Medical Symposium 1: Lessons learned from the 1918 Flu and their applications to COVID-19


– [Dr lela] I’m Dr. Lela Lewis and I am the host of Adventist
World Radio 360 Health today’s topic is
something that is exciting and very informational to all of us. We’re gonna be looking
at novel lessons learned from the 1918 flu. And could those lessons possibly apply to the COVID-19 pandemic. Everywhere we turn as
medical professionals and as individuals within the community COVID-19 has changed our world. Many have come up with different ideas. And today we want to look at
what could possibly come out of the 1918 H1N1 influenza virus, and could some of that
information help us? As a seventh day Adventist organization. And as a Christian, I think it is a beautiful
opportunity to follow in the footsteps of Christ, providing holistic health,
physical, mental, emotional, and spiritual healing. And the seventh Adventist
church has done this for many years. We are so excited to look at
some of these principles today for our medical professionals. If you have not yet registered for your continuing
medical education course, please go to and next slide will
show us awr.org/health, where you can register again that’s awr.org/health. Although this is for
physicians by physicians all are welcome to attend. This is just an overall view of the program for this evening. Just to give you an idea
of where we’ll be going again, we look forward to a presentation that will hopefully help
each and every one of us and give us encouragement at
an otherwise difficult time. I wanna introduce to you someone who’s very special to me. It’s Dr. Duane McKey, Dr. Duane McKey is the president
of Adventist World Radio. He’s gonna give us an
opening, welcoming prayer. Thank you. – Thank you, Dr. Lela, let’s pray together. Shall we father in heaven, as we turn the clock back
many, many years back to 1918, I pray that as we look at
the lessons learned there, that we can apply them to what is happening all around us now, father as we look at the disaster that’s happening around the
world with the flu virus. I just pray that you will give us wisdom as to how we can handle it better. And how are we can work together and this old world so
that many people can, heal, lives can be touched and changed and be healed. We thank you for your love in Jesus name. Amen. – Director of health ministries for the Seventh-day Adventist Church. The whole global network, Dr. Landless is also an ordained minister, and he’s going to be talking to us from a global perspective, – Thank you, Dr. Lewis, good evening and this evening we look at hydrothermal therapy, Bible study and information
channeled through Ellen White, the cofounder of the
Seventh-day Adventist Church ensured that healthful living and caring for the health
of the communities we serve are part of our belief system. And in fact, our DNA as it were. 1865, saw the founding of the
Western Health Home Institute, which later became the
Battle Creek Sanitarium. This work has grown into the largest Protestant
faith based healthcare system in the world. Our aim in health care is the blended ministry
care of the whole person, body, mind, physical, social,
relational, and emotional. The system has grown into
211 hospitals in sanitariums 440 clinics and dispensaries and serves in 2018 the
patients out patients 20 million of them. 1.5 million inpatients and charity dollars were donated to this communities we serve in excess of $1.2 billion. In 2020, we still defer to the
named pillars of health care, scripture inspired counsels and evidence based peer
reviewed health science, the ravages and devastation
of the global pandemic call for ongoing commitment to make every effort to
heal whenever possible, always to comfort and always to care. During this time, we need to continue with
the very best practices, carefully balancing risk and benefit with integrity and explore opportunities that may bring relief and possible enhancement
of human resilience through useful proven and
reproducible interventions. This is what we try and
do in a worldwide level. Then we continue to do it today. We also attempt to learn from history and place into perspective,
simple, helpful, healthy, and safe practices. Coming through the experience
of history of pandemics, such as the Spanish flu records emerge, which demand
careful evaluation and study, especially if in context, Florida on this may be a
lade prevented ameliorated or relieved along with helpful lifespan style
principles in daily living. This evening, a group of leading health professionals will share their thoughts, inspired and motivated by the journey they themselves have made with exposure to the influence of the end and just health philosophy and practice going through some of its flagship institutions
worth 1.8 million confirmed cases, at least 115,000 deaths. This demands that we search further. And tonight I’m excited that this symposium is
taking place to explore where to from here. I need to add, as all responsible leaders would do. The views expressed in
this seminar are the views of each individual and do not represent necessarily the views of the Seventh-day Adventist Church. What a privilege it is for me to welcome you on behalf
of our health systems, our church, and the work that we pray is going
to make the difference in a very real way. God bless and take care. Thank you so much, Dr. Landless, that was very inspiring. And along these lines of learning about the historical nature of some of the treatments that you’re going to be hearing about with the 1918 H1N1 flu, we wanna look at Loma Linda university. Loma Linda university is my Alma Mater. It’s where I was able to
do my residency as well and obstetrics and gynecology. And they have a long, very
long history of looking at the whole person at this point. I wanna introduce my friend and my mentor, Dr. Richard Hart, Dr.
Hart is an internist, and he’s also the chief executive officer and president of Loma
Linda university health. Dr. Hart is going to be telling, talking to us about the
current state of COVID-19 and Loma Linda university
as a historical perspective. Thank you, Dr. Hart for joining us. – Thank you Lela. And it’s good good to be with all of you. As Dr. Landless referenced the health work of the Adventist church
began back in the 1800, but really picked up
steam in the late 1800 with somebody that many of us have heard of Dr. John Harvey Kellogg. And it was certainly Kellogg that kind of refined the whole concept of fomentations of hot and cold treatments of physical therapy, various ways of the inventor of many ideas at that time that were patented and became a national and even international
figure in treating patients for various diseases
before we had antibiotics and many of our modern medicines, if you look back at the way
healthcare was practiced that time, it was pretty abysmal. We were using things that were doing far more harm than good. Dr. Kellogg started his
own medical school in 1895 in battle Creek,
Michigan, and fomentation. And these kinds of hot and cold treatments were center
part of that medical school, that school only lasted for 15 years and closed in 1910. Ironically, for those, you have the administration, the Adventist church actually
had two medical schools from 1909 to 1910 because
Loma Linda university began in 1905 with the medical
school started in 1909. And many of our initial faculty came from the American Medical
Missionary College, which was the name of the
school in battle Creek that Dr. Kellogg had started. And so when Loma Linda university started its long trajectory for 115 years now, fomentations hot and cold treatments. And all the natural remedies
were a natural part of what we offer to the public. We could quickly gain a reputation here in Southern California, and that has been part of our wholeness
tradition since that time. So it’s rather interesting
now that another unseen enemy, the novel Corona virus has
come back to stop this world that we’re going back and looking at some of these treatments that were so effective a 100 years ago. So as we go through this seminar today, it’s my privilege to watch our colleagues. Many of them Loma Linda
alumni share their knowledge and skills as they bring forward, the treatment options that we have and try to deal with COVID-19. We have been protected here
in Southern California. We hope it’ll stay that way. We only have a few
patients in our hospital, but we are looking at these
kinds of treatment modalities as a way to deal with this infection that really has no other
effective treatment at this point in time. So with that fascinating history, going back a 100 plus
years in our own history, and even before that in
the Adventist church, it’s a privilege for
me to be part of this, and bring Loma Linda’s interest and expertise to the table. Thank you Lela, for being part of it. (mumbling) – Informational session that
we’re learning at this time, we want to delve into the history closer. Let’s look closer at
what happened in 1918. What were some of these principles that Dr. Landless and Dr.
Hart have now talked about that were actually taking place? What results actually happened
when hydro thermal therapy was employed in the 1918 influenza virus. At this point, I want to
introduce you a good friend of mine Dr. Neil Nedley. Dr Nedley is an internal medicine
physician hospitalist, and also the president
of Wiemar Institute. Weimar is very well known for its holistic lifestyle
medicine, Dr. Nedley, and is gonna be looking at us for the 1918 H1N1 influenza case study. Thank you for joining us, Dr. Nedley. – Well, thank you and good
to be with all of you. This evening. Just a view in 1918, they flu pandemic according
to the CDC estimates, today is that 675,000 deaths occurred in the United States alone, 50 million deaths worldwide. So this pandemic, as far as its deaths are concerned, are far above what where we’re at now with
COVID-19 interestingly, most deaths occurred in
those under the age of five, between the ages of 20 and 40 and over the age of 65. And, this is, according to the CDC data. Now in, during this
pandemic and in America, it was well known that the army hospitals were actually the best place to go and military hospitals
to get treated for this. And it turns out that in army camps, 20% of those in the camp, ended up getting the
Spanish influenza symptoms and ended up being diagnosed with the Spanish flu 16.7% of those army personnel, developing influenza,
contracted pneumonia, and out of those that
contracted pneumonia, 40% of them died. So if we take a look at
the statistical death rate for someone getting influenza in the best medical treatment available, at least thought to be the best at that time was 6.7% death rate. And if we took a look
at the entire army camp, and again, 80% did not get
the flu in the army camp, 1.34% of all army camp
personnel died from the flu. And this was reported in
a journal in may of 1919, Dr. Ruble, also reported
on some comparison, data that were received
from 10 sanitariums, much of a lot of the personnel in those sanitariums had been trained by Dr. Kellogg in this
hydro thermal therapy aspect of things. It turns out there were
446 that were treated, that had influenza symptoms in sanitariums from the very beginning and other words at the very beginning of symptoms, they were treated in the Sanitarium 677 were treated with hydro therapy in
non supervised settings in the community. So in other words, this was being done in home settings or in outpatient settings. That was not a facility,
like a Sanitarium. So a total in those 10 sanitariums as including the communities around them, that they had trained some
people in the home setting. There were over 1,100
influenza patients treated, 55 of the community patients
contracted pneumonia, but most had pneumonia that
was quotes well-established by the time the hydro therapy had started 47.2% of those
pneumonia patients died. That’s 26 out of the 55. And so 3.8% of the total
outpatients with the flu died. And, that is a number that actually is, is a pretty significant
when you compare it with the army military hospital data. Now, out of those that were
treated in the Sanitarium from the very beginning,
with influenza symptoms, only 2.4% of those actually got pneumonia, 54.5% of those with pneumonia died. So there were only 11 out of
those 446 who developed it, six of those died. So the death rate of those
with pneumonia was about 55%. But if we take a look at the total influenza patients who died, who had received hydro
therapy in the Sanitarium from the beginning, that would be 1.3%. So if we take a look at the best medical care
available at that time, 16.7% of those gotten pneumonia, 2.4%, however, in Sanitarium care, and the major difference in care between those two places
was hydro thermal therapy. The death rate and the
best medical care for those that had influenza was 6.7%, but in the best Sanitarium
care, it was 1.3%. So death rates significantly
less primarily due to the fact that the pneumonia rates
were significantly less. It doesn’t appear once
a patient was diagnosed with pneumonia, that they actually did necessarily better with the hydro thermal therapy, but during this stage when influenza and our immune response was starting, it turns out that this was a crucial stage of actually having this hydro
therapy potentially applied. Now, if we add to that
an additional report from Hutchinson City Health Officer, there were more than
90 of 120 dorm students in one of our seminaries that were diagnosed with influenza. Most of these were students, but some of these were faculty members and most were in that 20
to 40 year old age group, which was the high death rate. Treatment by Dr. H.E Larson
considered a good nursing care, regulated diet and rest. The rest what actually
occurred even two to five days after their symptoms had gone, there were no drugs administered, but hydro thermal therapy with the heat cold to the
chest throat and abdomen, and those 90 cases, zero cases of pneumonia and no deaths, the Hutchinson city
Health Officer reported on this afterwards. And he said, this record is remarkable. It makes the ordinary methods of dealing with the flu appear irrational. And because of this data that has been accumulated
over a 100 years ago, the question is what can we do now in
regards to deadly viruses before a cytokine storm occurs? – Thank you so much, Dr. Nedley that was very, very informational. You know, that’s the very question that each of us want to ask, does this apply to us now? Is there any research
since a 100 years ago to involve the idea that
hydro thermal therapy hot and cold treatment actually
does boost the immune system. At this time I want to
introduce my colleague, Dr. Roger Seheult. Dr. Roger Seheult is a pulmonologist and intensivist. He’s also Assistant Professor of Medicine at Loma Linda University and Co-Founder of MedCram, an online educational company. Dr. Seheult, we have a question for you. Does the science say hydro
thermal therapy works today? – Well, thanks Lela. Thanks for inviting me on. And we’ve been tackling
this very question on our, our website. We’ve been looking at this, it’s funny, you know, how mother the necessity
is the mother of invention and with this epidemic and what’s going on right now, we are looking desperately
for things that can help and, and looking back far enough, we can find it. So that is the question. Does hydro thermal therapy work? What does the science say? You know, we are fully in
pandemic mode here with COVID-19 and the desks don’t
seem to be slowing down, but very early on in this pandemic, we had some good data coming out, out of the Lancet that showed that there was three
phases essentially to this. There’s the phase prior to infection. And then there’s the part after infection. There’s about a five day period of time, where there is a symptoms, no symptoms, and then about a seven
day period of symptoms. And then some people get worse needs to go to the hospital. And from there things to go pretty bad, pretty fast, one day from
admission to worsening, shortness of breath and other day to ARDS and then finally into
the intensive care unit. And so with that in mind,
let’s sort of go over those, those phases there, we’ve got the population that is exposed, and then there is an
infection that must occur, and we’re doing isolation, social distancing at that
point to interrupt this phase. And then there’s phase two phase two is when you have symptoms you’re infected and you’re not yet ready, able to be admitted to the hospital because your symptoms are not that bad. And it seems as though the data is showing that about 20% of Covid-19 patients will fit into this category and will need to go onto hospitalization. We’ll need a ventilator, ICU, et cetera. And it’s in this phase three that we’re doing a lot of work, of course, with randomized placebo controlled trials on different
antiviral medications, on anti-malarial medication, medications, ventilators, ICU nurses. We’re not doing a lot here in phase two. And this is the phase where basically we’re telling patients from the emergency home to go home to self isolate themselves, and to basically wait to see whether or not they’re gonna be
in the 20% or in the 80%. And unfortunately, 80% of these patients will get better on their own. They won’t need healthcare, they won’t need oxygen. And the main reason for
that is the immune system. So let’s talk a little bit
about the immune system. The immune system is made
up of two different parts, the innate immune system and the adaptive immune system. You get both when you’re born. The innate immune system is very powerful when you are first born, this is the part of the immune system that gives you a fever. This is the part that goes around, eating up particles called the PAMPs or molecular patterns that look abnormal and they present it to the
adaptive immune system, which, finds it, remembers it, keeps memory cells of it. So the adaptive immune system, the one on the right is the
one that remembers vaccines. The one on the left is
the one that goes out and scavenge and looks for particles. What we’re finding out
is that when we give an, a vaccine, that vaccine is gonna cause
memory cells on the right, in the adaptive immune system, but there’s a spillover of activation in the innate immune system. As we’re gonna find out here very shortly, it’s the innate immune system that seems to be crippled
with this COVID-19. And I want you to remember
a couple of cells. There’s the natural killer cells, which are descendants of
a lymphoid progenitor, lymphoid progenitor, but nevertheless, it’s part of the innate immune system. And then these monocytes that are part of the innate immune system, we’re gonna talk about that. So there was an article that was published out of a center of excellence in Thailand, titled immune responses in COVID-19 a potential vaccines lessons learned. And basically the point
of this article was to compare the first SARS virus in 2002 with the one in 2012, that was MERS. And those were both Corona viruses. And to use the understanding of that and comparison to what’s
going on right now with SARS-coV-2 and COVID-19, and then this article, they pointed out a number
of interesting things. Number one, that increase in neutrophils and a decrease in
lymphocytes was very similar to the prior two infections and this correlated with an
increased chance of death. And they it’s well known
that the first SARS virus and MERS both suppress
the innate immune system and that COVID-19 the current one may dampen antiviral
IFN responses resulting in uncontrolled viral replication. You know, that’s something that we’ve seen a lot of is people just are infected for a long period of time and they just can’t kill
the virus and get better. So what’s going on there? They definitely say that there’s an issue with the innate immune system and that it’s suppressed at first and then allow it to go into
overdrive causing potentially that cytokine storm. And I think this paragraph in the article, really says it. It say based on the accumulated data for previous coronavirus infection, innate immune response plays
a crucial role in protective or destructive responses, and may open a window
for immune intervention, active volume, total neutrophils and lymphocytes during
COVID-19 SARAS-coV-2, probably induces a delayed type one IFN and law viral control in an
early phase of infection, individual susceptible
to COVID-19 are those with underlying diseases, including diabetes, hypertension, and cardiovascular disease. In addition, those severe
cases were reported in the young children. This is what that time when innate immune response
is highly effective. These facts strongly indicate that innate immune response
is a critical factor for disease outcome. And we can see here, here’s another paper that was published back in
2004 on the first SARS virus that notices that these
natural killer cells are at a very low percentage in comparison to a regular bacterial infection. There’s another paper that was published in nature medicine. This was recently
published just last month, that took a woman who
was in China infected with COVID-19 and was
hospitalized in Australia. They did an essential workup
on her and noted that yes, her monocytes and natural
killer cells were suppressed, but what’s going on exactly. This is a another paper that was just published
last year before COVID and it showed that BCG vaccination, even though it targets
the adaptive immune system here on the right there is a spillover, and it seems to induce an energy into the innate immune system, allowing it to fight better. So in other words, they saw a more than
normal reduction in viruses when they were given the BCG vaccine. And so that has led to
a multi nation strategy of potentially vaccinating people again to the BCG vaccine. Well, something else has come up that it’s very interesting. And this was a paper that was published by Dr. Ashish Kamat, who is a urologist at
MD Anderson in Texas. And what they’ve noted is if you look at countries here in light yellow, these are the countries that give the BCG vaccine
in these countries. The mortality rate is about 10 times less than in countries that have never gotten the BCG vaccine. Those would be countries that are in dark orange, like Canada, the United States, and notably Italy. The countries in purple are countries that used to give the BCG vaccine, but are no longer giving the BCG vaccine. So the question is, is what is it about this
innate immune system and what is being done about it? So, of course this is not just news to us. There are several companies that have looked at the
innate immunity of the body and of target this for cancer research. And now that they see a much bigger issue in terms of COVID-19, they’re repurposing their
technology for this. And there’s a company that’s looking at
placental mesenchymal cells to have them derive into
natural killer cells to see if that can fight
the fight against COVID-19. There was another company out of Israel that is doing a small trial. They tried it in eight patients again, using mesenchymal stromal cells from the placenta that
will readily differentiate into natural killer cells. And they’re finding, as it says here in this article, 100% survival rate, this was just published
just a few days ago. Here’s another one. This is a South Korean company. That’s looking at natural killer cells. So this seems to be the
focus of where we are going. So in short summary on this section, I think a good working hypothesis would be that SARS- coV-2 infection
down-regulates innate immunity. And that SARS-coV-2 is allowed to progress because innate
immunity is not strong enough. And that strengthening that innate immune system might be a place to stop COVID-19, especially in this very
sensitive phase two. We’re not much as being done. Patients are being sent
home from the hospital and asked to stay there and isolate until they get worse. Is there something that we can do in this very long stage, about seven days it seems like on average, well there’s a lot that we can do and we’ve got a lot of evidence for this and we could do a number
of talks about sleep. We’ve talked about that on our channel, and I’ve seen a lot of talk
on the internet about that, nutrition we haven’t covered yet, but there’s a lot of
stuff we can do there. There’s others, you know, Dr. Nedley was talking
about the Sanitarium talk, certainly hydro therapy
was going on there. They were also taking them
outside in the sunlight. There’s vitamin D. What I wanna talk about
and focus on is water. Water is a very interesting
substance because out of all, the substances that we have, it really holds heat. The most, it has what we
call a high enthalpy of heat. So what do we know about this? Well, let’s go back to
a German study in 2002 that I think should start us off. Let’s look at the cellular biology. Here they took about
12 healthy volunteers, and only reason why they needed 12 is they didn’t need to do much to get statistical significance. This is a pretty high activity here. They were immersed them in 39.5 degrees, centigrade water. And what they noticed after that is that not only
were there more monocytes, so increasing the body
temperature increase the number of monocytes, but when they took those
monocytes outside of their body and put them in to a test to where they subjected them
to lipopolysaccharide, which basically tells the cells that there’s bacteria around, they were actually more active than they were when they weren’t submerged in 39.5 degrees centigrade, which tells that not only is it, it’s not just a parlor trick where we’re just getting more cells, we’re actually seeing the cells activated. And so the authors of this study concluded that the thermal effect of fever directly activates monocytes, which increases their ability to respond to bacterial challenge. Remember monocytes are part of that very important inmates immune system. And what about, what
about exposing to cold? So a lot of times in
hydro thermal therapy, we will expose the person
to cold after heat. This is what I’m reading and what it does is instead of allowing the body to dissipate the heat through a basal dilated
peripheral vasculature, it causes vasoconstriction
to lock that heat in. So here’s a paper that was published into at the university of Toronto, but sponsored interestingly by the United States military, to see what would happen when people were subjected
to cold after being in hot. And what they noticed is that the natural killer cells went up, statistically significantly, the lytic units and the natural killer cells went up, lymphocytes, monocytes, all of them went up and that was your native immune system. So the point where the authors concluded that this study suggests that despite popular beliefs, that cold exposure can precipitate that, that despite the popular belief, that cold exposure can
precipitate a viral infection, the innate component of the immune system is
not adversely affected by a brief period of cold exposure. Indeed, the opposite seems to be the case, the falling core body
temperature resulting from cold exposure led to a consistent and statistically significant mobilization of circulating cells and an increase in natural
killer cells activity and elevations in IL six So I think that was again, only seven subjects needed for this study because the effect was so profound. Here’s a Polish study that looked at that apparently in Poland, they liked to go swimming
in the winter time. So they looked at that. We just looked at a study that looked at it over
just one, one episode. What about if we do it multiple times? So at the end of a winter swimming season, they took people who like
to do this 12 habitual, winter swimmers. And they looked at eight people that didn’t do that. I can tell you that I would have been in that second category. Cause I don’t really see the need to go swimming in the winter time. But nevertheless, in the part that went swimming in the winter time, they had increased
concentrations of leukocytes, monocytes and plasma aisle six, and they were statistically
significantly higher. And I can show you more and more studies more
than we have time for. But the question is, is, okay. So if we’re heating people up and we’re we’re increasing
the immune system, isn’t that gonna cause
more of a cytokine storm? Isn’t that gonna make people worse? Maybe we’ll get them into the
hospital faster than shorter. Well, I think this paper that was published about
five years ago really answers that question and what they’re, what this paper titled fever and thermal regulation of immunity, the immune system feels
the heat showed was that fever actually can bring down the
number of cytokines read, listen to what they say in this paragraph Although febrile temperatures
initially increase the production of
proinflammatory cytokines by macrophages at sites of inflammation. There’s also evidence that
thermal stress dampens, cytokine synthesis, once macrophages become activated and they go on and talk about these monocyte derived macrophages and how they look for these PAMPs these, these molecular patterns to eat them up and present them. And it shows that the messenger RNA, which is the message that tells the cell to make the cytokines is
degraded by the fever. So you actually have less cytokines. Finally, they, they mentioned about a, a mouse model of collagen
induced arthritis, and they, they say here that mice exposed
to fever range hyperthermia had significantly less
joint damage correlating with a reduction in serum tumor, necrosis factor levels, and an increased aisle 10
production in inflamed joints. Collectively, they say
this findings suggest that strategic, strategic
temperature shifts contribute to a biochemical negative feedback loop that protects tissues against damage from excessive cytokine
release, following infection. Okay, so let’s summarize
here working hypothesis and they immunity can be strengthened at least by surrogate markers, by manipulating external heat cold applied to the body. Number two, heating and cooling seems to increase markers of innate immunity like
natural killer cells and macrophages. And number three, these interventions don’t necessarily seem to exacerbate the cytokine
storm implicated in ARDS or pneumonia. All right. But what about real people and real diseases enough with the cells? Well, for that, we’ve got to
go back to the last century. There was a famous psychiatrist, Julius Wagner Jauregg who
noticed in the psych wards that people with neurosyphilis got better when they had a fever. Well, at that time they
didn’t have penicillin. This was well before penicillin, but they did have quinine sulfate, which was the treatment for malaria. So we have this idea what happened if I infected
these people with malaria, very carefully watching them and then see if the fever
treated the patient. Sure enough, it did. And in 1917, he published his first report where he actually induced
an infection in a patient. So he could get a fever, the fever, the increased temperature in the body cured the
patient of neurosyphilis. And then he cured the
patient of the malaria with the quinine sulfate. He won the Nobel prize for
medicine for just that. And at the time, at that time, there was many ways that
they can induce a fever. Malaria was just one of them, but as you can see, they would inject people
with foreign protein, chemicals, sulfur, et cetera. But I find the last one here, the most interesting immersion of the individual in a hot bath, or placing him in a heat cabinet. Well, Dr. Wagner Jauregg,
as Dr. Nedley mentioned, had a colleague across the
country in new England, Dr. Ruble was the medical director of the new England Sanitarium, which Dr. Nedley was talking to us about. And just to review those results again, he noticed that in the San materia or the sanitary area, the 10, the overall mortality was
about 1.3%, as opposed to the overall in the army camps of 6.4%. Now this is where they were using aspirin. It had just come out in 1899,
they were suppressing fevers. They obviously, they were in big tents. They were all crammed in
the air was not that clean. So why was the, why was
the mortality again, lower in the Sanitarium than it was in the army hospital? It wasn’t because they were doing a better job of treating pneumonia. No, indeed their mortality
rate for pneumonia was, was arguably higher than
it was in the army camp. It’s because less people got pneumonia. So only 2.5% of the people in
the Sanitarium got pneumonia. Whereas 17% of the people in the army hospital got pneumonia. And at that time before antibiotics, pneumonia was a bad, bad thing to have, by the way, Dr. Ruble, what did Dr. Ruble
attribute his success to? And if I think it’s very interesting to read the last sentence in his writeup, which was published in life
and health May 1st 1919, he says the principle
merits as far as treatment was concerned, was
placed in careful nursing and hydro therapeutic remedies. So there’s many, many ways that you can raise a
core body temperature. As we’ve just said, this is
a example of a sauna here. We see the tradition in Finland, go on many years. We’ll talk more about Finland, but you get hot. And as soon as you get hot, you jump into a very cold pool. What we believe this does is it clamps down the peripheral vasculature
keeps the heat in higher and longer. But what about, we’ve talked about people
and we’ve talked about the Z. Let’s talk more about people in diseases and less about cells, cause that’s really, really want to go. So here is a placebo, here’s a randomized prospective trial. I should say that went on for six months, two groups, 25 and one
group 25 in the other group, the 25 one group had a sauna bath similar to this one to two times a week. The control group did not. After about three months, there were half the number of colds in the sauna bathing group than there was in the control group. And this was statistically significant down to P
level of less than .01. And it wasn’t in particular
one or two people. It was across the board that brought that number down. So it seems as though
this was a applicable across the board, here’s another study. This, this was 3000 subjects and it was only over a month. And what they asked them to do was to, instead of just showering hot, is to shower hot and then cold at the end to keep that heat in and
cause vasoconstriction. And what they noticed is
in the intervention group, there was a 30% reduction
in sick days at work, 30% reduction in sick days at work. In other words, they got sick, but it reduced the severity of it. So they didn’t have to miss work. That was a prospective study. Here’s study I find
fascinating here was a study that was done in Finland. And for those of you who don’t know just about everybody in Finland does saunas. We’ll talk about that a little bit more. This was a prospective study. It involved 2200 men. And back in their early eighties, they did a questionnaire and they asked them very simply, do you use a sauna bath once a week, twice a week, three times a week or four times a week. And that’s pretty much
the kind of question that you have to ask and Finland, because less than 1% of them
don’t take a sauna bath, just about everybody does. And what they did is they followed them for about 26 years. And because it’s a socialized medical system over in Finland, they were able to look for the names and find out how many times they’ve been hospitalized
in their hospital system for pneumonia. Well, this is what they found. They found that for, if you look, if they referenced those
who only took it once or less per week and said that that was the reference. Those who took it two
to three times per week, had a 33% less chance, was associated with a 33% less chance of getting pneumonia. Those greater than four or equal to four, almost cut it in half. Now this was an association study, but they can listen to all the things that they took into
consideration for confounders body mass index, smoking history, diabetes, heart disease, asthma, bronchitis, tuberculosis,
education, cholesterol, alcohol consumption, total energy intake, socioeconomic status, physical activity, C reactive protein, despite all of that, there was still a statistical
significant difference. And let me just tell you, there is a plethora of data on this that shows that this is
not just for pneumonia. It’s also for cardiovascular disease. It’s for dementia. All of these things are related and you can look up the
research on Finnish saunas. So what’s the working hypothesis heat followed by cold
improves innate immunity, significantly enough to
reduce actual diseases, not just cell counts, such as colds from viral infections, as we saw severity of illnesses and even pneumonias
requiring hospitalization and many more studies
as we’ve talked about, however, we still haven’t
talked about COVID-19, which is why we’re all here. And it’s really difficult to do that because we have to do studies in the current environment. We didn’t have COVID-19 before November and December of last year. So let’s go back to Finland and saunas. So a little bit more information because let me be clear. Saunas are not the only way you can induce to have high core temperature
elevated there’s many ways, but this lends itself is
such an interesting example that it needs to be pursued I believe. There’s about 5.5 million
people in Finland. There’s about 3.3 million
saunas in Finland. And as you can see with a regular sauna, you can get a lot more than two or three people to the point that if you asked all
the people in Finland to go into a sauna all at the same time, they could actually do it and it would hold the
entire country greater than 99% of the population
of Finland has a sauna bath at least once per week. Now, while saunas are very popular in Germany and Austria
and Sweden and Norway, not nearly as close as
they are in Finland. So that gives us a very
interesting opportunity. We can go and look at the numbers. And so there’s a website
called world dominator, and you can look at the number of cases, total cases, total deaths, total pay cases per population million, total, everything. You can look at everything
and break it down. So we’ve done that. And I find it very interesting here that on a population level, if we look at the United States here, in terms of population cases, deaths, cases per million, deaths per million, and when the first case came and what the university of
Washington modeling says will be the peak number of deaths per day. When we do get to our peak, you can see here that
when we compare Finland to other Nordic countries, very similar to it in culture and in healthcare systems, we can see here that the number of cases in Finland are less than half in number of cases of deaths, almost an order of magnitude, less the number of cases per million, less than half the number
of deaths, way less. And that is despite the fact that Finland was the first country out of those Nordic countries to have a COVID-19 positive case. If we look at the restrictions that are going on there, they have their schools close, just like Norway, has the school’s closed, and there’s not essential stores that are closed essentially with this. And if we look at testing, the amount of testing going
on in Finland per million is not that different than what’s going on here
in the United States. So we have looked at the evidence for hydro therapy in terms of COVID-19 from a cellular level biochemical level. And we have looked at it from individuals with diverse diseases. We’re talking about colds, flus, viruses, illnesses, pneumonia, and we’ve looked at it
in a sense as a surrogate and really not. There’s a lot of confounders with the population data, but we’ve have looked at it in real time because if this should have worked, we would have expected it to work for Finland because they’re so dogmatic and religious about
doing their hydrotherapy. So I think that’s a really
interesting statement and where we are right now is we have to remember something that the good is not the
enemy of the perfect, there is no FDA approved medication or treatment for COVID-19. There are many therapeutics that are being looked at and some are very promising. So we’ve got to look at
this good versus perfect. I mean, look at the CDC website. If you don’t have personal
protective equipment, they’re actually recommending that you use a bandana or
a scarf that’s because, well, what else do we have? We don’t have studies
on bandanas and scarfs. What we got to do, the best that we have with what we have, keep in mind that if we
come up with a medication that works beautifully and perfectly, how are we going to scale up that amount of medication that fast at this point in time, the day that it was announced that hydroxy chloroquine was gonna be a good medication and promising you couldn’t get it in the pharmacies. And so we have to take things with some understanding
physicians right now, and I’m on the front lines as well. I’ve been treating patients
last week with COVID-19. We don’t have all of the answers. We don’t have all the evidence, but we have to use what we’ve been given. And that’s the definition
of compassionate use. So we’ll finish up with this slide and I want to keep in mind, we’ve got phase one to prevent infection. That’s social isolation, that’s a distancing. We have phase two and there’s millions of people in phase two. What are we gonna do with all of the people in phase
two that could be helpful. And then we’ve got phase three. This is where we have
hospitalization ventilators, randomized, placebo controlled trials, medications to try to prevent
the patient from dying. And so with that, what I think we need to do is talk a little bit
more about practicalities and I’ll hand it back to Lela to introduce our next guests. – Thank you so much. Dr Seheult. That was, that was amazing. I hope all of us can rewatch that over and over again. That that is absolutely amazing. Yes. At this time we wanna talk about four potential protocol scenarios, and again, I’m going to reintroduce
a couple of our guests and introduce you to a couple of new. So we have dr. Zeno Charles Marcel, Dr. Marcel is the adjunct
associate professor, of Loma Linda university. He’s an academic internalist and he’s the former administrator and past Dean of the faculty of medicine and health sciences, and Montemorelos University. We also have Dr. John Kelly, who will be presenting
as the founding president of the American college
of Lifestyle Medicine. He teaches for lifestyle medicine for medical professionals. We will also have in our panel, Dr. Eric Nelson, he’s
the assistant professor of surgery at the university
of Tennessee Chattanooga. And finally, we’ll be
having Dr. Roger Seheult who needs no new introduction. Before each of these
gentlemen present in the order that they were introduced. We will be specifically at the phases that Dr. Seheult just discussed phase one, phase two and phase three, Dr. Zeno will be discusing
specifically on the, how to glory of the patients
that are in the community and have not yet necessarily had symptoms, Dr. John Kelly, we’ll be discussing part of the beginning of phase two, specifically in regard to the patients who have been exposed, what can they do? And is there ways that we as physicians and medical professionals can learn more on hydrothermal therapy? Practically speaking, Dr. Nelson will be talking to us from his hospital’s perspective. Erlinger is doing, has just recently had an
approval for an IRB proposal for phase three patient populations. And he’ll be presenting
that along with Dr. Seheult, who will be talking to us about the ICU patient at this time. I’m going to turn it
over to Dr. Zeno, as soon as Dr. Zeno’s over, we’ll just proceed right through with Dr. Kelly, Dr. Nelsen, and then concluding with Dr. Seheult. Dr. Zena, thank you so much. – Thank you, Leila. What I will do is, kind of unpack a little
bit those phases that, that Roger had mentioned
in the first place. We, we can see the bulk of people are really individuals who
are not at all affected with COVID 19. They don’t have either contact with, or, they, they have been in contact and they are no, they’re
no longer, susceptible. I think that’s what we believe for some of the people who have already had the infection. So these individuals are actually, that’s a large number of people. This is not the slide
set that we’re using. There’s a large number of people. And for healthcare workers, they fall into a group that’s kind of an intermediate because it’s on one side, people who are not infected, but people who are high risk. So for all of the doctors and nurses and other healthcare workers and individuals who are
working in hospitals and clinics, you’re in a, in a risk zone, even though you don’t, you don’t have the disease, you are prone to, being in contact with someone, with the disease. Now, what that means is that you have to avoid certain things. And what you’ll be avoiding is contact with the virus itself, or avoid contact with
someone who has had contact with that virus, okay. And if you have a contact, then there are issues about
removing the con the contagion. If you can do that with the sterilization or destroying the contagion, if you can do that, but certainly you don’t want to spread the contingent someone else. So these are the issues that we’ll be dealing
with and how you can, I can, protect ourselves from becoming infected with the virus. Can we go to the next slide? So here we have, these, these four areas, one is the affected, but not infected. Then we have the second, treated or positive or tested positive and high risk, but no symptoms. And then the hospitalized
in the ICU patients, we’re gonna deal with those later on the, the group that I’m talking about. If you go to the next would be part of the group on the left and the risk all the way
down to being hospitalized. And we can go to the next one. Now, with that in mind, the population that we’re dealing with is really the largest
subset of everything. And this is the individual, or this is the group that the frontline healthcare
workers are occupying. Let’s go to the next. Now COVID-19 affects the whole person, not just their immune system or not just the physical being. And if we to look at the
determinants of health, we see that there’s a whole, whole group of things that are involved that
make up a whole person. Okay, next slide. We are looking at being able to affect the different
parts of that circle of, of all of those things that are involved. And, what we are trying to do is to enlarge our toolkit so that we have different things to be able to attend
to the various aspects of not only the infection, but also the aftermath and the concomitance of
every picture. Next one. So here are the things that we all know we need to
stop the spread of the jerms, and this is the CDCs or one of the CDCs, displays of looking at
what things we have to do. And this, from a social standpoint, we have to, we have to be consistently and constantly telling people that this is something
that they need to do. Next one, (bell ringing) If you look at the, the benefit of doing any of
these, you will see that, there is a benefit for each one and it’s a cumulative
benefit over all of these. It would to do them together. The next one, please. Now the immune system is at
the heart of our defense. And, a great defense is actually an awesome offense in this case next. So the Harvard, medical letter actually put out a well researched, study, actually not a study or a report on things that we can do to strengthen
the immune system. And I have a list here of common things that
people do not realizing, perhaps that these things
may be affecting the ability to resist the infection if they were to come in contact with, with the SARS-coV-2. So don’t smoke, diet high in fruits and vegetables, work out better, getting enough sleep, adequate, sleep, something that might be a challenge for doctors who are on call
all the time take steps to avoid infection. And those are the things
that the CDC is mentioning, but managing stress and exercising regularly and taking steps to avoid infection such as washing our hands frequently and cooking meats thoroughly. If we’re gonna be using me, all of these things are important to help us to have a very
resistant immune system. Next, along with this, in the physical realm, we’re looking at getting
78 hours of sleep, preferably at night, a moderate exercise, one hour, a day, fruits,
vegetables, nuts seeds. These are all things that have the micronutrients such as, the list that I have
below a vitamin B six, vitamin B12, C, D, E, Folate. And of course, some of
the minerals like zinc and selenium, iron, and copper, then hydrothermal therapy, by the way, hand washing
is the hydrotherapy, right? And avoiding nicotine and
alcohol avoiding close, and prolong contact and making contact with
your face and eyes and nose. And of course, social distancing and using mask gloves
and washing your clothes. Next one. And then we have a mental, emotional, spiritual, and social issues. For the mental, emotional state positive, be optimistic, cultivate
an attitude of gratitude. And of course, manage stress healthily. Don’t use some of the, the negative ways to manage stress. And of course, don’t
panic spiritually consider the transcendent find
meaning in what’s going on. And, according to your own tradition, you will pray and social
issues stay connected, avoid loneliness. There’s an epidemic of loneliness that’s going on as well and help others with acts of kindness. All of these things actually improve the function of our immune system next. So with this, we can say
that as we do these things, we can actually be preventing, contacting the disease, being contained, being
contagious ourselves with other people. And if we would have been contact with the virus itself, then we have a fighting
chance to keep it up. Thank you. – Okay, well thank you Dr.
Zeno for those thoughts. So if I’ll be talking with you tonight, if I can see our first slide here, I’ll be talking about, another aspect of a hydrothermal therapy. The next slide will show that it’s, I’m gonna be talking about the aspect that has to do with the, what we might call the outpatient phase or the first part of
Dr. Seheult, phase two, the 80% that don’t need the hospital as the next slide shows ill be talking about treatments, just like those that were reported in the life and health journal issue May, 1919, that we’ve been speaking of different ones have
talked about tonight. You know, one of the more important and prominent hydrotherapy
hydrothermal therapies used in the Spanish flu pandemic was called a fomentation. We’ve already heard that term tonight. We might better refer to it today. Perhaps it’s a moist heat packs as the next slide shows here. I have a couple of pictures. We see that the, on the left, the photo from that issue that, demonstrating the nurse, putting a hot foot bath, to the patient. Who’s a subject who’s in bed. We wanna keep them warm and the footer on the right shows, actually a I’ll be talking here in a minute about the moist
heat pack being wrapped in thick towel to keep it
from injuring the skin. Okay. So the next slide we’ll show here. I’ve been talking about, again what they called and that issue fomentations. So the subject is, on their back, in the bed, plenty of covers. We want to keep the subject warm during any of these treatments. We use a hot foot bath. The temperature of the
water would range typically from 104 to 110 degrees Fahrenheit. However, for diabetics or
those with any kind of, neuropathy or, or sensation deficit, we should keep the water, at 104 or less, we would be applying a cold terrycloth, to the head. We wanna keep the head cooled at all times during these, hydrothermal treatments, partly it’s to protect the brain, but it’s also to make the, treatment, the heat treatments, more bearable for the subject. We want it to be pleasant
to not unpleasant. So we would start with a moist heat pack. We wrap them as a, the picture showed in a towel. We would begin by putting
one underneath the, subject, basically going
from the NAPE of the neck, to the pelvis, and, on a lower side, then we would put on wrapped heat pack, on, on the chest and cover the subject with blankets as the next slide shows here is a picture again, from that same issue, showing the nurse, making an exchange of the chest heat pack, and next slide we’ll continue with a little narrative. So we placed the top
fomentation every four or five minutes, in between we would rub the chest
with a cold terrycloth. This is not so much just to cool the body, but as to sort of trap the heat and, and also make it more bearable to, again, to the subject,
we would continue this, for three or four exchanges are, or until profuse perspiration develop. But again, it’s important
to keep the head cool, and this does help
control the perspiration and allow us to have a longer treatment. I typically, for example, would change that cloth
to the head every minute, perhaps more frequently, depending on how the subject is feeling. So we’re gonna end with a cold terrycloth rubbed to the chest and cover up the subject
with blankets to keep, warms, keep the heat in. We’re gonna pour some cold water over the feet and remove
the hot foot bath. And, again, wrap the feet up nicely. We’re gonna continue, the cold application to the head to keep the head cool. And then we’re gonna have a bedrest when the perspiration subsides, next slide will show, I’m not gonna talk about the height, this other treatment, but are an alternative
hydrothermal treatment is the hot tub bath. I have this description in the slides you can see later from. Let’s go to the next slide. So we know now that we understand now that hydrothermal therapy produces a hyper thermic state that
sort of induces a fever, like response that aid
in fighting the virus as Dr. Seheult. So well showed us and presented from the, papers science pretty much should begin as soon as infection is known or reasonably suspected, don’t wait, for symptoms necessarily. And we want to do these
treatments once or twice a day. At that rate, we, it can be
continued quite some time. I have seen cases where three or four times in a day for, to try to get a more, intense treatment, but those should not be
continued long at all. The last slide I have
actually is to show that, along with some others, we’ve organized the hydrothermal
training course, actually. And the, you can see the, where, we have a email. You can contact us at hydrotherapy
training course at Gmail, or you can contact me directly. Thank you for the chance to share with you this tonight. – Hello, thank you for the privilege of being on this August panel. I’m very privileged to be here and talk about our inpatient protocol for providing hydrothermal therapy to non ICU COVID-19 positive inpatients I want to thank Dr. Greg stanky for his work in developing this protocol and implementing it as a hospitalist here in the Chattanooga area. We’re very excited. We just got our IRB approval, three days ago, and we’ve already got one or two patients on the study. If you want to go to my next slide describes
our protocol very briefly. It involves 25 minutes
of heating pad treatment to the chest followed by
about a one or two minutes. Thermal lock as Dr Seheult
described provided by a cool or cold moist towel. The patients then dried thoroughly and warm blankets are replaced. This is repeated approximately
four times per day, as you’ve already heard
from the other presenters, there’s a variety of methods whereby, you can apply heat to the body. We’ve personally chosen the thermal for heating pads to maximize patients and nursing safety. This reduces the number of trips in and out of the patient’s room. And of course, every trip in and out of a patient’s room
requires the nurse to burn through some of that precious personal protective equipment. That is so scarce right now. So we’re using a thermal
for a heating pad. If there before is become too scarce. And we run out, we do have bear huggers. And if a negative pressure
room is available, Dr. Stanky’s had some experience
using bear huggers as well. But of course the, the blowing air with the
bear hugger does give some, some safety considerations
in light of aerosolization. And it is in addition to
a standard hemodynamics we’re monitoring skin temperature and systemic temperature in a way that doesn’t require the nurse to enter and exit the room. The goals of this trial are to activate the presumed
immune modulating benefits of hydrothermal therapy. You’ve already heard
from other presenters. And I personally believe that the sudden temperature changes, induce at least a D margination of, white blood cells. And perhaps this allows them to redistribute throughout the body. In addition to some of the basic science that Dr. Seheult presented
demonstrates an activation of the innate immune
response at a cellular level, there’s of course also
immune modulating benefits to the body’s fever response. As Dr. Kelly just mentioned, we’re hoping to induce a fever, but not above 140 degrees we do of course have
some exclusion criteria, any patient with history of
uncontrolled arrhythmias, pregnant patients, a patient that has
secondary hemophilia Sinek, lympho histiocytosis
with an ACE score of 169, that indicates they’re pretty
close to a cytokine storm. And although it may be that hydrothermal therapy is helpful in that we’re not willing to risk this in this feasibility
case controlled trial, our primary outcomes of interest are length
of stay and disposition. Did the patient go to
the intensive care units or did they go home? We’ve dichotomized our
oxygenation variable. Although we might kind collect
some additional data on that. And of course, for secondary outcomes, we have lots of lab parameters that we’re testing as part of the, overall protocol that
our hospital follows. We’re simply adding hydrothermal therapy to the protocol that our hospital
already has put in place. I’d like to end by, inviting any watching physicians who treat COVID-19 positive patients in the inpatient setting to
consider implementing this or some similar protocol. Hopefully many centers
can get IRB approval to collect data. And as
similar protocols are used, perhaps met analysis of data in the future will be possible increasing statistical
significance for any findings that you see my email on the screen, my personal email address, I am happy to share our protocol detailed nursing instructions that Dr. Stanky has developed
our data collection sheets, consent forms, any basic science papers, such as the one that describes
the age score, et cetera. I’m happy for you to modify them to fit your own needs
and your own setting. Again, you see my email
[email protected] I want to thank you in advance for considering not only the patients you’re currently treating, but the need to expand the evidence basis for treating future patients with hydrothermal therapy. I’ll be happy to take any
questions during the question and answer, period. Thank you for being part of this call – Well, thank you very much and, so I’d like to cover the intensive care, portion of this, and it’s
not too different from, my colleague, Dr. Nelson,
it’s an inpatient, but there are a couple
of distinguishing factors that have to be taken into consideration whenever you’re applying
heat to the patients, you’ve got to be careful
that it doesn’t burn. Actually I will hold off on
that slide until the end. Yeah. So when you have
an unconscious patient who is on the ventilator, it’s very important that the, that the, the hot towel is
not gonna burn the patient. So that’s a very important consideration. Sometimes it may be as simple
as a holding medication that may be suppressing a fever. You may have noticed
that a lot of the things that we’re doing here, and we’re looking at the protocols and the foot baths and things, and this, this stuff may
look a little bit crazy. You may not have seen this stuff before, but keep in mind that the target that we’re going towards is increasing the core body temperature. You know, it seems as though COVID-19 is a perfect virus, to. We’ll use the sun. Number one phase two last
up to seven days on average. So there’s a lot of time to work there. The other thing that’s very
interesting about it is that probably more than SARS one SARS two, or COVID-19 seems to suppress
fevers more than usual. And so a lot of people actually have the virus don’t
know they have the virus and have no fever. And that may be the reason why the virus is able to, replicate, replicate and spread. So if we can increase
the core body temperature using whatever techniques are available to us that might actually help quite a bit in terms of speeding up recovery and then not spreading the virus. It’s a, it’s a possibility in
the intensive care patient, as I mentioned, you may
not wanna treat fevers as aggressively. We’ve noticed that patients come in with COVID-19 have elevated
liver function tests. And so that would be a relative contraindication to using Tylenol. There’s already been some debate
about using, nonsteroidals. We do know that nonsteroidal antiinflammatory medications
inhibit the production of prostoglandins, which are directly responsible
for antibody production. Of course, that’s the
adaptive immune response and not the innate, but nevertheless, an important finding a Dr.
Nelson has already described the, the, the, the issues involved with, blowing hot air. We want to minimize blowing things around because that can stir up an aerosolize, COVID-19 viruses. Another thing that I might
wanna add is, you know, that the ICU that I work in, both in Banning and in Redlands, I’ve been extremely supportive. I have nurse practitioners that are, that are eagerly awaiting
to start a study. One of the things that I
was reminded by Carrie, one of my nurse practitioners that I have the privilege of working with, she happened to be a physical
therapist in her past, and she remembered many hospitals have something called a hydroxyl later. You may wanna check in
your hospital setting if you also have a hydroxylater. This is usually in the
physical therapy department, and it allows you to
have silica gel filled, pads that can be heated and ready for use at any given moment. And these things can be laundered, so it might help in terms of equipment and things of that nature. So that’s it from an
intensive care standpoint. What I’ll do now is I’ll hand it back to Dr. Zeno Marcel, who
has some more words for us. – Thank you, gentlemen. This was very insightful. We want to just, we will
be bringing this up again at the conclusion, but we
want to bring it up now, for those of you who are interested. And I’m speaking to our
medical professionals and our hospital affiliates, if you’re interested in
pursuing a multisite trial, similar to what has been
described by our panelist, again, you can go to our Facebook group where our panelists will all
be able to respond to you. And we’ll be providing that to you again at the conclusion of the
program at this time, Dr. Charles, Dr. Zeno Charles Marcel is going to present to us specifically what the science says and what the science
does not say, Dr. Zeno, – Thank you, Lela. You know, I’m gonna be somewhat skeptical. I’m gonna play the skeptic because we have all of
this good information and we have, good studies, but we always have questions
that we need to answer. So I’ll start with the first with a case. Okay. Here’s a case of a 70 year old man, 11 day the history of fever and delirium who has the influenza. This was during the time of
the pandemic back in 1918, by the time he presented to the Sanitarium was unconscious. His temperature was 103
Fahrenheit or 39.47 degree. He had edema of the neck, he had redness and inflammation of his throat. He also had, inflammatory
edema of the left lung. That’s what they call it in those days, similar to bronchial pneumonia. And, he had a distribution that was consistent with that. His physician had become ill and left, but had given the patient’s daughter, the opinion that I’m dealt in the death of this man would occur within two days. Well, they got a nurse to come and apply the treatments. They use the treatment regimen that they were using back then
for the pandemic pneumonia. And this was applied at
4:00 PM in the evening. The nurse saw no discoverable
change in his condition. However, the next morning by eight clock, the physician who was visiting saw that the patient was conscious, no delirium treatment with repeated twice, during the days. And, attention was made to the throat. And within a matter of this, one week, he was back to normal,
completely recovered. The question is, what
produced this outcome? What was it? Was it, was it just the
hydrothermal therapy? Was it other stuff that was being done that just was not recorded that were not recorded? He has another case, a 30 year
old woman ill for four days. She was in the, in the midst of the 1918 pandemic of Spanish flu. Nothing was being done for her. She had a temperature of 105
Fahrenheit or 40.6 Celsius. She was delirious and became unconscious with large eras in her back. You know what you see in the hospital. And sometimes when people
are getting ready to die, this is what she looked like. She had poor circulation. And, and they thought, well, she was a gunner. She had shifting, crepitus in her lungs, mostly over the back, much worse on the dependent
side yet she didn’t have any, specific consolidation. But if it was severe pneumonia associated with this Spanish flu, they quickly applied the treatment, the hot foot bath, hot packs on the chest front and back. And they combine this
with the cold mitten, friction rub, which is a, cold treatment, right afterwards, this
was given twice a day, two days of treatment
seemed nearly unavailing. But then on the third day, clear mind temperature back to normal. After five days of treatment, everything was back to normal. She survived. And the question again is
what produced that outcome? Well, what don’t we know, we don’t know how many had that outcome. We don’t know how many were treated, so we don’t have the numerator
nor the denominator data. What else could have
confirmed with these results? We don’t know what was the
actual diagnosis systems, because they didn’t have some
of those tests in those days. What, was found in the different centers where people were treated
with these treatments, were they all the same treatments or did they have variations that were significant from one another? Did they all use the same protocol to get similar results? Well, was there a plausible explanation for these things or was
there something else? Would they treat it indoors? Will they treat it outdoors? They had outdoor hospitals in those days, which means people got a sunshine, but also sometimes the outdoor
hospitals would be cold and people would end up being worse than if they were indoors. Did they have sun exposure. Even happen with H1N1
influenza back in those days? Will it happen with SURS-coV-2? No questions, questions, questions. Well, here’s what we have. We have mechanisms by which we know as a Dr Seheult pointed out that fever affects the whole cells. Fever affects the macrophages, and this is involved in innate immunity. We also know that thermal
stress produces some things that we call heat shock proteins, and these are immune modulators. They affect the dendritic cells and, and essentially jumpstart the ability of the body’s immune system to go from the innate side over to
the acquired immunity side, we have fever and fever, age hyperthermia, 38.5 to 41 degrees. And both of them can, can induce these heat shock proteins. This is very important. What else we have mechanisms by which we can demonstrate that the heat shock
proteins will take the, the fragments of the virus and presented all the way out
to the surface of the cell so that other cells, other immune active cells
can then be able to know what the enemy looks like. What else do we have? We have in mechanisms by which using these heat shock proteins, whether intracellularly or extracellular, we can affect the immune response, both the innate immune response and the adaptive immune response. And we have, we have evidence
biochemical evidence of how that works using these
heat shock proteins. And of course using one
example of each protein 70, we can see all of the various cells that might be affected within ridic cells, the monocytes, the T Cells, the macrophages, and of course
the natural killer cells, all of them can be positively affected by the elaboration or by the
effect of heat, protein, 70. And then there’s another
heat shock protein. That’s 60 in low quantities. It has, one kind of effect and in higher concentration, it has another kind of effect. In other words, it can be anti-inflammatory or pro-inflammatory depending upon the amount of innate elaborated. So what we have here is a case of hormesis where we can see low amounts doing one thing higher,
mostly in something else. What we don’t have then
is scientific evidence specifically that hydro thermal therapy was really the fact that it saved the lives of so many during the 1918 flu pandemic. We don’t have specific a
double blind placebo controlled trials that show that hydrotherapy or hydrothermal therapy
is effective in preventing and treating COVID-19. We don’t have, there were blind placebo controlled studies that show that SURS-coV-2 tool
specifically wipes out the human immune defenses at the level of the immune
of the innate response, even though it is highly evident that this is probably what is going on, we don’t have any way to know how to stimulate the
particular heat shock proteins at a specific concentration
for work at a specific site, we don’t have direct scientific analysis that demonstrate that SURS-coV-2 act just as it would be in H1N1 in 1918, we don’t have a demonstration that heat applied by any
method would have the same or similar results. Even though we know we can increase the temperature by many different mechanisms, we don’t have direct evidence that hydrothermal therapy is, as we suggest it will be applied, that will have the effect
in the host in your system, just as we predict and hope that it will. Now I still want to say this, researchers and medical professionals are racing all around the world to find pharmaceutical solutions and to create a vaccine. But we have a history of this
modality being used along with other things we have plausibility of how it can be done. We also have molecular mechanisms that demonstrate that this is
not something fly by night. It’s not something, weird. It’s actually scientifically demonstrable through the heat shock proteins and other mechanisms. So we have indirect evidence that this is something that is useful and probably helpful. Hydrothermal therapy
is relatively low risk. It is perhaps an adjunctive, approach to lifestyle measures and lifestyle practice. We don’t believe that it’s a panacea, but while future height
of them on therapy, research is needed and absolutely needed. In the meantime, hydrotherapy probably won’t hurt and it may help. While we searched for
definitive solutions here. What have we to loose to try something that is so simple. Roger – Thank you.
– Thank you, Dr. Zeno, and you know, Dr. Seheult, I just wanna ask you
a very quick question. A few days ago, you and I were discussing this topic and you said something to me, you proposed four solutions, four options, and it really made a huge impact on me. And I was wondering if you could share that with our viewers right now, those four options of where Dr. Zeno has essentially
left us at this point. – Yeah. So if we could bring
up the PowerPoint slides there, basically this is where we are right now. We have two sets of two choices. It either works or it doesn’t work. We either do it, or we don’t do it. And if we have the benefit of having randomized control
trials down the line, and we’re at that area down the line, we’re gonna know, looking
down from above whether or not it works or it doesn’t work, but we’re not there
right now unfortunately, unfortunately we’re in
the here and the now. And so the only way we can look at this is from the horizontal side, do we do it or do we not do it? And you can see they’re
looking at it horizontally. There’s a negative in both of those camps. Of course, if you do it and it works, that’s a good thing. If it doesn’t work and
you don’t do it well, that’s a good thing,
but if it doesn’t work and you do it, then you
could be wasting resources and time. If it, if it does work and you don’t do it well, there’s people that could have been saved that didn’t save. So we can only choose from the horizontal side
to do it or not do it. And so the question is, would you rather do something that doesn’t work or
not do that does work? And so, and that really what it boils down to is the risks and benefits as Dr. Marcel had mentioned, look at it this way,
we’ve got this space to, and while we can look at all three phases and we’re primarily affecting right now in our public policy phase one, which is social isolation and phase three, which is getting a tremendous
amount of resources at the hospitals where they’re currently being overwhelmed in many places in phase two, it’s kind of like the
calm before the storm. People are sitting at home waiting, seeing if their cough and shortness of breath are
gonna get better or not. And then worried about whether or not they’re gonna go to the hospital. As we said, 80% of those people are gonna get better because of their immune system. And we’ve just gone through a number of different studies and looked at this, and at least it looks very plausible that if we could stimulate
the immune system, especially the innate immune system and simulate what this
SARS-coV-2 seems to be doing, which is down-regulating that then even if we’re able to get a little bit of mileage, and it seems as though we
could probably get more, but let’s just say we go from 80% success to 85% success. Well then the number of people having to go to the hospital will be
reduced from 20% down to 15. And that would be calculated wise. That would be about a 25%
reduction in the surge, which would be a very, very large amounts. So the problem is though that there are millions and millions of people, of people around the world that fit into this, phase two. And so really what is
the perfect intervention that you can do in a phase two, remember, we’re dealing with millions and millions of people that are in phase two, potentially. So number one, and this is really important. It has to be complimentary with current medical care. This is not something where we’re saying, just do this and forget everything else. You don’t need anything else? No, please. This is not what we’re saying. This is to be complementary with the current medical situation that you’re dealing with. It has to be whatever this
intervention is going to be. It has to be scalable to millions of people right away. Okay. This cannot be the equivalent of toilet paper on the
shelf at Costco, right? You’ve you’ve got to be able to say, this is what we’re going to do. And it’s available for everybody to get, and then not have to go
out to their pharmacy or perhaps get a test, you know, as an individual when
you’re not feeling well. So if you need to get a test
for COVID-19 by all means, but it’s got be something that should be able to be
started without a test, because we just don’t
have that kind of testing. And if you think about this, let’s think about other
people other than ourselves, what do we do in prison camps? What do we do in refugee camps? What do we do in countries that don’t have the same
kind of healthcare that, that we have, that they
don’t have access to this? They don’t have access
to the type of things that we’re talking about. I think the key here is the understanding that we need to get the
basil temperature up and depending on what your are, then those are the tools
that you use to do it. And everybody has water at home. Everyone has towels for the most part. And these aren’t things that are scarce resources. These are things that you
can do and take advantage of. So it really boils down
to risks versus benefits. And that decision is gonna be between a patient and a physician or a patient who understands things through their physician, what their risks are, you know, right now, given all of
those characteristics of a phase two intervention, what other alternatives
do we have right now? We are months away from a vaccine. We are months away from a randomized placebo
controlled trial currently. The one that we have the most data on it seems right now
is hydroxy chloroquine, which is a politically loaded
question at this point. And it’s still very difficult to find. Again, what’s the risks of using a medication like that. I’m using medications like that in the hospital, because we’re trying to do everything that we possibly can. We are not making the good, the enemy of the perfect, you know, how long is it gonna take, as we mentioned the
vaccine and medications, because really when you think about it, Layla in the time that we’ve taken just here right now to talk about this in the last 90 minutes, based on the current numbers that we’re getting another 381 people around the world have died from COVID-19, at least those are the ones that we’ve documented. So my call out to people out there is to, is to really
the purpose of the symposium. The reason why you’re here, the reason why I’m here
is to raise awareness to this possible, possible adjunct of therapy for COVID-19. If you’re in the healthcare industry to raise awareness where you are working, that this could be a
potential possibility. If you are not in the healthcare industry, if you’re watching this and you’re a patient to do more studying and learn more about this and to affect your lives
and other people’s. – You know, thank you
so much, Dr. Seheult, what you have just said, I just wanna recap and make sure that I understand exactly what you’re saying because essentially
the question comes down to the risk benefit ratio and the risks we’ve talked about. A few of those risks don’t seem to be too big comparative
to the potential benefit as we’ve seen through the history. Thank you again, thank you
to all of our panelists. At this time. I am excited to introduce
another friend of mine, Mark Finley. Mark Finley is an international speaker and assistant to the president of the general conference
of seventh day Adventist and before we go to Mark Finley, I wanted to say one other thing. Coming back to the historical aspect of this whole 1918 pandemic. When we look back at some
of the other principles that John Harvey Kellogg was employing, as Dr landless and Dr. Hart mentioned, there were a lot of other aspects to holistic health and what elder Mark
Finley is going to talk to us about just briefly is, is there more to this holistic approach? We’ve learned hydrothermal therapy has some potential and we hope to be able to study that. But we’re also gonna talk very briefly about some other principles. Listen, as Mark Finley presents. Thank you so much. – Well, I’ve been asked to talk a little bit
about whole person care. What is whole person care? It’s a comprehensive philosophy of health that recognizes that
human beings are much, much more than biological machines. They’re more than a collection of organs and tissues and cells. Whole person care. It looks at all dimensions of life, physical, mental, emotional and spiritual. And as a theologian, when I looked back at what
was taking place in 1918 in these 21 sanitariums that had such outstanding results with the Spanish flu, certainly they were doing
the hydrothermal therapy. They had a program of a dietary concern, dietary reform, really, and they were largely on a vegetarian diet in these sanitariums. They were using rest as a therapy, but there was another aspect of therapy. These were seventh evidence institutions where the doctors and nurses believed in the power of prayer. They believed that there
was a supernatural element in the healing process. They believed in this complete
comprehensive health program, physical, mental, spiritual, and emotional. In some of the recent studies, 94% of the patients today said that spiritual care in one study that I read was as
important as medical care for the whole person care. In fact, 77% of the patients in that study said that a physician should concerned about the spiritual care of their patients as well as the the medical care of them. When you look at scripture, the model here is Jesus. Jesus is the model physician and whole person care. He opened blind eyes. He unstopped deaf ears. He healed deadly diseases. He restored demoniacs
who were mentally insane. He fed hungry multitude. He forgave sins and inspired
thousands with new hope. Jesus valued human beings from all Stratus of society. His unselfish ministry flowed from a heart of love to every individual that his life touched. You know, the scripture say that Jesus went about doing good and Christ said this, Christ said, I’ve come that they might have life and they might have it more abundantly. I am so impressed with physicians, nurses, medical professionals who are in the front lines today, who long to see men and women whole who risk their own lives. You know, often as a theologian, I’m asked where is God in all this? Where’s God in Covid-19? And my response is this, He’s in the heart of every physician who’s on the front lines
ministering in love. He is in the heart of
every medical practitioner who’s serving unselfishly and revealing compassion. He is there with every nurse on the front lines of service. He’s with the neighbors as they give loving
care to their neighbors. He’s with spouses who serve
one another in crisis. He’s with every person whose
body is racked with pain and he’s there to give them comfort and encouragement. I was interested in a statement that Dr. Anthony Fauci, director of National Institute of Allergy and Infectious Diseases made today. He was asked on this Easter Sunday, what role does faith play in healing? And Dr Fauci talked about his own father and how his father was a man of faith and he talked about the fact that in his own medical practice, although that he is an eminent
scientist and researcher, he said that he believed that faith was one of the ingredients that strengthened the immune system, that release positive chemical endorphins from the brain that
helped to produce healing. And so as a medical practitioner, as a theologian, I want to salute you. I wanna thank you for
being on the front lines. Thank you for understanding this concept of whole person care, that when you’re there at the bedside that you are dealing not with a collection of a bio
of biology merely not simply with a biological machine, not a collection of organs, tissues and cells, but that you’re
looking at that person. You’re concerned about that individually, physically, mentally, emotionally and spiritually and
sometimes there are questions that we can ask. If a person is able to and they’re conscious and able to to to dialogue with us, we might ask them where in a time of crisis do you find
a source of strength? And sometimes the person will open up and talk about their own
relationship with God. We might ask a question,
may I pray with you? And as we do that it can produce strength and other people have
confidence in physicians that have a connection with the most high. So I salute you for being physicians on the cutting edge of medicine physicians who are willing to try new methods of hydrothermal thermal therapy and participate in whole person care. So as Jesus said, men and women and boys and girls can have a life and have it more abundantly. Thank you Lela. – Thank you so much Dr. Finley. That was absolutely
inspirational and I know myself, I’ve personally seen that with patients. How many times as an OBGYN
running down the hall with a patient that I needed to have an emergency C section on and I offer at that split moment a prayer and what a difference it makes at this time speaking of prayer, we’re gonna ask Angelina Brauer. Dr Angelina Brauer is an
experienced researcher and registered dietician and currently serves as a
director of health ministry for the Seventh-day Adventist Church here in North America and a very close personal friend of mine. She’s gonna have closing prayer for us. And after she prays, I will have a very final
quick final wrap up and then we’ll open up
for question and answer. Again. Thank you Dr Brauer. – Thank you so much Dr Lela and to all of our presenters who have shared information
with us tonight. You know, we’ve heard a lot
about the historical use of hydrothermal therapy. We’ve heard about the
relevant modern research and we’ve heard about
potential mechanisms, mechanisms of action, to confront our current Covid-19 pandemic. I believe we also now have some better questions to ask. And I hope that many of those
of you who are listening, who may have the ability to play a role in furthering the research, to, to take us to the next, steps through this, I hope that you will find
an opportunity to do that. Yes, we do have important questions that need to be answered. And as was already mentioned, we don’t want to just seek a panacea. We don’t want just a quick solution, but we to find out how and in what situations can
we utilize this therapy, to, to, to support what
is already being done. And I believe we have a
viable option to pursue. And I also do believe that we can find hope in
what we’ve heard today. And so I know many of those of you who are listening today
are on the front lines. You are the ones working
with the patients, and you are the ones
putting yourselves at risk. And so what I really want to do is just pray a blessing over you, and all those who are risking
their lives at this time. So let’s pray. Dear father in heaven, Lord, we are coming before you at a very specific time
for a very specific reason, for a very specific need. And there are people who
are listening to us tonight, who are going through very, very tough situations because they want to save lives. They want to minister healing. And Lord, they’re putting
their own lives at risk. And I believe, you know, every single one of them. And so we want to ask a prayer of blessing on each one of them, on their families, on all of those who are
risking their own lives as well as their family’s lives. So we ask for time of
of peace in their lives. We ask that when their
strength is almost gone, that you will send someone
to minister hope to them. We ask that this situation will somehow come to a conclusion. We want that more rapidly than anything else right now, but we want to also find hope. And so we thank you that
there are opportunities. We thank you that there are those who are continuing to strive
to find the right answers and we pray that together we will all come through this situation much stronger for having gone through it. So we asked that blessing on all those who are going through
these very tough times. And this we pray in your name Amen. – Thank you. Thank you Dr Brauer. And again, I wanna say each to each and every one of you. Thank you for attending
this first symposium. What’s exciting is that we have learned so
many interesting things that took place between
the situation of 1918 and perhaps in the Covid-19 situation. If you can pull my slides up, that would be wonderful. We wanna talk to you very briefly. We’ve heard it mentioned
several times over for ongoing research opportunities. Again, this is something that was we all really want to offer. For those of you who are interested, you can join our Facebook group. Again, you can access that. If you’re not able to
write this number down, you can access that through awr.org/health and just join the Facebook group. In addition to that. Next slide please. We want to discuss with you very briefly. Again, there are lots of other principles that we’ve touched on just briefly. Many of our panelists have agreed that next Sunday at the exact same time, 8:00 PM Eastern, 5:00 PM Pacific, we will have symposium part two. Again, CME credits are available and you are welcome to
join us again next week. We’re planning to look
at ultraviolet radiation and open space. You’re not going to want
to miss that and again, exciting information. Again. Finally, as far as
the CMIOs are concerned, you do not have to have attended this live in order to get CME credits. If some of your colleagues
were unable to attend today, please feel free to
access the archived video and we will be linking that again to the various locations where you watch this and you will be able to or your colleagues will be able to watch the presentation and then again go to the
website awr.org/health and into your information to
obtain your CMEs at this time. For those of you who are interested, we know we’ve gone just
a few minutes over. We do want to offer an opportunity of answering your questions
as far as possible. So many of our panelists
will be joining me and we will take your questions as they come up on the screen. Again, thank you for joining us on behalf of Adventist World Radio in the Seventh-day Adventist Church. We hope you will join us again next time. Now we have some questions coming in and I’m going to wait for our
first question to come up. – One of the questions
that actually arose, Dr Seheult , someone
was asking specifically last week in the ICU, what did you do for your ICU patients in specifically in regard
to hydrothermal therapy? – So we have to be careful. I have to talk to the nurses. This was the first week that we actually had
patients with Covid-19 in the ICU and we were just starting to learn about how to go in and dress and you would think that it’s complicated, but it’s even more complicated when you come out because you could contaminate yourself. So after they were comfortable with that, what we decided to do was to use very hot towels that were, in very hot water, wring them out, and then make sort of like a sandwich where there was a towel on top to keep the heat in and a dry towel on the bottom to prevent the patient from burning. We really have to make sure that, that it was not too hot because the patient was unconscious. We wanted to, to see how
it was going to work. And so we did try that to see if it was something that it was more of a feasibility study to see what was involved and how to do it. So it was not a patient that we enrolled in any kind of study or anything like that. We also, declined, treating the patient’s
fever up to about 103. I want it to be conservative. I think some people might even say 104. I think there’s pretty good data on that. It’s just a matter of, of making sure the mindset on the unit is, is that way because for so long we’re so used to treating
a fever as something that’s wrong when it really in, in this case it’s something that’s right. It means that the body is
increasing temperature. The virus is not replicating. So we did that at first. I was gonna have them do it once a shift. We tried to get it to twice a shift. And I think that’s, something in line with what Dr. Nelson was writing up over, in, in Tennessee. – Thank you. Thank you, Dr Seheult. We’re gonna try to power through a bunch of questions
as fast as possible. So I just wanna recap again what Dr. Nelson and Dr
Seheult ‘s have mentioned. Again, go to that Facebook group and if you’d like to learn more or how you can join in the multisite, investigative trial week, we would really encourage that. Okay. We have another
question that just came in. If you can put, please put the question
back up on the screen. That would be appreciated. Thank you so much. And the question was, does hydrothermal therapy help for those who are not
yet officially infected? And Dr. Kelly, I would ask for a very brief answer to that question if you wouldn’t mind as far as the community is concerned. – Yes. Thank you. That’s a great question. And the fact is that the immune system is what’s keeping us off times from getting infected
are for keeping it from an exposure, getting, infecting
us to procreate symptoms. So of course, we don’t
have double blind studies, but all the physiology and plausibility indicates yes, it should be quite effective. – Okay, thank you so much. Alright, we have another question. What are prophylactic and treatment recommendations you can give to someone who is immuno suppressed, specifically a cancer survivor, bone marrow transplant
recipient, et cetera. Dr, Dr. Nelson, can you answer that? And I would also like to ask
Dr Zeno to come in as well. Dr. Nelson, how would you help a immuno suppressed patient please? – So the immuno suppressed patient is in general going to be benefiting from some of the same treatment protocols. I don’t know that I would
do anything different except try to minimize
their immunosuppression throughout this time. I’m not an oncologist. I’ll defer to Dr Seheult who probably has more
experience than this, but in rare cases, someone who has undergone
some chemotherapy for example, and their white blood cell
count is extremely low. May actually need to have a medication such as Neupogen that can boost their
white blood cell count. But in general, I don’t think that the
immuno suppressed patient needs to be treated any differently as far as the hydrothermal therapy component that we’ve been discussing this evening. I wouldn’t treat them any differently. There are a few examples of patients I would treat differently. For instance, we have a
patient on our study right now that had a stroke and the neurologist indicated they were happy for us to have them on our study as long as
we waited for 72 hours. – Thank you. Thank you so much Dr. Nelson. Dr Zeno. I just wanna come back to that question as far
as immunosuppressive, immunosuppressed patient. There’s some other data out there. I know some of the things that we’re hoping to investigate
in future symposiums. Can you just give us just the teeniest tiniest little
snippet of an idea of what an immuno-suppressed
person might be able to do? And I know it involves
those other seven principles we’ve sort of talked about. – Yeah. So we’ve talked about, a lot of different things, but specifically with regard
to hydrothermal therapy, actually hot and cold treatments, will cause an increase
in the neutrophil count. Okay. So that’s, that’s a positive thing. All right. I shouldn’t say it will, but it, it, it will tend to cause an increase in the total white blood cell count. – Thank you – Additionally, one of the things that we have talked about before, especially looking at, people who have various kinds of immune suppression
because of cancer, et cetera. We have other protocols that we use with, with hydrotherapy and hydrothermal therapy that we would not get
into, with this talk. But, most of those things
are experimental still and we know that in controlled trials, they are looking at warming up patients before using radiation therapy and before using chemotherapy and it’s showing some good benefit. – Fascinating, well we have
another question coming in. How effective would exercise be at raising core body temperature followed by a cold shower to gain the same effect? So yes, we do know that exercise can
increase our temperature. Dr Seheult , can you answer that question for us please? – Yeah, we know that
that works just a very, very well actually, in fact, in that study that I showed you from Toronto where they
took people in a warm bath and they, then cooled
their temperature down and there was an increase
in natural killer cells and lymphocytes. Now, what I didn’t show
you there in that study is that they did exactly
the same thing except instead of a warm bath,
they had an exercise. And in those patients, the effect was even greater. So I think exercise prior
to that would be a plus. Can I just say as well, in terms of of cancer and chemotherapy and immunosuppression, you know, these companies that we mentioned in the scientific part, in South Korea and in
Washington and in Israel, they were all looking
at natural killer cells to help with immunity in cancer. And they’ve all turned and repurposed their technology
to looking at Covid-19. It’s exactly the same thing. They’re getting mesenchymal cells to increase natural killer cells. And, and they’re taking it and infusing it into patients who have come into the hospital. Imagine if we could do the
same thing without infusion, just doing it through, through much less invasive
ways much earlier. Imagine what those outcomes might be. Great. We have, another
question popping up. Let’s, let’s go to the
next question please. And we have hundreds of
questions, gentlemen. So we’re gonna try to keep our answers as fast as possible because we really would like to answer as many as we can. And I’m not sure if some
of our other panelists will be able to be pulled in as well. When is it too late to start hydrothermal therapy if someone has had it for 10 days but not as hospitalized as of yet? Dr Nedley, as was there a time that hydrothermal therapy is just too late and we should not actually utilize it? – No, I don’t think it’s too late, particularly in this case where they’re not hospitalized yet. I mean that’s the whole
idea is to try to prevent that hospitalization in the
worsening of the condition and going to the cytokine storm. The big question is if
they are in an ICU already and on a ventilator in high peep levels, is it going to help? Then we still don’t
know the answer to that. But based on historical data is probably not going to be as helpful as it would earlier in the course before the patient does their
final deterioration signs. – So I would actually
ask a real quick question as follow up to that. Is there a time that we should just
basically not employ it or should we go ahead and, and potentially as we’re discussing here, potentially investigate opportunities for for further trials and investigation. And I think that’s kind of where the question was going Dr Seheult that’s a question for you. – Yeah, I mean obviously
you’re gonna have to realize that the strength of the intervention is not going to be as great and you may have to power
the study much greater to find whether or not the statistical
significance matches up. – Thank you so much. Another question just came in. Can you talk about the
phenomenon of fever spikes which occur in the evenings? Is there a time of day that works best for a hydrotherapy? Dr. Kelly, in your experience, is there a time that seems to work best for hydrotherapy? – You know, this is a great question and I found it quite interesting and reading the reports
from the physicians that were using hydrotherapy
in the 1918 1919 and what they said were there was that there and they have
more experience than I do. To be quite honest with you, I have almost no experience
treating Covid-19 because I’m a lifestyle medicine doctor. But what I would say is they said the most effective time seemed to be just as the fever
was starting to rise, that a, a hydrothermal therapy at that point seemed more
effective than at other times. So going on that, I would say let’s go the same way – Any of the other panelists have any other thoughts on that question? – Only that in the hospital for our trial, we’ve been advised by some
of the lifestyle medicines you see in front of
you about the frequency and we are trying to mimic what might be a natural rhythm of fevers that the body brings in suggesting that we’re going to be doing
hydrotherapy about every, about three to four times per day. – Thank you Dr. Nelson. Very quick question next
does electrical heating pad at home work for heat therapy and how long per session? Now before we answer this gentlemen, we have talked about a
few different modalities in this presentation. I would actually ask first very, very quickly Dr Seheult tell us the three different ways that we could potentially just, I know we have a lot of different ways but three different ways we might be able to bring the temperature up and then I’m going to relay
the rest of that question. Dr. Nelson is specifically as far as your IRB application, Dr Seheult ? – Yeah. So, I talked to
a good friend of mine, earlier this week, Dr. Benjamin Lau, who’s a, my actually was my microbiology teacher in medical school. And has written a book that you could probably find
on the internet about it. But anyway you can bring it up, you can put a towel in the microwave, making sure you don’t burn your hand. You can put a towel into
a pot of boiling water or steam it. You can do it that way. A lot of times what you find is that the towel doesn’t keep the heat in, which you really need to do is have heat for about 15 to 20 minutes. And if the towel doesn’t last that long, what I find is helpful
is a heating pad being put on top of it to keep the towel hot and not to lose the heat. That’s what I find a heating
pad probably best for. But you can heat up in a
hot hot spa 104 degrees and stay in there for 15 minutes and then jump into a cold
pool just to keep in, lock the heat in. There’s many ways of doing it. – Thank you. Thank you Dr. Seheult and Dr. Nelson, very quickly, I know that you guys
are using thermal four. Tell us a little bit about, how long per session
that you are recommending and then following that up
as far as the cold therapy. – So we’re using heating pads. Thermal four is actually the brand name of the specific heating pad that we’re using because of its cover. It tends to provide a moist heat. It’s a very high powered heating pad and the reason we’re using that is purely for the
safety of the nurses. We can’t have the nurses going in and out of the hospital room changing out the hot towels. Any of these other mechanisms at home would be just fine
for providing moist heat, to the body. But, we think thermal four is a very effective, I’ve used them myself. We get, we got the largest size, we’re going to be wrapping
that around the chest. The thermal lock is going to be provided by a moist cool towel. Most patients will probably find that as they do hot and
cold treatments over time, they’ll be able to tolerate a greater and greater temperature differential. And we’ll be interested to see if we see that in our patients as well. The reason that we are using it for 25 minutes is purely arbitrary. The Thermal four shuts
off after 25 minutes and so that’s why we chose 25 minutes for our application of heat. Of course we’ll be guided by the nurses and how often they’re able to get in and out of the room and
also patient comfort. We’ll have monitors for skin temperature and be monitoring their
systemic temperatures as well during that time. But our choice of 25 minutes
was purely arbitrary. – Great, thank you so much. Okay, we’re going to try to squeeze in just a few more questions. So we’re gonna try to keep our answers just
as short as possible. Gentlemen, if you don’t mind, is there a protocol for outpatients, for example, how can I try this at home? Dr Nedley , I know Weimar has been working on this very briefly. Can you tell us that there’s a protocol and in essence how we can
practically apply that please? – Well, yes. Thank you. Weimar Institute actually is coming out with a video every day
this next week on how to do that in a home setting, and how to do it in multiple ways. And so, quickly if you
just log onto our website, you’ll be able to hear
some more details of what John Kelly presented and actually see it in a live treatment setting step-by-step. – And I wanted to plug, actually Dr. Kelly has a program, it’s actually a training process. Is that correct, Dr. Kelly, very briefly that you are teaching to the community? – Yes, we are. And we’re teaching not
only just the community but also professionals, we , physicians and so forth. [email protected]
is the email and we can get you information about it. – Great. And again, for our viewers, again, if you go to awr.org/health, you can access this information and be able to reference some of these locations such as Wiemar Dr Kelly’s program, Dr. Nelson and Dr. Seheult, Dr Zeno. I have a quick question for Dr Zeno. Dr Zeno you mentioned a dietary nutrition with fruits and vegetables. We need another program specifically devoted to dietary nutrition. I’ve heard Dr. Kelly
speak at different places. We would like to know
about plant based diets and do they really
improve the immune system? Dr Zeno – The answer is shortly yes. But we have, we have a lot of, evidence based research that demonstrates which factors in the diet are actually the most important in
terms of immune modulation. So we shouldn’t do another
program specifically on that. And nutrition and immunity yes. – Thank you so much. So you’re in want to stay tuned and get more CME credits. How can you go wrong free CME credits and actually learning how to better the health of our patients and ourselves. Okay. Is moist heat better than dry heat? That is a very good question. Dr Seheut in one or two sentences, can you answer that for us? – You know, I don’t think it really matters a big difference. I’ll tell you, I was on a conference call, teaching a number of ICU doctors in Libya a couple of nights ago. I was up at one o’clock in the morning and they were a listing and I was explaining to them what we were just talking about right now. And they, they are telling me that a number of years ago, kind of in their lore, they would take very hot sand and they would put it on on people. It seems as though every culture has known for centuries how to treat this condition. And we’ve, we’ve kind
of lost it in a sense. Obviously hot, dry sand is, is not, is not moist heat, but it’s, you know, it might be preferable, it might be more comfortable. And I’ll, I’ll just say at this point, one of the things Lela, that I really am hopeful is that people learn from John and from Dr Nedley and let’s, let’s make
it a social media event. Let’s go hashtag , hydro for Covid and let’s show people doing their, our hydrotherapy, online and sharing it with people. And so people catch on. I think it would be a great idea. – I think that’s an awesome idea. And I saw Dr Nedly put
one finger abduction. Nedley, do you have an
added additional information you wanted to add to that? – Moist heat is more penetrating. And so our, for actually trying to get into the pulmonary parenchyma, a moist would have an advantage – And, and not to, you know, advertise any specific brand but their Thermo four does have one of its newer products
has an actual opportunity where you can put a moist towel and protect your skin. So again, there’s many
different ways out there. We want to explore more of those in a more scientific setting, but there are a lot of different ways to get the moist heat and he in general. Okay we have a question coming in for a specifically about
drinking hot water. Does drinking hot water
have any benefit? Dr Zeno? – Yes. In the, in the use of, of hydrothermal therapy, sometimes you need to
get the temperature up and drinking hot, hot water or warm water. And, in the old days they used to use a hot
lemonade as part of the, hydrothermal therapy as well. – And we have time for, I think one more question and then we’re gonna
have to wrap it up again. We wanted to keep it to
getting your two hours to CME credits. This is our last question and actually I’m really
glad this question came up. Does steam inhalation have any benefits? And gentlemen, I’m actually going to
propose this to each of you and your different aspects, but I’m also gonna add
the following caveat because we’ve heard this, I’ve heard it spouted
several different places than I would like to put this one to rest. So go ahead and answer a steam inhalation, but I’m also gonna add
a final part of that. Does placing a, a hairdryer
in one’s mouth help to increase your temperature? So we’re going to, I, I, we, we don’t want to chuckle, but we do want to address
some of these ideas because we do need to be scientific and factual but, and careful as physician. So first question is,
does steam inhalation have any benefits? Dr. Sheult I’m just gonna go right
down the road. Dr Seheult. – You’re gonna be surprised. You’re could be very surprised. There was an article in
the British medical journal a number of years ago that looked at a device that heated air and they did a randomized
placebo controlled trial and in one case it was 43
degrees centigrade versus 30, the 30 was the placebo. They didn’t think it was gonna work at 30 wouldn’t you know it that the subjects actually
report itself reported that their cold symptoms were better, that they, and they actually measured the resistance to air
flow through the nodes and that was actually
better when they inhaled at 43 degrees centigrade versus 30 that would be British medical journal. – Fascinating. Dr. Kelly, in your experience in
the community setting, can you very, very briefly answere the question steam inhalation
in your experience, sir? – Yes, thank you. And very simply, yes, I have seen benefit. I would say I have not always
seen a dramatic improvement, but I’ve never seen any harm. And so I tend to, people want to use it. I intend to encourage it. – Okay. Dr. Nelson, how, how has your
experience or in your IRB are you planning to utilize steam at, in your studies? – Well, my personal experience in the shower every
morning is it feels great. (laughing) So I would encourage steam
inhalation in the shower, no. In the IRB setting, we’re not going to be
having people inhale steam. I’d strongly urge people not to go inhaling other things. There’s lots of crazy things out there that people are suggesting. You inhale, – Thank you – Remember the mucus lining is your protection from this virus. You don’t wanna dry it out, cause it to crack, get it irritated, don’t inhale noxious substance. That seems great. – Thank you so much Dr. Nelson, Dr Nedley your experience and some of the practical tidbits there at Wiemar as far
as inhalation of steam and any other last closing thoughts you’d like to make? – Yeah, the, of course
there’s moist saunas and there’s dry saunas and actually there’s some comparison,
trials done some years ago that do show a benefit of the moist sauna or steam inhalation. So yes, I think it would have benefit. – Thank you. And Dr Zeno, you have the final closing remarks for our program for today. – Yes, steam is useful. There are some issues on
caveats associated with that, with people who have
bronchospastic disease like asthma, because some people, the steam actually can precipitate and asthmatic attacks. So you’ll have to be careful about the use of steam in that setting. Additionally, some people don’t realize that steam
is actually hot water. (laughing) And so they may, they may put their face
a little bit too close to the source of the steam and get burned. So that’s a, that’s
another downside of steam. And some would say, well then why not use nebulizers? Well, nebulizers, produce
small particles of, of water, but it’s not heated. Okay. And so, so the, the
difference between steam and nebulized, mist is that one is hot, which is the steam and the other is not, which is a nebulizer. So, but steam is beneficial. We used to use that, in other countries and in the United States, earlier for people with croup and other kinds of, of,
bronchial problems, yes. – Well, thank you so much. Thank you to all of our panelists, every single one of you. It’s been an absolute joy
to be on this symposium and again, for our viewing audience, you are not going to want
to miss next Sunday again at 8:00 PM Eastern, 5:00 PM Pacific. We will be examining again the 1918 flu in comparison to Covid-19 specifically what the science regarding
ultraviolet radiation and open space again, until
next time, God bless you. Stay well, stay healthy wholistically, physically, mentally, emotionally, and spiritually. We look forward to seeing you again. God bless and have a good evening. Thank you.

28 thoughts on “Medical Symposium 1: Lessons learned from the 1918 Flu and their applications to COVID-19

  1. It should be multi-factorial ways on how to mitigate Covid-19 and one of those are Hydrothermal particularly Steam bath and Hot compressed with Herb teas, juicing, plant-based diet and exercise— it does really works I have been applying these for more than 20 years. Prayer and faith in the Lord Jesus Christ the most important component of healing,

  2. My utmost appreciation to all presenters. You're doing the best of the best for Jesus and for the betterment of the people, very informative.

  3. There is no doubt that the content presented was well thought out, our world needs such leaders who unselfishly come together to solve the most pertinent issues plaguing our world. We salute you all, may God bless you all to continue pursuing this matter to completion.

  4. "What have we to lose to try something so simple?" Answer, MONEY!!! Tnx a lot for bring so honest as medical professionals. The human body doesn't need chemical drugs, it needs proper diet n lifestyle to build up our immune system.

  5. Listen to me about the return of Jesus and other angelic souls. Y'all need to remember that Ellen white told you I would be here in the return of Jesus. Now y'all act blind to the fact of the time we are in. I have know last 3 years of this because of the time we are in. I also know who I am but y'all are blind. Guess y'all thought I would fall out the sky like y'all taught Jesus would .

  6. The corona virus is as much a pandemic as the flu is. People get the flu every year and the death rate is extremely low. There've been more deaths from the flu this year than the corona virus. But the lamestream media LIES about its actual danger and WANTS to shut down the world in order to usher in a One World Government.

  7. 99% of Americans don't know anyone that the actually virus affected tho. This was a complete satanic power grab, to steal all of resources instead of just the majority of them they used to steal. I'll save my thumb for the end.i don't trust anyone pushing the global belief system. That is the downfall of mankind, like he says its in or dna to serve family and community. Not ppl on some pay of the world that you dont even know about or a place you'll never be. That's crazy. If everyone was helping there communities all communities thrive and obviously would work better with other communities.#you should not list hospice patients on they're death beds with dying of covid 19. And tons of other elderly with many long term health problems. They are bringing the numbers up and these ppl are either falling for some of the propaganda or liars themselves. This is a Scamdemic/plandemic, but not a pandemic

  8. https://www.youtube.com/watch?v=dG8ufMwYGvw&feature=youtu.be&fbclid=IwAR2Hhwi9RMChuma3cksypjcVqHWDG_eHwz7ev20kHF6Dt4PhaSlsJL7IMuk&app=desktop Find answers in this video!

  9. Covid19 is not related to 1918..Corona virus is climate change movement by papacy for national Sunday law enforcement. Mind you I am telling you from India to our brethren and sister in America. Wake up sleeping Adventist!!!

  10. If Adventist want to go to heaven one day…they need to wake up and start watching real Adventists like Prof. Walter Veith on Amazing Discoveries. Too many got on the MAGA deception and now are left unprepared and soon will be in dire straits cause they were listening to peace and safety instead of getting their gardens ready and topping off their preps. (our food and water is NOT sure in the Little time of trouble (if they were wise enough to take seriously the counsel of EGW and move to the country). Too many in the church say they would wait till the Sunday law to purchase land …too late… This is the last …this is the end…this is time to get our act together if we plan on going to heaven or at least being useful in these last days. If you had listened to Walter instead of Dwight…then you would be ready.

  11. Too long to listen to…I heard someone mention in the comments about Vaccines…surely Adventist know how deadly/destructive/genetically changing vaccines are? Eating NON-GMO foods/clean (non-Flouride) water/natural remedies like hydrotherapy/infrared sauna/ozone/herbs/vitamins…staying away from fake foods like Morningstar and Loma Linda…those are things that boost the immune system…God's way of healing. I hope and pray that Loma Linda is not so base/evil as to suggest vaccines would cure anything. When you allow baby killing in your hospitals…anything is possible IMO

  12. "That which the Lord hath ordained as the sovereign remedy and the mightiest instrament for the healing of all the world is the union of all of its peoples in one universal Cause one common Faith."

Leave a Reply

Your email address will not be published. Required fields are marked *