Dear List Members,
I'm sharing this with you because out of the many groups I am in, the
majority of you have excellent discernment and are sincere seekers of
solutions. I'd like your ideas on how to approach these people with the
idea of CS. Take into consideration that this will sound quite 'woo-woo' to
them. I have some thoughts on it but I'd like to get your input. Above
all, it has to be scientifically and professionally presented. Please be
specific on your equipment and protocols.
Someone mentioned beta 1,3 glucans. I think this is also an excellent
idea. I would add HSOs to this at low doses initially to avoid the
Herxheimer Reaction, and of course, IV fluids.
If any of you out there have done any work with CS that is more
structured than the anecdotal reports we all share, this would be the time
to come forward. If so desired, I would be glad to protect your privacy and
use only your data as supporting evidence.
This letter arrived this morning from an intensivist (intensive care unit
doc) in Hong Kong
and adds these symptoms to the list I sent yesterday - sepsis, septic shock,
inability to oxygenate, lung falure, and cultures showing a full range of
'bugs', including fungi. Most of these appear to be showing up in young
people. I will get clarification on this.
******************** LETTER
We are now caring for SARS patients 2-3 weeks down the line. While some are
improving and being discharged a number of younger patients are not.
One or two have been impossible to oxygenate and died from primary lung
failure.
Others have appeared to develop overwhelming sepsis, septic shock and death.
These patients have all had negative micro. In other patients we have grown
the full range of bugs including fungi.
I spoke out against pulse steroids in the beginning (6 weeks ago) because I
felt they would cause ongoing virus replication and encourage bacterial
infection in immunocompromised patients. I was quickly put in my place when
several patients anecdotally responded to pulse steroids and did well.
Resulted in virtually all patients on the general medical wards being
administered pulse steroids. Some have received 7-8 G and it worries me
that 2-3 weeks down the line in ICU we are seeing excess mortality as a
direct result of the steroids either as a result of ongoing viral
replication or bacterial sepsis.
I have not seen the evidence that steroids make a difference!!! Maybe
mortality would be lower if steroids were not used at all!!!
One ICU in HK is giving Interferon and there is talk about thalidomide and
IgM 2-3 weeks down the line.
I keep coming back to infection control, basic organ support, protective
lung ventilation and nutrition.
Am I missing something here?
[Name removed to protect privacy]
Regards,
Catherine
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