he's not he's from the south, he has always worked payed his child support and drove truck and stayed gambling at the casino) where in the 702 ......
if u fell like it say a prayer for fam he's a good dude I've seen him give his new J's off his feet to a kid in need that couldn't afford them growing up in a single family home ..
This is messed up😢
Similar experience. They had my wife handed tied down to keep her from pulling out the tube. They had her on at least 30 drugs including remdesivir, dexamethasone,
vacomycyn, fentanyl, seroquel, morphine, ativan, levophed, midazolam, and merrem.
@@SteveSolaka $13,000 to classify you as positive, $39,000 to put you on the vent. and $2,400 rebate to remdesivir (which cost $3200)
Did I rupture a right ear-drum or is this only playing Audio in the left ear?
Thank you for the best and most straightforward layperson presentation I've seen on this subject. Bless you for taking your valuable time and making yourself available to us.
Thanks for this. There's so much misinformation out there... and how utterly refreshing that you don't assume ignorance on the part of the listener and over-explain every word!
Its a fine line between under- and overexplaining, but I try! Thanks for watching and commenting
Persona experience of covid-19 taught me: it will dry snot on your nose and snot in part of lungs higher part, but that is only stiff cover on top of gummy snot. Dry air, low humidity is worst things for that situation, cuffing is dangerous coz it breaks big sharp pieces of dry snot cover which will cut on mucosa surface and it will make bleeding and more snot. Moist, high humidity air is best.
Avoid upper chest breathing, try to breath only with stomach area, upper part have those dry snot covers and you don't want break and do cutting inside lungs.
Switching between lying on back and stomach are best positions to be, humming lowest bass as you can do, like monks, will release/break/crunch dry snot and gently cuffs after that while lying on back will get those out, breathing returns close to normal after few minutes of humming. After several minutes of monk humming you're able to cuff all upper lung chest area dry snot out, which is moist now because of your humming.
Avoid standing, be on level most of your time. Only medicine what I used was ketoprofein at low dozes (3x25mg/day) and that was mainly coz cuffed bit too hard on start of symptoms.
Above is only my way, it may be good for others too.
Low Bass Monk Humming was the key for breathing problems.
@dbltrplx
It's when you cup your hand and than hit the person's back as if you are trying to dislodge what ever they are choking on.
My son has been on a respirator for 3 days ...was taken off and was slowly getting better says the hospital, but yesterday was put back on it ....due to him taking of the oxygen mask and the nurse explained that he wasn't comfortable... I'm hoping and praying there will be not complications because of too much time on the ventilator
But over all nurses informed that he is not getting worse, I pray Not !🙏
It may be too late, but maybe try:
Use Dr. Zelenko method the moment you have symptoms: HCQ + Zinc Sulfate + Azithromycin
Wish him long life , I hope he recovers fully ,
I hope he recovers. Remind him that he needs oxygen to survive and to not take of the oxygen mask
One of the last text my old friend got from his mom was “See you in a few days they are putting me to sleep for a few.” She lasted a week on the ventilator.
Prayers 🙏 for my mother fighting COVID-19
my father was on ventilator for 5 days then was extubated. dr said hes doing well then he deteriorated and died. its so painful that i still have anxiety and depression.
I am an asthmatic all my life I've had low oxygen in my blood its very scary thankfully i have just needed a week in hospital been injected with steroids plus nebs and had the needle inserted in my arterie in my whrist .That is so painful omg I had it done every day never forget it but thanks to the amazing doctors in Dublin Ireland were i am from they were amazing .pls god i dont get covid 19.I know what its like not been able to breathe so god bless anyone going trough this virus gbless great videos doc thank you
I'm not a doctor but it's common sense to me that aside from the ventilator, you have to give medication to treat the underlying corona virus infection.
Thank you for taking your time to produce these excellent videos! Could you please also comment on the mystical(?) differences between COVID19 pneumonitis and ARDS, and on DIC and anticoagulant treatment, and on rumours that intubated ventilation might worsen the lung status? Thank you! /Olle Kjellin, MD, Sweden
Prayers for my uncle fighting for COVID 19 in ICU 🤞🏻🙏💐😢
My left ear enjoyed that presentation...! :)
Thanks doc you have been doing a great job, I send your videos to all of my friends and family stay safe.
Ugh. My left ear loved this.
please dr fix this ..
Yeah, for some reason the right ear is just noise pretty much... But I'm still super thankful for the info of course
Sorry about that. I will address this in the future ones.
Stop complaining! Dr. Mike has went out of his way to share his knowledge.
What I don't get is why people are laying down when they can't breath well. I almost died twice as a child from asthma and my heart stopped. I survived by sitting up and forcing myself to breath because I couldn't do this laying down. Even if it took two weeks, I would not lay down.
If you do survive after being on a ventilator, how compromised is your lung function? In other words, if your alveoli were so affected, do you now survive with COPD?
Diane Richard corticosteroids (prednisone) 24/7 oxygen replacement, albuterol and combo/corticosteroid inhalers, ect.
EDIT: I misunderstood the question. I thought you meant how do people survive having COPD in general without the virus scenario. I apologize.
Diane Richard we were blessed that my husband had zero after effect.
Great question. There is no direct, concrete answer to your question. Lots of factors determine that (underlying reason for requiring intubation, how long you require mechanical ventilation, everyone's unique immune system, etc..). For someone with severe ARDS due to viral infection, people lungs can be normal, or there might be impaired lung function.
@@DoctorMikeHansen thank you Dr. 👍
Doctor Mike Hansen Thank youDr Mike. I think many of us need some additional details to agree if we want intubation, if placed with that decision. Outcome is more important than just surviving. 🙏🏻
I just watched my loved one die on a ventilator. She was doing fine 85% Oxygen saturation they didn’t even give her a time. By the time I came to the hospital she was intubated on ventilation. The ER doctor should not have rushed to the ventilator.
I’m so torn. That hospital did more harm than good. I know it.
I'm so sorry for your loss. Was she put on redemsivir? The protocol for covid can honestly do more harm than good. The standard protocol is administer redemsivir and put them on a ventilator. There are several issues with this. They are too quick a lot of the time to put these patients on ventilators because it is proven that less invasive breathing treatments work a lot better for covid. Second is that redemsivir which they give to patients is known to cause organ failure. When you get severe covid, your body is bombarded by the spike protien which causes organ damage, then your body releases cytokines which can cause a cytokine storm which also causes organ damage. So not only does the covid spike protein damage your organs but cytokine storm further damages your organs and then they put you on redemsivir which is known for organ failure, then they put you on a ventilator which is known not to work well with covid because ventilators mainly only help with ARDS but covid effects your lungs in a different way than ARDS does, much like severe altitude sickness. Surely they could use a different sedative other than redemsivir which causes organ failure. It seems like the standard covid protocol is doing more harm than good
I understand! I am so sorry. I myself had a similar experience. We need to form support groups to get the truth out. The mainstream media, mainstream medical
establishment, and the government have all been lying! Most of the people (over 90%) did not have to die!
@@chandleryoung9515 Glad to see people waking up and doing their research! Yes, that good ole remdesivir!!! That's what they put my wife on, then dexamethasone,
then the vent which they could not wean her off. This went on for over 3 months during which time she was on some 30 different drugs and milked my insurance
for all they could get. Some of those drugs were Ativan, propanol, vancomycin, seroquil, midazolam, morphine, levopherd ...just mostly sedatives, antibiotics,
steroids, and diuretics.
@@thewatchmanonthewall3755 I have gone through the same with my dad, lost him 1/24. DEATH BY PROTOCOL. I am tossing ideas around, do NOT want his death to be in vain. I want our stories heard.
ve@@treshiaknipper2274 I am so sorry! No, Do not allow you dad's death [which definitely was a needless death] to go in vain - 1/24? Ouch! I lost my wife 1/20 last year;
It still hurt! We have unite, join support group, engage in rallies, and d our best to wake people. I just became a part of a remdesivir FDA death protocol group.
Great information Dr. Mike. I'll be waiting for your next installment. Be safe and healthy.
Dr Hansen thank you for educating the public. You’re awesome. I’m a nurse in Las Vegas. We do multidisciplinary rounds daily. This is how our Intensivists teach us. We our using Flolan drip or inhaler for our intubated patients. We are also doing manual proning on our intubated pts. Btw, I’m originally from Knox, In very close to Valpo, In. Still have my family in Knox. Always looking forward to your next video. Stay safe!
What about the research which shows that COVID resembles high altitude sickness rather than ARDS thus lower pressure with higher oxygen settings is better for the ventilator for COVID ?
true
This can save the damage to the lungs I think
What type of Respiratory Therapy are these patients given to try and keep them from needing mechanical ventilation. Next, this virus is causing a lot of fluid in the lungs. When I was trained in Respiratory Therapy I was taught that when there is a lot of fluid in the lungs we need to give then moisturized air to help brake up that fluid. Then, I was taught to help break up the fluid you can cup your hands and pat on the back to help break it up using vibration. Also, have them on a slight incline to encourage flow of the fluid using gravity toward the head. I've heard that it's a dry cough so is this a really dry sticky fluid in the lungs. Please talk about what if any kind of Respiratory Therapy can be done to help keep them off the ventilator. Also, one man who got this who was on one of the cruise ships almost had to be intubated. The doctor told him that if his oxygen level were to go much lower he'd need ventilation. He knew that if he went on the ventilator his chance of survival was low. So, he starts doing special breathing exercises by expanding the lungs. This raised his O2 levels and he avoided the ventilator. Please provide your thoughts on this things not only for those in the hospital but also for someone at home.
This has to be a joke. Where did you go to school? You failed or are not a good therapist. You don't do cpt for fluid in lungs. You give diaretics.
If this is an overreaction from the immune system then wouldn’t a antihistamine drug and anti inflammatory drug combination help these patients?
@Joe Bordo I thought that hydroxychloroquine was acting as a zinc ionophore, an agent that helps higher than normal levels of zinc to be transported across the cellular walls into the cells where the zinc interferes with the virus' RNA synthesis.
@@videomaniac108 It does several things. Apparently it also raises the pH around your cells to slow/prevent/interfere with the virus from getting inside; alkaline environments are more difficult for viruses to spread - they work better in acidic environments (low pH).
Velo1010 RN here. Yes, these meds do have anti inflammatory properties but not powerful enough in this situation. That is why they many times need to add steroid therapy. They need to suppress inflammation and cytokines release, but at the same time not suppress the immune response too much. Delicate process.
Sheba Can2010 So that means that people who are showing easily signs could self-medicate early with an OTC anti-inflammatory and antihistamine. Sure wouldn’t hurt to try.
Vit C is a natural antihistamine.
Pray for my Father spent 14 days in the ICU just put onto a ventilator yesterday 🙏🏻😭
How is he now?
Prayers for my mom fighting covid 🙏
Thank you for this not only accurate but simplified info so non medical trained persons can follow. I am a trained medical professional and wonder under which criteria facial trauma and burn victims needing mechanical ventilation will be placed. Thank you 🙏🏾
Doctors in New York are stating that covid presents altitude sickness like symptoms more than pnuemonia like symptoms thus ventilating patients is the wrong procedure
This makes me so happy that I quit smoking 30 years ago.
I quit 6 months ago, the difference is amazing, hardly get any signs of asthma anymore at all like it's been cured, I usee to go through a puffer every week now I have one around just in case but hardly ever use it.
Smokers aren't dying of covid 19 don't know if if it because they are used to having higher c02 lower o2 in blood or if nicotine actually kills covid but 1.4 % of deaths was smokers when 14% of the population are smokers.
@@chopperdrops
I'm still on the nicotine lozenges so hopefully it does kill Covid-19 lol
No way I would get on a ventilator with a 15% chance of survival. I'll go home and take a Z-pak and HCQ, and call it a day.
Please read my post above. The 15% chance of survival is a huge underestimate based on a case series of only 22 patients in China. If you need it, get medical attention. With supportive care you are very likely to survive even if you get the virus.
Jamie Penk Read Cuomo’s stats for NYC, about the same.
There is a reason for vents and you need to buy time for medication to work. You would takened the medication you like but still die from respiratory failure. Wasted drug. Vent only reverses impending respiratory failure and also helps with sepsis with atb ect.
Maybe this study showed low survival, but in general survival for pneumonia for people on ventilators is 60%, increasing to 80% if they lay face down and are unconscious. For Covid-19 it seems to be much lower, at 40 to 60%, but if you start with ventilator on a 90 year old patient I can tell you the outcome, and if you did a study only with really sick people, you could get a very low number. In Norway, if you are very old they dont put you on a ventilator. In Italy they dont put you on a ventilator if you are over 60.
@@bjorn2fly elderly have shallow breathing in general or you can say hypoventilation. Prone is used due to gravity and mobilizes those critters away off flooded aveoli so it can receive 02. Ventilation is needed for gas exchange in order to avoid respiratory failure. Pneumonia will place you in septic shock and later ARDS. Which is why it is difficult. Covid-19 is very aggressive at attacking pulmonary. Elders have deteriorating organs in general due to aging which is why they are vulnerable. For youth, it will depend on their ace2 levels and their immune system.
Lost my friend this week after she was sedated on ventilator for 10 days with Covid..You explained and provided many answers to my questions..Thankyou Sir
This is what happened to my dad. I don’t want him to die I’m scared. Can you tell me more please.
@@marcelinoresendez8934 I lost my wife because they were not able to wean her off the vent. Over 3 months. Finally they unplugged her, but I didn't know at the
time they euthanized her with morphine, Atavan and midazolam.
Maybe there's something wrong in the ventilation process that could be making it worse, it has happened
@Paul transmissions begins with the lungs
@Paul coronavirus certainly is infecting and depleting lung tissue this is how the virus is replicating contracting capillaries not allowing a immune response without ventilating the ICU patient would die sooner, reducing viral load is key
@@su8111 yes I've listened to him, reducing inflammation a result of viral overload is necessary possibly slowing replication with the capillaries that carry the red blood cells are constricting not allowing a effective immune response possibly causing a buildup of red blood cells in the bloodstream this may result in bloodstream inflammation or the opposite of viral overload but a antibody overload
With the normal exchange of carbon dioxide and monoxide restricted this also restricts immune response , similar to a valve stuck open or closed
Bloodstream inflammation in any infected person may be a reason for high body temperature a result of a cyclostorm buildup in the bloodstream
Can you explain what drugs you need to administer in order to place someone on a ventilator(morphine, fentanyl ,ketamine, etc...)? Discuss why they need to be put in a coma, how horrible life support is. Most people just don’t get it.
Thanks, I will put that on my list of topics to cover. Should get that topic covered soon.
Think about this from the patient's experience for a moment. They go into ARDS, fighting to breath, then they are paralyzed and sedated in unconsciousness...and the vast majority of them never wake up. It's very much like an execution by lethal injection.
if you look at it dispassionately its a good way to die - I assume theres no pain & you are unaware that its happening at the time (although you know its highly likely to happen before you are ventilated) - the tragedy is that there is no family around you & for younger people they are losing a lot of years of life
What is your point? don't you want to give them any medication? or give them a chance of being one of the 14%. Honestly you are as smart as your own analogy.
@@DawidKellerman It's just an observation. It is not an opinion about the use of ventilators in a last-ditch effort, which is what it is.
Hey Doc, you are doing a great job😊
thank you
@@DoctorMikeHansen not gonna lie I saw the preview and thought not another RUclips doctor that uses Google for research, I was wrong you're the real deal, liked and subbed
@@EricK-tb2dn to be fair, I’m sure even he uses google when he’s researching new areas in his field. But I get you, it’s different when it’s their specialty.
Excellent. You are a very good educator. Thank you.
I've learned so much from you with this video. Thank you Dr. Mike Hanson. 😍👍🏽😍😷
I had a Covid patient die on the vent not long ago (May he RIP ❤️) and when I tried going deep on his inline suction to grab a sputum for culture, I had a very hard time passing the catheter. I thought it was very odd and he wasn’t biting the tube (mouth was wide open). I was thinking maybe it felt that way from massive inflammation? It felt tight. However I don’t know if it’s possible for me to feel the resistance from inflammation. It was very different from other ARDS I’ve suctioned. This virus sucks.
It's probably a mucus plug. Change you inline suction.
Keep up the good work. I can’t even image what it’s like on the front lines of the pandemic
Thanks so much for sharing your knowledge. 😊 👍 Stay well.
My dad (75yrs old with diabetes & lung disease) was hospitalized after 4 days of showing COVID symptoms (chills, fever, nausea, abdominal pain, diarrhea ) his oxygen was at a 92 unfortunately, he developed COVID pneumonia. Today marks 10 days of being hospitalized at St. Jude in Fullerton. He went from cannulas (4liters of oxygen) to oxygen mask (8 liters of oxygen) and now on a super high flow mask on (8 liters of oxygen) the first 3 days he was fine.. but just yesterday (12/17/20) his oxygen level dropped down to 75.. he is currently trying to fight for his life & catch his breathe. Doctors say he has a slight chance of survival others say he will make it out alive 🙏🏽 . It’s hard enough not being able to see him physically. He is a strong man and a fighter! He is in good spirit when we FaceTime him. Always giving us a thumbs up 👍🏼 regardless, my family and I are praying everyday for my dad’s recovery. We need him to make it out of this alive. Please keep him in your prayers (Juan Pineda). This is very hard for us, wear your mask. Take this serious, please!
In in Irvine and my dad is 64. Also has diabetes and his oxygen level tanked and is now on a ventilator.
Thanks, great info.Desperately wish I didn't have to be interested in this!!
My mother in law, has breast cancer was on her last chemo ,when she got covid. She also has diabetes and high blood pressure. She is in the icu fighting for her life .
Dr. Hansen, Is the prognosis any better than 14% now for COVID-19 patients with mech ventilation?
That does not seem like good odds! Personally with odds like that, I would not take the chance! But, strangely enough, too many hospitals are still using
the dangerous drug remdesivir and sticking patients on a vent. As the old saying goes, only a fool would keep doing the same thing over and over again...
Thank you for what you do I was in icu on a ventalter for 12 days
isnt it called a cytokine storm?
Yes it’s part of the body’s process in this disease.
Yeah thats a big part of it.
One thing I don't get: how exactly are you not able to get patients oxygenation/ventilation up with high flow and high fio2 but without resorting to intubation?
COULD IT BE THE GAS TEST CAN BE WRONG sometimes? Or maybe the cheaper CPAP setup wasn't maintained properly?
Them breathing by themselves should always by physiologically better than positive pressure alone. The whole recruitment idea is ludicrous in that the patient is easily able to maintain a beep by themselves by not breathing out fully and taking shallow breaths. That goes for air trapped in their lungs too. I imagine if you take a deep enough breath, at some point you get enough pressure for air to leave your lungs. How would ventilator be any different? At least you are guaranteed no lung damage from overinflating ventilation requiring 3x the pressure of negative pressure breathing.
Question: for most hospital around the world (even first world countries) are coronavirus patients being given drugs to try to counteract this thing or are they just left on a ventilator (if they can even get one) to either recover or die? If not, why not? Also, how many on ventilators survive without any attempt at a cure?
What about hyperbaric O2? I am a Western Australian Pearl Diver. We have a unique diving regime where we use in water (hyperbaric) 100% O2 to rapidly deplete accumulated nitrogen. The process supersaturates Blood O2 and this allows us to recover from nitrogen absorption an order of magnitude faster. Sometimes in a situation where a diver might develop decompression sickness, we will treat in a decompression chamber on O2 at 20 meters for 30 minuits ( table 6 treatment) My point here is that administration of O2 in this way is many times more efficient than breathing naturally or by machine at one atmosphere. So my question is....how might hyperbaric O2 administration work for Covid treatment? I saw some work was done with hyperbaric treatments during the Spanish flue way back. Thank you, Stephen Arrow
We think that when the body is under depleted O2 duress, the pulmonary toxic dose changes rapidly. Be great to hear your thoughts on this please.
I am going to tell you a really sad story because it was more than twenty years ago now. It concerns my mum having contracted pneumonia, and having been a sufferer of asthma and COPD long term. She always disregarded her own health and put others first, but she had been at a meeting in London and was taken ill. I drove her home and you know she could have died on the journey, I administered her portable nebuliser on the journey home. Yes no pandemic then but it took an extraordinary time to admit her onto a ward she spend the best part of the day on a corridor gurney. ( I know now that they expected her to die) She fought too hard and they had to find her a bed but she was in a bad way. I was asked by the registrar who was not a lung specialist but a gut specialist (who later died falling off a ladder putting up lights on a christmas tree which is another story) not to consent to putting her on a ventilator. I said that I could not make that decision and he would have to ask her, but in the end I had to ask her and she agreed not to be ventilated. And so I saw her go into Cheyne Stokes breathing. Here is something else, I had pneumonia too whether I got it off her or from the same source who knows, but I was not well when I watched her drift out of this world. I forewent any treatment until after she was dead, not a nice memory at all. I am not sure to this day whether the suggestion not to ventilate was medical or economic!!!!!!
Today i am watching this video because my near one is in icu and serious because of covid.... His oxygen is low and he's a cancer patient. Please pray for him and suggest what can we do?
I think it more like 10% survivor rate. 14% rate for someone who is healthy.
It's cool how God made us. You make me miss my nursing. Wow love this teach us more.
i miss it too. retired 15 years
I remember in your previous video with the autopsy report that the results were that the deceased might have survived had he been intubated because you said there were treatments that could be done intubated that couldn't be done with only nasal cannulas. I understand that ventilators are not a cure, but should we still use intubation over nasal cannulas if recommended for COVID-19 patients? Additionally are most ventilated patients sedated & how does this sedation affect the body's ability to fight the virus?
Thank you. Very informative and you made it easier to understand. I had no idea about on 14%, makes this even scarier. 😞
Dr. Hansen with all do respect, allowing a Patient to die without their love one in the room is not acceptable.
if you know as a highly experienced physician that the Patient did not have COVID 19, or even if he did, you
put the PPE equipment on the family member, ( have them sign an acknowledgement of the risk of infection)
and let them sit at the bedside or hold the Patient's hand through a glove. These Patient's are people first not diagnoses and I am afraid you have forgotten this. Patient's get to chose what they want done , even if the chances of survival are ZERO as you mentioned. I realize your stats are accurate, but people often defy any stat no matter how absolute it maybe. As a physician, if a Patient wants all measures, no scoring system
or the physician's personal experience or bias should determine the level of measures to be taken.
It is either the patient's or the families right only. Thanks you for your sacrifice in caring for your patients,
and your consideration.
They don't have enough PPE for nurses to take care of pts. So they will not spare any for non emergency purposes. They will not put another healthy person at risk either.. They don't have enough equipment for 1 much less 2 sick people..
Is the possibility of spreading the virus that’s scary , I do agree dying alone
And scared if aware that’s horrible.
If this was a normal situation in general most health care workers would want to do just what you suggest but this if far from normal - It is sad and I know that this is taking a toll on all not just the patient or family - It is also taking its toll on the health care workers because we know that these are people. If we could we would.......
Just discover you and like it very much.
Very professional and easy to understand.
Dr. Hansen, sounds like there is a slim chance, less than 15%, a intubated patients will survive. Is it possible to predict which patients may develop to ARDS and before it actually happens? If so, could these patents be treated with more proactive approach, such as experimental treatment of hydroxychloroquine, etc, to prevent these patients from needing the ventilators?
Unfortunately, there is still a lot that we don't know. Hopefully there is a drug effectively treats COVID (hopeufully sooner rather than later).
I dont Have one High serum ferritin levels and elevated IL 6 have been touted as possible early warning signs of ARDS
@@DoctorMikeHansen Thank you! Now we know there are drugs available! Unfortunately, most hospitals and mainstream doctors are very reluctant
to use them. BTW, Doctor, why would a patient on a ventilator be given a drug like [Versed] midazolam? That seems counter productive????
Excellent video. Very informative and easy to comprehend.
But the number of studied cases is low to be considered as a good estimator of the death ratio
My sister's husband is in hospital in on a ventilator. Need prayers his way. Thank you.
Update. He didn't make it. R.I.P. Harry.
But often is the elderly have many other issues, not just COV-19. most death rate even in China not just die in COV-19 or with COV-19. that is why it shows more than the elderly than Children, I think
May God Bless You & Keep You Safe Dr. Hansen. Thank you so very, very much for what you do -- All that you do, too!!
Thank you a very helpeful perfect information.
Albeit sobering, but very informative. Thank you, good health and well being to you Dr. Hansen. New subscriber.
The survival rate of post-ARDS while hospitalized has improved greatly over the years. I myself survived bacterial pneumonia that led to ARDS in the hospital. I was on a vent for about 12 days, suffered no long-term damage thankfully. Physicians will learn more and more quickly as more covid-19 patients present themselves at the hospital. On data highlighted on medcram, the survival rate was more like 50% aka a toin coss for covid-19 if you needed a vent. It's going to be highly variable per individual patient. If you're 80 and a chronic smoker, of course your chances of survival are statistically less han a 40 year old with no comorbidities. A vent is not a pancea, but without one, since covid-19 has no treatment, you are much more likely to die than without one.
@Ken Hudson I don't know any data concerning quality of life. For me it took about 3 weeks just to learn how to walk again do simple things like showering and brushing my teeth. I walked around with a portable oxygen concentrator for several months until I got my strength back. Laying still 24/7 in the hospital causes your muscles to waste away.
You are RARE ! 😉
@@matty00926 j completely understand I was 16 days hospitalized from Covid 19 . Loss my ability to walk in the hospital , couldn't dress and couldn't even remove my own bowels by myself . The nurses would have to come in just to sit me up in bed to eat after I came off my CPAP mask which is one step away from being ventilated . I am home now from the hospital but still on home oxygen therapy until further notice . I still cannot shower on my own , get dressed on my own or walk well . I can walk but it's almost as if I had a stroke . I did not suffer a stroke but just saying Covid looks like it mimicked a stroke to me . I am only 39yrs old strong male before this all happened. Covid is serious as can be . If I had to name the virus myself I would call it "THE STRANGULATION VIRUS" as when this virus has you in it's authority it feels like an anaconda has locked your body all around from circulation.
How long did it take you to recover ? Also would you say you're 100% with no left behind issues ? Hope to hear from you soon . Until then God Bless 🙏
@@Myworldmymind908 It took me a good few months to for the most part recover. When I became sick I already had several chronic medical conditions, which are progressive in nature. The best advice I can give is to push yourself to achieve small goals every day, no matter how slow you start off. I would crank my oxygen concentrator up and walk on the treadmill and simply stop once my O2 saturation went below 90, rinse and repeat. After a while you become more conditioned and you can do a little more, and you just keep going. Also take the effort to optimize your sleep as much as you can; without proper sleep it's really hard to get better, and maintain health.
@@matty00926 wow your story is amazing ! How many liters of oxygen were you on while home after dismissed from the hospital ? I am currently on 4 liters low flow . Been dropping on my O2 in the lower 80's only when coming outside to go to doctors appointments . Also how long were you hospitalized?
Acetazolamide, or Diamox, is the standard medical prophylaxis agent for high altitude illness. The medication is effective in preventing acute mountain sickness (AMS), high altitude pulmonary edema (HAPE), and high altitude cerebral edema (HACE). Its mechanism is via inhibition of the carbonic anhydrase enzyme which counteracts the respiratory alkalosis which occurs during ascent to altitude. It facilitates the excretion of bicarbonate in the urine. As a result, acetazolamide hastens acclimatization and helps prevent high altitude disorders.
Current recommended dosing is 125 mg, orally twice daily, started 24 hours prior to ascending in elevation. Side effects include tingling of the fingers and toes and perioral numbness which may be erroneously interpreted as stroke symptoms. Since acetazolamide is a mild diuretic, frequent micturition may occur leading to interruption of daytime activities as well as broken sleep. These effects can affect safety at high altitude. Acetazolamide is normally discontinued 2 days after the user has reached their highest elevation or a plateau in elevation.
Those statistics at the end..... If I was a gambler, I wouldn't like those odds at all. It's very sobering........
But on a more positive note. "Prone position " I'm wondering is that the reason some people like me sleep on their side and stomach ? Which I've been doing most of my life, going way back to childhood. I just can't fall to sleep on my back. It's not natural...... ☮️⚛️🌏
There is a nurse thst worked in 2 different hospitals in NY one used the ventilators and most died and the other hospital didn't use the ventilators and most survived .. so people what do you think. ...