Reminders:
Got a packed day at the hospital so can’t answer all questions
But many Qs are already answered; read my timeline. Consult your doctor for individual medical care
My approach is practical, not ideal. If you’re looking for 100% certainty, I’m not your man:)
Be well!
So I’m hearing many myths about
#COVID
-19 and would like to quickly clear the record.
Coronavirus will go away in Sumer months.
Wrong. Previous pandemics didn’t follow weather patterns plus as we enter summer, there will be winter in the Southern Hemisphere. Virus is global.
For My Indonesian Friends
Mengobati Covid di Rumah
Gunakan tab parasetamol untuk demam. Budesonide inhaler dua kali sehari. Semprotan hidung Oxymetazolone untuk hidung tersumbat.
Tidak perlu antibiotik, ivermectin, seng, atau steroid
My Indonesian Friends
This milk, or vitamins or ivermectin has no role in COVID treatment.
Susu ini, atau vitamin atau ivermectin tidak memiliki peran dalam pengobatan COVID.
Garis Waktu COVID
5 hari sebelum sakit: Virus terhirup
2 hari sebelum sakit: Anda menular!
Hari 0-5: Gejala pertama berkembang
Hari 5-10: Gejala memburuk
Hari 11 dan seterusnya: Anda tidak menular. Akhiri isolasi
Hari 15: Sebagian besar pasien sembuh
Benar-benar buang-buang waktu, uang, dan energi ⬇️
Desinfeksi permukaan TIDAK diperlukan di jalan dan ruang terbuka. Rumah sakit dan kamar dengan pasien COVID adalah cerita lain
COVID recovery takes 2-3 weeks
No need to repeat COVID test, labs, CAT scans unless worsening or hospitalized
80-90% patients recover at home without extra oxygen or antibiotics. Longterm effects not well defined...
Remember: If you’re not getting worse, you’re getting better
Bagaimana Mengobati COVID di Rumah?
Gunakan tablet parasetamol, semprotan hidung oxymetazoline, kumur uap/air hangat dan tidur yang nyenyak
Tidak ada antibiotik, ivermectin, vitamin, atau plasma yang dibutuhkan
Pantau oksimetri nadi Anda setiap hari
Pemulihan dalam 2-3 minggu
Covid umumnya menyebar dari orang ke orang, melalui kontak dekat atau udara, di ruang dalam ruangan
Penyebaran permukaan SANGAT langka. Berhentilah mengkhawatirkan pegangan, gagang pintu, koran, pakaian, bahan makanan. Cuci tangan saja
Fokus di tempat yang penting
COVID Myth-busting Thread: Too many myths floating around. Here’s part 2.
1/10: Avoid shipped packages/gas pumps/shopping carts/ATMs or you’ll die.
Wrong.
Coronavirus surface survival is one thing; that surface causing an infection is another. Wash your hands; live your life
Jangan Panik (Stay Calm)
>85% pasien COVID TIDAK membutuhkan oksigen ekstra, antivirus, atau rawat inap. Mereka dapat sembuh di rumah dengan pengobatan simtomatik.
jika Anda berusia di bawah 60 tahun dengan oksimetri nadi >92%, kemungkinan besar Anda termasuk di antara 85%
Myth
#7
: Car accidents kill 30,000 people annually. What’s the big deal with COVID-19?
Car accident are not contagious, their fatalities don’t double every three days, they don’t cause mass panic or a market crash.
Myth: Virus has weakened. COVID is ending
Global Speed:
First 500,000 cases =140 days. Last 500k cases = 2 days
First 100,000 deaths = 100 days. Last 100k deaths = 17 days
The virus hasn’t weakened. We’ve become numb to it. Stay cautious: wash hands, wear masks, avoid crowds
Treatment news! 5 critically ill COVID patients (on ventilators) received antibody-rich plasma from 5 other patients who had recovered from COVID.
Results: 3 discharged; 2 in stable condition!
Now 1 of my recovering patients wants to donate his plasma!
Rawat Covid di Rumah
Jika oksimetri nadi >92%, Anda dapat pulih dari COVID di rumah dalam waktu 2 minggu
Gunakan tab parasetamol untuk demam, Oxymetazoline 0.05% spray untuk hidung tersumbat. Banyak istirahat dan tidur
Tidak perlu antibiotik, ivermectin, seng atau steroid
Di era Google Terjemahan, kita tidak perlu tahu 100 bahasa untuk meningkatkan kesehatan global. Kita hanya perlu tahu satu: bahasa kepedulian.
Eid Mubarak
Myth
#6
: All this social distancing is an over reaction. You’ll see that the virus won’t cause much damage.
If we don’t see many infections (I hope) it actually will prove that social distancing worked. Not that the virus was never a big deal.
Bagaimana cara mengontrol covid?
- mendidik massa
- ikuti Sains
- pakai masker
- batasi pertemuan dalam ruangan
- memvaksinasi
Pemimpin agama dan politik harus memimpin dengan memberi contoh. Orang yang terpecah tidak bisa menang melawan virus yang bersatu
Merawat anggota keluarga yg menderita Covid (dirumah)
-Pisahkan kamar, kamar mandi, handuk, peralatan penderita
-Tugaskan 1 orang (tersehat) untuk merawat
-Batasi durasi interaksi selama 2-3menit. Baik yg merawat & dirawat harus pakai masker.
Akhiri Isoman pada hari ke 10.
Saya terdiagnosa COVID, Spesialis mana yg harus saya kunjungi? Tidak perlu.
Kalau usiamu <60 & tdk mengkonsumsi obat imunosupresif, tidak perlu ke dokter spesialis atau obat khusus. Isoman selama 10 hari, rutin minum obat penurun demam, tidur cukup & pulihkan dirimu!
Myth
#8
: Hand sanitizers are better than soap and water.
Wrong. Soap and water actually kills and washes away the virus from skin (it can not penetrate our skin cells) plus it also cleans visible soiling if hands. Don’t worry if Purrell was sold out at your supermarket.
Masalahnya:
Penyebar isu di Facebook/Whatsapp yang menyarankan untuk tidak vaksinasi TIDAK AKAN ngurusin kamu di ICU ketika kamu sekarat kehabisan oksigen karena varian Delta.
Solusinya gampang:
Berhenti membuang-buang waktu di whatsapp. Dapetin vaksin.
Myth
#5
: Coronavirus lives in the throat. So drink lots of water so the virus is pushed into the stomach where the acid will kill it.
Virus may gain entry via throat but it penetrates into the host cells. You can’t wash it away. Excessive water will make you run to the toilet.
COVID can’t read a calendar.
Nothing magical will happen on Jan 1st 2021.
Vaccines/masks/avoiding crowds will slow it down and ultimately end
Our actions will end the pandemic, not time.
Terdiagnosis COVID. Apa yang harus dilakukan selanjutnya?
- Mengisolasi diri di rumah. Pakai masker di sekitar anggota keluarga
- Obati demam/nyeri dengan parasetamol atau ibuprufen
- Akhiri isolasi setelah 10 hari
- Jangan ulangi tes covid
- Dapatkan vaksinasi dalam 1-3 bulan
Myth
#3
: If you can hold your breath for ten seconds without discomfort, you don’t have COVID.
Wrong: Most young patients with Coronavirus will be able to hold their breaths for much longer than 10 seconds. And many elderly without the virus won’t be able to do it.
Look at the great Indian Jugaad to sterilise vegetables.😁 The efficacy of this methodology can not be certified by me however India never fails to amaze 🇮🇳 Truly Incredible India
#corona
#COVID19Pandemic
#CoronavirusIndia
Myth
#2
: In summer, the virus will spread more due to mosquito bites.
Wrong. This infection is spread via respiratory droplets, not blood. Mosquitos don’t increase spread.
Game Changer:
I haven’t seen a SINGLE fully vaccinated patient hospitalized with COVID. It’s exceedingly rare (<0.008%).
But every year I treat influenza patients who had previously received the flu shot.
COVID vaccines are game changers.
Myth
#4
: Since COVID testing is unavailable, we should donate blood. The blood bank will test for it.
No blood bank is testing for Coronavirus so this attempt will fail. Blood donation is a sacred exercise; let’s make sure we are motivated by the right reasons.
Isn’t the COVID vaccine rushed?
No. Years saved because:
- Vaccine developed based on pre-existing SARS research
- 1000s enrolled quickly since COVID was widespread
- Manufacturing sped up due to govt. funding
- Fast track approvals
We didn’t cut corners; we cut the crap!
Jangan membeli barang komersial berlabel "peningkat kekebalan". Tidak ada hal seperti itu yang disetujui oleh WHO atau badan ilmiah lainnya.
Gunakan uang yang sama untuk membeli masker wajah sebagai gantinya.
Pandemi adalah tragedi kemanusiaan, bukan peluang bisnis.
Mengapa PCR tetap positif setelah dua minggu?
Tes PCR dapat mendeteksi virus mati di saluran udara. Itu sebabnya tidak ada gunanya mengulang tes ini. Ini dapat tetap positif hingga 8 minggu bahkan ketika pasien tidak menular setelah 10 hari sejak timbulnya gejala.
Myth
#9
: One of the best strategies to prevent COVID-19 is to clean every door knob in your home with disinfectants.
Wrong. Hand washing/maintaining 6ft distance is best practice. Unless you’re caring for a COVID patient at home, your home surfaces should not be a big risk.
This is not Brazil or India or Italy.
It’s Indonesia. A country of 270 million ppl is being silently decimated by COVID. Healthcare system collapsing.
Needs urgent global intervention to fight the disaster unfolding
They UNDERESTIMATED COVID at every step:
It’s just a flu
Will stay in China
Mortality is too low
Hospitals are empty
Our immunity is strong
We’ve reached herd immunity
COVID exploded. Now they say:
It’s not our fault
Remember: The underestimators were WRONG at every step
Should I continue my Twitter service in 2021? It takes time and the trolls take a toll. Trying to measure cost vs. impact
Retweet for a hard yes.
Like for soft yes.
Ignore for no.
Comment to share opinions.
Help me please.
Kapan harus mengulang tes jika COVID+?
Jangan ulangi tes. Setelah 10 hari virus mati tinggal di hidung/tenggorokan. Tes mungkin tetap + saat Anda TIDAK menular. Tes berulang membuang-buang uang dan menyebabkan kecemasan yang tidak perlu.
Akhiri isolasi setelah 10 hari
Lalu SEKARANG harus vaksin AZ/Pfizer/Moderna atau?
Apapun yg tersedia SEKARANG saja. Rekomendasi bisa berubah sewaktu-waktu. Semua vaksin aman. Perlindungan cukup sekarang lebih baik daripada perlindungan yg terbaik nanti.
Garis Waktu COVID
5 hari sebelum sakit: Virus terhirup
2 hari sebelum sakit: Anda menular!
Hari 0-5: Gejala pertama berkembang
Hari 5-10: Gejala memburuk
Hari 11 dan seterusnya: Anda tidak menular. Akhiri isolasi
Hari 15: Sebagian besar pasien sembuh
4 Vaccine Points
1. None of the vaccines can cause COVID. If you tested + after the shot it’s real infection
2. Wait 1-3 month after COVID to get your 1st or 2nd shot
3. COVID vaccines don’t suppress immunity
4. OK to get the 2nd dose after 4 or 8 or 12 weeks. But don’t skip
Buah-buahan, sayuran, vitamin, olahraga, madu, dll. Semuanya baik tetapi BUKAN pengganti vaksin.
Dapatkan vaksinasi secepatnya. Ambil merek vaksin apa pun yang tersedia
"Kenapa 'xyz' meninggal karena COVID setelah vaksin?" adalah seperti menanyakan kenapa orang meninggal dalam kecelakaan mobil walaupun memakai seatbelt. Banyak faktor.
Kalau kamu tahu pilihan lebih baik yang terbukti secara klinis, sampaikan. Kalau tidak, vaksin.
Zero Benefit. But it can further spread the virus in this no mask, aerosolized environment. Just dont do it please...
Manfaat Nol. Tapi itu bisa menyebarkan virus lebih lanjut di lingkungan tanpa masker dan aerosol ini. Tolong jangan lakukan itu...
Mask Advice: Wear a...
N95/KN95 or surgical mask. May reuse until broken/loose seal
Double mask: In high risk areas (hospitals, public transport, factories, office space etc)
Single mask: Everywhere else
No mask: With your family or when walking outdoors alone or driving solo
Managing COVID at Home
If you’re <50 y old and don’t have chronic diseases your risk of death is <0.2
Check pulse ox. No oxygen needed if you remain >92-94%
Take paracetamol or ibuprofen
Isolate for 10-d
If pulse ox <92% go to hospital
This should work for >90% ppl
Indonesia sekarang dalam "mode krisis."
Harap hindari "mode panik."
Tetap tenang dan dengarkan para ahli. Anda dapat meratakan gelombang ini dalam 3-6 minggu
COVID tip:
Infecting you via door knobs, foods, cell phones, dead bodies, groceries or other surfaces isn’t this virus’ strategy
COVID will get you through a live TRUSTED person.
Wear a mask, wash hands, avoid indoor gatherings and vaccinate
Got my COVID vaccine. Right now.
Remembering the million+ who perished and thanking the 1000s who worked on developing this vaccine.
One small step for a man...
Omicron does not spread through surfaces
End the hysteria of washing groceries and fearing every door knob
Just wash your hands, mask up, vaccinate and keep living
Myth: COVID is airborne
Fact: It’s droplet. Airborne ONLY under limited conditions. Meaning facemasks work
Measles IS airborne. If this was a measles pandemic (pre-vaccine) BILLIONS would’ve been +ve by now
Comparison: If measles flies like an eagle, COVID flies like a chicken
Myth: Virus has weakened. COVID is ending
Global Speed:
First 500,000 cases =140 days Last 500k cases = 1-2 days
First 100,000 deaths = 100 days
Last 100k deaths = 17 days
The virus hasn’t weakened. We’ve become numb to it.
Stay cautious: wash hands, wear masks, avoid crowds
How to Stretch Oxygen Supply
- Educate patients that over oxygenation (>96%) is harmful
- Don’t use O2 on patients with pulse ox >92% if clinically stable
- Target pulse ox 92% (instead of 96%) in hypoxic patients
- Give the “oxygen” of appreciation to YOUR frontline workers
To “the vaccine have side effects” crowd
If you scrutinized the side effects of drugs we ROUTINELY use (and you GLADLY take) in the hospitals you’d probably pass out:)
Nothing is 100% safe; we go with the smaller risk/greater benefit
Vaccines are a 1000 times safer than COVID
Multiple Family Members With COVID Simultaneously?
- NO NEED to isolate from each other
- Don’t use same therapy for everyone. Get individualized care based on risk factors
- After recovery, tell others why and how to protect their families
Become ambassadors
Complete Change
Not a SINGLE one of my hospitalized/ventilated COVID patients were fully vaccinated
This is science; not a coincidence
If you refuse a vaccine today, you may end up in an ICU tomorrow
DON’T waste your time/money/energy to:
Wipe down groceries
Wear gloves in public
Clean produce with vinegar
Change shoes/clothes after coming home
Believe everything on WhatsApp
Instead: wash hands, wear mask, avoid crowds. Until it ends...
Exercise patience, not passion
Vaccine Tips
1. Vaccines don’t cause COVID. If you tested + after the shot it’s real infection
2. Recovering from COVID? Get vaccine in 4-wks
3. COVID vaccines don’t suppress immunity
4. OK to get the 2nd dose after 4 or 8 or 12 wk
5. Vaccines ok for pregnant lactating moms
Baru bertemu seseorang yang kemungkinan +COVID. Tes apa yg harus saya lakukan?
Jangan tes dulu, terlalu dini.
Pakai masker (akan melindungi lain kalau anda Orang Tak Bergejala)
Jika tdk ada gejala sampai 14 hari, rayakan!
Jika mulau ada gejala, segerakan tes PCR
T: Manakah dari berikut ini yang mencegah/mengobati COVID?
Jahe
Jamu
Serai
Kunyit
kayu putih
A: Tidak ada di atas!
Pakai masker, hindari keramaian di dalam ruangan dan vaksinasi
Punya Anggota Keluarga yang Terkena COVID?
- Kamar pasien dan kamar mandi terpisah
- Amati isolasi ketat
- Akhiri isolasi setelah 10 hari onset gejala
- Jangan ulangi tes Covid karena dapat bertahan + selama berminggu-minggu tetapi pasien tidak menular lebih dari 10 hari
Masker KN95 Mahal. Bagaimana Cara Menggunakannya Kembali?
Beli dua KN95
Simpan satu di kantong kertas cokelat, gunakan yang lain untuk sehari. Kemudian beralih. Terus bergantian selama mereka pas dan digunakan oleh orang yang sama.
Dua KN95 dapat bertahan > bulan
EXCELLENT News:
Oxford/AstraZeneca COVID vaccine could be here by Oct!
Phase 3 testing in 1000s of humans
Projected to be 80% effective in preventing severe disease
Pledged to produce 2 billion doses THIS YEAR!
Feeling good. This👇is not false hope:)
Excellent News!
A vectored COVID vaccine’s animal trial in Oxford shows promise. Single dose given to monkeys with control group:
No pneumonia developed in vaccinated animals and viral loads diminished.
Human randomized trials to start now.
LANCET STUDY: No worries. We know COVID spreads (droplet to airborne) in a spectrum
Solution: Buy two N95 or KN95 masks. Use one today; leave the other in a PAPER bag for tomorrow. Keep alternating every 24 hours. Reuse for weeks if they aren’t damaged
Ditch cloth masks
Kasus COVID tidak akan turun secara otomatis
Orang: pakai masker, cuci tangan, hindari pertemuan di dalam ruangan
Pemerintah: Mendidik masyarakat, memberlakukan pembatasan dan mempercepat vaksinasi
Kiat: Negara-negara yang terpecah tidak menang melawan virus yang bersatu
Any SINGLE symptom should make you think COVID. Cough or fever or shortness of breath or body aches or loss of smell/taste
Don’t wait for ALL symptoms. Get tested and isolate for 10 days
Don’t delay or dismiss. You’ll end up spreading it to others.
When in doubt, get tested.
Note:
Friends sending screenshots of my tweets plagiarized by ppl in other countries without giving “credit.”
Don’t worry:) I’m OK with that. This work is about helping people instead of dwelling upon small stuff. All credit belongs to the Almighty.
Let’s beat this virus.
Ini mungkin bagus. Tetapi jika tujuan Anda adalah pencegahan COVID, maka kenakan masker, hindari keramaian di dalam ruangan, dan dapatkan vaksinasi.
Jangan tergoda dengan jalan pintas.
Which Mask is Best?
If you can afford, buy your masks in this priority (pics below)
1. N95
2. KN95
3. Surgical mask
No fancy cloth/designer masks needed. Don’t buy masks with a front valve
May reuse these masks as I previously described. Good luck!
PFIZER AND BIOTECH Vaccine:
Accuracy *94%
Moderna Vaccine: Accuracy *94.5%
Oxford Vaccine: Accuracy *90%
Indian Recovery rate (Without Vaccine): 93.6%
Do we seriously need vaccine 🤔🤔