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COVID-19 Update with Dr. Roger Seheult

Roger Seheult M.D.
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Dr. Seheult, a critical care pulmonologist, shares the latest details on the COVID-19 outbreak and also some practical things Seventh-day Adventists are uniquely positioned to do in the midst of this crisis. Dr. Seheult has also been sharing extensive updates all throughout this outbreak via his MedCram YouTube channel.

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Roger Seheult M.D.

Assistant Professor of Medicine at Loma Linda University

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  • March 21, 2020
    3:00 PM
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Looks like we are now live I want to welcome everyone this afternoon to a special time where we can get code Bed 19 update from Dr Roger Well again we're so thankful that you're willing to take time to give us this update and I'd like to begin with prayer asking that God will bless our time together so please your heads with me and then we'll turn the time over to him that spring Heavenly Father we are thankful for your goodness and your love we are thankful that you are in full control of all things and again we just ask that you will bless our time together as we I think upon these things and how we can be helpful in this time of crisis thank you again we love you in Jesus name Amen. Ok Dr swell thank you again for joining us the time is yours. Thank you very much Rodney So good afternoon everyone and today is. March 21st and we're talking about coping 19 which is the disease caused by stars to the r.n.a. virus which has literally taken the world by storm started in late December and now we are more than half way through March and we're starting to see and I. Wanted to kind of bring you up to where we talked about last week where we are this week obviously a lot of changes have happened in the last week. And there are all related to trying to work towards reducing the amount of the man that is going to be needed on the health care system here in the United States and around the world we're seeing images on our news the on our television about what is going around the world we can see here in. In. Italy coronavirus patients it says it's on Apocalypse war gas bubble helmets as army moves body you can see that these patients are being hospitalized in Italy and there are then a lot of issues regarding that right now Italy has surpassed China in the number that is surely and also in terms of the number of unbacked that I think what we're going through what the purpose of what I'm going to do today is tell you where we are right now what the strategies are that have been employed here in this country where what is the possible on the horizon and what we can do I think one of the most important things to understand right now is the way we're practicing medicine is not the same as we're going to be going forward there's going to be different rules. I think a catch phrase would be. The good is not the enemy of the perfect What is the for the perfect is the world that we used to know in terms of how we practice medicine. We had enough equipments we had enough supplies we didn't use medication unless we had evidence for it we would need to have a randomised control trial. Double blinded civil controlled trial before the f.d.a. would approve medication. Those are all very good things in a very controlled situation but when you have an emergency situation and by all accounts what we have right now is an emergency situation we I'm a pulmonary critical care physician and I work at a hospital and our hospitals both of them that I work at are preparing for an emergency situation we have had the benefit in this country of seeing other countries going through what we are about to go through and there are certain things that we do to prepare for that and they are preparing for that but I want to show you what what we really are up against and why we're under the isolation things are very important for you to understand this video in my estimation the information on the about to show you in this video is only one of the most important videos that you're going to see. All year. It's terms of what to do to prepare so please if there's anybody that's around them down and watch what we're about to go through the family work for you and your family and. So what I'm showing you here is a p.d.f. that was that was a study that was published from the Imperial College in Great Britain looking at what they are preparing for firms up hospitalization. You can see here is a a table looking at different age groups 0 to 9 and one of the things I had a blow this up a little bit more so you can better. 0 to 9 the number 1st 1st hold is the number of fanatic cases required hospitalization the 2nd column is the number of possible life cases requiring critical care and the Last Call is the infection big calibration this is based on current estimates based on what they have seen so you can see here 0 to 9 very very low. All the way up finally to 80 plus years of age when there were percent requiring hospitalization upwards of 27 percent. Percent requiring hot critical care 70 percent of those hospitals that it was patients and then the infection victimology ratio is about 9.2 years also say this is if you take a new look at the population if you look at the number people are deemed to be in fact. The same the statistics show that about 80 percent that's a very important number 80 percent of the people who will come down with this infection will not will not need to seek medical attention at the hospital about 20 percent of those patients will need some sort of hospitalization or at least medical evaluation and it's not 20 percent about a quarter of them so 5 percent of the overall population roughly will need critical care critical care that's. Now. That doesn't sound like a lot of just one percent but we're talking about tens of millions of people in just the state of California potentially that might get. Infected and we're talking about even more millions of people in the United States not even mention worldwide and so when you multiply that 20 percent by a very very large denominator the entire process can become so large that you could potentially and will overwhelm the ability or the health care resources to deal with you and to take care of you. And that is why and so there's 2 issues that this won't be very clear about this there is the the demand side of the equation the demand side being the population the percentages that need care. Of the equation that is how many hospitals that we have how many ventilators do we have how many physicians do we have how many nurses position assistants nurse practitioners rest of their this pharmacy is an all hands on deck situation. And so they obviously to quell or to prevents this huge Schurz from hitting the hospital all of the same time which would well which is what would happen if you had all of these people in from the u.n. and passing this virus which is very infected all around the. It would be a huge tidal wave a tsunami hitting this hospital and so what they're trying to do is flatten out next and I'll show you here in study as we scroll down some of the things you can see the expenses out there lation this is the sobering graph and I want you to understand. Here this black for that filling up is the do nothing you can see the number of people that they're expecting over here on the far left this March 20. And as you can see here on March 20th where we are right now so this is obviously this is the common many people are saying you know people die of the flu every year we haven't seen any deaths what is what is the big deal why are we this is the government trying to usurp power you know not very well maybe in situations you know the government is not monolithic there are a lot of people in government but what they're doing is for a good reason because you can see if we do nothing there is a very very large hideaway that is going to hit the health care system. And so people who need that health care system or other things it's not even covert 19 let's say they get an ammonia from another. Diabetic issues or they have high blood pressure or they need surgery or they have a go bladder attack it's going to be so saturated that they're not going to be able to get the surgery. Here if we close schools and universities then we have the green curve so I guess it's it's not bad but it's less bad than doing nothing what about case isolation Ok this is what they would be if we did Case isolation household quarantine this is what the yellow for and if we did all of those case isolation a full warranty for what this thing great is 7 year olds we could get this for down to blue so there's a lot of things that we can do the problem is is that this red line which I haven't mentioned at this point is the capacity of our health care system at least according to this paper in the u.k. and the u.k. is not that much different from here in the United States so you can see that no even though we're doing all of these states there is going to be a huge problem and to bring a little bit closer to home I think well what the governor of New York. Governor Cuomo said he has put out some actual numbers he's going very very telling straight up very sobering they insist to pay that they will need to have 37000. Of them in New York state and they have only 3 out. They insist of paid 100000 that's they only have to be $3000.00. And so we're trying to be very creative in this I've part of a planning committee here locally and what we're going to do there is talk about taking ventilators and ventilating to people with one ventilator at the same way you can double the effect of a number of people while you're waiting for new ventilators of course there are very very famous C.E.O.'s who own very large hard companies that are turning their companies over to making ventilators. We can to make this and then. We're we're taking a ventilators and ventilating to people clearly this is not the perfect this is a less than perfect that we're talking. So you can see that this is what we're doing and there's been a lot of attention being made to the supply side of this equation to get the beds the hospitals the ventilators to meet this search and we're also trying to do a lot on the demand and how are we doing that it's with isolation and that's the reason why I'm not there meant the search for this presentation and you're not there and I can't see your face the reason why we're on the Internet because viruses of this type who are on a virus can't travel through the Internet there are other viruses that can travel through the Internet but that's why we have our our antivirus is loaded on the computer and they don't help. So you can see here that there's a number of the things that have gone through this and if all are very up to date on what's going on they have a lot of different you can look at that study that was put out might be here all of. So let's go back a little bit and talk because we're looking something like this we have idea why why is this happening and what should we do about it and that's what I did when I was looking at this is let's take a picture must back what is going on because. When you're put into a situation like this you have to think. You have to mobilize you have nothing there's nothing that is off the table in these kinds of situations so in my mind I thought was the last time something like this happened in our country and what did we do about it and I'm thinking back to the 198990 pandemic of influenza which was a horrible and and it hit particularly the young and able when I think I'm talking about people in the twenty's and thirty's these were people that had just come back from the 1st World War they had just battle and they'd come home and this is when the Spanish flu epidemic hit and it hard to give you an idea the case they tolerate was somewhere in the range and for some individuals for some pastas it was as high as 30 percent for instance pregnant women suffered about 30 percent cases polity if they were to catch the influenza virus and so this paper that I'm showing you here goes back and looks what it was that how now this actually is a story that kind of meets up with us today because one of the medications it just announced in the 1899 thing actually 4 years earlier in 8099 was Bayer Aspirin aspirin was a force that was and said and it was a great medication to be used to treat ever and so this paper goes over what it was that happened with Phyllis the late string that. They thought about the high case to calibrate especially among young adults what we what the philosophy was time was a lot of people were dying of the flu they felt was because of high fevers and. Dave felt that by getting more and more hours from the truth theater and say patients so they obviously sometimes they gave so much asked in the box and they felt that a lot of people were going oh they couldn't give this aspirin a new they couldn't get asked from the pediatric patients because they would develop prices and as it turns out the young that did not get asked actually have a better case. So just as some show some of the highlights when you look at the Aspen regimens in 1980 we could see that by today's standards they would have reduced the city. So the Salafis cause immediate one toxicity and may predispose the vaccine of by increasing one and protein levels and hearing. Was another one that they had found out and then they looked at the 2 kinds of deaths saw a pandemic those that diapering quickly which they felt might have been due to aspirin and those that died very slowly. From the virus produced. There was also official recommendations for time to use ask list happened right before the early October deaths spike in 1800 so there's a lot of evidence if you were putting together some circumstantial so understand that aspirin was the standard of care in dealing with the flu. So that led me to a little bit more understanding there is this paper that was published in 2004 with her managed the evidence versus term profits and what that they present 2 different types of cancer saying Bieber's harmful how we should treat it and the other side of the evidence that fevers actually going to fish. What I found interesting is fever it says here exerts an overall adverse act on the growth of bacteria and on the replication of viruses in the some papers to back that up. It also has this immunological prophecies including activity of Interleukin one she helped ourselves cite a living she sells b. cell and immunoglobulin says this is the mobility fagots my post was purely a bacteria my colleague Mark for nuclear sites are significantly greater at temperatures above 40 degrees centigrade a fever is the fine for those who don't know at 38 degrees centigrade at that temperature it says here they have a direct positive effect on the site transformation the generation of title that excels be selectivity and immunoglobulins this I don't want is more active f. everal now that a federal temperature and interferon a potent antiviral has enhanced antiviral activity of 40 degrees and so what I what I think starts to emerge is this feeling at least in me that giving and treating a fever that is naturally generated when you have an action may actually hear your realty to fight infection but it could also be that during $1008.00. Aspirin as well. And so what I think what we're headed towards here is let's go back to that not her hideaway that's about to hit the health care delivery system that can handle Let me give you a little bit more illustration about what I'm. There earlier this week there was some discussion from the from the the White House that Hydroxycut 4 when may be beneficial and should be used in the treatment of covert 900 patients this is not based on a randomized placebo controlled trial this is based on a small study although it's very promising study out of the South of France that showed after about 5 or 6 days that Hydroxycut for it when in combination with this real life it was able to basically take 95 percent of the patients and study to have no detectable virus whatsoever as compared to the control arm which still showed all of all of the patients having virus in them again what would we need to have to say that this is actually the medicine that we should use should be a large randomized placebo controlled even though we don't have that data I can tell you personally that there are positions in the hospital that are ready to use this medication to treat these patients if and when they show up fortunately I'm at a hospital where we haven't had yet. But we are ready and we expect the next week based on what we're seeing at area hospitals. The c.d.c. understands that there is a personal protective equipment that is now running out naysay on their own site that bandanas and starts could be used as personal protective equipment once again highlighting this issue we're in an emergency situation that the good is not the enemy. So what we're Do we have evidence a star or a bandana might be beneficial No but we have to realize that the goal in in terms of medicine and being a practitioner is not to practice perfect medicine the goal is to save someone's life and so what we have to do is instead of saying we're going to practice medicine and if you don't fit into our small box then we're not going to feature at all because that consequences of that is that we don't see to it all what we have to do is we have to use our minds rationally and say this is the benefit and this is the rest and if there's something that could potentially have that but has very little rest not something that we might be able to bring to the. But even in this situation after the president announced. The promising findings of hydroxy or quit earlier this last week with then the same day I called around to different pharmacies and that medication was unavailable even though it had been available in the weeks and the 2 hospitals that I work at were unable to get those medications and more from their pharmacy suppliers and so what we have here is the same situation that we're seeing in Costco soon as there is an emergency Poil of papers gone the water is gone the soonest we find a medication we're very much in the situation because it could have taken this years to find the antiviral that does the thing and it might not have been produced production and we might not have a good sick people here with high proxy for this is a medication that's been around for decades we know exactly how it behaves we know exactly what the consequences of it are and we have factories that are already making it and still even in that situation even the most optimistic situation we're having a hard time trying to get that medication out so where it's needed in our current medical delivery system. Fortunately there is a factory that is saying that is donated by millions and millions of tablets to the medical infrastructure here in the United States and there's another factor that used to make it that will start making it immediately meet that now but the point is this is that if we look at this from your early a supply side. Situation if we look at it as only the only way to the solution is isolate and ramp up medical costs were missing I believe is substantial area that we could effect change and reduce that and what is that will remember what I said at the very beginning of the very beginning of the spa I said that 80 percent of the patients that get this virus will not need medical attention and why is that and there's one simple answer the answer is because of their immune system and that's been the big black box that we haven't talked about why is it that some people who use them are able to fight this virus successfully to the point where they get a mild reaction and under able to and we know the answer to that because we've seen the data as you get older we know that pupils and use become weaker and weaker and weaker and that's exactly the population that we are seeing that that is the elderly population and I think the reason for that is because of a whole host of reasons there's organ system issues there's a new system of course but the question remains and it's a very tempting question if we were to somehow augments the immune system in millions of people who are willing to do it would we be able to prevent this surge from happening and I'm not saying that we would do this in isolation or exclusive anything else as I mentioned this is an all on the table situation all hands have to be on deck and all angles need to be evaluated so what I want to talk about are 2 things that I believe that we personally but also as advocates were patients and advocates for our family and people all over the world need to understand that I think that they do. To help them 1st of all up with the Hospital Number 2 by doing so with the search so these 2 things have to have to have very strict criteria because remember we can't even get hypoxic or equipment which is made in a factory to the hospital there is a shortage of that and so this has to be something that you can't go to the supermarket or otherwise there would be a run on the supermarket this is something that we're in isolation we can't go out and get this we have this has to be something that Hosty something's got with augment our immune systems in such a degree even a slight amount would be beneficial that we don't have to leave our homes for and that we're able to do without leaving our house remember it a percentage of all the patients who get sick don't have to go to the hospital that if we are able to take not affected only increases i i percent to $85.00 what that would do is that would reduce by 25 percent the amount of patients that would need hospitalization so there could actually be mathematically a huge effect if everybody did it and there was even just a small effect in terms of that So what are the 2 things The 1st thing that I'm going to talk about I have very good evidence no question about it the 2nd one so that's perfect evidence for the 1st one the 2nd one that I have is I have less than perfect maybe good evidence for but as I said before we're not in a situation right now where we can practice medicine because the good is not the enemy of the. We don't have time for randomized placebo controlled tests we have to look at everything and look at it and look at the risks and make a determination does the benefits outweigh the risks so let's talk about that the 1st thing that I want to talk about is really. So sleep is something that you don't have to go out of the store or you don't have to buy it for those of you who are not in California you may not be in isolation or in New York you may not be in isolation but we are and now you have absolutely no excuse you don't have to get up early in the morning necessarily to be traffic to get into your work. And since you don't have anywhere else to go and you have to come home is something else for you to do when you get help and so I want to show you briefly just 2 studies that are very very powerful so the 1st study is a study here that has to do with active sleep deprivation on response immunization and basically what the results of this study showed was that when you are vaccinated in a sleep the 5 situation the antibodies hiders against x. nation are less than half of what they are if you are getting a night's sleep. Now that has obvious ramifications or about Iris because in this situation they actually use the vaccination of a virus to do it. So. That was using healthy healthy subjects the other one that I want to show you is this study that was published back in 2009 and it's called sleep habits in susceptibility to the whole. And so we can see here that this study to fit the 153 healthy men and women ages 21 to 55 or 30 consecutive and they looked at 2 things the duration of sleep and the efficiency and what they found and and during this process what they did was they actually had a solution full of rhinovirus and I don't know who would do this study for maybe starting students or something like that but basically you asleep by and in one arm and the other on they were allowed to sleep as long as they wanted to and they took droppers may drop rhinovirus everybody's nostrils and they monitor or. Symptoms of the flu will you know that those that were sleep deprived were so down for this not 20 percent more not 50 percent more not a 100 percent more 3 times more likely to get a call from the rhinovirus than those that had adequate sleep so their conclusion was that for sleep efficiency not just duration but also efficiency in the weeks preceding exposure to rhinovirus were associated with lower risk to illness and I can. We can show you the reference for that as well. What were the numbers there then they divided the group into those that slept with less than 7 hours a night in those more than 8 hours and I know you're significant they're well I can't sleep. I understand but now what we have that you have insomnia we need to work on if on the other hand if you're just choosing to go to bed later because you're working on things or on your internet or your own you don't have much of an excuse now this is not our place to go and now there's a real reasons make this a high priority in terms of. So again you're not going to have to run out to the store the vice sleep if you're not going to get to the hospital and we get to the shelf realize the shelf with all the sleep on it is not this is something that you can have any time you need to and this is really more than you would think protects you from getting a virus so this is there is some pretty good evidence regarding It's Ok The 2nd thing that I wanted to talk about and you know this was something that. I wanted to look at a little bit more deeply and and I did and what we found out was that. Goes back to what we talked about in this 1st hour which was fever a sort of the think about this Deaver is actually more heats the something that can kill my wrists as we talked about so we all know during the summer months people don't get colds that's why we call it cold because we get it in the winter months there's been some discussion talk about how the virus is affected by heat and the hope is that as we move closer and closer into spring and summer that the increased heat is going to dissipate the spread of this virus I certainly hope that. There is some interesting information that has come out coronavirus there was a recent study done look at its. Characteristics on surfaces copper metals cardboard it's such a. What they found was that when you went from 68 degrees to 86 degrees that was an increase of 18 degrees Fahrenheit that the time span of survival of the virus was half. So that's $86.00 degrees what would happen if you raise that up to under degrees I'm sure it would it would shrink even more that have nothing to do with where the virus is aperture of the viruses and so you start to think about the uber and the heat and of course sort of think about what would happen if I do there what is hype if there hydrotherapy is a situation where use water to transmit heat the specific area before I guess about though I want you to kind of zoom back with me and think about. So we are in a situation clearly different situation that we were in back in 90 back in 1980 s. I think they realize that they may have killed a lot of people with. And someone as a result of this we started to introduce things in this country to make sure something like that would never happen that's how we got the f.d.a. that's how we started doing randomized placebo in 45 we were not going to give medication to people if it wasn't going to be a benefit for them and so what turned out probably not as a forethought was a willful. Is that we started to develop medications that the only way these medications get to market is if there was a randomized placebo vault where these things were very expensive and the only way you could get these things to market was if there was a financial benefits of a back that testing and so essentially what we have now today because we've gone down this path in the last 100 years is the only things that are indicated for diseases like this are medications that have to be made and have to be deliver and have to be assessed and checked for safety and prescribe by doctors and all of these things have a finite source another words if you overwhelm the system then you cannot get any of the stuff and so what we needed to do as we talked about is booked for something that is outside of that delivery system because as I or its rights you hydroxy Cork when is this becoming difficult and if we have a surge like this how do we know we're not going to have that medication how do we know I just there requires heats and it requires water and those 2 things are available in everybody's house at this point and if it's not if we go to 3rd world countries there are fires there's water it is who is cool water there is as well so this is something intentionally now with the criteria that we've talked about. Not pretty being that it doesn't have to be the liver you don't need to wait necessarily for a test to see if you have coronavirus you don't have to wait for a doctor to see you to necessarily give you the treatment of medication and yet this can reduce the search but we go back to the original papers that were published Newman Journal of Medicine look down the median time from infection of the virus symptoms is about this the median time from the initial onset of symptoms to shortness of breath required hospitalization is 78 days so we're looking here at about 7 to 8 days where you have symptoms that are getting worse body aches here or perhaps shortness of breath eventually where you may be spending precious time trying to get tested and trying to get a prescription for things that might not exist. And so what to do well it's going to be available in your home so let's go back a 100 years and see what we were doing before the f.d.a. says the poor there I said before they were going through what was the standard of care you'd be surprised to know that the standard of care that I'm in pretty much for probably hundreds of years just about every culture was hydrotherapy. You can see here here is a excerpt from a book that was published at the time of the century and you can see here that reports on the local application of call it acutely manya with an analysis of 299 cases treated in this manner by physicians who citing nearly in all parts of the United States this was a remarkable collection of the cases were distributed from the a back to Pacific coast and only deaths were reported the death rate being a $3.00. This is bacterial pneumonia this is not the Spanish flu but not forces of that incredible mortality rate this is what we did and so to say at this point that one should do nothing because in the onset of symptoms to hospitalization with not be going back 100 years it would be going back to the Middle Ages it would be going back even further than that I'm sure they were probably been there in the late so the question is as we've gone down this road and now for some reason we can only thing that we can actually the only thing that is affected is stuff that the f.d.a. has approved let me just tell you right now at this point I have absolutely no randomized sympathy for files that lead works in Corona virus I have absolutely no randomized placebo for files that show the hydrotherapy works in Crown Heights if I had to sit here as the f.d.a. chief in tell you what I recommend these 2 things the answer would have to be No I don't have those and that's what we. Were But we are no longer in a perfect metaphor we're in a world where the c.d.c. is recommending scarves and bandanas for prefer for personal protection if you run out of people. So the question is this what is the evidence for hydrotherapy in this kind of situation something that is available to everyone at home to take a look and see what the clinical status is of hydrotherapy in an evidence based record because it's for you I don't want to go through all of this but as you can see I'm going to shrink it a little bit here so we hope and I'm on there there is huge literature to go through. Ok. Not just coronavirus there's physical fitness conventional therapy I'm not going to and you can see here all of the studies that look for multiple sclerosis for instance and I want to show you that this is not an area. It's definitely an area that looks and will continue but what about our discussion here with us here is a study that I found that was done in human beings not in my not in rats but in human beings that's called immune changes in humans during cold exposure acts he didn't exercise before we go on let me describe for you what the current what the practice of hydrotherapy a. Essentially what it is is about 4 to 6 times a day somebody who is suffering from a viral pneumonia gets brought intensive purposes a very very hot towel that is boiling water taken out wrapped in other towels so it doesn't burn and wastes on the chest in the fronts and on the chest or the back here on that so that you're basically sandwiched between those it can also include a foot bath as well and the purpose of this is for this heat basically penetrate now it's deep as possible into the chest some studies say is this the most to be 5 inches and you can imagine if you apply it from the back and the fronts there's not there's not really a lot of one that is left over when you fly from both sides to the us as it turns out in a study that was done with the virus and c.t. scans higher resolutions it is the classical appearance of atypical pneumonia is ground patients that are peripherally placed in the lung so these would make themselves certainly amenable to keep coming from the outside or in perfect position to get that the reason why that's the case is because the ace 2 receptor is located very very deep into the r. into the rest story. But here are these immune changes during cold exposure before we go out so the heat is placed for about 15 to 20 minutes sometimes you have to change the towels and because it moves them and then at the end of that they are very close Howell ice how is placed directly on the skin so that the coal can then cause days of constriction and what happens at that point is very interesting this paper really documents what if now anyway they go through the study they talk about blood sample and even a few notes I think and what they find is down to the actual graphs is that these different things like leukocytes grand will sites the sites monocytes all of these things after Kobe exposure go up dramatically what they what we think is happening is you Martin the issue usually the white cells are hanging around the edge of the vasculature and when there is basic instruction they get knocked off and they go to the lymph nodes they get the information they eat and they go out and I give you a little bit of a. A summary of some of these cases that we found so you're going from warm to cold exposure there was increased the sights increased granule sights increased aisle sex and increased natural killer cells Now what does that mean we have an army in this country but they are so we have a military but the military is made up of the Army the Navy the Air Force Marines Coast Guard and on and on these each one of these things have a specific function but they all work together to defend the country does parts of leucocytes the lymphocytes the granular sites the interleukin the past and cells the natural ourselves also work together under the umbrella of the uses them all have a particular and different function. There was there's another study that shows that if you have daily daily cold exposure so if you have a hot shower and then you have cold at the end of these things increase cytotoxic t. cells these are things that go out and actually destroy the pirate infected cells that are the limp ascites natural killer cells so mediated immunity increases tumor necrosis factor Alpha I don't see you I'll say these are all things that we've documented with hot and cold. And in terms of the cytokines. So the question is these are statistically significant by the way and so we get down to the bottom of this natural selected the little site subsets plasma former levels they have absolutely no idea why this stuff is happening they have their ease but they don't know why it's happening and so you can see here more graphs and they all show the same thing that there is in you know benefits to cold exposure why did they do the study you know what happens when you know your mom said don't go on cold with catcha virus write you off the all remember that right well this is what their conclusion was at the end of the study conclusion the study suggests that this type of believes that cold exposure can precipitate a viral infection the n.a. proponent of the new system is not adversely affected by a very cold ocean or indeed the opposite seems to be to take all in core body temperature resulting code old exposure let's do a consistent and statistically significant mobilization of circulating cells increasing natural killer selectivity and elevation in circulating I don't expect. Moreover in agreement with one of our hypotheses fire exercise with a thermal clamp this where they hit them up significantly augments it looks like rain or high and modest response both are passive prior prior prosecuting an exercise with obvious novel also tended to augment the effect of called exposure alone because of the small sample size or subject area below the these changes were not specifically. So what about real time stuff here's here's a situation where they actually took my and they gave them a hostile dose of toxoplasma gondii in their character names and when they expose them to cold water the ones that were exposed to cold water actually survive statistically significantly longer from the infection than those that were not exposed to. Ok so do I have any randomized placebo controlled that I told you I don't I don't have any randomised before do that at all but I want you to remember that going back to the Spanish Flu there was about a 10 percent mortality rates associated with the stands Ok so let's go to one of the ads and this. Publications called the Northern Union Reaper doesn't sound like a very good name for a paper but nevertheless there is so I want to show you I'm going to read to this article that was printed up that time back and I think thereabouts at the height of the Spanish Flu Ok so this is in Hutchinson Minnesota I don't have a randomized placebo can provide but this is a very interesting case control study and I want to show you. On the authority of Dr Fred shoppers health officer of the city maybe stated that no public institution in the state of Minnesota has to date made a record in hand handling influenza the worldwide epidemic that has swept millions into the greats like that to the credit of Hutchinson Seventh-Day Adventists 70 the seminary with $12180.00. 1 group that is a disaster by the way for a flu outbreak was invaded by the melody 3 weeks ago symptoms of the malady developed with some 90 of these and under the direction of Dr h. e. Larson a graduate position member of the seminary faculty every person showing indication of sickness was at once put to bed with a trained nurse taking temperature and watching percent of the epidemic. If those symptoms developed the patient was required to remain in bed remember we talked about sleep and rest there were no drugs to be given think about that no drugs to be given this is an important statement because at the time remember aspirin was be used extensively Ok And let me just say your. Bit I know that many of you were asked are are an aspirin and it's really good reason you might have a stance I'm not telling you to get off your ass it may be because you have a history of a stroke Please do not get on your ass right we talked about wrist vs benefits the benefit that you're driving if you're physicians are trying aspirin could be much more than what we're talking about here so please whatever you do make sure it's your position 1st you don't want to just swallow one thing without thinking about other things as well if those symptoms develop the patient was required to remain a bet there were no drugs to begin with complete rest and Wyatt's when it here fully regulated diets and fomentations fomentation is describing that Ops how I was talking about the hydrotherapy So what did they do they did it rusts they did a very specifically regulated diets and they did fomentations do you see anything about being tested or influenza. I think it's a great idea if you have the opportunity because the ones that you should do it you don't have to do it to be able to do this if you're 6 you can do that if the opportunity is there with you that if I drop or when when you get to the hospital that's great we have good we have some data that shows that I prosecutor could get rid of the virus in 6 days which is a lot better than if you had nothing at all but the question is if there's a search what do we do in that situation I would rather do something than nothing but keep reading there were no drugs to be given complete rest and quiet when a carefully regulated diet and owned station lied to the throat just a nap and this treatment in almost every case reduced the temperature of patients and in a day or so they were apparently well but that did not end the matter with them the next danger was that of relapse to guard against this every patient was required to remain a bed from $2.00 to $5.00 days after apparent full recovery according to the state up there which again rest kiss your immune system the strength that it needs to fight this virus so if you are not getting appropriate rest this time God has given you an excuse to do it he is shutting down the country so that you can get rest as a result of this system of handling a disease that is gory thousands of victims every day there has not been one case like that have been called serious or a single death of the seminary although there were more than 90 persons affected. The record is remarkable It makes the ordinary methods of dealing with the flu fear irrational we will we will add that we are indeed thankful to God for his protecting care and for the untiring Africa sister Louise Whitson our seminary nurse and for the assistance of the other nurses and helpers hydrotherapy treatment under the blessings of God aren't you and as is recognized in this article that was my m.p. Neil So do we have anything today is deceiving being done I was I was surprised to find that my old I say old because it was many years ago my old professor microbiology professor moment at University School of Medicine has published a book back in 2000 well it was. 20 twentieth's I may have brought it out again but it looks like this is published some time ago this is a book that he wrote at the time regarding not this SARS epidemic but the SARS epidemic back in 2218 years ago and that is a a book that I will give Rodney a link to see if you can share those that are there he basically goes through and describes personal he describes as too pale the chance to get a letter in the New England medicine and alas no surprise. But he also describes in detail how he treats some of these ill and to that effect this is not your only good resource I also want to before we close this because it is we've got just limited I'm going to end on an excellent resource if you guys don't know about it and that is this site that was sponsored by a.s.i. that Ronny had a hand in this well if you can answer questions about or not here's every day or you can get through it and on the site is just amazing amazing resources the least not the least of which is under natural remedies which I'll click on here so you can see and you will see here this this 1st video this is amazing but the 2nd video here really goes through very well and detail about exactly what is there and how does it work again do I have randomized placebo controlled data showing that it works I do not at this point though what we need to do is we need to flatten down that we're going to save lives and right now why I went to medical school why all of your insulin This is well is I don't go to practice perfect medicine I want to save lives and that's what we need to do at this point if the benefits outweigh the risks if we're not here to practice don't let the good be the enemy of the for so with that Romney I will show we have a prayer if we open up for questions. Yeah I think we have maybe a couple of minutes for some questions I would like to ask a couple myself and those who specifically registered for this meeting on the Xoom invitation You're welcome just to put a question or or 2 in the chat window but one of the questions that I had as I was. Looking through the different things you were sharing was that chart on maybe the 1st or 2nd. Thing showed a surge coming potentially in the fall. Ok so this serves this piece of 1st well I will this is a study put out by Great Britain for Great Britain and so I think there are some things that we can. We can take from that today Great Britain has a slightly older population we do so there may be a little bit exaggerated. But they started with their epidemic saying I'm that we are and so I think the service probably predicted or early maybe late. There is this there is a graph here that kind of tells you. Where they actually look at Great Britain in the United States and their prediction is that yes 100000 population they anticipate because of their slightly older population that they're going to have a higher heat in terms of ratio nonsense of course they're much smaller nation of the whole but yes they do say that the u.s. may come later and this is based on data from everywhere no navy needed. Ok Another question is regarding the temperature the body temperature and when the immune response was at its height that showed 40 degrees centigrade that's a 104 that's a pretty intense fever so yes so that's a good question so. Where was. This. Right here they said that the mobility magnify process healing of bacteria by polymorph and it was the size are significantly greater numbers about 40 So here's the key though Rodney and gradually starting up this question is the purpose is not to raise the core body temperature of the patient the purpose of this is to raise the local temperature where the virus and where the users don't need to go so if the patient aperture starts to rise you can always put out the cool them off so the purpose of I just there be and the see transfer is that if a person a body that you want to get and we know that the stars to virus love the ace 2 inhibitors receptor in the lung and that's where they go to stay so we can keep the rest of the body cool down but really apply a tremendous amount of heat to that area. 4 to 6 hours every 4 to 6 hours this might be what we need to just again remember you can just move at 80 percent anough and I can have a tremendous impact. That's fantastic thank you for clarifying that and sharing that with us another question is regarding the sleep aspect I believe and I agree with you that it seems like we have been given a perfect opportunity now because we're trying to sleep sleep deprived and now we have to sleep I mean we have the time to sleep anyways so in regard to sleeping Are there any better hours of the day or night for us to sleep or does it not really matter just sleep wherever you can get it Ok so I know that there are a number of statements that people are probably aware of where hours before night are twice as good as the hours afternoon when I would say is I would it could be very there's something called a strict hitting rhythm that says Ok if you feel sleepy at this time and this is the time that you feel like you should get up. Then that's the time that you should really get your hours of sleep we may be in a situation because of all the. Number of years that we don't feel sleepy until 11 o'clock at night and we don't feel like we should get up until 7 or 8 o'clock in the morning I mean I have a teenager that's like we all kind o. how that works but. What this is something that you'll notice generally speaking people who are older like to go to bed early and get up early people who are in their adolescence late up late I wouldn't try to buck at this point I would say go to bed when you feel like you're ready to go to that the don't try to stay up late and don't expose your eyes light because that's going to delay your circadian rhythm one thing you'll notice if you are someone that would rather go to bed earlier if you don't feel the a later at night as you start to get up in the morning and exposure eyes light your natural circadian rhythm will start to move back and you'll start noticing that you'll get higher more usually in the early hours of the evening and those are the most important hours I think the key point here Ronnie is that as soon as you feel like you're ready to go to bat go to bed because there's a special kind of sleep that you get at the very beginning of the night called slow wave sleep and that is very important in restoring your immune system and restoring your how is it that's excellent We have 2 more questions we'll take Michelle's question about how much we is recommended so it's really dependent on age if you are an adult you really should be getting more than 7 hours of sleep per night better if you get 8 hours of sleep per night if you're a school age child high school student college student then you really ought to be aiming for 89 hours of sleep high school students should be getting 9 hours of sleep per night and as we start to ramp down the age going to you know. Elementary school kindergarten fathers that number goes up even higher you know that small baby sleep for a long time there is a very good reference on the if you go through the a.s.m. which is the American Academy of Sleep Medicine and you type in that it will show you a nice route you just find your age and will tell you with the most number of hours it's. Fantastic And finally the last question from Joanne is a hard drive sun it is good well keeping the head cruel that's in the form of a question so is a hot dry sauna good luck keeping the head cruel Yeah that's kind of what we're doing here this is not this is what we're talking about the this is not the only way to do this it's probably one of the most you know the most aggressive and highest in amplitude but doing a hot shower and getting cold water that can stimulate a hot hot spot getting out and having a cold exposure you don't want to be the cold for too long you don't want to leave cold water you get a chill you want to wipe it off right away and make sure they get dry that you're not over cooling yourself because that's not healthy but Ronnie you probably know more about this than I do and that site that I was with has a lot of good recommendations about exactly how to do this. Yeah we are planning to put more resources on that a.s.i. Web site God cares every day so I just want to encourage those of you who are watching this to check that site a regular basis it will be updated and we can continue to learn and practice as we go. Through Ronnie I really truly believe that this is something that we do and we need to share it with as many people there are people dying right now for lack of knowledge all of the world because of this virus and this if this does work this is something that they need to be able to cure I don't know if it still works but it doesn't sound like it's a lot of risk in doing it long as you don't burn yourself. So we share this with as many people as if you can bring up the website for us on your browser I just like to show our viewers you see at the very top it's a sharing resources that's one of those tabs we've developed a couple of things that we'd like to encourage you to share there's a Facebook picture for your social media and then also if you want to print out postcards and give people the postcard that will highlight this particular Web site you can give that Web site to people when you're going out and practicing social distancing of course but you know sharing this with people. Can be really a powerful tool you mentioned Dr Benjamin loud and we are planning at the Mentone 7th Day Adventist Church we were planning to have them in person tomorrow that's our regular health club day is the 4th Sunday of every month but we're still planning to do our health club but it's going to be online so I would like to encourage you. If you're interested in participating in that online we will dance for mission is there on our Facebook page Mentone church dog orgy also it's going to be on there but you can register for that and we will have time tomorrow at 1 pm with Dr Benjamin Lau and his wife Esther and they're going to share with us so you can bring your questions to them tomorrow as well so I think that's everything for today I thank you again Dr swelled We really appreciate your time to be with us and. We will continue to do these kind of things next week we'll hopefully be able to do something again so any closing words to share with us and then if you would pray in conclusion. I just can't say enough that I believe the Lord is working is bringing things together he has a plan remember that people die for lack of knowledge and this is the time that we we're here we're here for this and so realize that we do nothing are still our own but as to the power of God unless. You are please be with us as we. Spread your word and we elevate the right arm. And go through the people who are desperate for hope and desperate for anything that is going to work. Please let this message go out and be and. For those who. Thank you for joining everyone wonderful. This media was brought to you by audio person a website dedicated to spreading God's word through free sermon audio and much more if you would like to know more about audio. If you would like to listen to more sermon. Visit w.w.w. audio verse or.

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