Dr. Darrell DeMello Discusses COVID Outpatient Management

This is all Dr. Mobien says from doctorbean.com Welcome to one more show, so today we will meet in the morning because once again, as promised, we have another rock star with us. I can't imagine how many secretly successful doctors are generally successful. but to covet how many successful doctors we have featured here and have listened to your protocols dr. daryl

demello

his protocol and his success have resonated so much with the world that almost every other day i get a message from someone telling me when they are going. have Dr. Adele Demelo with us, so here we are, we have Daryl with us.

I already talked to Daryl to tell him that I can, um, he said I can call him by his first name, so today we're on a first name basis, Daryl, welcome. Thank you very much, it is a pleasure to be with you today. Thanks thanks. Good morning. Thank you. A very quick introduction to Daryl. Dr. Darryl Demalo has about 30 years of experience in the medical field and is a principal at Weights Labs India. american sainam cyanamid india cr bard india boston scientific us cyflix llc llc usa and market access india played a variety of roles in these corporations such as global sales marketing market development business development strategic

management

and general

management

experiences with minimally invasive medical devices in the intervention cardiology vascular surgery interventions cardiac surgery gastroenterology endoscopy and ophthalmology medical devices class 2 and class 3 and daryl's biography continues it is a brilliant biography what i also wanted to share with cool beans is the following and most of you know that this dr. demelo has been working for covet and i will ask him how he started managing covet but look at this.

Dr. Demelo has considerable experience in concealment and I love these 6,000 patients. He has so far treated 24,000 family members and provided prophylaxis to 12,000 people, so I sit here. and let's say 400 people 600 people and here we have a rock star who has helped 12,000 people with prophylaxis only 24,000 family members and 6,000 patients so today we would ask him first how he started, number two what is his protocol and thirdly what is your experience and any suggestions for us to move forward so daryl once again welcome thank you very much tell us a little bit about your day a little bit about your work with covet work thank you very much i got involved with ovid last year in january 2019 um if we had Heard about Kovet in Wuhan and all the other places, but they asked me to do some presentations for some companies, so I had to learn about Kobet and I treated it as a white space opportunity and I learned about Uh, put it together, put it together two and two, he came up with the plan, he followed all the events around the world.

I used to go onto websites and web chat rooms in China and Italy and of course in the US. I had a lot of access. was happening and I learned of things as we went, we learned that it was an inflammatory disease that was not just pushing air into the lungs would be good, but you had inflammation caused by a virus, you had inflammation and Then when the Italian doctors, with their autopsy of 50 dead patients, they told the story that it was a coagulation disease that sealed everything, coagulation became my focus because at the end of the day I realized that if you stopped the coagulation, everything Others I can take care of and I will talk more about that when we talk about protocols and practice on interstitial lung disease and tracing, but from my point of view and in my practice, tracing is my number one goal.

If I can stop the clotting in its tracks, I can reverse the patient and share some stories as we go about patient examples, so I got involved and started treating patients in the first week of May last year and initially it's a challenge, you are new to the program, you are new to patients with diseases, the fear was enormous, the fear even now is enormous, the paranoia about the disease is enormous, however, just being stable, being obedient to the patients, being patient with patients, talking to them, explaining to them the rational reason why we are doing certain things.

And from there, I also took a medication called ivermectin at one point and have used it exclusively on all of those patients that you talked about. Ivermectin has been the only antidrug to reduce or prevent. the disease replication I use, so I'm using my words carefully here. I know in layman's terms I call it the killer virus, but I use ivormectin as my antiviral medication and that was from the Australian study that, although it was a uh in vitro study that talked about 99.8 percent of the virus being killed with one dose in 24 hours. I came in with a two-dose regimen, so unapologetically, a four-dose regimen for two days and that worked very well for me without any problems, my anti-inflammatory I did a search of all the anti-inflammatories around I was looking for something to what I considered the ideal and I threw it as a map for me would have been the ideal because the torsional map consulted was that within 48 hours of the cytogram storm, you can actually get excellent results with that, but I'm not in a hospital , I am in an

outpatient

telemedicine clinic, so when you are not in a hospital you have to look for what helps you. medicine you can use so I came up with a medicine called cautious which has worked again for me in 100 of my cases.

I use it as my top of the line anti-inflammatory tablet and it has worked brilliantly for me, call corner study of course. He supported it and you know we all knew now what happened, but in every patient of mine, whether it's prophylaxis or treatment, family members or treating patients, the first medications that I use are called systemic hydromectin for two days. and I use a medication because I used to use aspirin, but I found that aspirin didn't prevent platelet rebound, so during the second week, when you go from day seven to day ten, there is a big rebound at large lengths, okay?

Aspirin, I was looking at, you know, not only should the platelets be between 150,000 and 450,000. I was saying 600 five fifty thousand, so with that I went to a classmate who is a well-known cardiologist in Ohio and I asked him and I said: can you help me with this? This is what I'm seeing. I'm thinking about using topical grill, which is Plavix in the US, we call it Plavix and he said, come on, that's brilliant, that's a great observation, great idea. it was from case 200 or 250 or whatever at some point in the initial case when I switched to Tropido Grill and I haven't switched from Clover to Girl since then, so those are some of the three basic drugs that I use.

I also use other drugs. I mean I can use dexamethasone steroid when I need to use it as an agent or as an aid with caution when I need to use it. I use a lot of anticoagulant medications like uh an oxyparent uh lavanox in the US. Call it clexa here, but you know it's one of the lifesavers and most of my success with the most difficult cases or the very difficult cases is due to an oxycodone and it's been a brilliant show ever since. Thank you very much, Daryl. This is fascinating, so before I ask you, I usually ask the people who are actually administering it, I ask them questions in succession about various types of patients, so before I go there, I want to ask you how your success has been so far .

I've been managing for about a year or more. What is your result? What is your result? So of course it's not a study, but what is its own result. Which gives her confidence but shakes her. How is it at the end of April? This year, from May 1 to the end of April of this year, I have attended just over 6,000 cases, okay, 90 of the 85, 90 of them have been by telephone, so by video consultation or by telephone, the The rest have been in person at my home clinic, where I'm sitting right now, that's my home clinic, people come to see me and yes, it's risky, but you know I've seen patients and I share the theory about why I do certain things and it has been like that.

It has been a very successful home clinic over the last 12 months as well. My admission rate is 35 patients out of 6,000 patients. I only have 35 admissions. I have approximately 14 deaths. I have about 14 kills and all my kills. All the deaths. I've been diabetic for most of my income, I think 95 of my income is, I think 31 out of 34 or 35 have been diabetic, so diabetics have been pretty big when you look at who you think most other people are. , you can actually handle them quite well. At home, if you get them early, I expect to get patients from day one to day four, day five to day seven, and if I get a patient eight, nine, and ten, I know I'm in trouble, so I'm ready. for the problem and boy, I hit them real hard if they come to me so late if a patient comes to me with the conspiracy and again I'm concentrating on the conspiracy because I think the world needs to know well, it needs to learn one thing, this is a trot disease, this is a vascular disease, it's not an interstitial lung disease and I keep getting told by doctors who take care of patients and we'll talk about CT scan, you know, hr high resolution CD scan scores, severity scores, here we have something called severe disc. which gives us a score from 1 to 25, okay, and for different parts of the lung they have different scores, okay, so when something is three, four or five, it's very mild, so something above seven up to ten is probably mild. to moderate something between 10 and 15 is moderate to severe, you get to 15, it's 20, it's a serious illness and when you get to 20 25 is more or less, the patient will go, okay, you will go, so when the people, people come to me with some of the questions at a late stage and we'll talk as we go, that treatment is different and some of my admissions have been people coming to me with CD scan scores of 20 by 25, which means 80 80 or the percentage of the lung has been drawn when a doctor talks to me and tells me and they ask me to consult with the doctors to find out what is happening to a family member and when they tell me no, this is an interstitial. lung disease giving them strange remedies and my next question would be what is the score of the CD scan now it will be five, you know, what was five times twenty five now became twenty times twenty five and help me understand why yes because yes it is a lung disease interstitial, you shouldn't have the conspiracy acceleration progression, so people miss the key point that this is a coagulation disease, if you fix the coagulation from the beginning or even somewhere in between , everything else will work and that's the approach I took from case number one is to fix the plot and you know, that's where we go from.

As for success, I have had great success at all stages. I've had some easy cases. Now I don't understand the easy cases anymore. I don't get the one to four cases, the one to four day cases, I get all the really tough ones, uh, and you know, a guy shows up and calls me and texts me a 14 by 25 cd scan. Oxygen saturation spo2 is fine, 96.97. What did? Yes, I said: or you come to my house while I go to your house and I started them with an oxy pattern started with flow. All I want to say causes it to be in process today at 98, but I'm pretty sure that in your comment.

The next morning it was sir, I slept very well, my lungs don't hurt, I really haven't slept like that in four days and that's the common comment I get when I give someone a parent with pinworm, you know, or inject them. They either inject themselves or we get a nurse to do it for them that's something we have to learn beforehand that in that period of seven eight nine ten days we have to be careful with those things. The doctors have come to see me. and tell me people, patients, you come to me as patients and tell me you know, oh, I've had this is the third day of my fever, but why is the oximeter?

Why is the oxygen saturation at 89? If it's the third day of fever, it can't be at 89. If you're at 89 and you have a CT civility score of 14 or 15, you're on day 9 or 10. So come back, for me the timelines are very important. I need to really understand the timeline. very closely I need to understand the schedule because the treatment depends on its time. I'm very, very conservative from the beginning. I try, you know, I don't let anyone leave without them getting the basic drugs that cause hypermectin for two days and I. give them a tropical grill, that's fine and then when they get to seven, eight, nine, ten, especially on day eight, nine and ten, if anything else happens, I can order a scan of the CD on day eight or ninth and see where are found and then continue from there.

As for blood tests, as for research, I think my clinical skills today are pretty good and I don't need blood tests, so before, for the first 500 cases we used to order, I used to order a blood pressure in advance any day you came to ask me. Today I removed a bunch of informative bookmarks. Now I ask for analysis ofblood if I need them in very acute cases on day 8 or 9, but mostly I spend time and money on my blood tests and my research. the back at the end of a month to understand what has been the damage that the disease has left in your body and then fix it for the next month or two, so now I am not only doing acute greed but I am also doing post-treatment covert to ensure that no one embarks on a long term, okay, in India I think we have been very successful in preventing the long term, the classic long term because we all deal with medicines here, actually no one is left behind only with paracetamol . and, uh, vitamins or they told you to go home and wait until you plan or until your oxygen goes down, you know you can't be out of breath and all that, so for us I think we've done a pretty good job. about the management of that part yes there have been deaths in India, but compared to some of the other countries, our debts are insignificant, you know, and our serious cases, we have had many serious cases, but I think our serious cases have been reversed pretty good and remind me to talk about also after coveting someone to come. for me with two months with a 14 by 25 CD scan and how I do that, we'll talk about that.

I'm going to ask about all the stages. I'm going to cross stages, so first of all just a quick comment. Apologies for not interrupting my apologies first of all, people have been making some comments about where you are, where you practice, is it possible if people can hear where you are, how to reach you, how much you practice internationally, locally, a little bit. more about your practice and to contact you. I am based in Mumbai or Bombay. Alright. I am based in a suburb called Khande Villi. A place called complex. This is part of Bombay. It is part of the middle part of Bombay.

So yes. I'm based here. I do most of my work over the phone, so all over India I can treat anywhere in the country because the medicines are available all over India. The medications I use. I have treated patients in the Middle East. I treat patients in England in the United Kingdom, Canada and the United States. It takes time to get them the medications. I have tried to collaborate with some doctors that they have established relationships with so that they can write the prescription. I can give the consultation. They can write the recipe, but. I can't do the really difficult cases that I can do in India because we don't have free availability of medicines in the US for various reasons.

Okay, I'm not going to go into those reasons. Okay, in India I have access to all medicines and it is a much simpler practice. At the end of the day, it's something much simpler. I'm a doctor, I'm not a scientist, I'm not a regulator and my goal, my goal is to get that patient better as quickly as possible if you have a spo2 of 60, you need to get back to 85 at least if I'm going to work with you and in Within hours I had a spo2 of 60 at 6am. m. in the morning. It goes back to 96 at 10:30 at night, you know, so I handle some really bad cases.

If you're 66 and you only get 281 or 82, you go to the hospital. I won't take you. I will not continue treating you if I am not above 85. My cutoff level for the night is 85 on the oxygen saturation index, however, that changed in certain cities when we had this in the last two months, in fact, since the midfield we had the surge that took all the time. beds out of the system in places like Greater Delhi, Chennai, Bangalore, so I have had patients who have been treated who come to me many times late at night, at nine, ten at night, eleven at night. night and all the time.

How can we get a nurse, a trainer or a doctor to treat them locally, give them what I want and they know that if I think they need oxygen, we can do it. I have been able to treat those types of patients. quite aggressive and uh it's like that it's like that it depends on the system of what happens over time as far as practice I'm available my name is quite out there I have a website dr

darrell

demello

dot on uh I'm on instagram i'm on Facebook, I'm everywhere, I have a great assistant, Astrid, who is excellent at managing my social media commitments and I communicate with her whether by phone, email or any means I want. we can help her in some way we can help her.

I cannot treat it in the US for various legal reasons. I am not registered in the US, so I have no registration in the US to deal with it. I'll advise you what to do, but I'll try to work with your local doctor or someone in the fraternity who can actually prescribe the medications and all that so that we, Canada, the UK, any of the countries where it's hard to get medications. It's a nightmare for me, but I can give you the right advice and tell you what to look for, but again, that's up to you, work with your local doctor and go from there so you know yes, I've got it.

Thank you so much Daryl, this is great, so a virtual hug to you from me and all the cool beans here. Sometimes people send me a comment saying that you become very happy like a child when you talk to some people and them. I think I've also gotten some comments that think it has something to do with the type of guest I have. It's something very simple: a person who is serving humanity at this time when most of the people responsible for the CDC, the FDA of the CDC, are in the world. their responsibility to step in and provide the care that we needed and they are busy chewing up the money and collecting more money and letting people just have no prescription, no treatment and just get worse and then die, so in such a situation I think we all can recognize to the people who jumped in and are saving humanity, so these are the kind of books we should be looking at right now.

That's why I start to glow when I talk to those people. Daryl, thank you very much at once. Again because of your work and your help, I can see how hard it is because after my all-night talks, most days there are people who call me and say, hey, my dad got oxygen at 88 and my mom is in this situation or my daughter. In this situation, it is a difficult time and thank you for your service now. If you'll give me a second, I want to go category by category to hear your protocol. If it's okay, can I start asking you? your protocol one more time, but I want to introduce it so that people can listen to this part and say here's a protocol, so let's start with pregnant women, so we'll start from the beginning of life, so pregnant women, how do do they do it?

Handle pregnant women with pregnant women, you have to be careful and depending on what stage of pregnancy you are in, what trimester you are in, the first trimester, my experience is okay, baby loss is quite high, the probability of baby loss is very high extremely high uh for mister two it is a 50 50 chance and in the third trimester generally nothing happens to the mother or the baby if it can be treated correctly and I have treated all types of patients uh prime minister one two and three both with normal spo2 and have gone through the illness very well without uneventful days and I have had eventful days and bad days with some patients who have been in trimester one, two and three, but I work closely with El The gynecologist and the obstetrician worked very closely to monitor the child and also the fetus, so whatever I do we always say, "Let's do a" and I work with groups, so I end up creating an online group and from that online group we end up . working together and whoever needs to be added, family members, husband, parents, uh, you know someone who is a direct caregiver and maybe the guy, the OB, gets added so he can also help if something goes wrong, always good have more eyes on. what is happening in the case and you know, especially at home, you want everyone to participate so that the motivation at home becomes more encouraging so that the patient recovers faster.

Well, yeah, I've treated all types of pregnancies, uh, but it's a very small percentage of my practice, given the fact that I have six thousand cases, I don't think I've treated more than a hundred hundred pregnant women, so I've treated Newborn babies, I've treated newborns, I mean. Newborn, I mean, sorry, newborn mothers who just gave birth, so I've treated them, but I've never actually done it. I don't have a large number of pregnancies that I can talk about. At least 100 pregnant women I've treated over the 6,000 cases, so it's been a pretty decent experience, okay, you got it, so if we move on to kids from pregnancy, then kids, what's your experience with them and how do you handle them?, children, the youngest child I treated was three days old. and the oldest boy was, do you know what I'm going to use?

I'm going to put people over 10 as adults, actually they are more like adults, but they say they are 10 year olds. It's okay, I've tried until I was 10 or 12 years old. If you want to put it that way, but the three years, the three days, the three, the two-month-old, the old man, the 12-month-old, anyone who is breastfeeding their baby will receive the treatment and will receive the treatment that the child will benefit. breast milk, so I don't give them additional medications unless they have symptoms like fever, unless they have other symptoms that are important, of course, they can be positive, but they know that from the rdpcr test, but they won't necessarily show important symptoms . and this covers the entire pediatric spectrum from zero to 12 years.

I haven't seen many serious pediatric cases. I had one with red toes and on the video call I told the lady that he turned out to be a person I know. very good with his niece I told him please do me a favor take that child to the hospital a two year old girl with absolutely red clothes you know you are going to the hospital I am not going to touch you you know that you are safer in the hospital, I have assumed, I have assumed many children with fever, five, six, seven, eight years old, you control the fever, you give them maybe half a dose of ivermectin, maybe you know some dose of ulceration, crush it and give it to them with a little syrup and in 10 days they it'll be fine you know so it's not a big deal to deal with these kids uh so the whole talking about kids thing I'm going to make a comment here on Kids there's been a lot of speculation about the third way to hit India and hit children hard.

Personally I think not, children are like a green forest or green sticks to me. You can't burn them now. You know, so I don't think that. Again, given the experience I've had, I don't think children will be affected in the third wave and I'll make it public, we'll see what happens in the third way, but I don't think children will be affected by anyone. above 12 or 15 I treat them like full adults it's much safer than allowing them to get into trouble okay so let's move on to adults so adults your definition of 12 and up how do you treat them and other time?

What I'm trying to do is try to put your protocol in a concise segment of this video so that people can hear that part for adults who are in the early part of the disease, so let's say the first day. to four, as you mentioned, what is your usual regimen if there are no comorbidities? Generally, if I'm back, I can talk from 12 to 6 and then 6 to 30 and continue with that, but generally from day one to day four. the basic medications that they will receive are cautious and, you know, for an adult over the age of 18, they receive one milligram in the morning and, you know, half a milligram in the evening, he or she will receive what is called Susan, it is direct. 30-day treatment, no, I don't do five days, seven days, ten days, I keep going for 30 days and then we will re-evaluate the use of the medication after that, at the end of the 30 days after we do the inflammatory marker test. one dose of ivermectin for an adult so with my care in my case I do the uh two two doses a day so I do one at 7 am and at 5 pm on an empty stomach, it could be at 5 am also depending on when be the patient.

He gets up but I do it on an empty stomach and I have a reason why I do it on an empty stomach. I do it in the morning and in the afternoon in the morning and in the evening two days and I'm done with the ivermectin part and what happened, yeah, sorry, my qualities. I just wanted to ask what the dosage is for fibromyalgia. How much milligram per kilogram is administered? Well, let me, yeah, let me talk about, let me talk about, how, how I give it to them, I give them an empty stomach. with nothing to eat or drink for two hours after that and the reason is that this drug, ivermectin, was developed as an anti-helmet drug, okay, that was needed in the intestine, high levels of the thing were needed in the intestine.

It is necessary for IBM to act, we need it in the lungs, in the throat, in the nose and in the blood to reach that level. I know there is some data that says what I'm saying is wrong, but I've had great success with iron. magnet with a four day system, oh sorry, four doors for two days, so 24 hours after their last dose I allow the patient to go out andmix with the family, you do not need to remain in isolation in the room and I have done it through for the six thousand patients, I have no changes in that.

The good news is that no one has been infectious from day one to day four to anyone else in the family, so again, you judge your success also by what happened to other family members, so the dose of Avermectin seems to work very well, but I'm also allowing the patient to go out and mingle with the family and meet with the family, you know, 24 hours after their last dose, so there's really no difference wow, that's beautiful. Do you use 0.2 milligrams per kilogram or 0.3 or 0.4? What is your basic dose? I use a standard adult dose of 12 milligrams, so it's 12 milligrams in a row in the morning, the first day, in the afternoon at five o'clock, the second day.

The first day the same on day two, from five to six to seven in the morning and then again, so I use about 48 milligrams in two days and I think that gives me the best results that I can get, so now I know that I had injected myself and you broke your train of thought you were talking about the cultural scene and then ivormectin um so I think we just lost Daryl. He will hopefully meet me in a few minutes. I'm really excited to talk to him, in the meantime I'm going to watch some. from your comments here I saw nick's comment, dr nick's comment on plant based medicine or management, let's see if I can nick, that comment must have been overlooked, so am I the one who is offline or not?Dr. uh give it to me, so can you hear me?

Can you hear me and see me? Okay, so I'm here. I can actually see Dr. Demelo. Return blackout. Yes do not worry. Thank you very much for coming back, so I was apologizing for interrupting your train. I thought you were talking about the first four days' cultures on ivermectin and I wanted to go a little deeper on hibermectin, so please, if you can continue, my apologies, cultures on vermectin, so what else vitamins, other things , other things, I don't really use vitamins? I use Slopito Grill in adults and you know, in young adults, if I use clopidogrel, I hope someone comes out, but generally over the age of 18 they will receive a tablet, which is 75 milligrams of clapidogrel or clopidogrel uh for the third for 15 days or 30 days depending on the day, the severity and all that, so it's the way I work with my combination that I use, I use a combination of medications, it's not a single drug therapy, it's not a combination.

I try to attack the three fronts of the virus to reduce the replication of the virus, prevent the replication of the virus and allow the body to do the rest, which is to kill the original virus. The second thing is to reduce inflammation. the body using cholesterol is fine and causality is fantastic, I call it my fire retardant, it's a fantastic fire recording and I can explain to you why and all that, but I think we'll stay away from that for now, but it is an anti-inflammatory agent fantastic and if you can prevent clotting in the first place, and in some adults, some high-risk adults, like diabetics or someone with heart disease or someone with anything that might increase their obesity, fine, I'll do it.

I take four doses of four medications, so four tablets start the first day and then one tablet today after that, so I make some small changes and those changes have occurred, you know, throughout the year, I've made small changes minor, minor adjustments to the full protocol, but the basic protocol remains the same. I understood. Thank you very much for this. So before we move on to the next category, I want to ask a question. Nick Ariza is actually a doctor. He is from Canada. He has a question. Demelo once prescribed a whole plant-based diet to help manage reverse type 2 diabetes.

Excellent interview, so this is a slight deviation. I want to go back to the undercover, but if you want to comment on this post, I'll talk about diet. what I prescribe in kovid is a soft food diet, so I'm going to use dal and rice, okay, dal are legumes, you know, so I use dal and rice, uh, cooked, very cooked, I use a, I recommend many soups. I know that yellow squash soup is probably one of the best things for people to have all kinds of soups except that they are acceptable. I also give them, you know, a lot of yogurt, a lot of curds, a lot of dairy.

I give the patients a lot of diet. I recommend that you drink that in addition to drinking a lot of fluids, so you know, lemon juice, juices, soups, you know anything but nothing that can harm intestinal function due to inflammation from what I have seen in the in kovid, the information affects the entire nervous system and the body, the brain tends to lose control of the bowel, so you have vomiting, you have nausea and vomiting, you have diarrhea, so you have I have seen patients with colic pain and I mean, the only explanation I can have is that there are some nerve endings that are or groups of neurons that are exposed and that fail and cause cramping pain and you know that again you are treating the symptoms if you have the right basic treatment, which is antiviral, anti-inflammatory and you have the antiplot all these symptoms are easy to treat you know if you have a cold you have a runny nose you have a sore throat you have diarrhea you have nausea it is relatively easy to treat the challenge becomes when you have a patient who has skin manifestations, I have had a few, no These are large numbers, probably less than two percent of the number of cases I have seen, but I have seen quite a few skin cases. manifestation and again the ones that you direct with steroids I use right away, in addition to the basic medications, I take them with vaccinators, so my main medication for that is a five-day dexameter therapy and then a gradual taper for the next five days, so it's again.

Depending on the symptom you see, I moderate drug use. My diet is very plant-based, as there is no meat. The only thing I allow a patient to eat is eggs if he wants to eat eggs, but I can't find any meat at all. meats are very difficult to handle and process in the gut when someone is on the prick, that's fascinating, thank you very much, so if we then move from coverage without comorbidities early four days if we move forward to the next three four days then let's say until seven or six days because seven eight nine ten will become more frightening so let's say after 4 before 7 8 let's say a patient comes to your clinic and has those symptoms, he hasn't taken anything if he's in the US at less, how would you manage them and do they have comorbidities?

It's actually the last part of seven, which would be part and parcel of eight nine ten floors, so when they come to me during the day four to seven, four or five, you can drive six, even you can drive, they get the same medicine as the same medicine that they want to forget and they receive many more. I become much more careful. I want you to check your oxygen saturation rates, your temperature, and your pulse at least four times five times a day. Normally I just say give it to them. for me three times a day is enough, so 8 a.m. m., 2 p.m. m. and 10 p.m. m. at night it's fine, but you get closer to day 8 and day 8, 9 and 10, I even do it a lot more, I mean sometimes I even ask every two hours. every three hours give me a record of what's happening to you because the only data point that I depend on, besides the patient's symptoms and besides the patient's orders, is the spo2 reading and that spo2 reading and the oxygen saturations become very, very important from uh from a treatment perspective and I have clear guidelines, anything below 95, they will start oxygen up to 85, if so, they will drop below 85 at night, which Ideally, they should go to the hospital if I can.

If I don't get my bed, I will try to manage them at home, but I would literally go to the hospital. If they come to me with 80-85 during the day, even 75 during the day and even 60 during the day if I can. If we raise them to 85.90, I will keep them home and treat them, but again, it all depends on the individual patient. So if we move from now on to the most dangerous times, seven days onwards, advanced age or comorbidities or just. overall it's deteriorating, how do you address that properly and this is where I'm going to differentiate between the old, the old virus and the variation?

Well, the old virus, you know, until day seven it really wasn't a problem, the eighth, nine and ten, like you'd expect. certain things I'm seeing on the eighth, nine and ten today, people coming to me late, coming to me on the eighth, in particular, I see accelerated timing. I see very high severity scores on the CD scan report. in the lungs and if I see anything above 10, I know I'm going to expect it to get to 20 in three days if someone comes to me on day seven or eight with a CT civility score of uh 10 9 10 11 12 they will they will plan up to 20 in the next 48 hours so that's what's happening here in India and that's what's happening with our and I don't know if it's a variant or it's the drug use that we have.

Two medications called methylprednisolone and pyruvate favi are widely used and I cannot understand if it is the medications or the variant or the combination of what is happening. I mean, you know, again, it's just I'm making an observation: I see a lot more fast-paced plot now than I saw before. Well, I don't think I've ever seen a 15 before. Now 15 is standard. You know, 10, 12 and 15 are standard. People just show. with 14 and 15 now it's because I'm having harder cases due to the fact that I graduated in the stream or it's because there is an accelerated placement that I don't have the answer for. you, but that's how it is, days eight, nine and ten are difficult days and this is what I make them do sometimes when, say, a patient comes to see me or talks to me or they ask me to see someone at home and they are Their spo2 oxygen saturation ratio is 85.

When it's at 85, okay, I'm fine, I give them oxygen, I can give them a shot of dexamethasone, I can do a lot of things, give them grades and, uh, lean on a girl. or whatever you need. to give them I give them more important I make them mobile I make them walk at some point all night night of the eighth ninth ninth of the night of the ninth you are going to walk you are going to be upside down you are going to exercise he I told people that you want to live this night, that you're not going to sleep, that you have to go from 85 to 93 tomorrow morning, otherwise you're in trouble and most patients have done it, so it's not difficult, you teach them how to do it.

To tilt him, he teaches them to walk and tells them to control him, and many times, when he finds a stubborn patient who may be reluctant to listen to him, he asks him to hire a nurse and tells her to keep him awake. and with the nursing help I can now give intramuscular medications, intravenous fluids if I need them, many other things that come if I can use the nursing help if I can get them, so again, it all depends on pruning is one of the key things. at eight nine ten uh walk walk walk and walk I tell people to walk today it's not about the six minute walk the six minute walk was good now it's about continuing to walk as long as you can stay mobile when you lie down in bed.

I want you to lie on your stomach, it's okay during the day at night, I don't mind you going to bed at night, but I want you to set alarms every three hours to wake up and walk, if you go to bed at 12, you get up at three, you walk. for another hour, prune and then go back to sleep at four, get up at seven again, do it so that it is about the mobility of the patient, if you can do the mobility correctly, the plot is broken and the air is in the back part of the lungs. ventilate, you know, expose yourself, you start breathing so that clotting doesn't occur, so this is again something that you learn in practice and you apply it and it happens, okay, I use other things, I use things like vitamin B injection , I use a 600,000 injection intramuscular injection in the acute phase, so on day 7 8 9 10 they can give me a vitamin d injection they can give me an iron injection uh that seems to change the patient a lot of times it's like that sometimes you get a V-shaped recovery now it's a combination of anoxic pattern vitamin d iron, you know, the whole bone marrow shift, so there's a lot of things that I've had success with, where I'm a little innovative and it's worked for me and it works for my patients, so today It is becoming more standard to use this uniquely, a vitamin D injection.

Here we have a vitamin E injection for free. Well, iron injections are freely available. Well, that's the critical moment when someone asked a question about whether I use the only vitamin. The vitamin that I will ever covertly recommend is actually a vitamin called vitamin D and I don't care if you take it orally or as an injection in the early phases, in the first few days, let's say one to four, can I tell people? take it daily take six sixty thousand units daily for ten days stay away from that ten day thing andthen continue from there it seems to help patients along the way so I know I'm rambling here I love this is so fascinating so I wanted to comment on your discussion here with cool beans cool beans you are looking at three types of approaches by doctors, one is the one who looks at pathologies and mechanisms and then thinks how to work on it, then there is another group of people who are just chasing the trials and randomized control studies of rct to see what they would say or what the protocols are and algorithms that the cdc and others would say, and then you see a third group that is clinically their doctorate in the words of doctor pier corey, their doctorate they have learned how to be a doctor and now they are being doctors, they are experimenting, they are thinking, they are figuring it out and They're making it, so here we are seeing a doctor.

I'm sure if you asked Dr. Demelo what studies he is following to do this. he would say um, so let me ask you that question, so

darrell

, what studies have told you to do this, the basic studies that I followed were the Australian study, the Italian study on autopsies, the rest I did. own protocol I made my own use of medications I designed my medication plans and followed it I'm a doctor I'm not a scientist I treat patients my goal my goal is to make the patient better you know, bingo, so see well it means this is the answer of a doctor, this is the answer, then those studies and those additional mechanisms and everything should help to further increase your activity, your work, but this is the answer, so once again, a hug.

The more I listen to you, the more I want to be with you and sit and chat forever. I want to go to the next step and talk about what happens after coveting. Before that, I also want to ask a question. I have William Goff, he is a great bean and he is also a health professional. His question is the only thing that worries me. He is the Plavix. I know it is commonly prescribed for patients with coronary problems, but is Plavix a high risk medication for a person to be at risk of bleeding? Plavix is ​​actually a safe medication.

It is an extremely safe medication. I have been in angioplasty for a significant part of my life introduced angioplasty in India and many of the procedures like stent placement and, uh, rotor blader, and you know, rotational pull on me and introverse ultrasound have been introduced in many parts of the world, including the US, so I am very familiar with the medications used in angioplasty, so Plavix is ​​a medication that I am very familiar with. I know exactly what's happening now. Let me explain to you what happens in Kohit in Kovit when the conspiracy begins. It's like a leak once the waterfall has started.

You're going to have a conspiracy coming at you so fast that you won't have time to worry about bleeding. My first goal is to stop the conspiracy. I get this question about Enoch that I have given and I will share this case. Later in the program I gave four doses of 60 milligrams and oxygen over 24 hours to a patient who came to me with a severe discordance of 23 by 25 cd, but by the end of the day that patient had recovered to 16 by 25 I went home four days later the oxygen reading was at 99. so that's the doctor in me.

He is fine now at 22 at 25. He could have admitted. I tried to admit it. The hospital rejected her. We got him a bed later that day. At another hospital I asked for a CD scan. He had given her three doses of anoxic iron. Yes, I know what can happen if he bleeds and they tell her husband that if he goes to the hospital, his chances of dying are almost 100 percent. the chance of survival is like point zero one percent, okay and twenty-three by twenty-five. I can stratify for you 20 21 22 23 24 by 25 being a totally dead scenario. I have had a 35 year old young woman sitting with me right behind.

I was on the couch here, I had my arm around her and I said honey, I'll take care of you, don't worry, her score was 20, I made the mistake of admitting her to a hospital, she died a day and a half later, so Guys, this It's coagulation, you stop the coagulation, worry about the bleeding later, okay, if you don't stop the coagulation, the patient is dead, if you stop the coagulation, then we can adjust the dose to reduce it. I hope the answer is good enough for William Goff. I think this is great, thank you very much, and William, I hope that helps, Dr.

Ahmed Hashmi, so again I want to go to Covet in a second, but there are some important questions. Dr. Aamir Hashmi, he is also a doctor, sir, the role of prednisone. at the beginning of 19 years to prevent pulmonary fibrosis. I don't actually use this medication. My experience has been that this medication does not help. What I use in the post-covert and go, we can talk about 30 days. Postal Code. I wait the 30 days. finish and then do a CT scan to estimate what is the lung damage that is still prevalent if the lung damage if the lung coagulation is still, let's say 10 by 25 12 by 25 15 by 25 I go in again and do a course of an oxy parent is well, one a day for 10 days, 15 days or 21 days, okay, and I give you a medicine called causality in the same dose that I give you from day one, so understand that the combination of these two cleanses the lungs.

I had a reduction from 15 by 25 to zero in 30 days and I've routinely cleared lungs from, you know, 18 17 by 25 18 by 25 15 by 25 to zero in two months or three months at most, so guys, this is no, this is not rocket science, this is clinical science, let's treat the patient, let's prevent that fibrosis, let's clear the lungs of the plots, eh, talking about a medicine for pulmonary fibrosis, when when you have plots there, the clots do not go to the lungs. you're going to clean if you don't clean the clots the sooner you clean the thoughts the better it usually is.

I see that if you do it in the second month between the first month it is the first 30 days because from 32 to 45 days or 30 to 50 60 days you will not have long-term lung problems, I have it, thank you very much. I want to comment. Read this comment from Mithra and then we will continue to Long Covet. Excellent program. Excellent program. Dr. Meen. I agree with Dr. Demelo's methodology while Rome burns. Wsu stands firm on analysis paralysis and this is happening a lot. My own friends, my own colleagues, sometimes they just say there's no study for this, there's no study for that and they're just stuck Darrell, if we can continue with the long coverage or post Covet, we had the doctor Professor Dr.

Héctor Carvalho from Argentina and said let's take care of Covet. There are two types of problems, one is the problem due to tissue damage during Covet and the other is the problem. where the greed itself continues and that has become a long haul and he said that the administration of those is different, what it looks like after the covered patients and to control them, I see the first, first, over and over again, and it is because that all my All investigation techniques change from doing it from the beginning to doing it between day thirty and day thirty-fifth or thirty-six, of course, the first day of symptoms.

Well, I want to understand what damage the tsunami left behind. Strong cytokines. Well then. that gives me perspective on the liver damage the heart damage the kidney damage the tissue damage that may be there I don't think and I haven't seen a lot of time undercover continue if you treat it treat it correctly from the beginning if you treat it correctly from the beginning and I treat the first few 14 days very aggressively uh causasin and uh plavix continue for the rest 16 days for the first 30 days and I can continue with caution for the next 30 days again so up to 60 90 days is the longest I've ever had a patient on-call in the system is six months, but he has had no tissue damage, no lung damage, nothing, no brain problems in general during the period after, most of the time the patients are completely normal, at least in my practice, at the end of the three months, it's okay, so the first month you will have a certain group of patients who will do well.

All the markers look great, so all I have to do is take one more precautionary tablet a day for the next 30 days. You're fine and then that's it, but the second group, the second group, that has, for example, tissue damage, that has a high crp or a high ldh that is still high, which maybe may or may not have high ckmb again. . Caution is a fantastic medicine for such patients. I choose caution for several reasons, one of the reasons is the fact that it is a very good medicine for cardio, uh, sorry, my myocarditis, okay, it is a good medicine for myocarditis, so it helps prevent myocarditis , so again let's use medications that, from the beginning, make sense and we are able to prevent those long-term problems, the long-term problems after day 30 have more to do with cleaning up what is left behind and, uh, I don't know tries to treat the basic disease by allowing the covert to be approved faster if it doesn't.

I don't see that it's not the virus that kills the patient, it's the body that kills the patient, it's the super overdrive of the immune response system that hits the cytogram hard, that sets the plot, that has all the other things that come into the picture, so for me it's not It's not about the virus, it's about the body, the body and the body's immune response, how do we prevent it? How do we reduce it? How do we deal with it and then how do we deal with the consequences of that? Yes, I'm already dealing with the consequences of that. that up front there is very little left, so I don't think we are going to have much of a long-term future at least beyond six months in India in my practice I have not had too many people beyond three months 95 98 of have fully recovered in three months.

I have some that come back four months or five months saying I have some headaches. I have some pain in my body. Is this forward? This is not forward. That usually goes away if putting them back into position again is about treating the underlying inflammatory problem that they have okay thanks daryl and I wanted to pick this up for the cool beans here cool means my number of patients that have had it managed are less than the 6000 with daryl but even from my own experience, you have been with me for about a year, a patient who became a long term patient after recovering and in a week, a patient who was a cancer patient for two and a half months and then a patient I just discovered a month ago. about a year later, but it's a common thing that you're seeing with Daryl and I, and I think with a lot of other doctors who are aggressive at the beginning, if you manage patients aggressively from the beginning, you're actually preventing them from being covered for for a long time to have those after-effects as Dr.

Hector Carvalho says and they end up in bad condition when I receive love patients I feel that some doctor managed them badly, not intentionally but maybe without knowing maybe there is not enough information they manage them badly if the management is done early and aggressively the long coverts don't It doesn't happen, that's what we're seeing with Daryl also with Daryl, your talk. I think if we can remove all of Dr. Bean's talks and leave this talk here, he would continue to serve humanity for a long time, so thank you for saying thank you. You for this, uh, tell me these patients with diabetes, you said they are the most common ones who ended up in hospitals or dying, how have they adapted, have they changed, have the results improved or is that still a bad state?

The results improved from the first diabetics. I had just treated my first patient, a diabetic who died. She came to me with an oxygen saturation of 35. Okay, 35. I told her, "you know," our patient is not going to live. She had a blood sugar of 520 when she came to see me, he controlled it, but I didn't actively monitor it and I ended up admitting her three days later and she ended up passing away two days later, so you know she was pretty bad when I came , so that was one of my first diabetes patients. I learned a lesson with diabetes.

I treat a diabetic and day four like I would treat a normal person on day seven, so day four for a diabetic is the same as day seven for me. I get very aggressive with them from the beginning I want to check their sugar levels six times a day, so before breakfast, two hours after breakfast, before lunch, two hours after lunch and before dinner, two hours after of dinner, and moderate your uh or titrate your oral antidiabetic medications or insulin to In fact, I did it as I got busier, you know, up to 60 cases a day in 70 cases a day, which is crazy.

I ended up being, you know, asking another colleague of mine to join me and treat these patients, just part diabetic. So I work in partnership with another gentleman and he is very helpful in diabetes management and has been. You know he can control sugars. I can control the craving and you know. We are watching sugar and we are watching. the oxygen saturation ratio, so together today our diabetic should not should not regress.If you can control that sugar I have goals I want to see fasting at 70 80 90 100 at most I want to see postprandial, that is, after breakfast, after lunch, after dinner between 1 20 and 1 40.

If not, we are having problems , if we allow it to go up to 200 post perennial we are in trouble, we allow fasting to go to 150 when there are problems so I really want it at that level so I set it. Those levels from the beginning and I can manage them, so I not only manage the schedule, so I treat the diabetic on day four as if they were the same as a normal person on day seven, then I treat them more actively, but I also manage the sugars. food by food it makes sense talk to me so uh so while you're talking about these things I'm continually thinking here's a doctor talking you're talking so fluently about various cases you're talking so thoughtfully about how you coped and how you changed and how you learned and I was thinking, believe me while you were talking, I was thinking about protocols, algorithms, the rules and regulations in our Western countries have made our doctors not realize how clinical practice is developed, how a doctor learns how to manage, I used to say that in Pakistan and in India, doctors have to figure out how to manage their patients, they have no choice and here they are, they are figuring out how to manage their patients and they are adapting and We are managing patients, so thank you very much once again.

I continue to thank them in my heart and now also verbally. I want to ask you the next thing, so if you're ready, some Cool Beans questions here too, um, so let's take Yes, thank you, so I'll start with Dr. Ariza, what are Dr. De Mello's thoughts on these biases as an underlying predisposing factor in immune dysregulation in those who become highly coveted, so bio nick, I don't know what, yeah? "I'm not sure about the question and I can't give you an answer because I've never seen a patient like this in my practice, so my apologies, I don't think I have an answer for you," Kelly says.

Is there a natural source of colchicine type compound that one can use if they cannot afford it? Causality is a very cheap medicine. It is probably one of the cheapest medications you can get. It costs approx. I am giving? 34 rupees for a strip. 10 tablets 0.5, so 34 rupees is about 50 cents, so you are looking at five cents per tablet and it is an easy medicine to use, it has its benefits, it has huge benefits in greed, especially in the doses that we use . one milligram in the morning and half a milligram at night, it's a no-brainer if I use the word uh as an anti-inflammatory, okay, it's one of the best anti-inflammatories you can ever use and I gave you the rational explanation up front.

Why did I choose calcium? I was looking for a medicine that matched the Tosos map. He wanted interleukin 6 to look at 1a in an attack targeting interleukin 1a cautiously and gave me the steroids that are vaccinated with methamphetamine. Generalized immune system.suppressant, I call it carpet bombing, okay, I wanted the sniper attacks and with caution and I got the sniper attack, uh, without the carpet bombing, I can always come back and use daxometers later if I need help, but if the sniper can't do the job. just, then you bring in the guy who bombs the carpet, okay, that's how I work, okay, I'm a doctor, so that's who I am, I love it, I love it, so I think cool beans are cool beans, our community is of approximately one million. now and I think you can tell when you hear a doctor who is from uh speaking from the point of view of clinical experience uh urban agarwal uh thank you document for inviting a great doctor like you, like dr. give it to me here, the role of mefinic acid mefinic acid in greed management I can't talk about other people I don't use it in my practice so I'm going to be very direct I will apply I will give answers to what I do in practice I can't talk about other people Okay , I don't use it in practice, perfect Sumeet Kasare, he is also a doctor in India, what is the exact dose of the cultural scene?

It's 1.5 milligrams statistically and then 0.5 milligrams after six hours, so thereafter 0.5, what are your cultures on the protocol? My protocol is pretty simple, it's one milligram in the morning and half a milligram at night. I have tried everything. I have tried one milligram three times a day. I have tried half a milligram once a day. In the first few cases what I found gave me the best results was taking the two 0.5 tablets that we have, we get 0.5 in India so 2 tablets is 0.5 in the morning after breakfast and 1 0.5 tablet after dinner. Works. It's like magic guys, that's the dose that works for me, it has worked really well for me and I hope and pray that it continues to work the way it does even with all the variants.

It continues to work the way it has worked. The underlying premise is very simple, it's one of the best or one of the best anti-inflammatories you can get with targeted approaches, not these, it's not the carpet bombing approach, steroids do it, thank you dr. ahmed hashmi, dr. give it to me, using fluvoxamine or cipro heptadine, or I don't. use either one, I have considered using fluoxamine for someone with brain fog and concentration problems and all in the third month, but he did very, very well with calcium and dexamethasone in four days, his brain fog went away with just the combination of these. two and then in a month, the guys I was went back to the same as before, so again it's up to you, you have to make that decision.

Am I going to add fluvox to it or not? I haven't had to use fluvox media. because I use two medications in combination which is calcium and dexamethasone in the zip code if you have brain problems they both seem to work very very well so I haven't had the need to use them I got it thank you so I was looking here on the Twitter side. a question for you on Twitter what is Dr. Demaio's current thinking on the use of colchicine in his coveted 19 treatment? He's just talking about it. I want to add part of his question.

Does he still use crops on day one of today's symptoms? 180 maybe 18 is what they wanted to write down and then what the dosage is so start day one. On day one I start the dosage of two one milligram in the morning and half a milligram at night, so we are talking about two tablets and one. tablet, from day one to day thirty, depending on the result of the inflammatory marker test between day 30 and 35, then I will decide whether to continue with the same dose or reduce it. I can reduce it to half a milligram in the morning and half a milligram in the evening for the next 30 days and the third 30 days which are 61 to 90 I can go to just one tablet or 0.5 milligrams per day and close it at 90 days, again depending on the patient's clinical situation. you know there is no fixed protocol in general, I have a general protocol in place and I think today it is on local websites in the US my usual protocol, the problem I have is that you have to adapt that protocol to each individual patient, There is nothing fixed.

You cannot say that you are going to achieve this or that you are going to understand that you have to treat the patient as they are. Makes sense. One more Twitter question and I hope all is well. I know it's getting late. It's night in India, no problem sir, thank you, thank you very much, I appreciate it and thank you from all the great beans here too. Vitamin D, so the question is that it is suggested that vitamin D at around 950 nanograms per milliliter is safer in the long term. you still suggest levels 60 to 100 at all times vitamin d levels i suggest 6200 because i suggest 6200 at covert times if you are above 60 and below 100 trust me on one thing your code attack will be like mine , asymptomatic.

I never knew he had Kowitt. Again, I will talk about my story and I do this with patients. I do it with all the patients I have. Someone wants prophylaxis. Vitamin D is my number one for prophylaxis. Well, I saw my antibodies disappear. zero six uh in May point one six point two eight point three eight point five eight point seven eight and I finally crossed the border in uh one when it got to one point one six the day after Christmas that gave me the positive antibody results today My antibodies, the last one I checked was two weeks ago, was at 10.8, so I continued exposing myself to patients without wearing a mask, but beyond a mask, I don't wear gloves, I don't use a bp kit.

I wash my hands, I keep three to four feet of distance between patients, but a lot of times when you're dealing with a patient who's maybe the eighth or ninth and they're clotting, you're not sure if this patient is virus-free, I want say. free of live virus, they may have dead virus, are they free of live virus or not? I take a risk if I have to go on and treat a patient. Sometimes I have to go to someone's house, you know, and again, but again I've seen it. My antibodies increase over time and I can attribute it to only one thing: it's two things, actually one thing is vitamin D.

My vitamin D levels are in the 90s at any time when I test it, it has to be in the 90s, otherwise. I know I'm in trouble. The second thing I do is take a precautionary tablet every day and I take it regularly, Monday through Friday. I don't take the average. I know a lot of people say to take hydromagnetic prophylaxis. I do not do it. from the camp that says you have to take avermectin every week if someone is traveling and Isaac is going to be exposed, I will prescribe it as a prophylaxis. I take ivermectin when I feel like I've been overexposed.

Yes I have been overexposed. I've seen too many patients during the day five six seven eight nine ten acute patients right in my face. I'll take a Mexican hour late that night or early in the morning the next day to clean up any viruses so far that have worked with the job. For me, I probably took about eight or nine ivermectin tablets throughout the year, between May 1st last year and now, wow, what a hairline, so this was always my fascination, even when I was studying and I used to go to the rooms and listened. to our teachers and they talked about medicine.

I used to be fascinated with the thought and the way they would reach, so today I have the experience of listening to a doctor and his thoughts. One more question, the bouncer says what Demelo will recommend for long-term travelers. months of being sick with shortness of breath, fatigue and muscle pain. I'm going to make some recommendations. I haven't tried for over a year. I have treated some people for up to a year and they are not from India. I'm out, I've had success, I've had quite a bit of success with some patients, mainly, I've given them calcium in plus uh tropido grill for some time and dexameters for some time, so again it's a combination therapy, calcisin could be standard therapy of three months or four months therapy, but many of them have improved by 50 percent.

Now you come and see me with a lung function test that shows 50% fibrosis a year. I'll tell you what, it's not possible to clean that line. Okay, you come to me in two or three months, with a CD scan severity score of even 15 out of 25. I'll clean it up, but how would you use it? I mean, I would use the calling system. Excellent, I think we lost Daryl again. I'm trying to see if we can reconnect with Daryl, so while we wait for Daryl to come back and reconnect, I was so proud when we were talking to him about vitamin D early on. great beans, we have all heard about the importance of vitamin D and from various studies and we continue to use vitamin D, so I am very happy to have worked with vitamin D.

We try to understand the other supplements. We started using avermectin wherever we were. Could at the right time. All this was not planned. It's not like I had a plan before the pandemic to say I'm going to go in and do the following things. It just happened and we all got lucky together. I'm sorry. Daryl we miss you I'm back with you we're the outreach network I think again don't worry welcome back so we were talking about vitamin D and you were talking about colchicine and vitamin D to you and prophylaxis, and now have your antibodies there as well, so you've managed the virus asymptomatically correctly and I've had a lot of people who have done prophylaxis.

I work with corporations, a lot of the corporate entities in India work with me to protect a lot of their staff and protect some of the data centers and all that, for me it's about knowing that you can't close certain companies, you can't close certain things and you have to keep them open, how do you keep them open? you give them, you give them vitamin D, which is really high value, bring it up. I fixed it. I need to see your vitamin D above 60 and I don't care what I'm going to do to get there. happens and we try to get it to 60 70 80.

This is what happens most often, it happens most often that the executive or that hospitalized patient or that individual will test like antibodies. We pick up people for antibody testing every month or twomonths and your antibodies come. positive and some of them have very high antibodies, but their vitamin D is equally high, so you know it's all, it's all good in the end so that people don't get sick, they're not covered and again my belief is that once You've had a coward, I'm going to do a screening, I don't think they'll cover us again, so you know, yeah, Daryl, you can change your name to Mobine and you should start calling me Daryl because these are the messages that I've also been giving that once it comes out so protect yourself now stay safe now it's going to disappear so thank you very much.

I have a couple more questions that are important here. One is, uh, Maya Menon says, is that right? is it okay to take the co-vaccine or Kobe shield as a second dose after taking pfizer so she traveled to india she is there she had taken pfizer now she will be there for three months she should take other vaccines um maya that's a good great question uh ya you know I would just do the Kobe shield again or if you want to talk to me and I will protect you with other things like vitamin D and calcium and give you a complete plan, you can just do the Kobe shield.

Be careful when going to the vaccination center so as not to contract the coveted infection in and around the vaccination center. What we are seeing is that many asymptomatic patients, patients with acute covariates when they are in the pre-symptomatic phase, go on to receive the vaccine. without having the symptoms they end up transmitting virus by breathing to other people and some people who would go to get the vaccine come back to me on day seven with Frank Covey so be careful with that maya okay I'm in Mumbai if you're in India, Call me sometime. Yes, no problem.

A doctor speaks excellently. So Dr. Ahmed Hashmi says that dexamethasone does it and he had asked another question about the number of days. Would you like to tell us in general? Dr. Amir. I used the low dose dextrometer in the oral treatment protocol, preferably oral. Well, then I use one milligram of dexamethasone three times morning, afternoon, evening, initially for five days and then I reduce it to almost zero for the next 10 days. I'm a full 15 days in, but it's usually the first five days I haven't tried it seven days or ten days I seem to have had it good when I'm successful patients who are plotting when I have unstable patients someone whose oxygen saturation is 60 66 79 81 85 I'll continue with four milligrams of dexameters by intramuscular injection once and then do it twice for three days before moving to the oral route, so I will change depending on the patient's situation, okay, and again they will continue or stop their line of treatment. or change your treatment based again on the improvement of the oximeter reading if they get to 93 94 95 we're done then it's a recovery you know if I can bring someone from 65 60 66 79 to 94 or 93 or 91 then I'll wait three days before I get the next point, remember when you have these acute patients, uh, the profit, even if you get a profit of one point every two days or every three days, I'm happy with that.

I have a saying. I have a mantra. I have two. months I will talk about my second a little later the first mantra is uh you know, perfection is the evil of good I want a good result as a doctor I want a good result I don't want a perfect result so I am willing to take compensation, uh improvement to over 95 and say I'm fine with 93 for now, eventually over two weeks or four weeks it will go back to 95 or 96 and I've had people go back up to 98. within 30 days for these things to happen, you just have to have patients with them the way you treat them, the other mantra I have is treat first test later, don't waste, don't wait for test results, okay, in the moment use your clinical skills. your clinicjudgment, that's what I use, you have a covert character sir, you're going to start treatment right now and I don't care what your stuff is, it's usually based on your symptoms, it's based on your oxygen reading based on your temperature , so whatever the status.

They come to see me, it's a treatment, the first test after, okay, excellent, thank you. Some more questions. I know we'll arrive in an hour and a half. uh, Urban Agarwal says: Can we start with 10 milligrams of Rib Rock Server on the first day or wait until the diamond report comes in? High risk patients thanks to both, can actually use any anticoagulant cap they want on the first day, the sooner they use it, the better. Don't wait for their dramatic report and again, the dramatic report is more of a lagging indicator, it's not. a leading indicator, but crp is a better leading indicator for me.

I would rather use the crp than go with the d-dimer. The d-dimer for me is like yesterday's story, what happened yesterday or the day before yesterday tells me today, it is already plotted. I want to know what is happening today, which crp is more important, so for me I give much less importance to the drink. I don't really order the drama now I use my clinical judgment and continue with the treatment and Of course now I have standard protocols like the tree drug regimen, you can use whatever anticoagulant medication you use, you can use it comfortably, but it starts on day one , don't wait until day five or seven, okay, you got it, thanks, William Gough says, uh.

Dr. Demelo It is claimed that the Indian variant is more contagious than the previous versions, but do you think this new Indian variant is also more lethal than the previous versions? William Goff Bill. Thank you, thank you for that question. Great question, let me make this Indian variant very clear. The new variant that we've had probably I'm talking about we've had multiple variants, there's probably 100 more variants. I think the new variants are very transmissible. I have had families. 16 members of two families fell ill. At the same time, it is difficult when families get together, everyone will get sick from transmissibility.

It's okay, though, it's less virulent because it's less violent. You will not have the symptoms that you have with the first variant. I don't have those symptoms and people are still stuck in their heads with fever as a symptom, you know, and even the doctors told me that we had malaise, you know, ten days ago, nine days ago, yes sir, that's a symptom , simple discomfort, lethargy. body a headache something where you say I work too hard today let me take a paracetamol go to sleep you know release my body pain go to sleep that is your day one of your symptoms you have to go down to that level the problem we are having inside with a less virulent uh virus because patients have less symptoms, they're sitting on the symptom, they're trying to self-treat, they self-medicate, so they treat themselves with parasitic mold for one, two, three days and then they're going to the family doctor that says, oh, let's wait and see, let's take these medications for two or three days so when they actually get a diagnosis this day seven, they actually get to the hospital, let me know, it's day nine, day eight or nine. your severe CD scans may be 18 at the time so the delays are what is killing people it's not the disease the disease is a 14 day disease so from day one to day 14 it follows Likewise, the parts of the disease remain the same.

It's just that the violence being less violent means fewer symptoms means that the patient isn't being shaken and told that you have something wrong and it's creeping into them before they realize it. I'm giving you the example last night. I had someone, was it last night? I had someone send me a WhatsApp message with the scan report for the 14x25 CD and I spent a minute writing it down. It's like I'm coming to your house or you're coming to me. house so for me to go to your house it's an hour by car it's easier you come to me I invite you you go home then I don't waste three hours so he came they treated him today his espio was 98. look at that day his espio was 95.96 I could have caught it.

I started my band Knox on the spot the moment he came to see me before I did anything else. These are things that you have to do as a doctor, you have to make sure that your patient is inverted or stable to stabilized and then inverted. I like to see my V-shaped recoveries. I get a lot of B-shaped recoveries. It's just fascinating to see the type of V-shaped recoveries. I get amazing. Thank you very much, so, uh, gorilla, you actually were. In the middle of answering your question and when the network went down, so Dr. Ravine, can you ask Dimelo to answer my question about how to fully treat lung tissue problems?

The bad connection stopped, so lung, lung, how do we clean the lung? Well, let's talk about the day. four one to fourteen and we'll talk about that later, well, from day one to fourteen, if you have clots in the lung, use oxygen, use calcisin, to treat the lung problem, try to reduce the number of clots in the lung in the first 14 days, okay, so yeah, you'll follow my standard practice for the anoxic pattern, which is lavanops in the US, is to use 60 milligrams bd twice a day, morning and night, for five days and then I do it once. one day for 10 days I could do it seven days I could do it 15 days depending on the load or depending on the severity score I decide I'm going 15 days I'm going 10 days I'm going 5 days 7 days oh am It's going to take 21 days so that's the first part now when I get to the second part, which will usually be in the second month, so between 31 and 30 and sorry, 60, you know, then I'll make a decision based again on a CT scan. score depending on the score, the score is 12 10 12 14 15.

I will go in immediately with enough time and call system and give them one a day for the back, 60 milligrams, one a day for 10 days, 15 days maximum . You can get very good results with that, so that's the way I treat it now. There are other ways to treat. I'm sure there must be, but I've had great success with what I do and I don't see any. It is necessary to change those treatment methods, those treatment methods make sense for now. Thank you so much. One last question. So Dr. Sumit Kasari says, when does he recommend CRP and CBC on day five or at the beginning and then repeat it later?

Actually, I don't. I don't do any blood work at the beginning, if I do a blood test or a CD, crp, cbc scan, it will be on day six, seven or eight, when someone is unstable, their oxygen reading is between 93 and 96 and, sometimes, you can have that. you may have an oximeter oxygen saturation ratio that shows 93 when they exercise or walk at 96 when they are lying or sitting in bed so when you see that bounce, keep in mind that plot is happening so at that time you can do a crp you can do a cbc by doing a crp here I am going to give you advice from the beginning and this is advice for everyone in the world, it is okay if your crp number is greater than 30 come in with a burst of steroids the patient hits to the very strong patient on steroids you will get instant success you will get really dramatic success I stay on dexamethasone okay I get great success if there are crv numbers above 30. below 30 no matter how much steroid you need you can hit them with you you won't get the success you get with something if you see a crp number at 140 at one at 170 or 89 or 79 hit them like steroids they will bounce back over the next day or two of course use an oxy pattern also use your call or your anti-inflammatory, whichever you are using, you will see good success, this is again, an observation that I had when I saw that a crp number of over 30 was very good.

Success vs. Under 30 I'm Not Very Successful Okay, I get it, Daryl. Thank you so much. This was so fascinating that I didn't want to just do the interview. I just wanted to hear from you, so thank you very much for this. Great service you are doing and then sharing it, I am sure as you saw there were so many doctors here too, people would pick it up, they would use this, they would serve, they would save people, all the credit goes to you and your work, thank you. Thank you so much for being here, thank you Dr.

Mobien, it's been a pleasure being here with you and the Cool Beans and I hope and pray that we can get back together and share some more stories. We can kind of talk about different aspects of the cohort, uh, at some point. in the future, so now you're a cool bean too, we're actually planning a 10-20 hour long Q&A session, so if you want to join in the middle of that session sometime next week, I'd love to have you with us. for about an hour, absolutely, sir, so thank you very much once again for your time, thank you very much from Cool Beans and as you can see, there are many thank yous and this is just that you are a very popular doctor at this time and thank you for your clinical work, I'm overwhelmed, so thank you and thank you very much, great, too, I would see it tonight.

It's been a fascinating experience, that's all I can say. It has been something out of the ordinary. The global experience I have had treating undercover patients in India is out of the world, yes, thank you, thank you, thank you.