Tips learned from Chinese experts: people with #Covid_19 in the hospital. Remember to advocate for yourself. 1. Ask for vitamin C/D/Zinc 2. Repeat chest ct in 5 - 8 days to determine mild or severe form (virus spread very very fast; my case = from one nodule in one lung to both

of lungs (almost 50% white out in both lung; first nodule grew more than 5 cm from 2 cm) from the first one you got when you admitted 3. Ask doctors for blood test LDH/D-Dimer (good indicator for ARDS) 4. Check arterial blood gas once your oxygen starts to desaturates

5. CK (if you need IVF) 6. Platelet/PT/PTT (this virus can increase blood coagulation = needs to monitor to avoid cardiovascular disease) 7. Sugar (this virus increase your sugar from nowhere) my fasting sugar always below 100, and this virus increase my sugar from 90 on day 1

to 140 as days went on] 8. Ask doctor try high flow nasal cannula (less invasive than ventilator) once you oxygen desaturates 9. Check echo because this virus can cause endocarditis 10. Mean intubation time 6.4 days per Chinese experts (Try to avoid intubation because prognosis

is not good) [day 5 - day 14 = needs to watch closely for most patients] In my opinion, we need treatment before virus spread all over your lung putting patient into a dangerous position (the longer you are on ventilator the less chance you will make it; very long recovery if you

make it). In my case, I actually used a lot (Antibiotics = Azithromycin/Rocephin/ Antiviral = Kelatra/Anti-malarial=Chloroquine and Finally Antiviral = Remdesivir (clinical trial medication in the US but used on some Chinese patients with good result back in China). Again, I am

here to tell my experience and main purpose is to save more lives. Clinical trials and data still needed to prove all these. PS = be careful with combo of azithromycin and chloroquine or hydroxychloroquine due to prolong QT on EKG. You may only need one antibiotic if wbc not high

It is extremely important to be friends with every countries so we can fight #Covid_19 together.I personally think it is not a bad idea to use other countries data and start treating the sick one with the medication.They really don’t have choice either die or live at that point!

It will be so miserable and devastated for the patient/family/friends!!! Patient will be in isolation and no visitors allowed at the hospital. So patient will die alone without seeing their love ones when it happens. On the other hand, family and friends are so worried outside.

Addendum: 11. Monitor ferritin level (mine went up to 2000s when I was in critical condition)

Correction= 9.This virus is hitting hard on the heart(check troponin) due to sudden heart attack, heart failure, and pericarditis. I had pericardial effusion on my chest CT. High flow nasal cannula should be used after regular nasal cannula and before ventilator (induced coma)

Chinese experts did tell me to use hydroxychloroquine or chloroquine right after diagnosis in order to prevent severe form.Repeat chest in 5 days(Pneumonia in both lung can be consider severe form),needs to watch for cytokines storm. WBC usually is normal or decreases in #COVID19