COVID-19|| 美國華裔一線醫生，抗疫硬核心得與建議！

接下來會發生什麽梅奧診所醫療中心(Mayo Clinic)疫苗研究小組負責人波蘭（Gregory Poland）博士說，分析壹種新疾病就像看壹張被像素化的圖片。圖片僅被渲染30％時，就無法分辨照片內容。加載70％後，圖片將變得逐漸清晰。波蘭談到新冠病毒時說：“我們對其認知現在在30％到50％之間。從基因角度看，我們對冠狀病毒有很多了解，而在臨床、流行病學和季節性方面，我們對這種冠狀病毒的了

http://www.youtube.com/watch?v=mKz5hgzhvdM

近 31 日

0 次瀏覽

本訊息有 2 則查核回應

Pei-Chi Lo 認為含有個人意見

回應於 1,467 天前｜引用自 Pei-Chi Lo 查核回應

部分屬個人意見，或敘述略有瑕疵：
　
■「建議家中準備血氧計」

①的確有紐約醫院請介於住院標準邊緣的COVID-19病人回家，並提供其血氧計在家監測病況，並定時回報醫療人員數據。

②但亦須留意，部分觀點認為一般人【不應】自行購買血氧機在家量測作為預防COVID-19方式，因血氧數據因人而異，數據的解讀僅應由醫師進行；同時對沒有感染風險者來說，頻繁監測數據亦可能增加焦慮。

■「新冠半年後秋冬季時還會來犯」

COVID-19是否會季節化持續出現，如哈佛公衛學院Marc Lipsitch教授等皆有多元觀點，學界並無一致共識。

■「如果發燒只吃Tylenol」

的確有政府(如英國NHS)認為常見的退燒藥ibuprofen對加重COVID-19的證據尚不明，在有更多證據前建議改用paracetamol如Tylenol；但WHO持不同看法，認為ibuprofen這類退燒藥仍可使用。

■「中國醫生做雙盲實驗證明克立芝沒用」

3月18日的NEJM論文的確認為克立芝(lopinavir–ritonavir)用於住院重症患者並未觀察到額外益處；但該臨床試驗【並非】雙盲。

不同意見出處

2020年4月3日ABCnews-Should pulse oximeters be used at home to track coronavirus symptoms?
https://abcnews.go.com/Health/pulse-oximeters-home-track-coronavirus-symptoms/story?id=69939772
　
2020年4月9日路透社報導-New York hospital sends some ‘borderline’ COVID-19 patients home with oxygen monitors
https://www.reuters.com/article/us-health-coronavirus-usa-home/new-york-hospital-sends-some-borderline-covid-19-patients-home-with-oxygen-monitors-idUSKCN21Q3F0
　
哈佛公衛學院Marc Lipsitch教授對COVID-19是否會隨天氣消失或長存的看法，認為應多方考量環境、人類行為、宿主狀況等：
https://ccdd.hsph.harvard.edu/will-covid-19-go-away-on-its-own-in-warmer-weather/

英國NHS官網-雖尚無強烈證據ibuprofen會加重病情，但在有進一步資訊前建議改用paracetamol為原則：
https://www.nhs.uk/medicines/ibuprofen-for-adults/

2020年3月19日WHO官方推特-「不使用ibuprofen」並不是WHO目前立場：
https://twitter.com/WHO/status/1240409217997189128/photo/1

2020年3月18日刊在NEJM的論文說明lopinavir–ritonavir臨床試驗結果，「Discussion」段有說明實驗限制包括不具盲性(the trial was not blinded)：
https://www.nejm.org/doi/full/10.1056/NEJMoa2001282

Should pulse oximeters be used at home to track coronavirus symptoms?

Doctors say for most people they aren't needed -- and may even be a bad idea. Lung problems like pneumonia and respiratory failure can be some of the most severe symptoms of COVID-19. Knowing how your

https://abcnews.go.com/Health/pulse-oximeters-home-track-coronavirus-symptoms/story?id=69939772

New York hospital sends some 'borderline' COVID-19 patients home with oxygen monitors

NEW YORK (Reuters) - Some coronavirus patients who would have been admitted into the emergency department at a New York hospital are being sent home with an oxygen-monitoring device as the city’s medi

https://www.reuters.com/article/us-health-coronavirus-usa-home/new-york-hospital-sends-some-borderline-covid-19-patients-home-with-oxygen-monitors-idUSKCN21Q3F0

Seasonality of SARS-CoV-2: Will COVID-19 go away on its own in warmer weather?

Marc Lipsitch, DPhil Professor of Epidemiology and Director, Center for Communicable Disease Dynamics, Harvard T.H. Chan School of Public Health (tl;dr) Probably not. Several people, including the US

https://ccdd.hsph.harvard.edu/will-covid-19-go-away-on-its-own-in-warmer-weather/

Ibuprofen for adults: painkiller

1. About ibuprofen for adults Ibuprofen is an everyday painkiller for a range of aches and pains, including back pain, period pain, toothache. It also treats inflammation such as strains and spr

https://www.nhs.uk/medicines/ibuprofen-for-adults/

World Health Organization (WHO) on Twitter: "Q: Could #ibuprofen worsen disease for people with #COVID19? A: Based on currently available information, WHO does not recommend against the use of of ibuprofen. https://t.co/n39DFt2amF" / Twitter

By using Twitter’s services you agree to our Cookies Use. We and our partners operate globally and use cookies, including for analytics, personalisation, and ads.Q: Could #ibuprofen worsen disease for

https://twitter.com/WHO/status/1240409217997189128/photo/1