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moonlit-shoal-2020 · 5 years ago

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Coronavirus Is Nothing Like the Flu! Let Frontline ICU Expert Tell You How Virulent It is

From the discussions on social media, I have got the impression that many of those in the western countries think that for most people, especially the young and healthy, COVID-19 is just like the flu and only the elderly are particularly vulnerable to it. Is it true?

During his broadcast on March 13, Lude disclosed some chat records of an ICU expert who is now fighting the coronavirus in Wuhan. Let’s see what we can learn from them.

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https://www.youtube.com/watch?v=Vn5sRp7PSRo

某个支援武汉的医疗队，都是专家，的聊天记录。

Chat records of an expert of a medical aid team now taking care of the critically ill patients in Wuhan

我的朋友现在就在武汉抗击新冠，他是重症医学的顶级高手，在去之前踌躇满志，现在非常沮丧

他说这种病毒肺炎是他从来没有见过的。

病人发生急性呼吸窘迫特别快，很快就在小气道和肺泡内形成透明膜，没有什么痰，病人立刻就进入顽固的低氧血症，插管无效，俯卧位通气无效，肺复张策��无效。

以前他认为十拿九稳的病人，13个，全挂了。

他非常沮丧。

而且这十三个重病人中有好几个才二十几岁。

基本上插管上机就等于宣布死刑了。

My friend is now fighting COVID-19 in Wuhan. As a top expert in intensive care medicine, he was smug and psyched up for the mission before he set off to Wuhan but now he is extremely frustrated.

He said he had never seen any virus pneumonia like this before.

The patients developed acute respiratory distress syndrome in a short time with hyaline membrane rapidly formed in small airways and pulmonary alveoli but not much sputum, and in no time fell into refractory hypoxemia for which neither intubation, nor prone ventilation, nor recruitment manoeuvre, is effective.

13 patients whom he once had 90% confidence in rescuing all died.

He is completely disheartened.

What's worst is that several among these patients were in their twenties.

Once a patient is intubated and put on a ventilator, he/she is like being awarded death penalty.

所以他愤怒地说：成天就报道那些出院的病人，敢不敢报告一下上机病人的成功脱机率？

他每天都会调侃似的报道：“广州呼研所钟南山代表队的选手又没救活一个，北京代表队的选手兴高采烈的对媒体宣布他们的一例病人脱机了，结果不到48小时又插管上机了。”

那些轻症出院的病人，感染的也许是另外一个毒力强的亚型。毒力强的亚型根本救不过来。谁感染毒力强谁感染毒力弱，全看命……

目前武汉已经集结了全国重症的顶级精英在那里了，说句不客气话，这些人的水平放到全世界也能进前十啊。可是还是如此惨烈。

毒力强的亚型根本就没有太多机会离开武汉，因为宿主即使不死，也困在ICU里面了。所以外流的病例都是相对轻症，这也是为什么，武汉外病死率如此之低的原因。

That's why he said indignantly, “They just report on the discharged patients all the time. Dare they report the success rate of mechanically ventilated patients getting off the ventilators?”

He mockingly reports every day, “The player of the Zhong Nanshan representative team of Guangzhou Institute of Respiratory Health failed to save one; the player of Beijing representative team announced to the media with elation that one of their patients had got off the ventilator but it turned out that the patient was put back on the machine less than 48 hours later.”

Those with mild symptoms who have been discharged may be infected with a less virulent subtype of the virus. Those infected with the more virulent subtype have no chance of getting saved. It is all destiny whether a patient is infected with the more virulent subtype or the less virulent one.

At present, Wuhan has called the top elites in intensive care medicine from all over the country. To put it immodestly, these guys can make it to the world's top ten experts in this field but they still meet with such a fiasco.

The more virulent subtype has little chance of leaving Wuhan because the hosts will be trapped in the ICUs even if they survive. Therefore, the cases outside Wuhan are relatively mild ones. That is why the fatality rate outside Wuhan is so low.

但是COVID－19是一种正单链RNA病毒，由于不需要入核，它就可以在宿主细胞的核糖内翻译自己的蛋白，所以它非常不稳定，所以毒力弱的亚型在下一代突变成毒力强的亚型也是有的。这也就解释了为什么中国外感染者开始以无症状为主，现在重症越来越多的原因。所以天真的法国人等到看到自己的亲朋好友挺尸的那天才知道小锅是铁打的。

However, COVID-19 is a positive-sense single-stranded RNA virus. As it does not need to get into the nucleus to be translated into protein in the host cell by host ribosomes, it is super unstable and therefore a less virulent subtype may mutate into a highly virulent subtype. This accounts for why the infected cases outside China were mostly asymptomatic at the beginning whereas now more and more end up in ICUs. Therefore, the naïve French may have to wait until they see their beloved friends and relatives in the morgues to wake up to the strength of the virus.

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There are a few other things you need to know about this virus:

Firstly, all the drugs currently available can only suppress the replication of the virus without eliminating it from the host body, which is why quite a few recovered patients test positive again some days after they are discharged. Once you are infected, you are virus carriers who may relapse somewhere down the road and remain infectious, posing danger to those around you, including your beloved ones. Some people think that I will develop antibodies and be immune to this virus once I recover from it. However, according to Dr. Yuhong Dong, this virus is very complicated and contains various antigens both on its surface and in its nucleus, each capable of inducing one antibody, but only the antibody against the S-protein which mediates attachment of the virus to the host cell surface receptors can help protect the host body against the virus. Unfortunately, not many infected cases are lucky enough to have this protective antibody.

Secondly, the blood-brain barrier usually restricts the passage of pathogens into the cerebrospinal fluid, protecting our central nervous system from average viruses. However, some subtype of this virus is so strong that it can break through this barrier and attack the brain. Per Dr. Yuhong Dong, it is possible that the virus can attack the central nervous system that controls the respiratory system or the peripheral nervous system and thereby prevent the host body from developing protective symptoms such as pain, chest distress, etc. Some patients even suffer disturbance of consciousness. This may be the reason why some people were seen suddenly fall to the ground unconscious.

Thirdly, this disease has a relatively high rate of developing into critically ill status and more than 60% of the critically ill cases died, mostly within 7 days after sent into ICU - be careful, age is not particularly highlighted as a prerequisite for getting into this dataset.

https://www.youtube.com/watch?v=_0M34ErhPyk

To wrap up, I hope that the readers understand this virus is from the CCP lab and the Chinese people are the first victims of its government. In Lude’s broadcast on March 20, 2020, he disclosed a horrific analysis of the aggregate mobile phone users in China, which shows that the total number of mobile users dropped for the first time in history by 18 MILLION in January and February this year. These data are based on the annual reports of CHINA TELECOM, CHINA MOBILE, and CHINA UNICOM, all of them listed in HK Security Exchange with their annual reports readily available online. Don’t doubt your eyes. It’s 18 MILLION. As all the phone users are required to register their ID with the service users and no roaming charge is required as long as the users are within the territory of China and many people’s phone numbers are used for registering accounts on WeChat, Taobao, Jingdong, banks and many other social media platforms, people usually will pay the paltry monthly package rent to keep their phone on. I would not say that this drastic decline is 100% due to death from COVID-19, but even if only 5% of the number is related to it, you have an appalling figure of 900,000, which is far greater than the CCP’s officially reported death toll from the disease. Now the virus continues to take more lives all over the world, I would suggest that this disease be named CCP virus to reveal its evil origin and the danger the totalitarian regime poses to the entire mankind.

In a nutshell, you should carefully protect yourselves and your families against the CCP virus.

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