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octoberlib

(14,971 posts)
Mon Mar 16, 2020, 03:52 PM Mar 2020

From an ER doc in New York City on shift today:





From an ER doc in New York City on shift today:

“Today. Is. F’ing. Nuts. It kinda blew up here. And sending home lots of people undoubtedly positive because we don’t test on discharged patients. This has been spreading a long time.”
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From an ER doc in New York City on shift today: (Original Post) octoberlib Mar 2020 OP
So they send home symptomatic people without testing them? milestogo Mar 2020 #1
My niece is self-quarantined in NYC. Went to hospital, said symptoms were not severe enough for test TheBlackAdder Mar 2020 #2
They're being presumptively diagnosed with COVID elias7 Mar 2020 #3
Thank you for explanation. Tylenol for fever. Stay hydrated. Stay home. emmaverybo Mar 2020 #4
I used Advil and Benadryl. gldstwmn Mar 2020 #9
Said not to use ibuprofen. Use Tylenol for fever. leftyladyfrommo Mar 2020 #12
France's version of the CDC says Ibuprofen makes it worse for some victims. AtheistCrusader Mar 2020 #15
10 days ago when I was sick we gldstwmn Mar 2020 #28
Well, part of the point is to get an accurate count of who has been infected and where they live. milestogo Mar 2020 #5
This genxlib Mar 2020 #7
+1 crickets Mar 2020 #13
Right, that is the down side elias7 Mar 2020 #11
It is very hard to order things, plan etc if there are no statistics. LiberalArkie Mar 2020 #20
Health providers won't know if things are getting better or worse if they don't have reliable data. milestogo Mar 2020 #22
I got the flu last year despite getting my annual flu shot. procon Mar 2020 #27
My PA wife says Tamiflu will not work against CV /nt al bupp Mar 2020 #29
That's disconcerting to think about all those folks procon Mar 2020 #30
Test with what? Generic Brad Mar 2020 #14
+1 dalton99a Mar 2020 #18
Sure they do. The WHO offered them to us, volstork Mar 2020 #21
Not having tests by now is a fucking catastrophe. milestogo Mar 2020 #24
I suspect they have been sending home people for a few months without realizing it. cstanleytech Mar 2020 #23
What others said. Igel Mar 2020 #6
Yep, on purpose bluer areas get greatest infections and can't vote ... Red Don wins election. uponit7771 Mar 2020 #8
Isn't this why Cuomo wants the army to build hospitals right now? BeckyDem Mar 2020 #10
It's probably too late. AtheistCrusader Mar 2020 #16
I hope not! They have to get up to speed as much as possible. BeckyDem Mar 2020 #17
First word out of my mouth after reading that - Dem2theMax Mar 2020 #19
"This has been spreading a long time." TryLogic Mar 2020 #25
100x-1000x more americans infected and spreading as NO testing is being done beachbumbob Mar 2020 #26
Good guess. nt Blue_true Mar 2020 #31

elias7

(4,026 posts)
3. They're being presumptively diagnosed with COVID
Mon Mar 16, 2020, 04:15 PM
Mar 2020

and sent home, because there is no treatment unless they need to be admitted to the hospital with hypoxia. There’s probably so many at this point, that there’s no point in counting, and it’s a waste of resources to test symptomatic people and risk further exposure, when the docs are spending their time treating folks who can’t breathe.

People who have symptoms but are breathing OK just need to stop coming to the ER and self-quarantine for a few weeks, returning to the ER if they are failing.

Consider... once the virus has definitely arrived, what’s the point in testing? It’s like influenza... we don’t need to test for it to know it when we see it. We prescribe tamiflu if it’s within 48-72 hours and tell people to g9 home and take care of themselves and don’t infect others.

AtheistCrusader

(33,982 posts)
15. France's version of the CDC says Ibuprofen makes it worse for some victims.
Mon Mar 16, 2020, 05:54 PM
Mar 2020

We don't KNOW that for certain, yet, but definitely, I would take that as good advice.

milestogo

(16,829 posts)
5. Well, part of the point is to get an accurate count of who has been infected and where they live.
Mon Mar 16, 2020, 04:32 PM
Mar 2020

If I hear that 250 people have tested positive in my city I'm not going to risk leaving home. If People don't know that they may think there is no risk to going out.

If they aren't tested, they aren't part of the official count (which I'm sure Trump would love). But not having a good count is part of the problem. We don't know if there are 4000 infected people or 40,000 or 400,000.

genxlib

(5,535 posts)
7. This
Mon Mar 16, 2020, 04:42 PM
Mar 2020

The numbers are needed to reinforce the isolation. They don't understand math and science well enough to realize that they have to assume those large numbers are out there whether they are tested or not.

Because people are vain and think it won't happen to them.

The original commenter is correct that is has limited benefit to the scientists at this point. But it can be used to beat the idea into some overly dense brains.

elias7

(4,026 posts)
11. Right, that is the down side
Mon Mar 16, 2020, 04:49 PM
Mar 2020

Although, they will be diagnosed clinically and numbers will be collected in the end.

I think in some places it’s probably just getting so crazy that some ED’s are in survival mode, just trying to take care of the sick ones and get the worried well back to their homes.

procon

(15,805 posts)
27. I got the flu last year despite getting my annual flu shot.
Mon Mar 16, 2020, 08:01 PM
Mar 2020

They gave me tamiflu in the ER while I was waiting for an ICU bed, I also had pneumonia with several preexisting pulmonary illnesses. The tamiflu made a remarkable difference in how I felt, minimizing my symptoms and giving me a fast recovery. I don't know if it's effective for reducing the symptoms of Corid 19, if not I hope some lab is working of a similar medication to help those who get it.

procon

(15,805 posts)
30. That's disconcerting to think about all those folks
Mon Mar 16, 2020, 11:00 PM
Mar 2020

who will be in a lot of misery without it. My heart goes out to them.

volstork

(5,403 posts)
21. Sure they do. The WHO offered them to us,
Mon Mar 16, 2020, 06:21 PM
Mar 2020

and the US, for some inexplicable reason, refused them.

Thanks, IQ45.

cstanleytech

(26,319 posts)
23. I suspect they have been sending home people for a few months without realizing it.
Mon Mar 16, 2020, 06:37 PM
Mar 2020

After all for most people it mimics having a cold with the severity different for everyone so it would be easy for it to sneak by as they almost never test for a cold itself and instead they simply treat the symptoms.

Igel

(35,356 posts)
6. What others said.
Mon Mar 16, 2020, 04:36 PM
Mar 2020

And consider the nature of social media.

There is no advantage in saying, "We were busy today, but otherwise everything was okay."

Social media is for venting. And most people vent over (1) routine stuff, (2) non-routine but not horrible stuff, (3) horrible stuff that they heard happened but have no actual direct knowledge of, (4) horrible stuff that they've personally witnessed and assume they understand, and (5) horrible stuff that they actually do know the entire context for.

Sadly, most people are actually unable to distinguish any of those conditions from any other, so social media is good for outrage and not always so good for understanding. In this, it's like Yelp! 99/100 customers are satisfied, 99/100 Yelpistas say that the product is the worst ever and was, in fact, responsible for the die off of the dodo and for widespread glaciation in the last ice age.

Dem2theMax

(9,653 posts)
19. First word out of my mouth after reading that -
Mon Mar 16, 2020, 06:16 PM
Mar 2020

Shit!

I'm heading into week three of self-isolation because I am sick.

Per my doctor, symptoms not severe enough for a test. Can't prove I was near anyone who has traveled recently, (the most stupid qualifier of all.) I was in Costco four weeks ago. What are the odds someone in there just got back from vacation in a foreign country? Maybe 100%?

When my temperature hit 100.3, the magic number they are looking for to start thinking you might need a test, I sat down with my calendar to see how many people I have been in contact with, and every place I have gone since mid-February. Symptoms showed up approximately March 1st. That's a guesstimate.

Nothing stands out. I've had a fever going on two weeks. I have never had a fever last that long. I rarely have a fever. That alone tells me something is off.

I'm absolutely convinced there are tens of thousands of people walking around with this thing, who have no clue that they have it. My symptoms are mild in comparison to the people who have ended up in the hospital. But I wouldn't wish what I have gone through on anyone but Trump and the GOP. (As long as they don't spread it to anyone else.)

So for everyone who can't get a test, which is probably 99% of us, stay home, Tylenol, Gatorade, fluids, fluids, fluids, eat what you can, sleep when you can, and hope you get over it that way.

TryLogic

(1,723 posts)
25. "This has been spreading a long time."
Mon Mar 16, 2020, 07:00 PM
Mar 2020

Yes. We (living in Colorado) had a visitor in mid January who almost certainly had covid-19. She is a sturdy female about 40, a long distance hiker from Maine. She was very tired/weak, had a horrible dry chest-based cough, no runny nose, said she felt/heard crackling in her chest when she took a breath. She had had a fever for a couple of days, had been at a conference where there were people from all over the world, had been in airplanes and airports.

I thought she almost certainly had pneumonia, but when she got home her doctor said no. She had a high end smart watch giving her lots of info about her body. It computed something I think was called life energy. The maximum value computed would be 100. While she was here, it hit a low of 8. Within about 36 hours it bounced back to 85, and she was clearly feeling better. My wife and I (in our 70s) limited the illness in ourselves a few days later using supplements, herbs, probiotics, and homeopathic medicines. Neither of us seemed to have a serious issue with it.

Again, this was mid January.

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