Doctors urged: treat all chronic indications during pandemic. Focus on CARE

It is refreshing to visit a women’s and children’s health care clinic of the RINJ women. The focus is on caring.

In a directive RINJ issued to its organization all over the world, The RINJ Foundation CEO is telling the organization’s general practitioners to “treat all indications of chronic illness as the pandemic rages.

“That includes referrals for specialized mental health care,” says the new medical directive.

The directive suggests that early thresholds of mental depression, diabetes and hypertensive heart disease cannot be put in the wait-and-see chart, they must be treated and the patient must be escalated for counseling if resistant to pharmacological solutions to Type 2 diabetes and moderate high blood pressure, together compounding the medical risk of Level 1 or higher obesity.

For this article, FPMag visited a hidden-away women’s shelter and clinic to ask caregivers how the new directive is being received.

by Sharon Santiago

“Pandemic depression is exacerbating chronic condition patients,” says the report which adds that, “practitioners must spot this and refer patients for mental health counseling…

“…a deeper level of care and commitment is needed.”

Be the one to really care.

Be the one to really care.
Photo credit: Melissa Hemiogway. Art/Cropping/Enhancement: Rosa Yamamoto FPMag

“To get the human race through this will take a lot of caring,” says global women’s humanitarian group. “More care than what we have seen in some of the worst infected countries.

Look what happens when leaders do not care.

“Look what happens when leaders do not care. It will take a lot of caring to get the human race through this crisis. We must be good to each other and help each other,” says RINJ Women.  Source:  Civil Society Partners for COVID-19 Pandemic Solidarity pandemic tracking team. Art/Cropping/Enhancement: Rosa Yamamoto FPMag

“In many cases, single moms and dads who are now alone because of a COVID-19 fatality, suffer painful stress; their mental health is fragile at best. But they are the sole caregiver for the families that comprise our communities,” says Katie Alsop of  The RINJ Women.

“We must all bend over backwards to support these community pillars. I hope nurses make sure every patient completes a full intake assessment and receives a comprehensive intake analysis,” she worried.

“People suffering a pandemic depression cannot think of anything but their most immediate crisis. Health care workers need to bond and relate to their patient and do some digging to expose all areas where frontliners can help support these linchpins of our communities,” added this lovely caring woman.

“This thing is bigger than all of us,” says Michele Francis on Zoom, a medical practitioner and hospital administrator in Venezuela.

“We see a patient so seldomly we must make the most of every visit; treat every indication as best as possible and dig into the patient’s past medical history with a view to managing any chronic disease that may be indicated. This will lower the risk of fatality in the event of a first or second COVID-19 infection and may even prevent infection.”

The medical directive says, “These patients may have survived a low viral load of SARS2 with only minor or no noticeable symptoms but we are seeing even incipient thrombosis and other issues that together with other underlying chronic health indications and a reinfection of COVID-19 may have fatal outcomes.”

June 30, 2022

254 Locales report 551,478,341 COVID-19 cases of which there are 16,818,839 active cases, therefore 528,283,297 recoveries and 6,376,205 fatalities.

GMT 2022-06-30 13:39

Data reported should be in accordance with the applied case definitions and testing strategies in each locale as their governments report daily or from time to time. All data researched and published by The RINJ Foundation and partners in CSPaC.

©The RINJ Foundation 2020-2022-06-30T13:39:36Z #Singapore-SK-HUK-77
RINJ is with Civil Society Solidarity Partners against COVID-19.

SARS2 Update 2022-06-30 13:39 GMT

  • Global Population: 7,903,501,966
  • 254 Regions reported 551,478,341 cases
  • 16,818,839 cases active
  • 6,376,205 people reported killed by COVID-19
  • 1.16% is current Case Fatality Rate (CFR)
  • 528,283,297 survived COVID-19
Beta Technology Global Estimates
  • 38.59% of all humans (3,049,675,225) have been infected
  • 0.63% Global estimated inferred average Infection Fatality Rate (IFR)
    (influenza is .1% or 6 per 100k (2019))
  • 19,121,919 Total deaths ( estimated actual) including errors, unexpected deaths with pneumonia indications with no history, and unreported likely-cause excess deaths such as people who never went to a hospital but had COVID-19 indications but never tested.

See The Lancet estimate of excess mortality from COVID-19 (Download PDF) in 191 countries/territories and 252 subnational units of select countries, from 1 January 2 0 2 0, to 31 December 2 0 2 1.

USA (88,829,772)
  • 145.75% of the USA may have been infected including reported + estimated unreported mild and estimated asymptomatic (485,066,565.69) persons, some of whom may not have been ill in their first course of the disease, but could have spread the disease.
  • 1.18% is USA current Case Fatality Rate (CFR) &
  • 0.27% is estimated inferred average Infection Fatality Rate (IFR)
  • 1,309,680 estimated total COVID-19 deaths including unreported likely-cause excess deaths. According to projections of IHME, IHME calculation of excess deaths is slightly higher than what CSPaC is showing.
  • See The Lancet estimate of excess mortality from COVID-19 (Download PDF) in 191 countries/territories and 252 subnational units of select countries, from 1 January 2 0 2 0, to 31 December 2 0 2 1.

    The American Epicenter has 17.70 % of global 'active' cases (2,976,927 USA / 16,818,839 Global), people infected with COVID-19 now.

Below: CSPAC estimated 2022-06-30 13:38 GMT COVID-19 data for India.

EPICENTER-2: India (43,452,164)

*Reported by India but understated.

Note: India's reported death sum and cured data are widely seen among epidemiologists and biostatisticians as unreliable. For example, 3,045,620 is CSPAC estimated sum of deaths while India reports 525,116, creating the largest discepency in the world. India might only report hospital tested cases. Sources among hundreds of nurses and other medical practitioners provide a picture that in summary concludes most cases never present in a hospital especially in northern provinces where health care is less available and utilization is low anyway because of poverty, hence most people die at home in India. This theory could explain discrepancies between reported data and algorithmic estimates.

India reported:43,452,164525,116104,555
India estimates:240,290,4673,045,620436,460

Data collected and reported by: Civil Society Solidarity Partners against COVID-19

The report suggests that because there are tens of millions of mild or asymptomatic COVID-19 cases around the world that nevertheless leave a trail of cell damage, the compound comorbid condition of  having other incipient chronic illness creates a dangerous level of comorbidity in the case of  a reinfection of  SARS-CoV-2.

The specialists in women’s health care have noted that “Anecdotally on medical networks, practitioners are talking about hundreds of COVID-19 reinfection cases, and they are bad. The biggest fear is an increase in IFR.”

The CEO of The RINJ Foundation has issued a warning memo to all its practitioners including nurses, interns and medical administrators about the “perils of patients/clients ignoring indications of chronic illness”.

“Because lack of CoV reinfection indication of former mild cases”, may lead to serious consequences in that millions of unknown mild cases reinfected with COVID-19 may have higher Infection Fatality Rate (IFR.).

The warning suggests that, “early indications of incipient chronic illness must be treated or the disease could become a comorbid factor to a low-viral load or mild-response SARS-CoV-2 infection, all later (4-9 months) becoming an underlying set of vulnerabilities to a COVID-19 reinfection with a fatal outcome.”

With primary infections running out of control in some nations, three in particular as indicated in the graphs below showing June to November distribution of infections of SARS2; and a large portion of their populations becoming infected at least once; the fear of increased fatality rates for reinfections is growing within the medical community.

In short, the death rate is beginning to rise. Hundreds of cases are being discussed by medical practitioners on confidential medical networks

“Alcoholism, drug addiction, obesity, asthma and chronic lung disease, hypertensive and other heart diseases, diabetics and pre-diabetes, must be treated and brought under control,” says Micheal O’Brien, the CEO of the global civil society NGO.

“Patients must be discouraged from a laissez faire attitude toward treatment of chronic illness,” he told Michele Francis and her cohorts in Venezuela.

“We lost a patient in June,” reported the RINJ Foundation CEO, “a gentleman who refused to take his antihypertensive medications. Following case reviews a general suspicion about the case emerged that patient attitude was an indicator for an additional specialized medical response—a stricter adherence to mental health indications from health workers.”

“Hence the suggestion has been made that counseling for patients who demonstrate lax attitudes toward chronic noncommunicable disease  is now indicated during the COVID-19 pandemic. This could be a sign of pandemic depression and needs treatment. Putting it bluntly, if a patient doesn’t want to save their life, that is an indication of a mental health issue requiring treatment.”

Dr. Anna Wachtel, a New York City MD specialized in psychiatry noted in a ‘doctors-medical-network (Doximity)’ discussion of SARS-CoV2 reinfections that, “We often forget those other illnesses that weaken immune systems and make the  body more prone for infection or RE-infection.  Alcohol use disorder, that is so common in US and other countries among young adults and adults, offer a free entry to virus or bacterial respiratory infections that as well might have a multi organ presentation as it’s developing. … Untreated depression , anxiety, bipolar disorder …. [they] lower your immune system by scientifically proven ways…Personality disorders that are often undiagnosed or misdiagnosed or not treated properly can contribute to above mentioned disorders and viral infection that can have a severe presentation.” (Citing Dr. Anna Wachtel NYC/NY/USA)

Coronaviirus resource center

Click to enlarge. Sourced from  The Lancet Coronavirus Resource Center for Practitioners

Additional reading resources: