How to Determine if You Need to Go to the Hospital for COVID
Analysis by Dr. Joseph MercolaFact Checked
·
September 06, 2021
STORY
AT-A-GLANCE
· Most people with COVID-19
have mild illness and are able to recover at home
· A significant number of
patients with COVID-19 who come to the hospital don’t need to be there
· Going to a hospital
unnecessarily increases your risk of medical errors, health care-associated
infections and potentially infectious diseases like COVID-19
· Trouble breathing,
shortness of breath, pain or pressure in your chest and new confusion are signs
that you should go to a hospital
· Niacin, melatonin, NAC, a
nebulizer, hydrogen peroxide and a pulse oximeter are examples of supplies to
keep on hand for at-home COVID-19 support
Hospitals excel
at treating life-threatening emergencies. Having a stroke or getting seriously
injured in an accident are two examples of when going to the hospital can save
your life. There are many cases, however, when it’s in your best interest to
avoid hospitals, which are often sources of infectious disease and medical
errors.
If you have
COVID-19, then, you may be wondering when and if you need to go to the
hospital. First, it’s important to keep things in perspective. If you have a
fever and a cough, don’t panic. This is a normal part of many viruses,
including COVID-19.
In most cases,
you will recover fully at home with no hospital visit needed. Even the U.S.
Centers for Disease Control and Prevention states, “If you have a fever, cough
or other symptoms, you might have COVID-19. Most people have mild illness and
are able to recover at home.”1
Most People Don’t Need a
Hospital for COVID-19
In an interview
with the Tampa Bay Times, Dr. Jason Wilson, associate medical director of the
emergency department at Tampa General Hospital, said that a significant number
of patients who come to the hospital don’t need to be there.2 Not only does this
put an unnecessary strain on the facility but it exposes the patient to undue
risks.
The first group
of people who shouldn’t visit a hospital are those looking for a COVID-19 test.
Getting tested at a hospital may cost you more and have a longer wait than
using a testing site. Even if you’ve been diagnosed with COVID-19 and are
having symptoms like fever, cough, aches and sore throat, it doesn’t mean you
need to go to a hospital. Wilson said:3
“If you are not feeling short of breath, or
experiencing a worsening shortness of breath, a lot of the time it’s OK to stay
home … if you do get COVID and you’re unvaccinated and you don’t have other
issues, you may be able to just stay home and isolate for 10 days, per the CDC
guidelines … We expect people to have a fever and a cough. That’s not
surprising with a virus.”
Signs You May Need a
Hospital
The signs you
may need to visit a hospital for COVID-19 are similar to those that should
prompt an emergency visit for virtually any disease or condition. They include:4
·
Trouble breathing
·
Persistent pain or pressure in your chest
·
New confusion
·
Inability to wake or stay awake
·
Pale, gray or blue-colored skin, lips or nail beds,
depending on skin tone
Wilson added
that those who need to visit a hospital for COVID-19 are people who need
oxygen, an IV or are sick enough to be admitted to the intensive care unit.
Outside of these circumstances, he said, “there’s no other special medicine
you’re going to get at the hospital that you can’t get outside of it.”5
While some
hospitals are offering monoclonal antibody treatment, this is typically
available at outpatient clinics. If you’re unsure whether or not you need to go
to the ER, shortness of breath is a good indicator, and oxygen is the No. 1
treatment that hospitals offer to patients with COVID-19.
If you notice
that it’s becoming noticeably harder to breathe while going about your normal
routine, you should go to the hospital. This includes, Wilson said, “If you’re
short of breath, become cold, clammy and sweaty at the same time, or feel like
you might pass out.”6
One tool I
recommend you keep at home is a pulse oximeter so you can measure and monitor
your oxygen saturation levels. If your blood-oxygen level falls below 90 for
more than five minutes, Wilson recommends going to the hospital.
Dehydration is
another reason to go to the ER; if you’re unable to keep fluids down due to
diarrhea and vomiting, you could become seriously dehydrated and need to visit
the ER for intravenous fluids.
Medical Errors Are the
Third Leading Cause of Death in US
In 2016, an
analysis published in The BMJ revealed that death from medical care itself is
extremely common, but medical error is not included on death certificates or
official rankings of cause of death.7 This is because the
CDC’s annual list of top causes of death in the U.S. is based on death
certificates, which must have an International Classification of Disease (ICD)
code listed as a cause of death.
“As a result,”
the BMJ analysis noted, “causes of death not associated with an ICD code, such
as human and system factors, are not captured.”8 When the researchers
analyzed the scientific literature on medical errors to find out where it falls
in relation to the top causes of death listed by the CDC, it came in at the No.
3 spot.9
The study’s
authors — Johns Hopkins patient safety experts — calculated that medical errors
result in more than 250,000 deaths annually in the U.S. Dr. Martin Makary,
professor of surgery at the Johns Hopkins University School of Medicine, said:10
“Top-ranked causes of death as reported by the CDC
inform our country’s research funding and public health priorities. Right now,
cancer and heart disease get a ton of attention, but since medical errors don’t
appear on the list, the problem doesn’t get the funding and attention it
deserves.”
Most of the
errors, Makary said, stem from “systemic problems, including poorly coordinated
care, fragmented insurance networks, the absence or underuse of safety nets and
other protocols, in addition to unwarranted variation in physician practice
patterns that lack accountability.”11
Health
care-associated infections (HAIs) are another significant issue and include
infections that result from medical devices and procedures. Examples of HAIs,
which affect about 1 in 31 U.S. hospital patients daily,12 are:13
·
Central line-associated bloodstream
infections
·
Catheter-associated urinary tract
infections
·
Ventilator-associated pneumonia
·
Surgical site infections
According to
the U.S. Department of Health and Human Services, 1 in 25 patients in the U.S.
ends up contracting some form of infection while in the hospital.14 Research published in
2013 also estimated that preventable hospital errors kill 210,000 Americans
each year.15 However, when deaths
related to diagnostic errors, errors of omission and failure to follow
guidelines were included, the number skyrocketed to 440,000 preventable
hospital deaths each year.
“This is
roughly one-sixth of all deaths that occur in the United States each year,”
researchers wrote in the Journal of Patient Safety. “The problem of PAEs
[preventable adverse events] must emerge from behind the ‘Wall of Silence’ and
be addressed for the sake of prolonging the lives of Americans.”16 Adding another
element of risk is the fact that no patient advocates are allowed for most
patients with COVID-19.
20% of COVID Patients
Caught It at a Hospital
And what is
another reason to stay out of hospitals except in cases of emergency? COVID-19
is transmitted from health care workers to patients, as well as from infected
patients to other hospital patients.
Figures
released from NHS England suggest that up to 20% of hospital patients with
COVID-19 were infected at the hospital, and Prime Minister Boris Johnson went
so far as to call deaths from hospital-acquired COVID-19 an epidemic.17 The data came from an
NHS briefing and were reported by the Guardian in May 2020:18
“Senior figures at several NHS trusts have
confirmed to the Guardian that a senior official at NHS England said in the
briefing, held by telephone conference in late April, that the rate of
hospital-acquired Covid-19 infections was running at 10% to 20% and that
asymptomatic staff had caused some of the cases.
Senior doctors and hospital managers say that
doctors, nurses and other staff have inadvertently passed on the virus to
patients because they did not have adequate personal protective equipment (PPE)
or could not get tested for the virus.”
Nosocomial
(originating in a hospital) transmission of SARS-CoV-2 was also reported in a
24-bed geriatric unit located in Edouard Herriot University Hospital, the
largest emergency hospital in the Lyon, France, area.19
A rapid review
and meta-analysis of 40 studies found an even higher rate of nosocomial
infections, noting, “As patients potentially infected by SARS-CoV-2 need to
visit hospitals, the incidence of nosocomial infection can be expected to be
high.”20
It’s been
estimated that 1.7 million health care-associated infections occur in U.S.
hospitals each year, making such infections “a significant cause of morbidity
and mortality in the United States.”21 During outbreaks of
MERS and SARS, hospitals have been called out as super spreaders of disease,
including in Ontario in 2003, where 77% of SARS cases were contracted in a
hospital.22
At-Home Support for
COVID-19
I’ve often
stated that if you want to stay healthy, staying out of hospitals, except in
cases of emergency, is highly recommended. This holds true for COVID-19, but I
do suggest having supplies from the Front Line COVID-19 Critical Care Working
Group (FLCCC) I-MASK+ protocol on hand.
FLCCC’s I-MASK+
protocol can be downloaded in full,23 giving you step-by-step
instructions on how to prevent and treat the early symptoms of COVID-19. FLCCC
also has protocols for at-home prevention and early treatment, called I-MASS,
which involves ivermectin, vitamin D3, a multivitamin and a digital thermometer
to watch your body temperature in the prevention phase and ivermectin,
melatonin, aspirin and antiseptic mouthwash for early at-home treatment.
Household or
close contacts of COVID-19 patients may take ivermectin (18 milligrams, then
repeat the dose in 48 hours) for post-exposure prevention.24 Others have had
success using niacin and melatonin, known as the Niatonin Protocol.25
N-acetylcysteine
(NAC), a form of the amino acid cysteine and a common dietary supplement, also
shows promise for COVID-19. According to one literature analysis,26 glutathione
deficiency may be associated with COVID-19 severity, leading the author to
conclude that NAC may be useful both for its prevention and treatment.
NAC may also
combat the abnormal blood clotting seen in many cases, and helps loosen thick
mucus in the lungs. I also recommend getting a nebulizer, and the moment you
feel a sniffle or something coming on, use nebulized hydrogen peroxide.
This is a
proactive preventive therapy that can be used both prophylactically after known
exposure to COVID-19 and as a treatment for mild, moderate and even severe
illness. You can also use it twice a week to help kill unnecessary pathogens
that are in your upper respiratory system that tend to die and secrete toxins
that can cause dysbiosis or imbalance of your gut microbiome.
As mentioned, having a
pulse oximeter on hand is also wise, as it’s a noninvasive way to measure the
oxygen levels in your blood, allowing you to monitor your levels and help gauge
whether a trip to the ER is truly in order.
- Sources
and References
·
1, 4 CDC, COVID-19, What to Do if You Are Sick, March 17,
2021
·
2, 3, 5, 6 Tampa Bay
Times, August 24, 2021
·
7, 8, 9 BMJ 2016;353:i2139
·
10, 11 Johns
Hopkins Medicine, May 3, 2016
·
13 U.S. CDC, HAIs, Types of Healthcare-associated Infections
·
14 Health.gov
Health Care Associated Infections
·
15, 16 Journal of Patient Safety September 2013: 9(3);
122-128
·
17, 18 The
Guardian, May 17, 2020
·
19 Infection Control & Hospital Epidemiology, March
30, 2010
·
21 Public Health Rep. 2007 Mar-Apr; 122(2): 160–166
·
22 The
American Conservative, April 20, 2020
·
25 NiacinCuresCovid.com
·
26 Alexey V. Polonikov, Research Gate, April 2020
Dr. Stella Immanuel: Treating COVID-19 calls for multi-drug approach
The doctor also shared her thoughts on the long-term use of IVM and HCQ. “There are many doctors … that will give you HCQ and IVM [for prevention.] I know there’s a whole thing going on about IVM right now, but as to HCQ – it is a better medication for prevention. HCQ [being used] long-term … has been tried and tested … for a long time,” Immanuel said.
She mentioned her recommended use of IVM for treating COVID-19. “I actually give IVM for sick patients and I give it for two [to] three days. I do it for day one, three and five – and I stop it. I don’t prefer IVM for long-term [use],” Immanuel elaborated. Given that the use of the anti-parasitic drug only began in April 2020, there was not much data regarding its long-term use, she argued. (Related: Arkansas Medical Board investigates doctor for SAVING thousands of lives with ivermectin… because only VACCINES and ventilators are allowed.)
Immanuel also had strong words for doctors espousing the use of one drug alone to treat COVID-19. “You are doing the patient a disservice. All these things work in conjunction with each other. It’s a multi-drug approach. It is not one-drug only. That does not make sense,” she said. Her remarks were directed at doctors recommending IVM-only, HCQ-only or budesonide-only approaches.
“When a patient gets sick, we put them on HCQ, IVM, Zithromax [or] budesonide; we put them on a steroid; we give them albuterol if they need to,” Immanuel noted. She added that “fifteen months into taking care of COVID-19 patients, I pretty much have developed cocktails that work.” (Related: Study shows triple treatment including hydroxychloroquine and zinc leads to fewer hospitalizations.)
Immanuel shares two tips for people
The Texas-based physician shared two tips for everyone to be healthy and not get into a “situation of desperation.” First, she recommended that sick patients stay hydrated. Immanuel recommended that patients drink electrolyte beverages side from water alone.
She said: “Even if you don’t feel like drinking … [or] eating, please make sure you’re eating … [or] drinking. Force yourself to do it. If you don’t, you’re [going to] get dehydrated and the disease is [going to] get worse.”
Second, she warned that patients should go see a doctor as soon as they experience any symptoms of COVID-19. “When you have that first sniffle, don’t stay home … [and] think, ‘this is just a cold that is [going to] go away.’ Please try and just get to a doctor, get to us before we get to a place where you’re too sick for us to take care of you,” Immanuel said.
Pandemic.news has more stories about HCQ, IVM and other common drugs that can cure COVID-19.
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