-----=
Original Message-----
From: Ruben Safir <ruben-at-mrbrklyn.com>
To: Carolinedliny <carolinedliny-at-aol.com>; docs-at-mrbrklyn.com; Hangout=
<hangout-at-nylxs.com>
Sent: Wed, Apr 29, 2020 10:58 am
Subject: Re: good thing they are rushing (the vaccines)
On 4/29/20 9:59 AM, Carolinedliny wrote:
> I don't know that everything here is accurate, I talk=
to my colleagues
> in the ICU and they tell me they are putting pts on h=
eparin drips, they
> are using 100% oxygen, and/or high flow o2 in a=
n attempt to prevent
> hypoxia/desat without using mechanical ventilation>
>
I'm not certain that these two things are inconsistant.&nb=
sp; First of all,
Heparin is not a Thrombolytic, so it is nto going to break=
clots down,
but prevents growth of new clots. That would be cons=
itant with what
Keren is saying. However, real clot busters, for pul=
monary embolism,
streptokinase and friends, are they being used at all.&nbs=
p; The granularity
is being SEEN on the xrays.
Regardless, why are shut down? My college at St Barn=
abas has been
begrudging this from the beginning, rightfully so, and he =
is at ground
zero of this virus in the Bronx.
>
> -----Original Message-----
> Sent: Wed, Apr 29, 2020 2:53 am
> Subject: Re: good thing they are rushing (the vaccine=
s)
>
>
> One more thing... the women who some might think uses=
capital letters is
> a Nurse Anesthesiaologist who spent good part of her =
life working with
> Doctors without Boarders... threating patients =
and populations in Africa.
>
> Karen, meet, Rick. Rick, meet Karen.
>
> ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~=
~~~~~~~~~~~~~
> Side note to Liz -
> I've been told today that Pharmacists aren't experts =
on vaccinations so
> our opinion doesn't hold much weight....
>
> Just for reference, I point out the paper that Liz an=
d I wrong on
>
> to continue on this thread...
>
> On to Karen...
>
> On 4/28/20 8:09 PM, Karen Perilman wrote:
>> =C3=83=C2=AF=C3=82=C2=BB=C3=82=C2=BF
>> =C3=83=C2=AF=C3=82=C2=BB=C3=82=C2=BFRuben,
>> It=C3=83=C2=A2=C3=A2=E2=80=9A=C2=AC=C3=A2=E2=80=
=9E=C2=A2s been a long time since we spoke,
>
> That is your fault! I periodically send you ema=
il :)
>
>> And I must tell you, this message you sent came a=
s a surprise,
>
> Call me when you have time 718-715-1771
>
>>
>> First of all, the patients that were first largel=
y infected in Europe,
> Italy and Spain were knee jerk treated with intubatio=
n and ventilation.
>> I say knee jerk, because never before had they se=
en so many people
> with the same symptoms in mass like this.
>>
>> Never mind the Chinese allowed 5 million INFECTED=
people to leave
> China up to Jan 20th and go to work in Italy and Spai=
n, the fashion center.
>> How do i know, because my daughter is the head se=
nior designer for
> women in Spain for the company Zara. They have =
so many Chinese working
> there, and their industry is in the HUB of China.
>>
>> And in October 18-19th the International militari=
es all met in Wuhan
> for the WUhan games for 100 COUNTRIES. ANd when=
the games were over,
> all those 100 countries became infected..... >
>>
>> Now, go back to where we were....
>> All these people presenting with Shortness of bre=
ath we MISDIAGNOSED
> FROM THE GET GO.
>> WHy do I say this, because maybe you forgot I am =
an anesthetist.
>
>
> I haven't forgotten anything. Are you in New Yo=
rk now?
>
>> The presentation of SOB was way off the standards=
of evaluation for SOB.
>> The Corona is a virus that spread thru droplets a=
s does EVERY OTHER VIRUS.
>> But we never reacted like this before.
>
> I say this until I am blue in the face. We have=
NEVER reacted like this
> to even Small Pox!!
>
>
>> Here is why we shouldn=C3=83=C2=A2=C3=A2=E2=80=9A=
=C2=AC=C3=A2=E2=80=9E=C2=A2t have.
>> I spoke with the head oncologist at a NY Cancer h=
ospital....
>> I also spoke with the head neurologist at Northwe=
ll Hospitals and all
> of us said the same thing.
>>
>
> We've been working with St Barbaus and they just said=
the same thing in
> the NY Post today,,
>
>> The SOB from Corona patients was unlike a person =
with pneumonia or ARDS.
>> Patients were talking and even on the phones, and=
showing low Puse OX
> readings.
>> In Italy they didn=C3=83=C2=A2=C3=A2=E2=80=9A=C2=
=AC=C3=A2=E2=80=9E=C2=A2t have the time to asses as they were
> barraged with patients,
>> They ran out of ventilators when that was ACTUALL=
Y what was killing
> people.
>> Sick lungs under PEEP and ventilation only causes=
more problems and
> patients vaso constrict and organs shut down, a=
nd FAST, especially in
> the elderly.
>
> This I didn't know and I don't understand. The =
ICU is packed in the
> Bronx with people on vents undergoing ID evaluation.&=
nbsp; In the end, there
> is not much I can do for them other than take the sta=
tes and track
> infection. Infection contol on the floors is th=
e biggest problem we have.
>
>>
>> But in the US, NO ONE took the time to look at th=
e reason people were
> SOB and they ASSUMED it was a viral infection, Corona=
.....
>>
>> BIG MISTAKE!
>> Now, looking back, we know now, that after autops=
ies, the patients
> lungs and bodies were filled with CLOTS!!!
>
> Bilateral Granularity on the Xrays. We don't ev=
en need testing for
> this. It is a presumptive diagnosis already.>
>
> The patients were actually acting like someone with p=
ulmonary embolism.
> The clots killed people with heart attacks and Stroke=
s!!!!
>>
>> So where did this information take the doctors wh=
o were in the know.
>> In NY and the UK, they started realizing that the=
patients who were on
> blood thinners and anti inflammatories had NO clots a=
nd they were mildly
> sick and got better.
>
>> Those patients, in particular were Cancer patient=
s who as you know are
> compromised immunologically.
>>
>
> I have data clearly showing me that pts on Chemo and =
with advanced
> cancer don't survive this. They won't even vent=
olate those patients at
> this point. So please explain this further.
>
> BTW - the virus attacks clotting factors, and causes =
prolong PT times,
> but frankly, that is common with cytosine storms, so =
I am not convinced
> of that data.
>
>> They tested the patients clotting times and saw t=
he proof in the blood.
>> Waiting for a vaccine to kill a virus that will b=
e obsolete in a year
> is ridiculous when we know how to treat the patients =
NOW.
>>
>> If someone presents to the ER with SOB, they shou=
ld have been assessed
> to rule out for clots.
>>
>> A retro study, and a study that moves forward sho=
uld be done immediately,
>> BUT because the cure for the clots is CHEAP, no o=
ne is going to
> recommend ASPIRIN or Azithromycin because they won=C3=
=83=C2=A2=C3=A2=E2=80=9A=C2=AC=C3=A2=E2=80=9E=C2=A2t be able to
> make MONEY.
>>
>
> This has been a recurring problem. It is almost=
like they are purposely
> misusing Hydroxychloroquin, which can only work in th=
e early phase of
> the disease, in order to make way for other thearpies=
, and those
> therapies, Remdesivir, Kaletra, Nitazoxanide, Tociliz=
umab, etc. All of
> them cost over $2K per treatment. My friend May=
a, who is a PharmD, she
> was big on this point. They are not acting in a way t=
hat is consistant
> with a disease that shuts down civilization. Th=
ey are telling us we are
> in moral danger and the numbers don't bare it out and=
they aren't acting
> like it is that serious.
>
>> The mayor NY and the governor are 100% assholes.<=
br>
>> We have NEVER quarantined in the history of illne=
ss HEALTHY PEOPLE!!
>> Sick people yes, and they should be isolated at h=
ome.
>
> It is unbelievable. Never in my lifetime could =
I have ever imagined this.
>
>
>> If you go to any NY hospital now in the city,&nbs=
p; if you show ANY signs
> of SOB you are intubated and you DIE!!!! They d=
o not resuscitate anyone
> suspected of corona!!
>> That=C3=83=C2=A2=C3=A2=E2=80=9A=C2=AC=C3=A2=E2=80=
=9E=C2=A2s insane..... If the reason people are dying are the
> clots, they NO ONE should be intubated and they shoul=
d emergently be
> give blood thinners.
>>
>> The elderly are being treated like disposable spo=
ilers of this virus.
> They die alone and it=C3=83=C2=A2=C3=A2=E2=80=9A=C2=
=AC=C3=A2=E2=80=9E=C2=A2s criminal.
>>
>
> How do you then prevent an anurism..
>
>
>> I will not fall for the BS of waiting for a vacci=
ne, because patients
> being treated right now with the new paradigm are sur=
viving and getting
> better quicker.
>>
>> No patient population compares to the cancer pati=
ents who were found
> to be Safe from the extreme sickness of Corona becaus=
e so many of their
> patients were on blood thinners.
>> The evidence is there.
>> Even the Young patients that died, died from Stro=
kes.!!!
>> No one is talking about the patients that contrac=
ted corona who were
> described as =C3=83=C2=A2=C3=A2=E2=80=9A=C2=AC=C3=85=
=E2=80=9Chealthy=C3=83=C2=A2=C3=A2=E2=80=9A=C2=AC=C3=82=C2=9D who SMOKE; it=
is a joke. Smokers are
> NOT healthy, not if they smoke anything, pot, v=
aping or cigarettes.
>> I see people on the streets with masks and gloves=
SMOKING and
> it=C3=83=C2=A2=C3=A2=E2=80=9A=C2=AC=C3=A2=E2=80=9E=C2=
=A2s a joke.
>> THey are blowing Corona and adding to the contami=
nating of all of us.
>> I see people wearing masks and gloves throwing th=
em in the streets,
> not using them properly, and I tell them, will all th=
is costuming, they
> would never be allowed in the ICU to work because the=
y have no idea how
> to used sterile masks and gloves.
>>
>> If you want to be mad, get mad with the medical s=
ystem in NY fueled by
> political idiots that want to see the economy fail, s=
o they can blame
> politics.
>> Even Fauci, that =C3=83=C2=A2=C3=A2=E2=80=9A=C2=
=AC=C3=85=E2=80=9CStatistician=C3=83=C2=A2=C3=A2=E2=80=9A=C2=AC=C3=82=C2=9D=
is out of the loop. He
> hasn=C3=83=C2=A2=C3=A2=E2=80=9A=C2=AC=C3=A2=E2=80=9E=
=C2=A2t practiced medicine in 20 yrs!! And he is nothing but an
> accountant for the numbers that other people give him=
.
>>
>> THis is BS, I don=C3=83=C2=A2=C3=A2=E2=80=
=9A=C2=AC=C3=A2=E2=80=9E=C2=A2t give a shit about politics...
>> I do care that we are being used for this politic=
al experiment.
>
>
> 100%
>
>
>> The economy should have NEVER been shut down.
>
>
> A strong economy is our leading weapon to fight the d=
isease.
>
>
>> It=C3=83=C2=A2=C3=A2=E2=80=9A=C2=AC=C3=A2=E2=80=
=9E=C2=A2s laughable that all the markets and stores that are open
> are crowded and no one has stopped shopping.
>>
>> Maybe they should try putting the voter machines =
in Target or Walmart.....
>> Then we could vote out these morons that crashed =
our economy when the
> answer to save people was right under our noses.
>>
>>
>>
>>
>> Sent from my iPad
>>
>>>
>>> =C3=83=C2=AF=C3=82=C2=BB=C3=82=C2=BF
>>> We wouldn't want to distribute anything until=
we are absolutely sure it
>>> is safe, because WTF!! 11K are already =
dead in NYC alone and 23million
>>> are on indefinite lockdown!
>>>
>>> Take your time boys. Make sure you get =
it right..
>>>
>>>
>>> ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~=
~~~~~~~~~~~~~~~~~~~~~~~~~
>>> Wall Street Journal today:
>>>
>>> Pfizer could start distributing a possible va=
ccine on an emergency basis
>>> in the fall if all testing proves successful.=
>>> Photo: Sipa USA via AP
>>> By Jared S. Hopkins
>>> April 28, 2020 1:14 pm ET
>>>
>>> Pfizer Inc. PFE -1.10% said Tuesday it could =
have a coronavirus vaccine
>>> ready for use on an emergency basis in the fa=
ll if it proves to work
>>> safely in testing.
>>>
>>> Testing of the vaccine, which has already sta=
rted in Germany, could
>>> start in the U.S. as early as next week if he=
alth regulators sign off,
>>> Pfizer Chief Executive Albert Bourla said in =
an interview. Results from
>>> the study could come as early as next month, =
Mr. Bourla said.
>>>
>>> Pfizer would need to do more testing to make =
sure the vaccine works
>>> safely. If all testing proves successful, Pfi=
zer could start
>>> distributing the vaccine on an emergency basi=
s in the fall and receive
>>> approval for widespread distribution by year=
=C3=83=C2=A2=C3=A2=E2=80=9A=C2=AC=C3=A2=E2=80=9E=C2=A2s end, Mr. Bourla
> said.
>>>
>>> =C3=83=C2=A2=C3=A2=E2=80=9A=C2=AC=C3=85=E2=80=
=9CThis is a crisis right now, and a solution is desperately
> needed by
>>> all,=C3=83=C2=A2=C3=A2=E2=80=9A=C2=AC=C3=82=
=C2=9D Mr. Bourla said.
>>> --
>>> So many immigrant groups have swept through o=
ur town
>>> that Brooklyn, like Atlantis, reaches mytholo=
gical
>>> proportions in the mind of the world - RI Saf=
ir 1998
>>> DRM is THEFT - We are the STAKEHOLDERS - RI S=
afir 2002
>>>
> in Free Software
>>>
>>> Being so tracked is for FARM ANIMALS and exte=
rmination camps,
>>> but incompatible with living as a free human =
being. -RI Safir 2013
>
>
> --
> So many immigrant groups have swept through our town<=
br>
> that Brooklyn, like Atlantis, reaches mythological>
> proportions in the mind of the world - RI Safir 1998<=
br>
> DRM is THEFT - We are the STAKEHOLDERS - RI Safir 200=
2
>
> Free Software
>
> Being so tracked is for FARM ANIMALS and exterminatio=
n camps,
> but incompatible with living as a free human being. -=
RI Safir 2013
--
So many immigrant groups have swept through our town
that Brooklyn, like Atlantis, reaches mythological
proportions in the mind of the world - RI Safir 1998
DRM is THEFT - We are the STAKEHOLDERS - RI Safir 2002
Being so tracked is for FARM ANIMALS and extermination cam=
ps,
but incompatible with living as a free human being. -RI Sa=
fir 2013
