1. I know most of you do not realise that I am also a Respiratory medicine specialist. Today I want to do a thread about how people could be helped to relieve the symptoms of COVID 19 Virus. Those with questions, I am offering free consultation.
2. Antibiotics don't necessarily work especially in viral pneumonia like the one which COVID 19 virus cause but if a person develops bacterial pneumonia in the presence of viral pneumonia then antibiotics are necessary.
3. Anti-inflammatory medication like Prednisolone or dexamethasone are proving to be effective in COVID 19 virus. The virus is causing the inflammation of the airways resulting in a person becoming breathless, hence the need to treat people with anti-inflammatory medication.
4. I prefer giving patients high flow oxygen than intubation, because intubation is a hazardous procedure itself. With intubation most people end up developing what we call ventilation induced pneumonia on top of COVID 19 virus.
5. Home Remedies: Kunatira though not scientifically proven some people have found kunatira (nebulisation) using traditional herbs like boiled eucalyptus tree leaves (mashizha emupuranga) helpful. Eucalyptus leaves have anti-inflammatory properties.
6. I hear people looking for ventilators, yes they are very important for treating hypoxia in people with COVID 19 virus, but oxygen does not treat breathlessness. Bronchodilators do treat breathlessness by opening up airways that is why I'm recommending kunatira.
7. Kunatira is equivalent to nebulisation just as I would do when bronchodilating a patient using ipratropium or salbutamol nebulisers.
8. Home remedies: In addition to kunatira (Steaming or nebulisation) eat food with anti-inflammatory properties like berries, avocados, fatty fish, broccoli, Bell peppers and chili peppers & green tea. Lemon is good but it has antibacterial properties that anti-inflammatory.
9. When we intubate people, we usually put the patient in prone position to improve oxygenation, so if you have COVID 19 virus I suggest that you take time to sleep on your stomach or on your side for a change. Never lie in supine position/facing upwards.
10. Struggling with breathlessness: use what we call pursed lip breathing technique – breathing in through your nose & breathing out through your mouth as if you are whistling. Ndatenda.

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More from @MJairosi

13 Oct
(1) Any right thinking Zimbabwean should be asking himself/herself; What is it that Emmerson Mnangagwa wants to achieve now at 83 that he failed to achieve for all these years when he held many influential cabinet posts.
(2) To think of it, he served in some very senior gov't positions at his prime age, but failed. Now that he is senile, you hear some deranged people saying "ED is the game changer". Nxaa.
(3) At the time when he was supposed to be changing the game, he was ordering the killing of thousands of people in Matebeleland, and in 2008 he orchestrated the first coup in Zimbabwe, which resulted in hundreds of people dying.
Read 5 tweets
23 Aug
1. Let me do a short thread about George Charamba aka @jamwanda2. It is sad that we have to waste time on maggots like him rather than getting directly to the rotten carcass; but at times it is necessary to clear away the pus before treating the putrid sore.
2. In 2008, when Robert Mugabe lost the elections to Morgan Tsvangirai, a meeting was convened by the military junta in which they agreed to reverse the outcome. At that time, Mugabe had indicated that he was going to concede defeat but @edmnangagwa rejected the idea.
3. Mugabe was convinced that his intention to concede defeat was not in the best interest of Zanu PF & that it was tantamount to betraying the revolutionary party. Eventually he agreed to stay. However, the military junta was already infuriated by Mugabe's initial intentions.
Read 11 tweets

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