Vitamin E and CDC Update From Bronchoalveolar Lavages

Welcome to another medcram lecture. We’re going to talk about eval e or e cigarette or vaping products use Associated lung injury. And this is an update based on the cdc’s recent study that was released here at the early part of November. So up to this point they’ve been looking at surveys. They’ve been talking to people what we’ve actually got here are 29 bronchoalveolar lavage.

Fluid from patients. So this is not survey. This is actual isolating chemicals that were in bronchoalveolar fluid. So how do they get that they did a bronchoscopy and they went down into the lungs and they were actually able to wash and suction out the fluid that was in the alveolus take it back and then they were able to collect those and then analyze them and they analyzed it for a number of different.

Compounds so what did they find now? It’s interesting what they found in 100% of them. And this is going to be the Smoking Gun perhaps in one hundred percent of the samples in these patients who were sick and 29 of the mm so far at this point, they found vitamin E acetate.

Now interestingly in 82 percent of the samples that they got they found THC and in 62 percent of the samples. They found nicotine.

now there was a lot of speculation leading up to this that it was the vitamin E that might have been causing all of these things because people have been vaping for years without this E Valley issue coming up and so there was thought that a lot of the black market products which had the vitamin e in it where the actual cause for the problem, but we didn’t know for sure and this is why the CDC was tasked into investigating this

And holding back on making that judgment until they were absolutely sure now in this case. All we have is a hundred percent association association doesn’t always mean causation, but it certainly is the first step now vitamin the acetate is fine for oral ingestion into the stomach. But nowhere was it safe or said to be safe for inhaling it vitamin E is a very sticky oil and it can accumulate and again hundred percent of these patients.

That they got the 29 samples on were positive for vitamin E acetate. Now, what was it not positive for so interesting things that they did not find in there where plant oils petroleum distillates like mineral oil MCT oil or terpenes. So where do you see this vitamin E acetate containing VAP or e-cigarette products found they found them from friends from Family in person or online dealers. So, that’s the one

You’ve got to be careful about not just realize that the time of this update is the beginning of November specifically on November 5th, 2019. The epidemic is up to 2050 One cases of E Valley and up to 39 people in the United States have died as a result of this problem. So what does the CDC recommend at this point? Well, they

and not buying any kind of Vape products from the street. They recommend not buying any Vape products that have THC in it and they recommend not buying any modified Vape products. And of course if you’ve got a child or you had no of a child that’s less than 18 they shouldn’t be vaping period And if you really want to be absolutely sure the best way to do it is not to vape or smoke at all because there is no VAP or smoke product. That is a hundred percent safe the

The FDA recommends using an FDA approved method of smoking cessation. And if you’re not smoking don’t go back to smoking either and if you are going to vape remember this it’s pretty obvious that you could have respiratory complaints be particularly concerned. If you have signs of nausea, vomiting diarrhea abdominal pain or fever because it is these complaints along with respiratory symptoms that makes you Valley of particular concern.



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