1/ Small Gupta family case series. Now 31 relatives + 4 friends with COVID in India. 32/35 took steroids. All were normoxic when given steroids (3 later deteriorated and actually needed them).
2/ Typical outpatient starting dose is medrol 32mg/day or equivalent. All of them get a taper, total duration 14-18 days. (If actually hypoxemic and hospitalized, doses are much higher - in the medrol 80 bid range. And durations even longer).
3/ CRP, IL-6 being measured every few days in outpatients and steroids titrated accordingly. Remember - these people all have saturations >95%.
4/ Yesterday at my insistence on stopping dex, my asymptomatic cousin asked how her COVID could possibly be cured when steroids are the treatment and that’s how all her friends and relatives recovered. This is so ingrained now. “Ad hoc ergo propter hoc” perpetuating the problem.
5/ The irony of millions insisting on taking a highly toxic medication shown to be of no benefit in mild COVID, in a place where homeopathic treatment is like religion, is not lost on me.
6/ In the meantime mucormycosis is skyrocketing, TB will follow. Many untold complications will be suffered. We must empower Indian doctors and Indian people with the right information - we have to keep fighting this battle. @SeemaMarwahaMD @SabiVM @paimadhu @KrutikaKuppalli
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