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.
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 thrombosiswarrants 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.
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.
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.
Kokilapathmapriya Nadesalingam (Priya) and Nadesalingam Murugappan (Nades) are two Sri LankanTamils 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. The cause of the couple and their children has been supported by some residents of Biloela as well as asylum-seeker advocates.
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.
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.
Chandre Dharmawardana, whose preferred title is “Political Rhetoric, or Sounding the Death Knell of Sri Lanka’s Agriculture?”
A quote attributed to the Greek play write Euripides says that “ Those whom the gods wish to destroy they first make mad”. Reading the news from Sri Lanka, one can only wonder if a prescient Euripides had Lanka’s successive rulers since 1970 in mind.
Thuppahi's Blog · This web site presents the interventions of MICHAEL ROBERTS in the public realm with reference to Sri Lankan political affairs. It will embrace the politics of cricket as well. ROBERTS was educated at St. Aloysius College in Galle and the universities of Peradeniya and Oxford. He taught History at Peradeniya University and Anthropology at Adelaide university. He is now retired and lives in Adelaide.