Triathlon and Coronavirus Treatment in Oaxaca II

We mentioned the reason why we post this subject here:  we do not have other place to post it.  Mexico is the third country in the Americas regarding the number of contagious people and respective deaths.  We are at the peak of the epidemic at the present time.  We come from this small city in Mexico and we speak about a village near Oaxaca where we follow up patients with covid 19.  Our friend is the one on the frontline, we just support him.  The price for each treatment is $5,000.00 pesos ($220 dollars), so people can afford it. $25.00 dollars for the initial consultation and the rest is for medications.  Close to 100 patients with covid 19 and zero deaths.

We can start talking why patients are not dying as it is the case in Mexico where mortality is around 6%.  Two things are present:

1)   Excellent service and follow up.  Timing is the key when taking care of patients.

1.1)      The protocol starts with routine laboratory:

CBC with differential.

Chem 18.

CRP.

Chest X-ray.

1.2)     Management will depend on findings.  Antivirals and antibiotics are given routinely.  Prednisone will be given depending on the degree of inflammation.  Prednisone because is the cheapest, it exists in any pharmacy stock, and it is well known to us (starting with 50 mgrs).  Heparin is given according to the situation (80 mgrs. of Clexane a day).

2)   The burden and stress of hospitalization is not present.

2.1)   Patients will keep moving to avoid atelectasis, thrombus and interestingly they have better ventilation.

2.2) Oxygen was not given because it was not available but we have learned that even when they have O2 saturation in the low 80, they can still move and they have a good outcome from what we know (no one has died).

Taking care of patients is similar to taking care of athletes.  Attention to details is important.  Athletes and patients should know that they are getting the best care available.  They have to believe in what we are doing.  Science as Albert Einstein puts it and it should be present: “Science is the refinement of every day thinking; common sense thinking.”