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Dr. J Profile picture
@just1doctorwala
Apr 21, 2021 • 20 tweets • 7 min read • Read on X
Scrolly
got my hands on the covid19 management protocol developed by the Medicine, Pulmonary and Critical Care Medicine team of Eastern Virginia Medical School

will share a few pertinent screen shots

#MedTwitter
#Covid19
those who want protocol can download from here

others can see the screen shots below which i chose

evms.edu/media/evms_pub…
general approach
what we know at this point in time with regards to drugs
timing is everything
While there is no cure or “Magic-bullet” for COVID-19, recently, a number of therapeutic agents have
shown great promise for both the prevention and treatment of this disease
NIH Recommendations for the Treatment of COVID-19 across the stages of the disease
MATH+ Hospital Treatment Protocol for COVID-19
you can down the MATH+ Hospital Treatment Protocol for COVID-19 here

covid19criticalcare.com/covid-19-proto…
The I-MASK+ Protocol
complements the MATH+ Hospital Treatment Protocol for Covid-19 from March 2020, which is intended for hospitalized patients.
The IMASK + protocol MUST be part of an overall strategy which includes common sense public health measures, i.e., masks, social distancing, and avoidance of large groups of people.

you can download IMASK+ here

covid19criticalcare.com/covid-19-proto…
Comparison of Methylprednisolone, Dexamethasone and Hydrocortisone - Number
Need to Treat (NNT)
General Scheme For respiratory support

try to avoid intubation if possible
One Page Summary of the Clinical Trials Evidence for Ivermectin in COVID-19

available here

covid19criticalcare.com/wp-content/upl…
Clinical and Scientific Rationale
for the “MATH+” Hospital
Treatment Protocol for COVID-19 can be obtained from here

covid19criticalcare.com/wp-content/upl…
Review of the Emerging Evidence Demonstrating the Efficacy of
Ivermectin in the Prophylaxis and Treatment of COVID-19

covid19criticalcare.com/wp-content/upl…
you can read about optional drugs here

covid19criticalcare.com/covid-19-proto…
stay safe everyone!
#WearAMask
#WashYourHands
#Physicaldistance

we can fight this together
I just want to add my personal opinion here

Ivermectin is still being studied

this particular hospital is using it as they feel they have enough evidene

more studies awaited
AIIMS guidelines
LATEST!

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More from @just1doctorwala

Dr. J Profile picture
Dec 15, 2022
This is so true!
During MBBS we were never taught this.
During post grad it was simply trust upon us.
As an ED specialist have seen more than my share.
The ED is probably the worst place to "declare death" as it is called due to the total lack of privacy/quiet in the department.
So yes it was learned the hard way. But it shouldn't be like that. While I wish I could say it gets easier, it really doesn't. Every patient's death weighs on us. We really are the "walking wounded" as they term us.

In this🧵I would like to go through what a doctor could do.
I was fortunate enough during my PG time to be taught this. An american ER physician, Dr. Cherri Hobgood (current Indiana University Chair of Emergency Medicine) developed an educational intervention, using the GRIEV_ING mnemonic.
#MedTwitter
Read 30 tweets
Dr. J Profile picture
Jul 16, 2022
60 year old female brought to ER by her very concerned family.
She had gone to the dentist for a check-up when the dentist noticed that there was a "deviation" of one side of the mouth (shout out to that dentist) & suspected she might be having a stroke thus referred her... Image
The lovely lady was insistent she "didn't want to be a bother" and that she noticed that for the "past two days" whenever she "drank water a little bit would dribble out down one side of her mouth"
She didn't think much about it at the time till she met with her dentist.
on examination she had the clear deviation of mouth as earlier mentioned, along with an inability to completely close one eye properly. She also now noticed a mild numbness on the forehead above that eye. Image
Read 18 tweets
Dr. J Profile picture
Apr 8, 2022
A must read for all secular Indians travelling to Australia

Australia is an expensive country, but its civic services are of the highest standards.
During Christmas, a family from Banaras, UP had gone to Australia for a holiday.
It included a couple, their two children and the man’s father.
After three days in Sydney, they hired a car to go to Melbourne. The freeway from Sydney to Melbourne was just superb.
An 80+ Australian lady was in a car behind them, keeping a safe distance. The Indian kids had knelt on the back seat, looking behind and would often wave to the Aussie lady who would smile and wave back.
Read 7 tweets
Dr. J Profile picture
Dec 24, 2021
Why is Christmas celebrated on December 25th?

It's that time of the year again when most Christians in the world celebrate the birth of Jesus Christ. I say most because there is a significant number of Christians who celebrate on January 6th & we'll get to that in a bit!

A 🧵
Initially Christmas was celebrated on different dates depending on where in the world one was at the time.

Dates included
January 6th*
January 7th
March 21st
May 20th
May 28th
December 25th*

there is January 6th again!
In around 202 CE St Hippolytus wrote about Christmas being celebrated on December 25th
Read 24 tweets
Dr. J Profile picture
Nov 14, 2021
Hi!

Emergency Doctor here

Small correction to our friend's rant...

1. Meat and fish can take as long as 2 days to fully digest

2. Most vegetables are NOT digested by human beings but instead go straight through the GIT untouched

let me explain point 2 with a short thread 🧵
Your body can't digest or absorb fiber.

Both insoluble (wheat bran, veggies, and whole grains) and soluble (oats, fruits, veggies, and beans) fiber are not digestible.
Insoluble fiber provides bulk to our stool and food for our healthy gut bacteria, and soluble fiber helps slow down digestion and can even have a positive impact on heart health
Read 11 tweets
Dr. J Profile picture
Oct 15, 2021
Russell's teapot is an analogy, formulated by the philosopher Bertrand Russell (1872–1970), to illustrate that the philosophic burden of proof lies upon a person making empirically unfalsifiable claims, rather than shifting the burden of disproof to others.
He wrote that if he were to assert, without offering proof, that a teapot, too small to be seen by telescopes, orbits the Sun somewhere in space between the Earth and Mars, he could not expect anyone to believe him solely because his assertion could not be proven wrong.
Now while, Russell specifically applied his analogy in the context of religion we could just as easily extrapolate this to pseudo scientific claims.
Read 5 tweets

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