Reply to Republican death cult now killing babies in Mississippi (pertussis)

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]
Just wait for f'ing diptheria. Diptheria is the one that wakes me in a cold sweat at night.

[/pediatrician][/quote]

What would you even do if you diagnosed diptheria? I can’t even imagine. [/quote]

Diphtheria has three primary characteristics:

1. a "bull neck" with edema and lymph node swelling obscuring the neck landmarks
2. a "pseudomembrane" composed of dead skin and friable tissue obscuring the airway 
3. Heart complications and other issues that show up as the child is improving

These children used to choke to death. One of my mentors tried to intubate a child in the far north, and he just pushed the pseudomembrane down into the lungs as she bled out.

THIS is the disease that finally lead to acceptance of cricothyroidotomy, or punching a hole in the neck to establish an airway. Doctors historically were unwilling to do it, but they started to save some lives with diphtheria this way.

That bullneck? It obscures the landmarks, and you have trouble finding where to put the tube.

https://imgur.com/a/5ZEuYTj

https://imgur.com/a/wyWrBAY

https://imgur.com/a/ZeQX9WW

So what do you do? Treat the [i]Corynebacterium[/i] bacteria with antibiotics, but it releases more diphtheria toxin as it dies, so there is a delicate balance. Get an airway established with a hold in the neck if they are even moderately ill, because it gets worse fast. Keep them alive if you can, and then deal with the subsequent mycocarditis and neuritis if they occur.
[/quote]

Sorry, typos: "hole in the neck" and "myocarditis"[/quote]

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