Category Archives: COVID-19

Posts and information on COVID-19 for Meakins-Christie, RECRU, and RESP members.

In 25 Seconds to Save Bella, Dr. Arnold Kristof talks about caring for a patient with extreme COVID-19 as well as delivering her baby.

25 Seconds to Save Bella

Dr. Arnold Kristof was recently interviewed by La Presse and CTV News about a recent experience working in the Intensive Care Unit at the Royal Victoria Hospital. He shares how the pediatric and adult hospitals came together to save a pregnant woman diagnosed with a severe form of COVID-19, and to deliver her child.

25 Seconds to Save Bella is a piece about a woman in intensive care who experienced severe symptoms of COVID-19 while pregnant. She was having a lot of difficulty breathing. The baby was pressing on her diaphragm, adding to her breathing difficulties. With the adult and pediatric hospitals working together, Dr. Kristof and the team succeeded in saving the mom and successfully delivered her daughter as well. No other hospital has succeeded at what this team of dedicated medical professionals at the MUHC accomplished.

Teamwork and trust in the other members of the team are also essential elements for success.

During the pandemic, Dr. Kristof has continued his research program at the Meakins while working in the MUHC Intensive Care Unit.

Read the articles here:

Quebec's confusing COVID vaccine rollout plan affects the intellectually handicapped.

Confusion over COVID vaccine priority list

Alexander Grant, an MSc Graduate Student in the lab of Dr. Maziar Divangahi, speaks out about the confusion over the COVID-19 vaccine priority list for people with an intellectual handicap. Grant was interviewed by Global News last week, and is bringing attention to this issue as it affects him personally: his twin brother Jonathan is autistic and prior to Grant’s taking action, was not considered a priority for a vaccine.

The Quebec government website is said to be very confusing, prioritizing only certain disabilities, and the disabled living in specific environments, to receive a COVID-19 vaccine before the general population. Regardless of the information on the website, some regional health authorities in Montreal are ignoring the government’s priority list and are more freely vaccinating people with disabilities.

When Julius Grey, a McGill Laureate and well-known human rights lawyer in Montreal, was approached by Grant and other families in the same predicament, a letter was sent to the government advising them of the intention to sue on behalf of these families. It was only at this point that the CIUSS telephoned Grant and confirmed his brother could have the vaccine. His brother is indeed fortunate to have someone to advocate on his behalf. Not everyone does.

Added to the daily stress of living with a disability, Jonathan and his family have been living with the stress of knowing how catching the virus and being required to live in complete isolation would complicate Jonathan’s life immensely, as it would many people with disabilities who require daily assistance. Fortunately, some municipalities are now offering a vaccine to these individuals, who should most certainly have been included on the priority list since the beginning.

Listen to the interview with Amanda Jelowicki here:

https://globalnews.ca/video/7764764/confusion-exist-over-covid-19-vaccine-priority-and-people-with-disabilities-in-quebec

Read articles here:

ATS Assembly webinar event hosted by Meakins, RECRU or RESP Program members

ATS Webinar – June 22, 2021

The ATS Assembly of Pulmonary Rehabilitation announces the next edition of its Journal Club, on Tuesday June 22nd at 12:00PM EST, Pulmonary rehabilitation in COVID-19 respiratory failure patients post-ICU.

The discussion will be moderated by Dr. Tania Janaudis-Ferreira (Assistant Professor, School of Physical and Occupational Therapy, McGill University; RESP Program Member; Meakins-Christie Associate Member; RECRU Member). 

Complete the Registration Form here.

Systematic COVID Screening in Montreal

Dick Menzies, MD and Jonathon Campbell of the RI-MUHC’s RESP program have been researching systematic screening strategies for COVID-19 since the SARS-CoV-2 virus arrived in Canada. A resulting pilot project involving employees at two companies in Montreal-North began in January of this year and is showing promising results.

The inexpensive screening method involves participants – the employees of these two companies – gargling and rinsing their mouth with a sterile saline solution, which is then returned to the vial and sent to the lab for testing. It is a quick and non-invasive method to test for the virus and it works. So far, test results of 3% of the asymptomatic participants have come back positive.

Despite being denied funding by the Ministère de la Santé et des Services sociaux du Québec, Dr. Menzies and his team of researchers were convinced that an active rather than reactive approach to containment of the virus was necessary. Their paper Active testing of groups at increased risk of acquiring SARS-CoV-2 in Canada: costs and human resource needs published in September of 2020 details the results of their study carried out on this subject. Convinced of the essential nature of their research, Dr. Menzies and his team continued their pursuit of support, and their efforts were rewarded when the Trottier Family Foundation and the Molson Foundation came on board.

Read more about their research and the pilot project here:

Dr.Maziar Divangahi of the Meakins-Christie Laboratories on vaccines and trained immunity

Flu Vaccines and COVID-19

In a recent interview with Radio Canada’s Renaud Manuguerra-Gagné, Dr. Maziar Divangahi of the Meakins-Christie Laboratories explains how the flu vaccine can help our immune system to fight the COVID-19 virus.

Dr. Divangahi, having extensively researched the topic of immunity, has explored the subject of flu vaccines and COVID-19. In this interview he explains how the flu vaccine could train the innate immunity of an individual by causing it to increase the number of antiviral molecules, or cytokines, in the body. These cytokines may also help the body fight new, unrelated, infections, such as the SARS-CoV-2 virus, impeding the spread of the virus in the initial stages of infection. Trained immunity may also reduce the body’s extreme reaction to the virus in the later stages of infection; and it is these extreme reactions that results in the need for hospitalization.

Additional and more extensive research is needed to determine which vaccines will help fight a SARS-CoV-2 virus infection; whether or not a vaccine would be effective depends on what components it is composed of. This is promising news to read and will hopefully lead to exciting new discoveries in the near future.

Read the full article and interview here:

Les vaccins contre la grippe peuvent-ils réduire les symptômes de la COVID-19?, Renaud Manuguerra-Gagné, Radio-Canada, Montreal, February 15, 2021. Photo credit: Radio-Canada / Jeff McIntosh

Montreal-area hospitals have almost reached capacity

COVID-19 situation in the ICU is critical

As the number of hospitalizations with COVID-19 patients increases into January 2021, Dr. Peter Goldberg discusses how the MUHC is planning to operationalize a potential increase in patients. These are some of the logistical and emotional choices Montreal area hospitals may have to face in the coming weeks.

Interviews with Dr. Goldberg on the status of Montreal hospitals, and what happens next:

Who will be most affected by COVID-19?

A related post from November 2020:

We are months into the second wave of COVID-19 yet healthcare workers remain unable to predict who will get sick from the virus and who will not. Neither the severity of a patient’s symptoms, nor their age, forecast the ultimate outcome. Nor does the existence of a pre-existing medical condition dictate how things will end. The truth is, healthcare teams do not know who will be most affected by COVID-19. In a recent interview, Dr. Peter Goldberg, associate member of the Meakins-Christie Laboratories and researcher in the RESP Program of the RI-MUHC, expresses his frustration at his inability to save someone who is too young, too alive, to die:

“it was like a forest fire, and all I had was a garden hose.”

Dr. Goldberg

Even patients seemingly on the mend can take a sudden turn for the worse and experience a rapid decline. Suddenly their life is in jeopardy. Physicians must be ready to respond quickly when this happens, but when not successful they are left to watch their patients pass on without the support of their family or friends.

“If there is anything more distressing than seeing someone die, it is seeing them die alone, or a nurse holding up a phone on Zoom or Skype so that family members can watch this,”

Dr. Goldberg

Canada’s case fatality rate is high amongst peer countries, but it is suggested that the trend could be due to testing: in Canada, testing has focused on individuals with symptoms and at-risk individuals, rather than the entire population. Regardless of testing, as the number of people with severe symptoms require hospitalization increases, hospitals become overloaded and physicians are faced with difficult decisions. Reflecting back on the spring and how the hospitals quickly filled up, Dr. Goldberg recalls having “very disturbing” conversations with hospital ethicists, and he sincerely hopes not to find himself in a similar position this time around:

“I don’t think the community knows that these conversations are going on. We’re talking about them — we’re not talking about something esoteric about ourselves. We’re talking about how ICUs, if we reach the limitation of our capacity to treat COVID patients, then we’re going to have to make decisions about who gets the bed.”

Dr. Peter Goldberg

Dr. Goldberg speaks of fighting this virus from a physician’s perspective, and the difficulty to predict who will be most affected by COVID-19, in his interview with Sharon Kirkley of the National Post.

The interview with Dr. Goldberg can be read here:

COVID-19 testing: Saliva vs Nasopharyngeal Swabs

Saliva Swabs are Just as Effective

A study co-authored by Dr. Dick Menzies, Senior Scientist in the RESP Program at the RI-MUHC and Associate Member of the Meakins-Christie Laboratories, reveals that saliva swabs are just as effective at detecting the COVID-19 virus as are nasopharyngeal swabs, but at a fraction of the cost and none of the discomfort.

Saliva swabs are just as effective and they can be self-collected. Thus, the expense of setting up and operating testing sites would be eliminated along with the cost of healthcare and other workers at those sites and the protective equipment required by those workers. Exposure of these workers to the virus would be eliminated and health professionals would be available to assist in other areas of healthcare.

“With over 75,000 tests being done per day in Canada, replacing nasopharyngeal swabs with saliva-based sampling methods would save half a million dollars every day,” 

Dr. Dick Menzies

Dr. Menzies and his team of researchers have discovered a win-win alternative to nasopharyngeal swabs. How soon can this new practice be implemented?

Read more about the study and the interview with Dr. Menzies:

Marc Tewfik and olfactory training if you lose your sense of smell or taste after COVID-19

Olfactory training after COVID-19

Dr. Marc Tewfik explains how olfactory training can be done at home if COVID-19 has stolen your sense of smell. Dr. Tewfik is an Associate Professor of Otolaryngology – Head and Neck Surgery at McGill University and an Investigator with the RI-MUHC RESP Program.

In a recent interview with CBC News, he discusses that up to 20% of people who lost their sense of smell after testing positive for COVID-19 don’t seem to recover their sense of smell or taste. He explains the importance of our sense of smell, and how olfactory training might work for some.

Olfactory training is easy and can be done at home. It involves smelling natural ingredients in jars twice a day for several months to help stimulate the nerve cells in the nose to regenerate.

Read the full article and interview here:

Has COVID-19 stolen your sense of smell? MUHC doctor suggests method to coax it back. CBC News Montreal. January 8, 2021

Nicole Ezer and the CONTAIN COVID-19 trial at the RI-MUHC with ciclesonide

COVID-19 contained with a nasal spray

Dr. Nicole Ezer is helping lead a trial with ciclesonide that promises to reduce symptoms of COVID-19. Read our initial posts about the trial here: Ciclesonide Clinical Trial for COVID-19 and ‘Contain COVID-19’ – in its earliest phases.

The Journal de Montreal reports the pursuits of our Quebec researchers and physicians in leading this trial. Ciclesonide has both anti-viral and anti-inflammatory properties. Of the few trials testing ciclesonide, the one led here at the MUHC is the only one that is studying the administration of the drug by nasal spray and inhaler. Inhalers and sprays have the advantage of acting directly in the nose, the airways, and the lungs, right were the SARS-CoV-2 virus is actually replicating. The goal of the trial is to determine whether ciclesonide reduces respiratory symptoms and in turn reduces hospitalizations.

Dr. Ezer is an Assistant Professor in the Department of Medicine at McGill University and a Junior Scientist with the RI-MUHC RESP Program.

To learn more about the trial or participate and the entire research team: www.contain-covid19.com/contenez-la-covid-19/  

Read the article:

COVID-19: un vaporisateur nasal en renfort. par Stéphanie Martin, Journal de Montréal. December 31, 2020.

Preliminary findings of Dr. Benjamin Smith's study suggest a shorter COVID-19 quarantine period may be possible for the future.

A shorter COVID-19 quarantine period

A RI-MUHC study led by Dr. Benjamin Smith suggests appropriate testing could bring the COVID-19 quarantine period down from 14 to 7 days. Healthcare workers who developed COVID-19 after they were advised to self-isolate following a high-risk SARS-CoV-2 exposure, were all detected by day 7. This means that a simple testing strategy may allow for the early detection of healthcare workers who will develop COVID-19 after a high-risk exposure.

Read More:

COVID-19 testing: Timing may be everything

The original post appeared November 2020:

It seems that a shorter COVID-19 quarantine period may be possible, thanks to the work of Dr. Benjamin Smith, MI4 scientist and member of the Meakins-Christie Laboratories. Dr. Smith was primarily looking to ease the burden of this virus on the healthcare system. Healthcare workers are at the greatest risk of exposure while at work and yet their presence at work is crucial to handle an ever-increasing influx of COVID-19 patients.

Dr. Smith began by questioning the duration of the isolation period after exposure, 14 days, and looked to reduce that window. He developed a study, and is using healthcare workers exposed to the virus as his test subjects. Testing them using a variety of methods at varying time intervals throughout their isolation has given positive results.

“Our study suggests that a simple infection control strategy consisting of symptom-triggered testing from day 0 to 7, followed by a standard home-based test on day 7, detects all or nearly all healthcare workers who develop COVID-19 after high-risk exposure. It’s a promising result. If these findings are confirmed as we test a larger number of people, this testing strategy could significantly shorten the self-isolation duration required for healthcare workers,”

Dr. Benjamin Smith

The initial findings of his study indicate that the results of a nasopharyngeal swab and saliva test on the 7th day of quarantine will predict fairly accurately the likelihood of developing the virus in day 8-14. Continued positive results in this ongoing study will bring a great sense of relief to many. A shorter COVID-19 quarantine period will benefit more than just the intended healthcare workers. Other patients looking to access the healthcare system, travellers, society as a whole will feel a burden lifting in light of this news.

Read More:

  • The full article about Dr. Benjamin Smith’s study and the encouraging results can be read in the article COVID-19 testing: Timing may be everything, appearing in the November 18, 2020 edition of Health e-News. Photo credit: Owen Egan / Joni Dufour.