Re: The official Coronavirus thread
[Re: Twostick]
#2755073
03/23/20 03:29 PM
03/23/20 03:29 PM
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Joined: Jan 2003
Posts: 7,545 Albany, NY
67SATisfaction
The member whose name is actually Art
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The member whose name is actually Art
Joined: Jan 2003
Posts: 7,545
Albany, NY
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My lovely wife is a Family Practice MD, entering her 3rd week working 14 hour days here in NY... the situation is not fun.
Here's some thoughts she shared - give people a snapshot of a day in her life..
"So lots of problems with someone who has a cough. It is covid 19, the flu, a cold, allergies, asthma, a smoker, heartburn, congestive heart failure? Who knows? How about someone who has a fever? So many possibilities! So we are screening people over the phone before they come in. Then we are screening them at the front desk and taking their temperature, and asking if they have been exposed to covid or a person under investigation. Then if they pass they can go into a room and we can see them.
What if they have a cough/fever at the front desk? We send the patient home and then talk to them on the phone (and have to figure out: should them be tested for covid? Should they be quarantined? What about keeping them out of work? What about medically treating them for whatever they do have but without being able to examine them?)but now has the front desk staff been exposed? Do they need to be quarantined for 7 to 14 days? Now the front staff is worried about exposing their family to covid. We didn’t even have masks for the front staff until yesterday although now we do.
So let’s say the patient passed screening and the provider is in the room with them. What if they were not honest with the front staff and now say they have a cough? Or they honestly didn’t think about it and now they remember? Now has the provider been exposed and needs to be quarantined for 7 to 14 days, and now can’t work with patients for that time? And the exam room needs to be decontaminated for a few hours. The medical director said that we should be wearing masks for all patients with a cough, but again we didn’t have enough masks until yesterday.
And now the kids. Kids come down with sudden fever and cough all the time, something we routinely see every week in normal circumstances, but now the parent is nervous about Covid? Go back to step one and apply to kids, the same treatment problems, with the added dimension of a freaked out parent, who isn't or can't be clear about the kid's symptoms.
And all these questions come up in various permutations about 50 times a day. And I haven’t even gotten into the decision whether they need/ can be tested...
So actually I think it’s easier to treat covid patients. You KNOW the situation - you have to wear personal protective equipment with them. With the general population who knows?
Yeah. And there are no right answers to a lot of these questions and the guidelines can change every day.
And still taking care of all the regular medical problems but trying to do much of it over the phone which has its challenges.
Sometimes crisis bring out the best in people and sometimes it brings out the worst. Patients are generally lovely as I said before but I had one complain that she had to wait 20 minutes to see me. Really?!"
Cheers, - Art
65 Satellite hardtop 361/4bbl console 727 2.76 67 Satellite convert 383/2bbl column 727 3.23 67 Lancia Fulvia Sport 1.3 Zagato. Alloy body, 1.3L V4 DOHC 4-spd 67 Lancia Fulvia Rallye 1.3. Alloy panel, 1.3L V4 DOHC 4-spd 71 Alfa Romeo GT Junior 1300 Zagato, 1.3L 4cyl DOHC hemi 5-spd 82 Alfa Romeo GTV6 2.5L SOHC hemi V6 5-spd transaxle 75 Maserati Bora US spec 4.9L DOHC hemi V8 5-spd ZF 77 Maserati Khamsin Euro spec 4.9L DOHC hemi V8 5-spd ZF 07 Aston Martin DB9 6.0L DOHC V12 6spd transaxle
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Re: The official Coronavirus thread
[Re: 67SATisfaction]
#2755077
03/23/20 03:37 PM
03/23/20 03:37 PM
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Joined: Jun 2003
Posts: 52,972 Romeo MI
MR_P_BODY
Master
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Master
Joined: Jun 2003
Posts: 52,972
Romeo MI
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The wifes sister just sent a e-mail saying see is now positive for the 19 virus but she is feeling fine for the time being... she lives in Colorado
Last edited by MR_P_BODY; 03/23/20 03:39 PM.
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Re: The official Coronavirus thread
[Re: 360view]
#2755166
03/23/20 07:09 PM
03/23/20 07:09 PM
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Joined: Jan 2006
Posts: 8,162 USA
360view
Moparts resident spammer
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Moparts resident spammer
Joined: Jan 2006
Posts: 8,162
USA
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Loss of sense of smell alone can be an early sign of COVID-19 infection: https://medicalxpress.com/news/2020-03-loss-covid-.htmlSample quote “ While further research is required, loss of smell, or anosmia, has been reported in as many as one in three patients in South Korea and, in Germany, this figure was as high as two in three patients," says Professor of Otolaryngology (head and neck surgery) at Flinders University. "An ENT professor in London has reported seeing a dramatic increase in patients with anosmia as their only symptom of COVID-19 infection." End quote Maybe sniff your coffee each morning and order a pizza each evening to sniff the cheeses? Not just dry cough and later fever, early symptoms of COVID-19 are not wanting to eat and the runs. Sample quote Nearly half of COVID-19 patients enrolled in the study conducted in the Hubei province of China presented digestive symptoms, such as diarrhea and anorexia, and cited it as their chief complaint. The study also reveals that patients with digestive symptoms had a longer gap between the onset of symptoms and hospital admission than patients presenting only respiratory symptoms and were less likely to be cured and discharged than those without digestive symptoms. End quote From https://medicalxpress.com/news/2020-03-digestive-symptoms-prominent-covid-patients.html
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Re: The official Coronavirus thread
[Re: 360view]
#2755169
03/23/20 07:14 PM
03/23/20 07:14 PM
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Joined: Jan 2006
Posts: 8,162 USA
360view
Moparts resident spammer
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Moparts resident spammer
Joined: Jan 2006
Posts: 8,162
USA
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Canada is going to run a clinical trial on the older inexpensive generic drug Colchicine https://medicalxpress.com/news/2020-03-drug-covid-complications.htmlSample quote Several COVID-19 patients have had severe complications from a surge of activated immune cells in the lungs—known as a "cytokine storm." In a cytokine storm, the immune system overreacts and damages lung tissue, leading to acute respiratory distress and multi-organ failure. A team led by Jean-Claude Tardif, director of the Montreal Heart Institute research center and professor of medicine at the University of Montreal, are hoping the drug colchicine will work to moderate the overproduction of immune cells and their activating compounds—called cytokines—in COVID-19 patients. If it proves to be successful, the drug— which is already used to treat gout and pericarditis (inflammation of the heart membrane), and is readily available and inexpensive—could become a key tool in the pandemic fight. End quote
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Re: The official Coronavirus thread
[Re: Mr PotatoHead]
#2755230
03/23/20 09:42 PM
03/23/20 09:42 PM
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Joined: Nov 2004
Posts: 25,050 Texas
GoodysGotaCuda
5.7L Hemi, 6spd
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5.7L Hemi, 6spd
Joined: Nov 2004
Posts: 25,050
Texas
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This article sort of pieces together why the POTUS has a very different tune this afternoon regarding Asian-Americans and very explicitly did not refer to it as the "Chinese Virus". Interesting.
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Re: The official Coronavirus thread
[Re: dOc …]
#2755270
03/23/20 11:34 PM
03/23/20 11:34 PM
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Joined: Jan 2003
Posts: 1,908 Nebraska
4406bbl
top fuel
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top fuel
Joined: Jan 2003
Posts: 1,908
Nebraska
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Has anyone heard how quickly bleach kills this virus?
I have a cocktail of bleach and water in a spray bottle in my car ... probably a 50/50 mix ......not the most pleasant scent but if it works I’m fine with it.
A neighbor has some lavender scented bleach ... I might try that Scented bleach is not allowed by by the health dept for use as a sanitizer, and will get a restuarant a critical health violation, and has for decades, keep the plain. Clorox site lists the ratios, depends on if it is plain or concentrated clorox. Pretty sure they said 30 seconds.
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