Kasiulevičius shared 7 comments and advice on COVID-19 in Lithuania: how to behave when you feel symptoms



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7 Notes on Covid-19 in Lithuania:

1) If you start coughing and have a fever, it is worth knowing about the headaches and the whole body about your oxygen saturation. This requires the purchase of a pulse oximeter for a few or several tens of euros. You can teach all your loved ones to use it. As soon as you have a pulse oximeter, measure the oxygen saturation of your blood. Normal SpO2 ranges from 96 to 100 percent. If, after measuring 3 times at rest, the pulse oximeter shows that oxygen saturation or saturation (SpO2) has dropped below 92 or 90 percent (this is still under discussion among scientists), immediately go to a medical facility due to the high probability of developing viral pneumonia. This inflammation usually begins a few days after the onset of the disease.

2) Covid-19 infection is confirmed by nasopharyngeal PCR, but a rapid test for SARS-CoV-2 antigen (not antibodies!) Can also confirm the diagnosis if a positive result is obtained. Just keep in mind that a negative antigen test (when there is no disease) does not mean there is no disease, so a PCR test of the nasopharynx is still necessary.

3) If you get sick, your loved ones you live with are not necessarily infected, so keep them as safe as possible. The lower the dose of the virus, the easier it will be. Sleep in separate rooms, eat from separate dishes, disinfect common areas (bathroom, toilet) every 2 hours, and only communicate with a mask in the same room. The mask reduces the amount of virus that enters the body.

4) The vast majority of people get Covid-19 like a normal flu. Although it is difficult to compare something here, I want to tell you again about the Czech Republic and Argentina. The Czech Republic, with a population of almost eleven million, is experiencing one of the largest virus attacks in the world. Today is a black day, since 106 people died daily in the country from Covid-19. It is a daily record, but if we try to think calmly, we will see that out of 113,000 active cases or illnesses in real time, “only” more than 3,000 are being treated in the hospital. Although this is only the beginning of the second wave, this number does not exceed 5 percent of all patients. After all, in Italy and Spain, at least a third of patients were admitted to hospitals during the first wave. Of those 3,000 patients treated in the Czech hospital, 634 patients are currently in intensive care units. There will be many deaths between them. But 28,000 Czechs have already recovered. As painful as it may be, these morbidity rates remain a burden for the Czech healthcare system if there are not many doctors in the future and there is simply no one to serve.

At the other end of the world, the number of deaths from this infection in Argentina, tormented by Covid-19 throughout the South American winter, still ranges between 100 and 500. The country has a population of 45 million. Divide by 16 and see perhaps the worst case scenario. On the other hand, the Argentine health system has withstood the pressure, albeit with a wake, and the occupancy rate of intensive care beds in the country has not exceeded 64 percent.

In the capital, the occupancy rate for intensive care beds has approached 70%, but is now back at 64%. – The long wave of Covid gradually decreases as the air warms up. At the same time, Argentina is a good lesson for everyone that strict restrictions are needed and are strictly enforced. Currently in Lithuania, according to SAM, 21 patients are treated in intensive care units, and we still have 299 free intensive care beds. If we ever get to the current figures in the Czech Republic (around 200 patients in intensive care), then according to SAM, there will still be 99 “free” beds. Another topic is the location, quality and medical care of the beds that work there, as the highest value of intensive care beds in Covid-19 support hospitals, but it is already a topic of discussion of specialists. In either case, the entire system is unlikely to fail.

5) Treatment. Dear friends, do not take dexamethasone without a doctor’s appointment. This drug is only effective when supplemental oxygen is given to protect against a cytokine storm. The drug is as good as it is bad. If you don’t think so, just read the Summary of Product Features. Don’t rush into things that can lead to resuscitation. The diseases in themselves are enough. Remdesivir is also not a miracle, it reduces the number of sick days, but it does not reduce deaths. The fact that there has been no reduction in mortality so far is demonstrated by the largest Solidarity study in the world, in which Lithuania also participated. Unlike balteria, there are not many drugs to kill viruses. Unlike bacterial infections, viral infections are much less likely to kill people. Control of chronic diseases is much more important during viral infections.

6) The virus targets people with chronic illnesses. Check your blood pressure, cholesterol, and glucose levels. Buy an electronic blood pressure monitor and keep your blood pressure below 140/90 mmHg, your total cholesterol at 5 mmol / L and your bad cholesterol at 3 mmol / L, and your fasting glucose should not exceed 5.5 mmol / L. If you have angina, coronary heart disease, your doctor sets cholesterol limits. If you can do it with natural means and it helps in your lifestyle, you will. Keep moving and eating healthy. If this doesn’t work, you should take antihypertensive drugs, statins, and antidiabetic drugs as prescribed by your doctor. If you are taking anticoagulants due to any chronic illness, they should also be continued. Remember that infection increases blood clotting and your treatment protects you. All of this is possible.

7) Until the government and opposition at all levels clarify the relationship on Sunday, it would be wise to stay home after voting in the elections, if possible. There are no cafes, bars, restaurants, sports clubs, and family vacations. Instead, choose a walk in the woods, a park, a run, being with people close to you. The English came up with rule 6 for this. No more meetings of 6 people, no more than 6 people in the cafe. This is already having some effect. Wear masks at work, in the store, and also on public transportation. If you are an employee and you work multiple ways in the office, the building is poorly ventilated, ask employers to allow you to remotely alternately with your colleagues. If you work in construction, factories, it is necessary to wear masks, disinfect your hands regularly, keep a distance of 2 meters and put into practice the experience learned during the painful spring and summer lessons. The directors of UAB Intersurgical and others explained it in detail.

We cannot close the country, but we must not give up until we have a safe and effective vaccine.

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