When do you think virus-related disruptions will end?

[divinh]

Two different types of treatment.
You have to establish what caused the illness FIRST before applying the treatment.
If you have unusual high number of viral causing pneumonia, you would sit up and take notice. This was what Dr. Li did and warned his colleagues. The rest is history.

I'm still not clear what you're trying to say. He said that they first test for a bacterial pneumonia and if it is bacterial, then antibiotics are given. If the bacterial test is negative, the pneumonia is treated as if it's viral. If it's viral, then the therapy/treatment is the same as all viral pneumonia. Is there a separate type of treatment you're speaking of?

 

[Centrals]

I'm still not clear what you're trying to say. He said that they first test for a bacterial pneumonia and if it is bacterial, then antibiotics are given. If the bacterial test is negative, the pneumonia is treated as if it's viral. If it's viral, then the therapy/treatment is the same as all viral pneumonia. Is there a separate type of treatment you're speaking of?

NO.
He was talking a number of serious pneumonia in Northern Italy in Dec. I then asked if they have identified what caused the illnesses, bacteria or virus.
The "whistle blower" the late Dr. Li(ophthalmologist) has warned his colleagues about his observation.

 

[Angelo Farina]

If they did not carry the test in the beginning. How could they tell whether it was virus or bacteria that caused the pneumonia and treated accordingly. Antibiotic for bacteria and others for virus.

That is the job of the MD. I am told that the symptoms are different, and the expectorate too, so they immediately differentiate a virus from a bacterial infection. But I am not a MD...
However, my uncle was a specialist in lung diseases, he was the director of a famous thermal hospital, and with a very long expertise making diagnostics. He was always complaining of this excessive number of lab tests, while a good doctor can get an exact diagnosis just with a proper visit. In case of lungs, most was acoustical testing, using various acoustical devices.
A stethoscope is a very powerful diagnostic device, and in fact it is usually the distinctive piece of gear differentiating a MD from a nurse in an hospital. MDs always have a stethoscope around their neck, and for a good reason: they were trained for many years listening to body sounds (mostly heart and lungs) and assess the situation based on it.

 

[Centrals]

So what did they hear? Bacteria or virus causing pneumonia?
And no testing was given to confirm what they had heard from stethoscope.

 

[StefinSB]

That is the job of the MD. I am told that the symptoms are different, and the expectorate too, so they immediately differentiate a virus from a bacterial infection. But I am not a MD...
However, my uncle was a specialist in lung diseases, he was the director of a famous thermal hospital, and with a very long expertise making diagnostics. He was always complaining of this excessive number of lab tests, while a good doctor can get an exact diagnosis just with a proper visit. In case of lungs, most was acoustical testing, using various acoustical devices.
A stethoscope is a very powerful diagnostic device, and in fact it is usually the distinctive piece of gear differentiating a MD from a nurse in an hospital. MDs always have a stethoscope around their neck, and for a good reason: they were trained for many years listening to body sounds (mostly heart and lungs) and assess the situation based on it.

And how does your famous uncle differentiate between the lungs clogged up from e.g a fungus or from bacteria? Answer: he can't. Even a chest x-ray looks the same. A proper lab test is the only sure way.

 

[Angelo Farina]

So what did they hear? Bacteria or virus causing pneumonia?
And no testing was given to confirm what they had heard from stethoscope.

Virus, definitely. So no test, as tests are done usually only for bacterial infections.

 

[Ukmc]

My understanding is that the infection starts out as viral and that is what causes inflammation of the airways. However, in some people, once inflammation and obstruction happens, it creates a milieu for bacteria to grow (superinfection) and that is the reason while some patients get better with antibiotics (which theoretically only work on bacteria).

 

[Centrals]

Virus, definitely. So no test, as tests are done usually only for bacterial infections.

It won't be the case in HK!
We knew what a viral infection in lung could mean.

Painful lesson for Italian!
If they had done the test and then realized what it was. Ten of thousand of European could still be alive!!!

SARS has taught us something which plenty medical professionals in Europe and USA took it for granted.

 

[Angelo Farina]

It won't be the case in HK!
We knew what a viral infection in lung could mean.

Painful lesson for Italian!
If they had done the test and then realized what it was. Ten of thousand of European could still be alive!!!

SARS has taught us something which plenty medical professionals in Europe and USA took it for granted.

As said, it had been impossible to test, as the RNA fingerprint of Covid-19 was available only at beginning of February.
The time window in which tests were available but not done routinely, just in selected cases, was just a couple of weeks around mid February. Of course these were 2 weeks entirely lost in the battle with the virus, so if someone had performed a test finding positive results the warning could have been given earlier. I know that 2 weeks anticipation had resulted in a much better management of the epidemic...
But the recommendation from the official authorities was to to test for COVID-19 only people with symptoms and coming from region where the infection was already spreading.
Hence there was no evidence of the infection spreading in Italy, until the famous "Patient #1", Mattia, was discovered in Codogno on 20th February.
Currently the medical staff in charge of the health system in Lombardia are under investigation for having missed detection of infected people for these 2 weeks.
The sad truth is that it was a matter of chance, and we were very unlucky, because it had been possible to get evidence of the infection as soon as the tests were available, and instead there was time lag during which the virus did spread undetected.
Some one made errors, and probably will end in jail.
Here some info on the investigation started after understanding that some critical time was lost: Coronavirus: inquiry opens into hospitals at centre of Italy outbreak

 

[Centrals]

I am NOT talking about identifying the virus.
Even the late Dr. Li, a non physician, realized that something wrong with the illness! He thought it was SARS related ie coronavirus.

Laboratory diagnosis of viral infections - Wikipedia

No one was suspecting anything unusual in Italy in Dec 2019.