Free Republic
Browse · Search
General/Chat
Topics · Post Article

To: WildHighlander57; All

Various health care systems and the CDC have web pages up discussing monoclonal antibody treatment and guidelines to get monoclonal antibody treatment. Of those pages I’ve seen, I kept this link, as it was one of the best:

https://www.sih.net/coronavirus/covid-infusion/covid19-infusion

The big problem I perceive is that with Covid, once one is symptomatic enough to think “Uh, oh, maybe I’d better see a doc”, the window until one is too sick for the monoclonal antibody treatment to not be contra-indicated can be short. (Sorry, that’s sort of a double negative.) PCP’s in a “hot” area can literally be too busy to see one with mild symptoms quickly (and, after all, before testing, the odds one actually does have “just a cold” are usually 8 or 9 to 1.) So, then there can be confusion and panic on where to turn next, and, a delay can be deadly. As FReeper terart fatally discovered, to the horror of those who saw her thread about getting Covid...

It also does not help that ER’s in hot areas are too busy to do Covid testing and will often turn such requests away, send the patient elsewhere, etc.

The suggestion by another FReeper above to scope some of this out in advance, esp. if you think you may be @ risk with a co-morbidity, is a good idea. Maybe some of our FReeper health care types can weigh in?


105 posted on 08/29/2021 7:43:49 PM PDT by Paul R. (You know your pullets are dumb if they don't recognize a half Whopper as food!)
[ Post Reply | Private Reply | To 70 | View Replies ]


To: Paul R.
PCP’s in a “hot” area can literally be too busy to see one with mild symptoms quickly...

The Family Practice clinics do not want to see them. "Too busy." "Next available appointment is in two weeks". "No conference room available in which to isolate these patients". Even if the patients have an appointment, the screening clerk will send them off to an Urgent Care clinic. They don't want to see them either. They pass them along to the nearest Hospital ER.

Requesting a telephone conference with the PCP or their alternate sometimes works. It is worth doing.

I have observed this process while waiting in a Family Practice clinic for a scheduled appointment (which of course was running late). The conversations can become quite strained.

The "standard of care" for patients with flu-like symptoms is to send them home with instructions to take acetaminophen and "watchful waiting". If things go really bad with pneumonia, then check into an ER.

That was exactly the response given to a cousin of mine and two colleagues from my workplace. All were eventually confirmed positive COVID-19 cases of moderate severity. Fortunately, they all recovered.

The one colleague who was hospitalized did get some kind of treatment that was more than just "take acetaminophen and make an appointment in two weeks". That included anti-coagulants which aggravated a pre-existing gastric bleed and required surgery to correct. Oops. But laparoscopic techniques are amazing and he was out the next day. His whole family got sick except for a younger son. They all recovered.

There are better responses available from the corporate medical system than the standard narrative. But you need to ask for them to get them. And you need to stay calm about it.

125 posted on 08/30/2021 5:36:39 AM PDT by flamberge (Time has run out. Work with what you've got.)
[ Post Reply | Private Reply | To 105 | View Replies ]

Free Republic
Browse · Search
General/Chat
Topics · Post Article


FreeRepublic, LLC, PO BOX 9771, FRESNO, CA 93794
FreeRepublic.com is powered by software copyright 2000-2008 John Robinson