Maybe Mark Rutte can explain the following to the citizens as well?
It appears that there is no ARDS / Coronavirus protocol or (RIVM speaks in the meantime 13-04-2020 of guidelines).
What is now advised by RIVM and through chairman Diederik Gommers of the NVIC (Dutch Association for Intensive Care) is an ad hoc guideline that deviates completely from what is usual for a patient who enters an ICU of a hospital. with (double) pneumonia / breathing problems
Also: 'there is no treatment'.
From the NVIC website:
Acute respiratory distress syndrome (ARDS) (2022)
The development of this guideline is expected to start in early 2020.
Is this why Rutte already knows that we will continue to suffer from the measures in our society for years to come?
In the NVIC guidelines, the literature and recommendations are valued according to an evidence-based system in a document that has been renewed since the end of 2006 NVIC guidelines 2.0, which was written in collaboration with the Knowledge Institute.
Protocols indicate how locally the NVIC's positions and guidelines are implemented. The preparation of protocols is the responsibility of the individual intensive care units.
Case law shows that the Dutch Supreme Court sees a medical protocol as part of the treatment agreement with the patient.
So is the patient SELF responsible for the policy / treatment of the ZH and cannot a doctor, the NVIC, the RIVM or a ZH be held responsible?
How so? They determine the protocols and treatment! They think they know EVERYTHING and have the SCIENCE in house.
If that's really the case then there shouldn't be a problem taking responsibility if something goes wrong right? But if things go wrong, isn't there anyone responsible? No government, no hospital or doctor? Isn't this what you call a kind of reverse offender-victim behavior of our so-called connoisseurs? Insider trading but not in the interest of the people but self-interest? It looks a lot like it, don't you think?
From website 12-04-2020:
COVID-19 - Chairman's message Sunday, March 8, 2020
It is still before the storm […] And we down-to-earth Dutch people like to play down and think it will be all right. I would like to call on everyone to ensure that the intensive care unit of every hospital is ready. Many policy makers find it exciting and we as intensivists can help them. As chairman of the NVIC, I join the meetings of the Outbreak Management Team (OMT) of RIVM every week and we provide them with knowledge of the ARDS patient in intensive care.
[??? The guideline for this is expected in 2022 !!!]. Which knowledge? That of the guidelines that are not there?
We have also been able to draw their attention to the fact that the first version of the drug treatment options went too far and this was partly adjusted on our advice.
[??? How about this ???] (see version March 7th).
Oh, so there is an earlier version where treatment of patients went TOO FAR? Why do the people not know anything about this? Why is the mainstream media only telling citizens that people die of corona?
In reality, something went wrong with the treatment as you yourself say: Drug treatment options went too far! Where did all those patients die from? Corona or the errors in the treatment?
“Furthermore, the Taskforce of the NVIC, chaired by Lennie Derde, keeps a close eye on developments; they come up with advice that we publish on our website. Moreover, I know that many colleagues are part of a crisis team and that we as intensivists are involved in how we can tackle this together as effectively as possible. ”
Where is it going?
The first patient who presented with Corona in Tilburg was 10 days ago and the counter of the number of infections is now at 188. We are therefore still in containment phase 1 and we have not yet decided to scale up.
However, there are concerns about developments in Brabant. That is why extra people will be tested there this weekend to get an impression and see if we have to scale up. But there may also be a fireplace around Houten. So I think we can expect to scale up, at the latest halfway through the week because then we will also start the 2nd week after the ski holiday and it is expected that more people will test positive who have been in Northern Italy.
The colleagues from Italy are at their wits end, they are making an urgent appeal (ESICM see attachment) to prepare well because the attack on IC capacity is large (10% of the cases). ”
So if you are allowed to make a prediction, we may have 800-1200 Corona patients next weekend and so there is a need for 80-120 IC beds and then doubled that weekend (160-240 IC beds). This can be distributed locally so it is important that we help each other !!!! Please take this scenario into account and have your plans ready for upscaling:
(for example -> phase 1: Corona patient in a gated IC box / room, phase 2: Corona patients together in a closed Unit if possible, phase 3: reverse isolation, so the non-Corona patient in isolated IC boxes /room)."
“As advised by the Task Force, patients with Corona-ARDS respond well to the prone position and high ventilation pressures (??) with the aim of opening closed alveoli.
This occurs, among other things, on the alveolar epithelium = cell lining of the alveoli wall - which is seen as the explanation for the predilection = tendency to - of SARS for replication in the lower respiratory tract ']and ECMO [= heart lung machine] is not necessary.
That is also our experience in Erasmus, where we have been ventilating 2 patients with Corona-ARDS for 2 weeks and we still turn them on their stomach every day.
We use the high ARDSnet PEEP table (Erasmus respiration protocol see appendix). What is striking is the need for high PEEP, but that the driving pressure is low. They also see that in Italy (who what?).
Another information comes from Italy that after two weeks sometimes a severe hypercapnia suddenly occurs (dead space ventilation) and suddenly sometimes severe heart failure due to possible virus infiltration. ”[??? is HYDROXYCHLOROQUINE "accused"?].
"After three weeks there is improvement." [at least THREE weeks of prone position and ventilation ??? Advice based on 2 patients? Then the HA does BETTER with 8 cured patients with zinc, quercetin and hydroxychloriquine ???].
Why is this doctor taped on the fingers? Introducing a treatment protocol based on the experience of 2 patients and then so many people who die, while a GP achieves very positive results within a short time? based on hydroxychloroquine? Is this the science where we have to relinquish our trust?
So make sure you are prepared, help local policy officers and let us show the outside world that you can rely on intensivists and on the NVIC. Of course there is a lot of media attention. If you are approached, we ask you to refer to the NVIC. All questions are answered immediately. If you do appear in the media yourself, please contact me in advance so that I can keep you informed of the latest state of affairs.
All questions are answered immediately. If you do appear in the media yourself, please contact me in advance so that I can keep you informed of the latest state of affairs. ”
Drug treatment options in patients with Covid19.
13-04-2020: from the SWAB website: https://swab.nl/nl/covid-19
“There are no registered drugs for coronavirus infections […….] And (at the time of this publication) no large randomized studies that clearly substantiate the clinical effectiveness of a particular drug.
However, in vitro data are available and small studies have attempted to treat patients with an infection with SARS-CoV (type 1), MERS-CoV and SARS-CoV-2 with a number of antivirals on an experimental basis.s.
The results provide only moderate evidence for therapeutic advice with these coronavirus infections, due to small numbers, variable drug combinations, timing variation (treatment initiation), patient group heterogeneity, and reported outcomes.
Therapy advice for COVID-19 can therefore not (yet) be well scientifically substantiated. The optimal timing of the start of any treatment is also unknown.
Based on currently available data, this document discusses off-label drug treatment options for patients with COVID-19 (infection with SARS – CoV-2).
This mainly concerns patients who are admitted because of (moderately) severe symptoms of illness.
There is an online interaction checker, which can examine whether medication that the patient uses can go together with off-label therapeutic medicines: http://www.covid19-druginteractions.org. "
[So the guideline for the prone position and ventilation based on 2 patients, but NO hydroxychloroquine, zinc supplementation and quercetin; that's prohibited?!]
The reason why hydroxychloroquine, zinc supplementation and quercetin DO work is not because it has to do with malaria.
This medicine also treats an immune system condition called lupus erythematosus (LE), which also includes pneumonia as a symptom.
So Corona is not a virus. Corona is nothing but a weakened immune system where people can just get the flu. Something that happens regularly during a flu season.
See also this video:
About Bill Gates and his science.
Bill Gates is of course not a scientist:
Bill Gates has been researching (on 23 patients) SINCE March 2020, 2000 Hydroxychloroquine to PREVENT Corona (and the placebo is vitamin C; also that “prevents Corona” / strengthens your immune system so is not a placebo?) People with fever, people who cough or are excluded with a sore throat. This is certainly suspect.
What does Bill Gates want to test on? Healthy people? Is there any room left to make HIS vaccines compulsory and thereby deprive us of our freedom? This is what our current society sees as science, and worse, what do you TRUST?
Do you trust Bill Gates after the facts mentioned in the article at the bottom of this article? (source)
"The drug's patent has expired so other pharmaceutical companies can manufacture generic versions."
Trust Bill Gates? Read the facts in this article:
-Efficacy of Hydroxychloroquine for Post-exposure Prophylaxis (PEP) to Prevent Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection Among Adults Exposed to Coronavirus Disease (COVID-19): a Blinded, Randomized Study
-First Submitted Date ICMJE March 23, 2020
-First Posted Date ICMJE April 1, 2020
-Last Update Posted Date April 1, 2020
-Estimated Study Start Date ICMJE March 2020
-Estimated Primary Completion Date September 30, 2020 (Final data collection date for primary outcome measure)
Current Primary Outcome Measures ICMJE
(submitted: March 29, 2020)
Polymerase chain reaction (PCR) confirmed SARS-CoV-2 infection [Time Frame: Day 1 through Day 14 after enrollment]
Polymerase chain reaction (PCR) confirmed SARS-CoV-2 infection from self-collected samples collected daily for 14 days
Polymerase chain reaction (PCR) confirmed SARS-CoV-2 infection [Time Frame: Day 28 after enrollment]
Polymerase chain reaction (PCR) confirmed SARS-CoV-2 infection from self-collected samples collected at study exit
This is a randomized, multi-center, placebo equivalent (ascorbic acid) controlled, blinded study of Hydroxychloroquine (HCQ) post-exposure prophylaxis (PEP) for the prevention of SARS-CoV-2 infection in adults exposed to the virus. overarching goal of this study is to assess the effectiveness of HCQ PEP on the incidence of SARS-CoV-2 detection by polymerase chain reaction (PCR) to inform public health control strategies.This study will enroll up to 2000 asymptomatic men and women 18 to 80 years of age (inclusive) at baseline who are close contacts of persons with PCR-confirmed SARS-CoV-2 or clinically suspected COVID-19 and a pending SARS-CoV-2 PCR test. Eligible participants will be enrolled and randomized 1: 1 to HCQ or ascorbic acid at the level of the household (all eligible participants in one household will receive the same intervention). Participants will be counseled about the preliminary in vitro data on HCQ activity against SARS CoV-2 and equipoise regarding efficacy in humans.The duration of study participation will be approximately 28 days. '