DISCLAIMER: please discuss the recommendations below with your doctor.
Bad News from Hong Kong
Cases and DEATHS exploding despite "Zero Covid" and Vaccination
Mar 6, 2022
For HK - taking Ivermectin 0.4mg/kg bodyweight every Sunday - by the whole population - will cut down the wave in a hurry
But no one wants to listen
Actually twice a week is better - would only need people to take for 1-2 months (people have been taking for 8-9 months without issue)
Will have 1/8 number of cases
Add in steroids-at-day8 - and will have near zero deaths
If nothing else - and want to avoid Ivermectin - then just give Zinc dailiy + Vitamin D3 200,000 IU every Sunday for 2-3 weeks - that itself will drop severe cases (but Vitamin D3 takes few weeks to have effect - but will have some effect)
And be prepared to give steroids-at-day8
And then Cyproheptadine and Inhaled Budesonide for the more difficult cases
And Enoxaparin (low molecular weight Heparin) or Aspirin - as needed
Something similar can be expected for other countries which have been cloistering their citizens from covid19 thus far:
That is, countries which have successfully prevented covid19 from infecting large numbers of people.
Those countries are likely to see Omicron infect nearly everyone (because of it's high infectiousness - and lower protection from vax and even prior infection to some degree).
So while other countries have had successive waves of covid19 (different variants each time) - with the result:
many deaths happening with each wave
those who survive have natural immunity
"survivor bias" i.e. those who survive are likely to have better survival rates going forward (i.e. weaker members of public already been culled) - although with covid19 this is not an exact relationship - as with covid19 a repeat infection can sometimes be more severe (though for the most part will be less severe)
So what the countries which have cloistered their citizens will see:
many months worth of infections - now will happen all at once in 1-2 months - thus the very high case rates per capita
they will have an advantage that the BULK of their infections will happen with Omicron (compared to other countries which had waves of Delta i.e. more dangerous variants) - we now know from other countries that overall deaths per capita for infected people does seem to be much lower with Omicron than Delta etc.
however just because Omicron is less severe - does not mean that long haulers will not be an issue - the indications so far are that (my own observations and from other early treatment doctors on twitter) - that a subset of Omicron recovered patients will have some long hauler symptoms - slight dip in oximeter at day8 or elevated pulse rate at day8. So while Delta may have been more severe, Omicron may have a less severe initial inflammatory state - however, there is no guarantee where this will lead in 2-3 months because there is no guarantee that "creeping inflammation" will not lead to day8 like hyperinflammatory stage in 2 weeks (as happens with previous variants)
so next 2-3 months will reveal the extent of the long hauler impact - since Omicron will lead to widespread exposure, there is a concern that the long hauler cases may still be numerically large (even though they may be fewer than for Delta)
Long Haulers/long covid19
For Omicron, at day8 (as with previous variants) - the patient needs to be monitored for post-day8 hyperinflammatory signals:
oximeter decline trend on day7-8 onwards
pulse rate in 90s or 100+ at rest - on day7-8 onwards
anomalous fever returning at day7-8 ("hyperinflammatory fever")
These are signals for starting steroids-at-day8.
A protocol that starts steroids-at-day8, and for those not showing immediate reversal - the addition of:
In addition to escalating steroids dose - steroids should be escalated until it is at a level which shows daily reversal of the hyperinflammatory signals.
Once that reversal is seen - then patient should recover in 3-4 days to 99 oximeter levels.
Why vax/booster should have been avoided when a wave is already here
This is what I cautioned about in my last Omicron update (see below) - the haste to get boosters/vaccination exactly when Omicron wave has started carries certain risks.
Update on Omicron (Dec 9, 2021) - utility of 3rd booster, vaccinating during wave, "mildness" of Omicron and whether will remain true for US/EU, children 5-11years, and whether new variants necessarily have to be milder (or covid19 being biphasic maybe exception)
Why vaccinating during wave may be inadvisable
Since Omicron wave is about to arrive, anyone thinking of getting vaccinated now, or 3rd booster now, is exposing himself to more risk.
Why? Because it has been demonstrated that post-vaccination - for example on 3rd booster, the antibodies go to near zero for 4-5 days (as previous antibodies get consumed fighting the newly created spike protein targets that were created by the vaccination). Thus a person is vulnerable to infection in 4-5 days post-vaccination. This has also been observed in practice as more than expected number of patients have previously reported "they got covid19 right after vaccination" (observed by me also)
- after 4-5 days however the antibodies do jump up again to high values
So with Omicron wave at our doorstep, a person contemplating getting 3rd booster now needs to balance risk of vulnerability for 4-5 days
So to prepare for Omicron:
- stop booster vaccination during the wave - as will expose more desperate people at vaccination center - right when the vaccination depresses prior antibodies for 4-5 days
For a discussion of early treatment protocols - see:
Queen Elizabeth tests positive for covid19 - what early treatments will she be getting - will those be advertised to the public? (Feb 20, 2022) - will it include Ivermectin, or at the very least steroids-at-day8 to avoid risk of death, and avoid risk of long haulers?
or substack post:
Queen Elizabeth tests positive for covid19 - what early treatments will she be getting - will those be advertised to the public? (Feb 20, 2022)
For a list of early treatment doctors: