Editorial Cartoon in The Australian, 9 Septmber 2021
Category Archives: medical puzzles
Beating COVID …. Sequential Multi-Drug Treatment
A Medical Friend in Lanka: “In response to Dr Justin Labrooy’s email about Ivermectin usage: I totally agree that people should not self-medicate. It can be very dangerous.”
Dr Peter McCullough MD, testified to the Texas Senate HHS Committee. He has done a lot of work on early treatment of Covid. He found the best treatment to be sequential multidrug treatment, one drug alone does not seem to work.
https://www.youtube.com/watch?app=desktop&v=QAHi3lX3oGM
Peter McCullough, MD testifies to Texas Senate HHS Committee …. LISTEN
2,063,266 views …………….Mar 12, 2021
This is the research paper he mentions: https://rcm.imrpress.com/article/2020/2153-8174/RCM2020264.shtml
Abstract
The SARS-CoV-2 virus spreading across the world has led to surges of COVID-19 illness, hospitalizations, and death. The complex and multifaceted pathophysiology of life-threatening COVID-19 illness including viral mediated organ damage, cytokine storm, and thrombosis warrants early interventions to address all components of the devastating illness. In countries where therapeutic nihilism is prevalent, patients endure escalating symptoms and without early treatment can succumb to delayed in-hospital care and death. Prompt early initiation of sequenced multidrug therapy (SMDT) is a widely and currently available solution to stem the tide of hospitalizations and death. A multipronged therapeutic approach includes 1) adjuvant nutraceuticals, 2) combination intracellular anti-infective therapy, 3) inhaled/oral corticosteroids, 4) antiplatelet agents/anticoagulants, 5) supportive care including supplemental oxygen, monitoring, and telemedicine. Randomized trials of individual, novel oral therapies have not delivered tools for physicians to combat the pandemic in practice. No single therapeutic option thus far has been entirely effective and therefore a combination is required at this time. An urgent immediate pivot from single drug to SMDT regimens should be employed as a critical strategy to deal with the large numbers of acute COVID-19 patients with the aim of reducing the intensity and duration of symptoms and avoiding hospitalization and death.
Keywords: SARS-CoV-2; COVID-19; hospitalization; mortality; ambulatory treatment; anti-infective; anti-inflammatory; antiviral; corticosteroid; antiplatelet agent; anticoagulant; sequenced multidrug therapy
ALSO SEE https://www.uscjournal.com/authors/peter-mccullough
Fortifying Self against Covid: Dr Dr. Zhong Nanshan’s Guidelines
A MESSAGE for ONE and ALL
Kindly take note of the following practical advice by Dr. Zhong Nanshan (China’s top authority on Covid-19)*.
Dr Zhong predicted that, sooner or early later, the widespread community infection of Covid-19 will be inevitable. This is because there now is increasing numbers of infected people who are asymptomatic but with varying incubation periods moving around undetected. As the above scenario is almost uncontrollable and unavoidable, it’s now crucial for us to prime our own immune system first.
Dr Brendon Gooneratne: Versatile Talents …. Underlined from Outside His House and from Deep Within
A Note from Michael Roberts, July 2021
I first encountered Brendon Gooneratne as a formidable fast bowler playing for the Colombo branch of the University of Ceylon against against my Peradeniya branch around 1959/60, mainly as a pace bowler. Thereafter, I encountered him briefly as he courted Yasmine Dias Bandaranaike, a colleague in the Arts Faculty at Peradeniya …. and then for a month or so when the married couple were neighbours of my household at Augusta Hill in Peradeniya University in late 1971. We have met subsequently on and off in Colombo and Sydney because of our strong interest in Ceyloniana.
A reproduction of a framed photo of Brendon at Mount Kosciusko taken by his wife Yasmine
Meeting and listening to Yasmine at the Galle Literary Festival in 2008 was a great pleasure. Her ‘imprint’ has been captured for one and all in an essay I presented then as “January 2008 – When all roads led to Galle” [web-location lost].
Their continued ‘investments’ in the island were deepened by the residences which this couple invested in within the city of Colombo and as “Pemberton” (a conversion of a planting bungalow named ‘Pemberton’) in the upcountry terrain of Uva. So, Brendon’s ‘departure’ from our life-world is a loss of some magnitude. I mark it here in Thuppahi with (A) the mundane account in Wikipedia and (B) a moving testimony from his daughter Devika Gooneratne, …. a farewell that is as remarkable as it is worthy as epitaph — not least for its grounded assessment of the medical staff in Badulla area upcountry in ways that speak volumes for the personnel and system.
So, this Note is a “Hurrah” for Brendon and “Three Cheers” for Devika and her mother.
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The Wikipedia Tale of the Murugappans of Biloela … Today, Mid-2021
Murugappan family asylum claims .… https://en.wikipedia.org/wiki/Murugappan_family_asylum_claims
Kokilapathmapriya Nadesalingam (Priya) and Nadesalingam Murugappan (Nades)[1] are two Sri Lankan Tamils seeking asylum in Australia. The couple married in Australia and have two Australian-born children. Until their detention by Australian Border Force in March 2018, the family was resident in the central Queensland town of Biloela, and consequently referred to as the Biloela family by some media.[2][3] The cause of the couple and their children has been supported by some residents of Biloela as well as asylum-seeker advocates.[4]
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Grim Realities: Encountering Battlefield Casualties
Dr Gamani Goonetilleke, whose chosen title is “Treating war victims: a learning experience” ….. https://drgamini.org/2020/07/13/first-exposure-to-war-injuries/
As a medical student or as a doctor, I was never taught about War injuries, their implications or the principles of their management. Nor did I study the topic. We grew up and learnt medicine and surgery during peaceful times when these were not seen. The initial exposure to these gruesome circumstances was dreadful and horrendous. It was my duty to attend to these casualties as they were brought to hospital.
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Oh Mein Gott! Lanka’s West Coast suffocated by Plastic!
News Item in The Island, 30 May 2021: “Sri Lanka battles waves of plastic waste from burning ship”
Tonnes of plastic pellets from a burning container ship swamped Sri Lanka’s west coast Friday, prompting a ban on fishing as international efforts to salvage the vessel dragged into a ninth day.
Deadly Covid Abyss looms in Si Lanka: Two Grounded Essays by Peiris versus Peiris
The recent article presented by medical specialists Malik Peiris and Kamini Mendis has led to informed ethnographic set of comments by Gerald Peiris of Kandy**.…a nd drawn a Response from Dr Malik Peiris that is exrtemely disconcerting. The situation in Sri Lanka is DIRE … and going to plunge to further depths.
Red Alert! Commentary on the Failures of GoSL pinpointed by Peiris and Malik
A Cricketing Friend with Senior Mercantile Firm Experience, 21 May 2021
If the powers that be sought the advice of these professionals the country would not be in the situation we are in. The army cannot decide what is best on medical matters…… https://thuppahis.com/2021/05/21/for-lanka-a-science-based-strategy-to-control-the-present-covid-situation/
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IPL Kayoed …. KnockeD OUT!
HEADLINES
- IPL postponed amidst Covid-Surge
- Australian players set for IPL exodus to the Maldives
