Comments by "F Liu" (@F_Liu) on "Channel 4 News"
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@gregoryjones2457 I am not an expert of anything and I don't study into fine details of these research articles, I just summarise what I think was important and interesting from my Chinese sources. So about the latest autopsy carried out by Dr Liu Liang, I didn't find any English article about it, maybe it is out there but I did watch an interview by him to the Chinese state TV and there are some articles in Chinese about his findings. I used google translate to translate part of this article (http://m.xinhuanet.com/2020-03/03/c_1125658547.htm) I found online in a very quick search and quote below (I would not know if the translation is accurate as I am not a medical expert and don't know these terms) : ''The report said that the damages to the lungs of the deceased were obvious. The inflammatory lesions (grey-white lesions) were concentrated to the left lung, and the lungs were visually patchy. Gray-white lesions and dark red bleeding were visible. A large number of sticky secretions overflowed from the alveolar surface and fibrous strands were seen on the section.
Consider that the ground-glass opacities seen in imaging correspond to the gray-white alveolar lesions seen by the naked eye, suggesting that neo-coronary pneumonia mainly causes inflammatory reactions characterized by deep airway and alveolar damage.
The report believes that the pathological features of neocoronary pneumonia are very similar to those caused by SARS and MERS coronaviruses. However, from the general observation of systematic anatomy in this case, pulmonary fibrosis and consolidation are not as serious as those caused by SARS, and the exudative response is more significant than SARS. It may be related to the fact that this patient has only 15 days from diagnosis to death and a shorter course of disease, and more systemic corpse examination data and histopathological verification are needed.
Liu Liang's team found that from the section of the lungs of the deceased, mucus secretions could be seen. Liu Liang made an analogy: alveoli are like the front-line battlefield, mucus disrupts traffic, oxygen cannot be sent, and front-line positions are easily lost. At present, ''road'' opening is the key, but now ''roads'' are blocked.
An autopsy does not guide medical staff to intervene in all cases, but for lung mucus problems, you only need to dilute the alveolar mucus, such as turning back and patting the back, using sputum medication, can change the situation.''
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The following is a comment reply I received earlier, please read it and pass this message to more people.
安之若素
I am in China and this is a preparatory disease and no one encourages wearing face mask in the UK as preventative measures but only washing hands which is to my surprise. The statistics in China is that 50% of the patient do not have high fever at the start and even with no symptoms but very contagious during the incubation period (14-28). People get infected in just 15 seconds interactions. 1/5 will develop sever conditions which need to be looked after at intensive care/ critical care and 60% of these serve cases will result in death. Pls. keep in mind that in 2 months, China has built 2 new hospitals ( 2000 beds ) and 25 container hospitals for containing the virus of the infected. 40K medical staff had poured into Hubei with its own 150K medical staff.
Sth more from a person from wuhan
I'm a Chinese from Wuhan, I hope anyone who sees my message understand/spread out my message that all big metropolitan cities around the world should adopt measures such as the 1000-bed makeshift hospitals that accommodate the coronavirus carriers(including asymptomatic and suspected cases) to prevent more healthy people from being infected . Don't let those mild/asymptomatic virus carriers off home because they will infect their family members if they don't live alone. The coronavirus has long incubation period (can be up to 24 days, before people realise they are infected), and long therapeutic period (which means occupation of the hospital resources for too long/per patient in hospitals), mild-severe patients will soon flood hospitals needing some level of medical intervention, but hospital beds won't be enough in any metropolitan city (Korea/Italy are both already experiencing tsunami of incoming COVID-19 patients in hospitals, which is exactly what Wuhan hospitals started to experience in mid-January until recently, a month after Wuhan lock-down). If these mild to mid-severe patients can't be treated in time by professionals, many of them will develop into severe-critical condition patients, and may die eventually although they could be saved if medical intervention came available earlier in their illness development. The only effective measure to stem the spread of the virus, and to lessen pressure on public health infrastructure is to identify anyone who may have been infected (adding the result of Computed Tomography Scan result showing lungs infection images into clinical diagnostic criteria to aid diagnose, relying solely on virus test lab results could be misleading and wrongly releasing virus carriers into society, which in turn seed the possibility of more people infected) , isolate them into quarantine locations stringently and immediately. This is the only way to reduce the amount of people that may die caused by lack of medical resources. Otherwise the death rate of the COVID-19 will be far higher than 2%.
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