More Forum Letters

The 92 year old Covid patient now has sepsis as of Friday. it. thoughts ?

Sepsis is an overused, misunderstood term. It made its way into the lay vernacular a few year back. Problem is most docs don't know its definition or meaning.

It sounds like the 92 yo mother with Covid is just very, very sick and most likely from Covid. People throw the term, sepsis, around too much.

There are essentially three stages of sepsis -

1. Early - constitutional changes and some lab and vital sign changes. But we can't really tell early sepsis from people with the flu. So, it's not very helpful.

2. Sepsis with damage to organs not infected.

3. Septic shock - refractory shock, meaning low blood pressure, which stays low even after the pt is given intravenous fluid.

The current definition covers just the latter 2 stages, because the first stage is too wishy-washy and overlaps too much with any infection.

The concept of sepsis is that the body develops an inflammatory response to the infection, which goes awry and causes low blood pressure and damage to other organs.

The vaccine fear mongering seems to stem from concerns about the mRNA.thoughts?

I don't understand much of what has gone on during this pandemic.

I don't understand why people analyze similar data differently depending on the results.

I don't understand why the NEJM and Lancet have become influenced by politics.

I don't understand what is Left and Right in Medicine. There is no Liberal Medicine and Conservative Medicine. There is just Medicine and, of course, there is Death. And neither, especially Death, doesn't give a crap about politics.

I don't understand why HCQ was banned at St. Barnabas.

I don't understand why residents served by hospitals have been so passive.

But I think most people think about getting involved with hospitals only when it's their relative who is affected by that hospital. By then, it is almost always too late.

I informed many people about the coming HCQ ban in early December.

I don't understand why none of the readers of this blog tried to stop it.

So, No, I don't understand when people don't look at data fairly and make stuff up. If some, what's the word I am looking for..ignoramuses are worried about an mRNA vaccine, even though they have no idea what the "m", the "R", the "N" or the "A" even stand for, tell them to wait a week for the new adenoviral vector vaccine or a month for the Novavax subunit vaccine, which just contains the spike protein.

SMS