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1081992 tn?1389903637

How Coronavirus Kills: Acute Respiratory Distress Syndrome (ARDS)...

From a pulmonologist who has a good explanatory style, 3M views:
https://www.youtube.com/watch?v=okg7uq_HrhQ

Stated roughly: It's your own immune system's over reaction, which then leaks fluid into your lungs.
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1081992 tn?1389903637
https://www.lupus.org/news/coronavirus-update-access-to-hydroxychloroquine-plaquenil-for-people-with-lupus

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1081992 tn?1389903637
"My spouse has Lupus"
A whole other topic is this: what immunosuppressive drugs is she on? We'd have to consider how much more susceptible she is to the virus and also to any secondary bacterial infections.

Steroids?



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1081992 tn?1389903637
"My spouse has Lupus"
All this is off the top of my head... but allow me to immediately divert to this: is she on Plaquenil for the lupus?

Did you happen to read what we were saying about the quinines/DMARDs here: https://www.medhelp.org/posts/Coronavirus/Whats-next-/show/3053987

Plaquenil is hydroxychloroquine. It is being talked about as being possibly effective against ARDS and CoV.

If she's not on Plaquenil, I would think really really hard and fast about calling her rheumy and trying to get the max Rx for it, then filling it ASAP.

If she is on Plaquenil, I would call the rheumy to get a max refill Rx, then fill it ASAP.

You've heard about how all NBA players and any showbiz 'celebrity' who wanted the Corona test got it immediately, even those WITHOUT ANY SYMPTOMS,  while every body else has to wait or got denied even with severe symptoms? They're extremely likely to do the same with Plaquenil.
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1081992 tn?1389903637
Data is coming out of Italy that 99% of fatalities had a pre-existing condition. Almost 50% had 3 or more pre-existing conditions. Italy has the world's oldest population, after Japan - but Japan likely has a much lower BMI.
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My spouse has Lupus so that is our worry. You hearing anything about Covid to back up the 10% I mentioned?
1081992 tn?1389903637
"Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study" March 11, 2020

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30566-3/fulltext

If you scroll down to Figure 1 you see the course is pretty much the same in survivors vs non, except for the onset of organ injuries (presumably mostly from hypoxemia from the ARDS, plus coagulopathy) in the non-survivors.  
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I imagine reading all that kept you busy for a while, and there is going to be lots more of it.
I read that sepsis becomes one of the main causes of Covid death. Also that 10% of hospitalized SARS survivors had pulmonary damage that caused severe RH heart issues which require lifetime monitoring. This could also happen to Covid survivors.
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