tag:blogger.com,1999:blog-6211405954943098401.post4028853865836257483..comments2023-11-20T00:23:16.290+01:00Comments on Stethoscope On Rome: Treating the dread corona: Myths and promiseSusan Levenstein, MDhttp://www.blogger.com/profile/04664082134917253721noreply@blogger.comBlogger31125tag:blogger.com,1999:blog-6211405954943098401.post-3109259284405916812020-04-08T21:15:41.475+02:002020-04-08T21:15:41.475+02:00I had read about nastiness on the web, but the per...I had read about nastiness on the web, but the person who hides behind the handle of Craken has given me the first opportunity to see it in person. Thanks for the support.Susan Levenstein, MDhttps://www.blogger.com/profile/04664082134917253721noreply@blogger.comtag:blogger.com,1999:blog-6211405954943098401.post-16031845761644145072020-04-08T14:17:06.994+02:002020-04-08T14:17:06.994+02:00Craken, By all means make your points, but perhaps...Craken, By all means make your points, but perhaps try to keep the tone a bit more civil?Anonymoushttps://www.blogger.com/profile/14040836160765380407noreply@blogger.comtag:blogger.com,1999:blog-6211405954943098401.post-33548152467464760232020-04-07T05:11:51.678+02:002020-04-07T05:11:51.678+02:00No I didn't, actually, thank you for drawing i...No I didn't, actually, thank you for drawing it to my attention. I'll include it in my next update. But I gather it's only been tried in two patients so far, so it's far too early to make predictions.Susan Levenstein, MDhttps://www.blogger.com/profile/04664082134917253721noreply@blogger.comtag:blogger.com,1999:blog-6211405954943098401.post-29661373772258093942020-04-07T02:51:20.048+02:002020-04-07T02:51:20.048+02:00Great article! Have you heard of this other possi...Great article! Have you heard of this other possible treatment, leronlimab? It seems to be showing great results with COVID-19.<br />Thanks again for the article. Be well.Anonymoushttps://www.blogger.com/profile/03356339820430383768noreply@blogger.comtag:blogger.com,1999:blog-6211405954943098401.post-65493886420125202852020-04-05T07:51:19.498+02:002020-04-05T07:51:19.498+02:00Thanks to you! Thanks to you! Susan Levenstein, MDhttps://www.blogger.com/profile/04664082134917253721noreply@blogger.comtag:blogger.com,1999:blog-6211405954943098401.post-18411332367871733892020-04-05T06:12:59.150+02:002020-04-05T06:12:59.150+02:00So glad to have your learned take on present medic...So glad to have your learned take on present medications and results, as we go through this. You are breaking trail here, with reason and information to help build our knowledge bank. Mega-thanks! Stay safe. S. Schwarcznoreply@blogger.comtag:blogger.com,1999:blog-6211405954943098401.post-31932133143791780522020-04-03T05:58:55.066+02:002020-04-03T05:58:55.066+02:00😀😀Susan Levenstein, MDhttps://www.blogger.com/profile/04664082134917253721noreply@blogger.comtag:blogger.com,1999:blog-6211405954943098401.post-91146514628085539082020-04-03T05:58:37.452+02:002020-04-03T05:58:37.452+02:00Thank you for the information - it’s comforting to...Thank you for the information - it’s comforting to have a clear scientific explanation.Peggy Nelsonnoreply@blogger.comtag:blogger.com,1999:blog-6211405954943098401.post-85924649357461718402020-04-01T05:39:38.270+02:002020-04-01T05:39:38.270+02:00...whoever you are....whoever you are.Susan Levenstein, MDhttps://www.blogger.com/profile/04664082134917253721noreply@blogger.comtag:blogger.com,1999:blog-6211405954943098401.post-65105478889478009452020-04-01T05:31:56.596+02:002020-04-01T05:31:56.596+02:00I love you, Mr. Tepfer!I love you, Mr. Tepfer!Susan Levenstein, MDhttps://www.blogger.com/profile/04664082134917253721noreply@blogger.comtag:blogger.com,1999:blog-6211405954943098401.post-9777036658309144542020-04-01T05:27:07.372+02:002020-04-01T05:27:07.372+02:00Bravo on a wonderful, clear review paper amid much...Bravo on a wonderful, clear review paper amid much noise in the media. Your article definitely deserves much broader attention. And super bravo for taking the high ground in your responses, especially to this poster.Fred Tepferhttp://pages.uoregon.edu/ftepfernoreply@blogger.comtag:blogger.com,1999:blog-6211405954943098401.post-50253329425277158592020-03-31T09:46:28.505+02:002020-03-31T09:46:28.505+02:00Addendum: as I have now added to the text, after I...Addendum: as I have now added to the text, after I posted this essay the French hydroxychloroquine researchers changed the text of their article to distinguish 3 rather than 2 groups. This changes nothing substantive in my critique.Susan Levenstein, MDhttps://www.blogger.com/profile/04664082134917253721noreply@blogger.comtag:blogger.com,1999:blog-6211405954943098401.post-28722493389918583132020-03-31T00:14:52.723+02:002020-03-31T00:14:52.723+02:00Yes, there have been problems with Italian death s...Yes, there have been problems with Italian death statistics, with underreporting due to the inability to continue the widespread testing and contact tracing the NHS was achieving at the onset of the outbreak, as supplies ran out and hospitals near the epicenter were overwhelmed. That inability is in turn due to chronic and acute underfunding, related in large part to EU-imposed austerity. Fortunately despite the reporting problems there is good reason to believe that the situation is improving. I might suggest you consider taking a more polite tone in your comments.Susan Levenstein, MDhttps://www.blogger.com/profile/04664082134917253721noreply@blogger.comtag:blogger.com,1999:blog-6211405954943098401.post-82305522418080086262020-03-30T22:43:12.411+02:002020-03-30T22:43:12.411+02:00I'm happy to reply to this one. About azithrom...I'm happy to reply to this one. About azithromycin: the text says "Symptomatic treatment and antibiotics as a measure to prevent bacterial super-infection was provided by investigators based on clinical judgment," but provides no results related to any antibiotic. Not 3 groups, whatever TDS means. About clinical outcomes, let me quote directly from the paper so other readers can judge the legitimacy of the researchers' methods: "Six hydroxychloroquine-treated patients were lost in follow-up during the survey because of early cessation of treatment. Reasons are as follows: three patients were transferred to intensive care unit, including one transferred on day2 post-inclusion who was PCR-positive on day1, one transferred on day3 post-inclusion who was PCR-positive on days1-2 and one transferred on day4 post-inclusion who was PCR- positive on day1 and day3; one patient died on day3 post inclusion..." It may be that real clinical trials will find Plaquenil to be effective despite the absence of anything promising in this paper or in the Chinese studies - that would be wonderful, but I'm not holding my breath. Susan Levenstein, MDhttps://www.blogger.com/profile/04664082134917253721noreply@blogger.comtag:blogger.com,1999:blog-6211405954943098401.post-18790495291366439852020-03-30T22:16:28.889+02:002020-03-30T22:16:28.889+02:00You're adoptive country's stats are garbag...You're adoptive country's stats are garbage:<br />ttps://www.ecodibergamo.it/stories/bergamo-citta/quasi-mille-morti-nella-bergamascai-sindaci-ma-sono-molti-di-piu_1346006_11/<br />I thought you could read Italian.Crakenhttps://www.blogger.com/profile/12052383454672873259noreply@blogger.comtag:blogger.com,1999:blog-6211405954943098401.post-24211073717174006002020-03-30T22:14:44.592+02:002020-03-30T22:14:44.592+02:00You didn't understand the French paper. If yo...You didn't understand the French paper. If you did, you would have noticed that there are 3 groups: placebo, hydroxy, hydroxy + azithromycin. Charitably, I might suppose that you were blinded by end stage TDS.<br />If you were smarter, it might also occur to you that the clearance speed of hydroxy + azi could be very promising as a prophyactic. Both drugs are cheap and relatively safe.Crakenhttps://www.blogger.com/profile/12052383454672873259noreply@blogger.comtag:blogger.com,1999:blog-6211405954943098401.post-74001304975855436002020-03-30T20:08:45.701+02:002020-03-30T20:08:45.701+02:00p.s. QUIT SMOKING!!!p.s. QUIT SMOKING!!!Susan Levenstein, MDhttps://www.blogger.com/profile/04664082134917253721noreply@blogger.comtag:blogger.com,1999:blog-6211405954943098401.post-69932145317222694852020-03-30T20:08:21.154+02:002020-03-30T20:08:21.154+02:00Good question. The ACE connection with coronavirus...Good question. The ACE connection with coronavirus is well known, but experts are not at all clear on how it works out. Some think drugs like telmisartan could worsen covid-19, others think they could help cure covid-19. In the end all the important organizations have come out with official guidelines saying that people who are already taking ACE inhibitors and sartans should not stop or change these drugs if they get sick with covid-19. In case you are interested, you can go to https://www.mdmag.com/medical-news/acc-aha-esc-advise-ace-inhibitors-arbs-use-covid19Susan Levenstein, MDhttps://www.blogger.com/profile/04664082134917253721noreply@blogger.comtag:blogger.com,1999:blog-6211405954943098401.post-36538429963402889862020-03-30T20:02:09.931+02:002020-03-30T20:02:09.931+02:00Ti conosco, mascherina!Ti conosco, mascherina!Susan Levenstein, MDhttps://www.blogger.com/profile/04664082134917253721noreply@blogger.comtag:blogger.com,1999:blog-6211405954943098401.post-77276474719607708722020-03-30T15:21:38.538+02:002020-03-30T15:21:38.538+02:00really excellent. thanks for posting!!!!!really excellent. thanks for posting!!!!!Doctor Kisseshttps://www.blogger.com/profile/16742472752393332759noreply@blogger.comtag:blogger.com,1999:blog-6211405954943098401.post-85599546008850681742020-03-30T11:02:44.464+02:002020-03-30T11:02:44.464+02:00I am a 73-year old male smoker with only two coron...I am a 73-year old male smoker with only two coronary arteries left, one of those has 3 stents in it. I am reasonably convinced that I had a mild infection of the virus in January, which took 10 days to clear up. <br />I have been taking Telmisartan daily for 14 years. I read that the drug changes the ACE2 producing cells which are apparently the preferred target of the virus when it reaches the lower respiratory tract and lung.<br />Any view?<br />Thanks, Newell White. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6211405954943098401.post-76822255311276226912020-03-30T10:28:51.262+02:002020-03-30T10:28:51.262+02:00❤️❤️❤️ ❤️❤️❤️ Susan Levenstein, MDhttps://www.blogger.com/profile/04664082134917253721noreply@blogger.comtag:blogger.com,1999:blog-6211405954943098401.post-72346726069685043352020-03-30T10:21:47.838+02:002020-03-30T10:21:47.838+02:00Susan, thanks and great synthesis article. You sho...Susan, thanks and great synthesis article. You should be writing for UptoDate, forget NY Times!<br />Steve Novek Anonymoushttps://www.blogger.com/profile/15953830886285306884noreply@blogger.comtag:blogger.com,1999:blog-6211405954943098401.post-46676114758583450092020-03-30T09:30:24.675+02:002020-03-30T09:30:24.675+02:00😀😀Susan Levenstein, MDhttps://www.blogger.com/profile/04664082134917253721noreply@blogger.comtag:blogger.com,1999:blog-6211405954943098401.post-65592027308104054282020-03-30T09:20:44.639+02:002020-03-30T09:20:44.639+02:00I second that!I second that!Maureen Fanthttp://www.maureenbfant.comnoreply@blogger.com