Well ***** I was just getting optimistic. Then I run across the autopsy of a patient that succumbed to the Wuhan Flu. ;
Quote:
Coronavirus (COVID-19) Autopsy Report is analyzed in this video by Dr. Mike Hansen.
Coronavirus or more appropriately its new name SARS-CoV-2 is the virus responsible for the Covid-19 outbreak. Wuhan, China has been the epicenter of this epidemic, but some experts, like Dr. Anthony Fauci, are now saying that we are on the verge of a pandemic.
Before I get to the autopsy results of a patient with Covid-19, its important to understand the context of the numbers of total people infected, total people with coronavirus pneumonia, number of people who developed ARDS, and the total number of deaths.
When looking at the numbers, we should realize that they are almost certainly being underreported in China, and there are multiple reasons for that, which I won't get into right now.
Although these are not concrete numbers, its what we have to go by at this point. The percentage of people.
Also, up to this point, there has not been any pathology reported on this disease because of limited access to autopsy and biopsy results.
But finally, we now have a new case report study in Lancet Respir Med, published Feb 17, that has autopsy results for a patient who died from Covid-19.
Pathological findings of COVID-19 associated with acute respiratory distress syndrome
The patient is a 50-year-old man from China, who visited Wuhan Jan 812. On Jan 14, he developed a dry cough and some mild chills, so this is day 1 of illness). However, he did not initially seek medical attention and kept working until Jan 21. He then went to a medical clinic on Jan 21, because by that time, he had developed worsening symptoms. He had fever, chills, fatigue, cough, and shortness of breath. On Jan 22 (day 9 of illness), the Beijing Centers for Disease Control (CDC) confirmed by reverse real-time PCR assay that the patient had COVID-19.
He was immediately admitted to the isolation ward and received supplemental oxygen through a face mask.
He was given several different medications, which included the inhaled version of interferon alfa-2b, lopinavir plus ritonavir as antiviral therapy, and Moxifloxacin, to prevent secondary bacterial infection.
He was also given a steroid, methylprednisolone, to attenuate lung inflammation.
On day 12 of illness, after the initial presentation, his symptoms did not improve, other than his fever, which he received medication for.
His chest x-ray on day 12 showed progressive bilateral infiltrates. He repeatedly refused ventilator support in the intensive care unit repeatedly, apparently because he suffered from claustrophobia.
His oxygen saturation values decreased to 60%, and the patient had a cardiac arrest. At that point he was intubated with mechanical ventilation, he had chest compressions and epinephrine.
Unfortunately, they are unable to revive him.
An autopsy is done, and biopsy samples were taken from the lung, liver, and heart.
The heart tissue was essentially normal.
The liver biopsy of this patient showed moderate microvascular steatosis and mild lobular and portal activity, indicating the injury could have been caused by either SARS-CoV-2 infection or as a result drug-induced liver injury.
Histological examination of lung tissue showed diffuse alveolar damage with cellular fibromyxoid exudates, along with the desquamation of pneumocytes and hyaline membrane formation.
These findings are consistent with acute respiratory distress syndrome.
Interstitial mononuclear inflammatory infiltrates, dominated by lymphocytes, were seen in both lungs. There were multinucleated syncytial cells with atypical large alveoli characterized with prominent nucleoli, consistent with viral cytopathic-like changes.
These pathological features of COVID-19 greatly resemble those seen in SARS and Middle Eastern respiratory syndrome (MERS) coronavirus infection.
Acute Respiratory Distress Syndrome ( ARDS )
I'd be interested to see the percent of patients who develop ARDS with covid-19 vs SARS/MERS. A high percentage would be concerning because ARDS has a pretty high mortality rate overall.
Keep in mind with the case discussed in the video, the patient refused intubation (essentially getting a breathing tube and being put on a ventilator). ARDS is no joke, but you have a better chance of survival I'd you allow the docs to incubate earlier.
Study published in The Lancet, I doubt it's been peer reviewed yet.
Synopsis: Study of 52 critically ill patients from a single hospital. The primary outcome 61% of the study was death by day 28.
Mean age 59.7 67% men 33% women 40% already suffered chronic illness 61% were dead at day 28 Average length of time from admission to ICU was 7 days 71% required mechanical ventilation (very taxing on the system)
It's always about pouring more money down an inefficient hole.
Where did all of the billions that were spent over the last 20 years at the CDC and HHS go? Don't tell me we didn't get any tangible return out of the investment in all that labor.....
BBC reporting that the Saudis are banning foreign pilgrims because of COVID-19. Be interesting to see what happens if they're still shut down come Hajj time.
The reason i keep harping on it is because it really does provide insight into what is happening today.
The institutions we spent TRILLIONS on over the last 50 years are absolutely failing....it's across the board from the corruption in Congress, to military spending, to financial instability, to the loss of trust in the Justice system, etc.
The overall failure of the healthcare system is coming to light now. It's going to be completely inadequate when this CV thing kicks into high gear. We are starting to see the cracks already...
BOTHELL, Wash. The superintendent of Northshore School District said Wednesday in an email to families one of its high schools will be closed Thursday after a staffer's family member was placed in quarantine for possible coronavirus.
It would really help those of us on phones if users would just reply instead of quoting someone who quoted large articles. It's almost always a huge quote with a reply of a sentence or two.
" Illness forces the Pope to cancel an event at the Vatican a day after showing solidarity with coronavirus sufferers and shaking hands with congregation at weekly audience
The Vatican said the 83-year-old pontiff had a 'slight indisposition' and would proceed with the rest of his planned work on Thursday but Francis 'preferred to stay near Santa Marta', the Vatican hotel where he lives.
There was no word from the Vatican about the nature of his illness, but the pope was seen coughing and blowing his nose during the Ash Wednesday Mass."
BBC reporting that the Saudis are banning foreign pilgrims because of COVID-19. Be interesting to see what happens if they're still shut down come Hajj time.
But i have a friend whose sister in law is an EMT in some rural northern california town.
She apparently claims that there have been over 100 positive cases in her hospital alone.
They may have coronavirus, but they aren't "positive" because CDC either can't or refuses to test that many people. Or, CDC is flat out hiding test results.
Number of tests and positivity rate for Covid-19 as of Feb. 26
UK: 7,132 concluded tests, of which 13 positive (0.2% positivity rate). [source]
Italy: 9,462 tests, of which 470 positive (5.0% positivity rate), awaiting results: unknown. [source]
France: 762 tests, of which 17 positive (2.2% positivity rate), 179 awaiting results. [source]
Austria: 321 tests, of which 2 positive (0.6% positivity rate), awaiting results: unknown. [source]
United States: 445 concluded tests, of which 14 positive (3.1% positivity rate). [source]
Italy has announced on Feb. 26 that it would begin testing only people with symptoms, claiming that the higher number of cases (compared to other European countries) is due to more tests being conducted.