Updates on COVID-19: Vitamin C, Harvard’s FAQ, and Testing Criteria Quanderies

So wait a minute did you have the same
double-take that I had when you saw that number 105 thousand
104 thousand cases that was for the US own so 104 almost 105 thousand
cases in the US actually if you look at the Bing numbers here summaries on the
left I think they’re a little bit behind the Hopkins numbers on the right but
we’re at six hundred thousand cases you ever take a few and I would say a few
more than that and as many of us know the US is likely the US and especially
Western Europe both regions are likely to have better counting than other
regions of the world who probably has significant undercounting places like
Russia maybe Africa maybe some of the other areas there’s no question we are
not flattening the curve right now we are going up a major hockey stick
significant reflecting significant huge transmission of cases of infection over
the past few weeks so that’s the summary in terms of the numbers what about the
topics for today vitamin C the Harvard FAQ page and testing quandary
significant challenges in the first in the in the last item vitamin C this is a
major debate that was started decades ago if you haven’t heard of the vitamin
C debate just look up Linus Pauling vitamin C theater nobody would argue
that Linus Pauling was a very smart guy he’s it’s you hear over and
over again he’s the only guy to get not one but two Nobel Peace Prizes but I’m
really when I’m referring to the major debate that started again
to COVID-19 I’m talking about mid to late 2019 there was a doctor in
an ICU environment who’s who took about 40 cases before and 40 cases after and
gave the a group again of about 40 cases vitamin C he said he got astounding
results so that tripped out yet another major debate about vitamin C and this
was not just in terms of prevention this is in terms of treatment of people with
severe disease that’s what the rekindled debate that I’m talking about today
we’re just going to touch briefly on the Harvard FAQ it’s a very very basic again
I’m not gonna spend much time on that mass testing quandary I have as you
know I’ve been working with a group a couple of national groups a retailer and
a logistics group looking to set up national mass testing it’s been fraught
with challenges and I’ll go into some of the challenges right now if you look at
the CDC guidance and most of the states their guidance is tier 1 only well
that may sound okay but what is tier 1 that’s pretty murky as well and we’ll go
into a little bit of that yes there’s still problems with not enough kits not
enough PPE but really those problems at least if the shell game is not happening
and we know some of it is those problems are beginning to settle out just a
little bit political challenges as always in an operation this big are major
problems and logistical challenges like had he setup not maybe not one but two
patient portals or testing portals which help people walk through
a very complicated definition of tier 1 and then decide whether or not you
can get the test so why not just do mass testing why not do it like like South
Korea maybe Singapore mass testing and find
those clusters find those cases find the transmission and start putting
quarantines around again it gets back to having enough test kits so what you see
is the Association of State and Territorial Health Officials (ASTHO)
following the lead of the CDC and the CDC again making recommendations that are
fairly narrow in terms of tier 1 but again having some challenges in terms of
communicating exactly what a tier 1 is number one and then once you get up and
rolling actually enforcing tier 1 so a lot of murky challenges here so we
talked about the numbers themselves again Cliede for future introductory
rollouts if we if we list the US numbers we should label which number
that is rather than just leaving the hundred thousand so vitamin C debate as
I said this has been going on for years it started with Linus Pauling it was
rekindled in 2019 if you excuse me 2017 and again rekindled within 2019
with the sepsis and ARDS issue what is sepsis
it’s overwhelming infection in the bloodstream what is ARDS acute
respiratory distress syndrome that’s what usually kills people when they are
in sepsis and sepsis is ICU I mean if you’ve got infection with high counts of
infectious agent in your blood starting to drop your blood pressure creating
major it leads to major shutdown and is very very lethal condition
usually the last grim reaper the straw event that kills the patient with
sepsis is infection overwhelming infection and reaction in the lung so
why are those important and why would COVID-19 rekindle all of this
we’ll talk about that in just a second but first of all let’s go back to that that article that retriggered all of
this vitamin C in terms of treatment and again let me just clarify here there
more than one debate there’s a lot of debates about vitamin C this one is just
on treatment for severe infection sepsis and acute respiratory distress syndrome
you’ll see they’re trying it in New York I think the governor of New York
announced so are we broadcasting again now okay
okay great so I’m not sure where did we drop okay well to quote Jack Nicholson
in was it Jack Nicholson they’re a couple of movies I’m back anyway so
let’s go back and thank you YouTube thank you StreamYard and I think it’s
more of a YouTube problem let’s go back and cover a couple of things real quick
we’re gonna talk about vitamin C more the treatment debate intravenous vitamin
C for full-blown COVID respiratory distress syndrome
we’ll talk very briefly about Harvard faq again it’s very basic it’s something
you can give to folks that are just haven’t been living on this planet and
don’t know what COVID-19 is and then some discussion about mass testing
quandary again we talked a little bit about this is a very rapid quickly
moving situation the last time I looked with just about a half an hour ago and
the Bing tracker was saying a little bit less than 600,000 cases the Harvard
tracker was saying a little bit over 600,000 so again a reflection of how
quickly that’s moving to go back to the right amount tightly share your screen
okay thank you Cliede so are we on and are we transmitting yep
we are okay I’m not gonna I’m not going to go back over what we just recovered
vitamin C debate intravenous treatment for sepsis and ARDS again sepsis is
overwhelming bacterial infection which is lethal in most cases like at least
well at least half of the cases the final insult is quite often ARDS acute
respiratory distress syndrome where this overwhelming blood infection creates
again overwhelming infection in the lungs and inflammation filling the lungs
with water and making it impossible for the patient to ventilate breathe and get
oxygen now this specific vitamin C debate was rekindled back in 2016 2017
when a doctor that runs an ICU in Virginia Dr. Paul Marik did a brief
study very small study and looked at intravenous vitamin C so here’s the the
study it was published in Chest magazine or the Chest journal 47 patients in both
treatment and control groups no significant differences in baseline
characteristics between the two groups hospital mortality was 8.5% or 4 out of
47 in the treatment group compared to 40 percent or 19 out of 47 in the control
group the probability that’s obviously 0.001 which is one in a thousand
assuming that there was no bias etc. etc. so as you see the results suggested that
early use of intravenous vitamin C together with cortisone corticosteroids
and thiamine are effective in preventing progressed progressive organ dysfunction
accusing including acute kidney injury reducing the mortality of patients with
severe sepsis and septic shock so that was enough to trip off yet a whole new
series of debates about the role of vitamin C this one not so much in
prevention this one in actual treatment of severe disease just as a comment we
covered the debates around vitamin C and prevention earlier this week and
basically it’s there’s some data out there it’s like 8 percent improvement in
terms of prevention and/or treatment it appears to decrease symptoms for
about 8 percent if you have if you go back and look more deeply at the
research and the evidence around prevention you find there are Cochrane
studies the Cochrane studies complain that you know what garbage in garbage
out and most of the prevention studies are garbage the ones that are there and
they’re not bad are fairly inconclusive so why so many bad studies about vitamin
C why not a well funded very good prevention trial for vitamin C because
who’s gonna who’s got the money and who’s going to be able to put the money
into research on vitamin C for prevention it’s just there’s just not
the kind of dollars behind it so it’s gonna be a while before we figure that
out that’s the prevention side this is the treatment side
so after Dr. Marik did his study back in 2016 2017 and published this in the
Chest journal again it tripped off a whole new set of a firestorm of debate
within the the ICU community the critical care community about should we
be giving vitamin C IV to prevent organ failure inflammation
and vascular injury in patients with sepsis an acute respiratory distress
syndrome there are a couple of studies one of
them was called the vitamin study this one was called the CITRIS-ALI
randomized clinical trial now what did they find this was very interesting the
question is can intravenous high-dose vitamin C reduced organ failure and
biomarkers of inflammation and vascular injury among patients with sepsis and
acute respiratory distress syndrome they did a clinical trial and included 167
patients in the ICU with intravenous infusion of high-dose vitamin C versus
placebo for 96 hours it resulted in no significant difference in what that’s
the question in things like inflammation panels in the SOFA score which is
sequential organ failure assessment why did they do that well they were afraid
that they wouldn’t see any significant change in death rate and there with a
study of 160 rather than 1,600 or 16,000 and therefore maybe kill this debate too
soon they got the exact opposite results of what they feared none of the
continuous indicators like inflammation markers in the SOFA indicators but
then what happened you look at death and the deaths were significantly decreased
so then that just made this whole interpretation of this this debate
murkier and murkier their interpretation was among these patients the vitamin C
did not significantly reduce organ failure Dr. Marik was asked to present
now it was about an hour and a half presentation that I heard it’s in
YouTube you can find it he was obviously very upset very frustrated and
he had several different criticisms of the study the major one being that they
did not administer the intravenous vitamin C early enough so where does
that leave us right now we’ve got a pandemic going on it kills people by
acute respiratory distress syndrome what do we do well you see a lot of trials
going on right now with intravenous vitamin C and COVID-19 New York
hospitals are some of the New York hospitals are trying it there’s studies
going on in China still there are other studies going on and what’s the answer
well I don’t think we have an answer to that
and so again to get back to my style with patients I give patients the facts
and then they’ll say well that’s kind of murky what do you do I’ll tell you what
I do I went back into my pantry and I did find some vitamin C I had been
getting a little bit lax on it I’m back to taking 2 grams of vitamin C per day
now if you decide to do that just note that it can cause some GI distress so be
ready be prepared a couple of quick comments about Harvard faq again the
Harvard FAQ you would assume would be very detailed very broad get into a lot
of information it just happened to pop up in front of me as I was doing some of
my prep work for some of these presentations and I have to tell you I
was a little bit disappointed it was sort of like COVID 101 again sort of like
if you haven’t been living on this planet haven’t been hearing about
details it tells you what it is and then it morphs into some questions for the
university itself so here’s some of the questions that it asks what is
coronavirus what is COVID-19 what are the symptoms of COVID-19 how do I
prevent myself and others so if you’ve got somebody who doesn’t want to get
into all of these detailed debates that’s maybe a good place to send them
and most of those people just not spending much time on this channel
obviously again then you get into Harvard University questions what do I
mean by that well what do you do if you’re an international student at
Harvard and what do you do about COVID so again not a probably not a
whole lot there for viewers of this channel the last feature topic I have
for today has to do with an update for coronavirus testing as I mentioned the
CDC and the most state health officers and territory health officers are are
still in line and they’re all saying tier 1 testing only well what
does that mean and we’ll go into what tier 1 is because it’s really a little
bit murky why tier 1 testing only when you have proven success and
flattening the curve with countries like Singapore and especially South Korea
bottom line is there’s not enough testing kits there hasn’t been enough
testing kits for a week after week after week as this problem has continued to
grow and again I think that’s one of the major reasons that you see some of the
problems we see in the US right now yes we also have other problems there’s
not enough PPE the supplies for the kits and PPE right now appear to be growing
you’ve got a lot of shell game going on I used the example one of the one of the
logistics guys that I’m working with was at a very high level of logistics in
terms of the US Army he was a general in the US Army and one of the theaters and
he said right now this reminds him of a time window when they were looking for a
think of a lowboy which is a major tractor trailer for hauling huge
equipment they were surprised to see in a tiny area it looked like they had
about 40 low load boys available then when they started looking more deeply
yes you had about 40 different companies saying they had lowboys but it was the
same lowboy with 40 different magnetic signs on the door so you’ve got a lot of
that going on right now but it does appear to be settling out again we’ve
covered that a couple of times a lot of local home heroes engineers designing
do-it-yourself face masks a lot of local seamstresses getting back into using
Tyvek to build to create gowns using other equipment to make masks some of
them hopefully even N95 quality masks so as all of the states continue to work
through those problems a couple of other problems continue to loom large one is a
portal so how does a portal manage tens of thousands of new cases new requests
coming in I want the test and yes you can only do it if if then if then if
then and how do you program that in and not crash your site there’s a lot of
that going on right now and of course then there are the political challenges
there’s the executive branches of government responsible for setting up
solutions and other branches of government who may not be well you know
who may be critical and frustrated for a whole bunch of reasons there may be
political history there may be just be frustration that we want a solution now
so tier 1 only okay what’s tier 1 if you start looking at some of the basic
question programs that folks that the association ASTHO Association of
State and Territorial Health Officials plus of other a couple of other national
groups they’re agreeing on a form similar to this it starts off fairly
clear person information the name date of birth age
gender race address county etc so that’s all pretty clear and then we get
into symptoms of COVID-19 do you currently have these symptoms fever
greater than 100.4 and cough or shortness of breath so what do you do
with that well automatically we’re starting to get
some confusing logic and or A and or B a and or C that’s okay let’s put that
aside for a second then we get into section 3 which meets the product
prioritization for tier 1 testing check all that apply
now let me go back and give you the my a little bit more simplistic
interpretation of what tier 1 means is I have been reviewing the CDC site and
recommendations in these sites as well there are three criteria that you 3
basic criteria within tier 1 one is people that have they’re in the hospital
they have COVID-19 and they’re in the hospital well that’s clearly not a
question for mass testing sites they’re in the hospital of the hospital
administration that the doctors that are taking care of them are going to be
doing the COVID-19 testing the second group it within tier 1 is the health
care workers that are providing care to the people that are in the hospital for
COVID-19 so again fairly simple group but really not an issue for outside of the
hospital testing one and to the patients and the providers of health care for
people in the hospital that’s all going to be done by the hospital now what does
that leave well that’s again where it starts to get a little bit murky a
greater than 60 years old who has symptoms of COVID-19 currently living
or working in a congregate setting independent or assisted living
center now what does that mean do you need both of those or just one of those
because if you go back to the CDC symptom checker if you’re over 60
years old and they say if you have difficulty breathing you’re blue in the
face you have massive chest pain don’t get it go get a test go get emergency
care or if you’re losing consciousness and things like that
so again if you fit those criteria don’t get a test go get emergency care then
the next thing they say on the CDC site is if you are over 60 and you have you
don’t have difficulty breathing but you’ve got fever and maybe cough or
shortness a little bit of shortness of breath and stay at home
talk to your doctor so as you can see there’s three criteria within
tier 1 the first two are really clear they’re being done in the hospital
the third one gets a little bit unclear and that’s where you start saying hmm
we’re having major challenges standing up these portals standing up sites which
can actually do the appropriate triage for mass COVID-19 or coronavirus
testing sorry about that I wish it was a lot
clearer but again that’s above my pay grade at
this point I’m gonna go out like escape there and see well I thought I was gonna
escape and go back out and see if we have anybody out there or if we’ve
disconnected again okay we do we’ve got a lot of people out there and a lot of
questions let me go back up start dealing with some of them so
James Robert Clark III excellent I take vitamin C glycine and glutamine as
well as quercetin and citrus bioflavonoids for asthma and it works
very well I’m not telling anybody to do this but it works for me
thank you very much Mr. Clark many of these substances have antifibrotic and
antiviral properties as well and that’s me saying there no tech
challenges yet but obviously it was still early we did go down for a few
minutes John Panozzo excellent topic looking forward Nancy Debosek hi Dr. I will
tempted to keep from pocket-dialing today
thank you Nancy and again I don’t think it was much of an issue even with
Nancy’s phone was in her pocket and it was evidently doing some dialing pocket
dialing but it wasn’t dialing it was writing pocket comments on our on the
YouTube live a couple of days ago no problem thank you very much for your
interest mm-hmm hello from Germany I hear that Germany is doing fairly well
right now and the German authorities have attributed to two things number one
a lot of testing and quarantine of transmission clusters and number two
some really good luck excuse me I hope that both of those processes continue I
hope you continue to have the ability to do a lot of testing cap off the find
those areas of transmission and continue to cap those off and most importantly I
hope you have good luck in doing this Teb Tengri good morning all thank you Teb
good morning from Martin Ortiz greetings from the People’s Republic of California
California’s got some challenges cranking up obviously New York is the
epicenter New Orleans probably would be because of
some of the misbehavior down there it’s just that they’re not nearly as big as
New York so New Orleans appeared to be at least for a few days the the most
rapidly growing site or the most the highest number of cases and can’t
remember which but I think it’s becoming eclipsed very quickly by New York and
we’re all looking for LA and Chicago and some of the other population centers to
start cranking in Carneval is there scientific proof that this CV exists and
causes disease I’m assuming you’re saying coronavirus there’s clearly
plenty of scientific evidence that it exists and that it causes disease
there’s a pandemic going on out there with it okay Greg Clopton JAMA Cardio
has Wuhan report on COVID mediated cardiac damage
including elevated troponin yes it does it does appear to have some damage to
the heart now the question is how much how significant is that in the big
picture right now I don’t think it is we may find later on that the people that
survived through the COVID-19 you know bad disease the COVID-19 is the
bad disease the coronavirus is the virus that causes it we may find that
people that make it through the acute care the acute bad disease part actually
end up with scars in their lung scars with their heart stuff like that but
it’s just too early to know that right now it’s not unusual it’s not unusual to
see people that have gone through sepsis or going through sepsis and ARDS
acute respiratory distress syndrome to have some of this kind of damage it’s
multi organ damage damage the kidneys brain heart etc Bill Clifford good
morning from Estero Florida good morning to you I think maybe I forgot to mention
Miami in Florida is an upcoming major epicenter Mike Marder here’s what Korean
version of Fauci said subtitled and most of what’s important is last 10
minutes okay so here’s the string or watch maybe Cliede we can review that
this evening and see if we can put that up as one of our video components Cliede
has developed by the way continues to develop some very interesting technology
he showed me this morning that we’ll be able to actually show some videos as
part of the as part of the the YouTube live program so Janice was wanting to do
some she got a lot of great reviews from her comments about practical living in
terms of Amazon packages and grocery shopping she got good reviews she liked
it she usually doesn’t like doing videos now she’s saying you know what that was
not so bad and she would like to do a few videos where we actually get into a
little bit more detail regarding safe physical distancing and again the
differences between social distancing and physical Eliza 2020 hello from
California Carneval why are we assuming the number
of cases is remotely accurate when there’s evidence these tests suck and
people are getting diagnosed remotely what kind of all I think it I don’t mean
this may be the way it sounds I think it might be naive to assume these numbers
are accurate but what they are is they’re an indicator and like any other
indicator you have to translate that indicator in terms of what you do know
and what you don’t know for example we knew all of these indicators none of
them ever showed there was transmission going on two weeks before the outbreak
here in the US but we know based on everything else was that we were seeing
that yeah that’s what happened we’ve been having the transmission
appears to it clearly based on the science that we have
seeing so far transmission is happening a week or two before these cases start
out breaking bar breaking at so again you the assumption that these numbers
are exact truth is like I mean you you can’t assume anything in life is truth
you have to start I mean pardon me I’m gonna start getting into Conte in
philosophy here you have to take the information that you have and start
piecing it together I hope that helps Paul Lasa
Mike Marder do you get do you get to that link oh Eliza 2020 but why are the
number of deaths in Spain and Italy higher than in China well I don’t know
for sure I have some suspicions that China is maybe significantly
underreported at this time I’m a little bit skeptical that Spain and Italy are
actually higher than China and again that gets back to that other point don’t
don’t believe the numbers put the numbers together as indicators with
facts that you already know for example China has not been the greatest in terms
of reporting anything to the rest of the world
James Kantor in mass testing would not too many people be tested ie
people who are just worried absolutely and that’s what the problem is
especially in this time you know a lot of what I’ve said
sounds like criticism of the CDC criticism of state and county health
officers not at all the case if I were playing one of those roles then I’ve
been very close to those roles in the past I’ve trained a lot of people that
went into those roles I’d be do probably doing exactly the
same thing I think I would also be doing something that I see a lot of them doing
number one be very frustrated with all of the information and all of the over
activity that’s coming through their offices they have tons of people
requesting to help request wanting to do things
that they’re going to get they think they might get rip wealthy with other
politicians constituents etc one of the major focus and in fact one of the major
most important things you can do is continue to communicate the Kentucky
governor by the way he’s been doing a great job he’s got a daily fireside chat
kind of thing he goes on to the TV about five o’clock each day Kentucky time and
gives an update on what he’s seen in his office so yeah it’s there would probably
be too many people tested if they just said look anybody that wants to get a
test go get one and in fact that’s already happened in many places that
have set up testing they’ve gotten overrun and so it gets back to the point
I said a few minutes ago the reality is we don’t have enough tests the next
reality is the testing is important to get a better handle better indicators on
where transmission is happening so how do we set up a system which deals with
both of those issues and the issue that the minute you set up you shop and say
we’re gonna provide testing to the public you’re gonna get trampled and so
far most of the most of these operations have gotten trampled we’re doing a lot
of work right now to stress test our systems to make sure that doesn’t
happen Aballard 527 why are people going into
cardiac arrest with COVID-19 is it triggered by a decrease in oxygen in the
blood yeah so again you get multi-organ failure failure of kidneys failure of
lungs and again with most and i’m talking about just with sepsis and ARDS
and it’s very similar to what you’re seeing with with COVID-19
I’m not a by the way I’m not an ICU doc I’ve spent my time in ICUs but that
was many years ago the bottom line is sepsis has not changed it still causes
multi organ damage the circulatory system shut down the ability to
ventilate and oxygenate shut down in fact when you look at some of these
studies that have been done one of their criteria is the pressure of oxygen I’m
sticking up my finger because we’ve got a simple way of looking at it’s called a
pulse oximeter you put it on the finger and you can tell what pressure of oxygen
folks are able to to create you and I those of us who are not significantly
critically ill are going to have an oxygen level or of pressure of
oxygen 95 and above 93 and below you’ve got very significant problems
so does that hypoxia is that’s what’s causing the the cardiac arrest in a lot
of cases yeah it is but there can be other things as well so I hope that
helps hope that gets you and yes very soon after we got started we lost the
video where they’ll there goes YouTube where did you go I didn’t go anywhere
YouTube shut us down again John Tocho lost the video YouTube is another
fatality yeah docs trying to get a little too fancy
with his production value well no well I appreciate you your suggestions and let
me just tell you you’re not the only person that’s giving me a whole lot of
criticism especially about my production by production activities and I’m gonna
leave it at that if you want to talk about my production on my videos at some
point make comments on the on the channel Ben Hermans yes yes what yep yep
boy yeah you yeah I just came back well yes I did
again we’re back yes 30 seconds ago Arnold the show must go on
okay from Chris Masterjohn vitamin C could increase interferon which in SARS
is the trigger for the cytokine storm that causes inflammation in the lungs
suggest not using high dose vitamin C as a supplement yeah I’ve seen a lot of
Chris Masterjohn’s stuff and I think that he’s he’s a very interesting guy
and I’m a big fan in fact he’s listening to him as what
got me started on betaine or betaine the methyl donor supplement which I if you
have questions about that you can go to some of my other videos about that
Richard thank you for you hear me in California sepsis you’re back
yes I’ve seen indication of those with diabetes type 2 diabetes are the most
likely just to come to complications from this virus the numbers are small
but very strong thank you Dr. Brewer yes and that’s
Thomas Gronek so Thomas yes that’s a big big deal and if you look at our
channel our channel started 4 years ago and it was focused on people that
have diabetes and especially unrecognized prediabetes as you’ll see
if you start scrolling through the comments on our channel 2 or 3
times a month somebody says you know Doc that’s decided to start taking your
tests they’re talking most the time when they say this they’re talking about an
insulin or an OGTT oral glucose tolerance test and even an insulin
survey if you haven’t heard of insulin surveys it’s an oral glucose tolerance
test but you add you’ve measured insulin as well you can look up Joseph Kraft KRAFT
insulin survey and here’s what you find and here’s what the majority of my
practice majority my channel is people like that
saying I don’t have prediabetes I’ve got full-blown diabetes and my docs
been telling me every year I’m fine I don’t have a problem so that’s the thing
we’ve got if we think we have an epidemic of obesity or an epidemic of
diabetes we haven’t seen anything yet until we start looking at the epidemic
of undiagnosed prediabetes now why did I go there number one because this is
that’s a major component of this channel and number two what you’re hearing from
the CDC right now is you have significant risk if you have full-blown
type 2 diabetes with complications that tends to be the continued gospel that
you hear in medical circles the bottom line though is this prediabetes is the
very very same disease process it’s just a matter of degree the difference
between prediabetes and diabetes is a blood sugar of 190 is still prediabetes
but over 200 is full-blown diabetes a fasting blood sugar of 120 is still
prediabetes and over 120 126 is full-blown diabetes so that’s the
difference between prediabetes and diabetes and you say well it’s clearly a
matter of how much damage it’s doing right and prediabetes is not doing
damage it’s not messing up your immune system it’s not putting you at increased
risk for COVID-19 etc right well go back take a look and the science that
we know about tissue damage and prediabetes
by the time people get a diagnosis of full-blown type 2 diabetes between 1/3
and 2/3 already have diabetic damage to their eyes and about 1/3 already have
some evidence of neurologic damage nerve damage so 1/3
what you you would see with full-blown diabetes so the point is yes there are a
lot of us with prediabetes and know having prediabetes instead of
full-blown diabetes really doesn’t mean that you’re safe you need to be aware
now what portion of people are aware well when you look back 5 or 6
years ago the CDC was saying there are about 80 million about a third of adults
in America have prediabetes and according to the CDC at that point only
about 8 million knew about it so 90% of us that don’t that have this disease
process prior to full-blown diagnosis full-blown type 2 diabetes only only 10
percent of us know it well there’s very good reason now to believe that those
numbers are way low if you start looking at the UCLA study for example they said
it’s not a third it’s a half and it’s not starting at age 60 it’s starting at
age 30 and even this the UCLA study didn’t it just looked at fasting blood
glucose and and hemoglobin A1c for the most part most of the people that are
responding on this channel and saying I’ve got full-blown diabetes or I’ve got
way significant prediabetes they have been followed already with hemoglobin
A1c and fasting glucose so there’s a significant epidemic of prediabetes out
there there’s plenty of evidence that prediabetes injures your tissues like
your retina your eyes your nerves so who’s to say that prediabetes doesn’t
cause increased risk for COVID-19 and I certainly wouldn’t put my money on that
well lost oh he’s back guys lay facedown is pneumonia not sure what you’re
talking about there I think you may be meaning that
once you get into acute respiratory distress syndrome they have found a few
things that greatly improve your survival in the ICU and again oh
somebody fact-check somebody helped me in terms of its Med Cram they’ve got
some really good stuff for those of you that want to get technical a couple of
months ago Med Cram covered some of the recent developments in terms of managing
sepsis and specifically ARDS having people on the respirator and ICU and I
think he specifically did go into some mention about COVID-19 so what happens
with COVID-19 in your lungs is that their lungs get inflamed the air sacs or
alveoli the space around those air sacs becomes flooded so that that extra
water sort of pushes them in what we find that we have to do in the ICU is
blow those sacs open the problem there that helps immensely that takes a
mortality rate from 42 percent down to about the mid 30s but the problem with
that happens next is that that if you blow use pressure to blow that alveoli
completely back up you cause more inflammation so they have to have they
they do minimal level now in order to do that minimal level your brain doesn’t
trust that so your brain is fighting the ventilator so they have to paralyze you
and it’s Billy the Weasel said a second ago I think this is what Billy was
talking about they have also found that flipping you over on your stomach for
this is a significant improvement of mortality so you do those three things
flipping flipping them over on their stomach doing the ventilator
ventilation levels the lower tidal volume levels and the paralyzing you
those three things take a take a mortality rate in the 40s down to
the mid-teens so significant improvement there and again that’s might be better
to go some other channels and check details on that
Andrew Wilkinson have you seen the story of almost all people with severe cases
of COVID-19 being diabetic or prediabetic I haven’t seen that I would
love to see it Andrew please send us that that connection that would that
link as you may have heard from me over the past few minutes I’m very concerned
about that Thomas Gronek again vitamin C theory
theory corresponds to high carbohydrate intake as carbohydrates clogs the GLUT
four receptor and incapacitates it from transporting vitamin C Billy the Weasel
IV vitamin C in the US there lol u vitamin C’s the king Daniel Christopher
true and NAC N-acetylcysteine that’s a another supplement that very popular
supplement actually we used to use in it no see it’s assisting for telling all
over this you know different topic for a different time ascorbic acid or whole
vitamin C again another debate that I’m not going to get into today Richard Lund
hello Richard long ago Mayo Clinic tried Pauling protocol oh but my mouth not IV
and the issue was dropped you know the and a lot of people would also say well
you can’t get enough by mouth you can’t absorb enough by your GI tract other
people would say look they’re talking about small doses they’re talking about
a few hundred milligrams then you really have to give 2 to 6 thousand grams
or more and again those are the kind of doses that they were using they’ve been
using in these recent ICU treatment studies or all the deaths taking AK are
all the test deaths taking place now in Italy only because of COVID-19 and not
because of influenza-like illness well I think that’s a good question and
again it goes back to looking at numbers with a healthy skepticism if somebody if
especially like older folks are being killed by other types of influenza or by
influenza right now other types of viral diseases now if you’re an older person
and you come down with a viral disease it turns into a pneumonia and you die
you would hope did they that they have tested and documented that before they
attribute it to COVID-19 but are you sure and if it’s not you know my point
is again you have to look at all data skeptically at least to at least 20,000
people die in Italy due to IFI every year I think you may lie if I’m you’re
talking about seasonal flu by the way somebody sent me a very interesting
comment about flu said that this year this past year was an 80 thousand
there were 80 thousand deaths due to flu huge increase the biggest increase I
mean the biggest amount since we we’ve had since – decades I think that they
said the second biggest one was 56,000 57,000 what back in the 60s and clearly
the biggest number we’ve had since 1918 the Spanish flu
so again significant flu flu season this year the great Billy the Weasel that the
great Dr. Pauling used ascorbic acid molecule not vitamin C Mike Marder
more alive than dead sells me dose of C and duration is obviously important stay
tuned in New York take your 2 grams with food thank you Mike Marder I’m
that’s exactly what I’m doing Ben Herman’s 20 thousand is the
US number for flu hmm now that is interesting I need to go back and do
some fact-checking was it 20 thousand this year or 80 thousand
obviously very very different numbers Ben is right in my humble opinion not
Italian Robert Simpson hello so let’s see if we have anything else that we
should be responding to otherwise we will wrap it up see if we can get it to
less than an hour today 8,000 deaths and going up is still
staggering for Italy they did not test everyone you had to qualify if you did
not qualify you could pay 140 US dollars great video on Asian boss political
challenges in quote Italy has only sixty point five million people not 300
million like the US in South Korea Dr. Kim was from okay I think we’re getting
a lot of conversation I’m not seeing any I’m seeing most of the quips in
conversation not anything that I think I can really help significantly with we’ve
had a lot of interest today a lot of a lot of comments a lot of participation I
thank you so much for for that interest and we’ll continue to do you know we’ve
gotten a little bit frustrated a couple of times that you know the work that our
teams are doing in prepping for some of these and you look at some of the other
folks and they’ll put stuff out but maybe not the greatest content but get
tens and hundreds of thousands of views you know the thing is we’re geeks and
can be fairly boring but the thing is we do get thousands of views we get
thousands of people that are very interested in what we’re talking about
so as for me and my team we’re gonna continue plugging thank you so much for
your interest

Comments 24

  • I was wondering, if all the deaths in Italy could be attributed to corona.. In Italy around 16000 deaths take place each year in winters due to previously unidentified " Influenza like Illnesses" . Could it be that , now that corona test has been developed, a lot of those deaths can be explained now as covid 19. In other words, not a huge net increase in the number of deaths , but just explanation for a lot of deaths. I hope I am making sense doctor

  • CDC said 80,000 die of flue in 2018 season

  • Nice! Can't wait for More. Also, I want to be Youtube Friends xd

  • As Armstrong said: "John Hopkins has aided in creating this panic with their graphics which gives the impression that all of Europe and China are infected. They have visually greatly exaggerated the spread of this virus and appear to be enjoying the havoc they have caused, as if this were some video game. The total population of China was 1.386 billion in 2017. The total number of cases was 0.01%, yet their red dots make it appear that the entire population is infected These people are completely irresponsible and have wiped out both our freedom and our economy." Totally agree with this statement.

  • Harvard f&q can answer supplments proper dose/day/kg? Whoever use that plz give me some review for humanity?

  • Didn't they us Vitaman C in the Ebola out break in Africa a few years ago?

  • New test by Abbott could be an answer to many questions about testing

  • Frederick Klenner was right about vitamin C

  • Thanks again for your updates Dr. Brewer. I also wanted to let you know that now all your viewers are over 50. Im under 30 and have been following you since you started you tube.

  • Are they able to test for the antibodies of covid-19 in someone that has had the coronavirus? Is there any immunity after infection?

  • Amazon is totally sold out of Doctors Best Vitamin C Quali-C pills, "currently unavailable." American medical research is controlled by Big Pharma and its lackey, the FDA. A total disaster.

  • Thank you

  • I do not take my vitC powder with meals per se, but in non-dairy yogurt & a touch of honey or maple syrup, all whipped up. At the moment I take 3 grams at a time, three times a day, no GI distress.
    Got the mix idea from the 2009 Allan Smith NZ farmer Swine flu/leukemia? news clip….which keeps getting removed by youtube, owned by google, who are now classed as being in the pharmaceutical business.

  • I'm so HOT over the corruption in the more recent vitamin C studies. 'Murky' isn't the word I'd use, so I commend you for your restraint. ? The study in the fall wasn't even 'high dose'.

    As a former healthcare worker, let me just tell you how I've responded to my analysis of the research (not just looking at the study titles). I'm now set up to make my own liposomal vitamin c! ??

  • in new york they were using 1500 milligrams in iv "large doses" pauline was using maybe 50 grams, that is what he meant by large doses, seems the medical system is maybe afraid it will improve the distress in the sick patients too much…

  • Licorice, and skull cap?

  • Do you have any input on how dangerous it is to use NSAID with COvid 19 ? especially indocin since it has been shown to be anti viral on SARS

  • I am not as critical about the guidelines for testing. For everyone to be tested ONCE we would need 340 million tests. That is a lot of tests and particularly when over 80% are returning negative. I have ZERO desire to be 'tested' until such time as I have developed a fever and a cough, and even then I am unsure how long I would wait. Last week I was running a low grade fever and my throat was a bit sore ; but never above 100F in the temp and it went away without a test. I have several risk factors, but no panic and had I developed a cough I might have contacted the Physician even before I clearly hit 100.4 F plus. The guidelines as far as symptoms are somewhat clear. AND means both, OR means either

  • I watched the video on the asian boss channel that you mentioned. Dr. Kim is the foremost expert expert in S. Korea on pandemics with 30 year’s experience. Watch it and get a different perspective on covid-19.

  • Many offices have kits they refuse to use because of CDC guidelines. This includes PA's and Doctors who have had contact Covid patients. Two have mild suspicious symptoms but no fever. CDC requires a fever even though reports from China indicate only 30% of infected have no fever.

  • Listening from Melbourne Australia. Love your channel.

  • Hang in there Doc with those frustrating tech issues….. we’re all dealing with them …. and you can be the example of experience in life demonstrating that it’s ok to cope with “stuff that goes wrong” or unexpected things that get in our way of delivering our objective. Sounds a lot like managing health. ???

  • Thanks, I really appreciate the time you dedicate and the knowledge you share.

  • Did you ever look at the Diabeties distribution maps of the US? That makes my heart race a bit.

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