Monday, April 20, 2020

How the coronavirus (covid-19) is "unique"

A physician who's fully recovered from covid-19 talks about his experience:

The mornings are better, but it sort of teases folks — myself included — into thinking that it's going away. And then, boom! It comes right back. For me, that went on for eight days in a row.

The nights are so bad, because as a physician, I know what can happen. And so I would sit awake, counting the minutes until morning almost, wondering if my breathing was going to get worse and I'd end up on a ventilator. That was the horror of it.…

We don't have a proven treatment and I think that's essential to understand. It points out how spoiled we've become in the world of medicine. We have so many treatments for so many disorders that we just assume that when something pops up, we can handle this.

But the reason we can handle it for other diseases is that we've had time to do randomized trials that we haven't had time to do with COVID.…

I'm a little bit ashamed of myself, because I could have put myself into harm's way in terms of sudden death. That can happen when you use those two particular drugs [hydroxychloroquine and azithromycin] together … and I was not being monitored properly.

The take-home point is I totally get why someone who's that sick would want something, because doing nothing is very, very difficult.

On the other hand, we really do need randomized controlled trials to tell us the truth of what the drug regimen does or does not do, and what its safety profile is. Until we have that, we're really trying to fly an airplane in fog without instruments.…

The infection is not like the flu that hits you all at once. These symptoms sort of gradually creep up on folks, and then it crescendos.…

Read the whole interview here.

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