Steroids non responder

Preface

Summary

1. Timeline

2. Virology

3. Transmission

4. Epidemiology

5. Prevention

6. Case Definition

7. Diagnostic Tests

8. Clinical Presentation and Diagnosis

9. SARS Treatment

10. Pediatric SARS



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9. SARS Treatment Loletta Kit-Ying SO ( Correspondence)
Arthur Chun-Wing LAU
Loretta Yin-Chun YAM The treatment of coronavirus-associated SARS has been evolving and so far there is no consensus on an optimal regimen. This chapter reviews the diverse treatment experience and controversies to date, and aims to consolidate our current knowledge and prepare for a possible resurgence of the disease.

Mechanism of action: Topical immunotherapy acts by varied mechanisms of action. The most important mechanism is a decrease in CD4 to CD8 lymphocyte ratio which changes from 4:1 to 1:1 after contact immunotherapy. A decrease in the intra-bulbar CD6 lymphocytes and Langerhan cells is also noted. Happle et al, proposed the concept of ‘antigenic competition’, where an allergic reaction generates suppressor T cells that non-specifically inhibit the autoimmune reaction against a hair follicle constituent. Expression of class I and III MHC molecules, which are normally increased in areas affected by alopecia areata disappear after topical immunotherapy treatment 34 .A ‘cytokine inhibitor’ theory has also been postulated 34 .

Before starting “zero carb meat only diet” I was on LCHF diet for reversing diabetes and obesity for more than a year. I successfully reversed diabetes and obesity. While on LCHF diet my TC and LDL never went above 270 and 150 respectively. When I was on standard LFHC diet TC and LDL were not above 210 and 150 respectively but TG was always higher than normal. Hence I am confident that I do not have FH. I believe if I just go back to LCHF diet, my lipids will come down. When I was on LCHF I was using Coconut Milk and Coconut Oil. Now on zero carb meat only diet, I am not taking anything that originates from plants, hence use only Animal Fats instead of plant based fats like coconut products. I feel very healthy, happy and extremely comfortable with Zero Carb High Fat diet. Actually, the fact is, I do not know if I should be concerned about my high lipid numbers since I feel extremely healthy and happy. In around 40 days, I will be completing six months on zero carb meat only diet. On completion of six months, I intend to do all the tests necedsary to ensure if I am in good heath or not. I kindly request you to suggest appropriate tests I should undergo.

Betsy:
Some of the generic drops have become expensive because of consolidation. For example, generic pred forte drops used to be very inexpensive but now there are only two companies that make it and those two companies are owned by the same two large pharmaceuticals that own the branded medicines, hence the price of the generic is almost the same as the expensive branded options. The price of drugs does vary from one pharmacy to another and each insurance plan has its preferred drugs which cost much less for patients depending on the deals they have made with the manufactures. For example brand A might be priced well at one store because they have made a good deal with the manufacturer and made it their preferred drug while brand B would be expensive. Across town a different drug store chain might have a great price for B and a high price for A because they have make B their preferred drug and have a great volume price with the manufacturer.
Alas, it is hard to find a cost effective way to protect your eyes around cataract surgery.
God Bless,
Gary Foster

Steroids non responder

steroids non responder

Betsy:
Some of the generic drops have become expensive because of consolidation. For example, generic pred forte drops used to be very inexpensive but now there are only two companies that make it and those two companies are owned by the same two large pharmaceuticals that own the branded medicines, hence the price of the generic is almost the same as the expensive branded options. The price of drugs does vary from one pharmacy to another and each insurance plan has its preferred drugs which cost much less for patients depending on the deals they have made with the manufactures. For example brand A might be priced well at one store because they have made a good deal with the manufacturer and made it their preferred drug while brand B would be expensive. Across town a different drug store chain might have a great price for B and a high price for A because they have make B their preferred drug and have a great volume price with the manufacturer.
Alas, it is hard to find a cost effective way to protect your eyes around cataract surgery.
God Bless,
Gary Foster

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