Dr. Roger Seheult: COVID-19 Question & Answer - Live - June 14, 2020

Dr. Roger Seheult will respond to COVID-19 questions from the week in addition to new questions that are received during the live-stream.

Speakers:
Roger Seheult, MD
Board Certified in Internal Medicine, Pulmonary, Critical Care, and Sleep Medicine
Associate Clinical Professor at the University of California, Riverside School of Medicine

Kyle Allred, PA

00:00 Introduction
00:50 Update from the hospital ICU
02:07 is there plenty of PPE (Personal Protective Equipment)?
04:15 You showed us last week Fructose can increase your risk, so should people be cutting back on fruit?
08:55 What is the role of systemic steroids and/budesonide nebulizer in COVID patients especially early in the disease?
12:20 For a 65-year-old, is age in and of itself enough to increase my risk?
13:20 If i have to seek covid19 treatment: can i "shop around" to different doctors or hospitals, asking them about their ideas for treatment? Or is the typical hospital doctor going to be totally restricted to "hospital policy" set by the administrators and/or the insurance companies?
19:40 is the SARS-COV2 virus getting weaker now?
21:40 have treatments become more targeted/efficient/efficacious?
23:59 Much information has emerged about those who were never hospitalized but remain sick for two, three months. Do you have thoughts about this demographic? Is this an active infection?
25:58 My husband has just tested positive, but i am negative. How could this happen? What should we both do?
27:39 NAC (N-acetylcysteine): side effects? pros and cons?
31:06 thoughts on the dosing of NAC?
31:41 what are your thoughts about the vaccine attempts, especially with the inability to find a vaccine in the first sars outbreak?
35:00 have you seen any correlation between blood type and disease strength?
36:53 is there enough convalescent plasma at your hospital?
39:22 what treatment are you enthusiastic about at your hospital?
[proning]
44:45 at the hospital, is there any equipment to help in proning position?
46:12 a role for proning at home?
47:56 what are the dangers for people who need to be on steroids like prednisone or dexamethasone. What are the pros and cons of chronic steroids?
52:25 why aren't we treating earlier?
56:09 thoughts on treatment with tocilizumab (IL6 inhibitor)?
57:20 is there any indication as to how long anti-bodies will last? If it turns out they only last for 6 months, what does it mean going forward?
59:45 any parting words before we sign off?

Quick links to some recent COVID 19 updates:

[Medcram]

Thanks for watching - please subscribe and hit the bell icon to get notified of new videos and live Q/As.

[truthof]

My wife and I are in our 50s and we take of our parents who are in their 80s in the NY area. We are so, so happy and thankful that we have found your channel. Can’t really even put it into words how much we appreciate this info. Thank you gentlemen for all you are doing. Stay safe, be well.

[earnestthompson]

This is odd but these Sunday question sessions are better than a baseball or football game ! Especially with all the turmoil that is happening in the outside world your programs are so relaxing ! Thank you TEAM MEDCRAM !!!

[kimisilv]

Dr Sehuelt is an amazing teacher. If I had encountered him decades ago, I may have considered or at least looked further into the study of medicine. Thank you MedCram!

[gjvde]

00:00 Introduction
00:50 Update from the hospital ICU
02:07 is there plenty of PPE (Personal Protective Equipment)?
04:15 You showed us last week Fructose can increase your risk, so should people be cutting back on fruit?
08:55 What is the role of systemic steroids and/budesonide nebulizer in COVID patients especially early in the disease?
12:20 For a 65 year old, is age in and of itself enough to increase my risk?
13:20 If i have seek covid19 treatment: can i "shop around" to different doctors or hospitals, asking them about their ideas for treatment? Or is the typical hospital doctor going to be totally restricted to "hospital policy" set by the administrators and/or the insurance companies?
19:40 is the SARS-COV2 virus getting weaker now?
21:40 have treatments become more
23:59 Much information has emerged about those who were never hospitalized but remain sick for two, three months. Do you have thoughts about this demographic? Is this active infection?
25:58 My husband has just tested positive, but i am negative. How could this happen? What should we both do?
27:39 NAC (N-acetylcysteine): side effects? pros and cons?
31:06 thoughts on dosing of NAC?
31:41 what are your thoughts about the vaccine attemtps, especially with the inability to find a vaccine in the first sars out break?
35:00 have you seen any correlation between blood type and disease strength?
36:53 is there enough convalescent plasma at your hospital?
39:22 what treatment are you enthousiastic about at your hospital?
[proning]
44:45 at the hospital, is there any equipment to help in proning position?
46:12 a role for proning at home?
47:56 what are the dangers for people who need to be on steroids like prednison or dexamethasone. What are the pros and cons of chronic steroids?
52:25 why aren't we treating earlier?
56:09 thoughts on: treatment with tocilizumab (IL6 inhibitor)?
57:20 is there any indication as to how long anti-bodies will last? If it turns out they only last for 6 months, what does it mean going forward?
59:45 any parting words before we sign off?

[WillNewcomb]

Once again enormous thanks for what you are contributing, both within your hospital and to the wider community through your videos.

[barbarasmith]

Superb medical professor with a real gift for clearly explaining complex topics! Thanks for all of your hard work and take good care of yourself and your family.

[GOLEMUK]

A real pleasure to listen to and incredibly informative. Thank you as always Kyle and Dr Seheult. I definitely recommend the MedCram website for anyone who wants a deeper dive into many other health and medical subjects as well as COVID19.

[KarenMassin]

Thank you a 1000 times Kyle and Dr Seheult for this excellent Q&A session; I feel so grateful for this...

[molliejonte]

Thank you for the super informative video. It is great listening to you and your advice. Heck, it's like having a doctor for a friend. Thank you for taking the time to educate all of us. It is so much appreciated.

[capc]

Thank you Dr. Seheult for teaching me not only covid but science as well.

[doejohn]

Thank you for doing your job and on 'the side' reading through all this literature and explaining it all here! Many thanks from Switzerland!

[radnrslinda]

Thank you for your calm demeanor and easily followed explanations of complex physiologic mechanisms. You are a beacon of light in the storm of misinformation. I look forward to future updates.

[eigensinn]

Well, I'll need a moment to let THAT zinc in

[repurposedart]

Thank you I started taking NAC a month ago.

[rayobidowski]

Amazing series thanks for doing this. You guys are great

[AmazingPhilippines]

Excellent discussion once again. Thank you both so much.

[MsSunstoned]

Thanks. Always look forward to what you have to say.

[ResidualSelfImage]

dexamethasone is used to suppress a Cytokine Storm Syndrome (CSS) in Acute Respiratory Distress Syndrome (ARDS) induced by Covid19...it works best with remdesivir ...to determine if CSS is a possible risk ...a Cytokine panel test or a elevated ferritin serum test can be made.

[jybuis]

Stupid off-topic question - what kind of video cameras are the both of you using? For example, compare Dr. Sehuelt and Kyle @45:00 - big difference. Thanks! btw, you guys rock.