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I am an ER MD in New Orleans. Class of 98. Every one of my colleagues have now seen several hundred Covid 19 patients and this is what I think I know.
https://texags.com/forums/84/topics/3102444?fbclid=IwAR3s13SRnw7YNgtu-7LZyrMUSMIRRWScU67lwbuwZM8fna-6R8k4tqrtO3w ^
Posted on 03/25/2020 6:48:00 PM PDT by BusterDog
"Clinical course is predictable. 2-11 days after exposure (day 5 on average) flu like symptoms start. Common are fever, headache, dry cough, myalgias(back pain), nausea without vomiting, abdominal discomfort with some diarrhea, loss of smell, anorexia, fatigue.
Day 5 of symptoms- increased SOB, and bilateral viral pneumonia from direct viral damage to lung parenchyma.
Day 10- Cytokine storm leading to acute ARDS and multiorgan failure. You can literally watch it happen in a matter of hours.
81% mild symptoms, 14% severe symptoms requiring hospitalization, 5% critical."
TOPICS: Extended News; News/Current Events
KEYWORDS: coronavirus; course; covid19; death; doctorspeaks; symptoms
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"Patient presentation is varied. Patients are coming in hypoxic (even 75%) without dyspnea. I have seen Covid patients present with encephalopathy, renal failure from dehydration, DKA. I have seen the bilateral interstitial pneumonia on the xray of the asymptomatic shoulder dislocation or on the CT's of the (respiratory) asymptomatic polytrauma patient. Essentially if they are in my ER, they have it. Seen three positive flu swabs in 2 weeks and all three had Covid 19 as well. Somehow this ***** has told all other disease processes to get out of town.
China reported 15% cardiac involvement. I have seen covid 19 patients present with myocarditis, pericarditis, new onset CHF and new onset atrial fibrillation. I still order a troponin, but no cardiologist will treat no matter what the number in a suspected Covid 19 patient. Even our non covid 19 STEMIs at all of our facilities are getting TPA in the ED and rescue PCI at 60 minutes only if TPA fails."
1
posted on
03/25/2020 6:48:00 PM PDT
by
BusterDog
To: BusterDog
2
posted on
03/25/2020 6:48:57 PM PDT
by
Jane Long
(Praise God, from whom ALL blessings flow.)
To: BusterDog
To: BusterDog
Patients are coming in hypoxic (even 75%) without dyspnea. I have seen Covid patients present with encephalopathy, renal failure from dehydration, DKA.Explain it to us like we're ten year olds.
4
posted on
03/25/2020 6:50:53 PM PDT
by
Texas Eagle
(If it wasn't for double-standards, Liberals would have no standards at all -- Texas Eagle)
To: Pontiac
5
posted on
03/25/2020 6:52:22 PM PDT
by
Pontiac
(The welfare state must fail because it is contrary to human nature and diminishes the human spirit)
To: Texas Eagle
Yes, please. And how it compares to a typical flu season.
6
posted on
03/25/2020 6:53:55 PM PDT
by
CatOwner
To: BusterDog
How many elderly or with compromise immune or respiratory issues?
7
posted on
03/25/2020 6:54:19 PM PDT
by
2banana
(My common ground with islamic terrorists - they want to die for allah and we want to kill them.)
To: BusterDog
Gonna need Google MD translate
8
posted on
03/25/2020 6:54:54 PM PDT
by
DCBryan1
(Quit calling them liberals, progs, socialists, or democrats. Call them what they are: COMMUNISTS!!!!)
To: Texas Eagle
Hypoxia =. Low Oxygen
Dyspnea =. Difficulty breathing
DKA=. Diabetic Kyoto Acidoses, Causes Fat to be broken down too fast, causing an overload in the Liver, which results in too much acid in the blood.
Renal Failure, = kidney failure
Encephalopathy = Brain Damage
All in all, multiple organ failure/ damage.
To: Vermont Lt
To: BusterDog
I wonder why the cytokine storm ?
11
posted on
03/25/2020 6:57:10 PM PDT
by
Steely Tom
([Seth Rich] == [the Democrats' John Dean])
To: BusterDog
Would be interesting to see the percentage that dont present to hospital.
To: BusterDog
In MN we’re being told that we are in day 4 of a 150 day outbreak. Which will peek in the final week in June.
13
posted on
03/25/2020 6:57:48 PM PDT
by
Spruce
To: Texas Eagle
Brain and heart issues (I think).
14
posted on
03/25/2020 6:58:38 PM PDT
by
RushIsMyTeddyBear
("Progressives" (elitist Communists) "Love you to death".)
To: Texas Eagle
I’m with you Eagle. I’m an engineer not in the medical profession. I’ll wait for a translation of the article.
Do you think Google Translate might handle it?!
To: RushIsMyTeddyBear
16
posted on
03/25/2020 6:59:18 PM PDT
by
RushIsMyTeddyBear
("Progressives" (elitist Communists) "Love you to death".)
To: arkfreepdom
Here in ark it was 4.5% hospitalized 2 days ago, but those are early numbers.
Comment #18 Removed by Moderator
To: AAABEST
Really? You cannot read sarcasm? How old are you?
To: Vermont Lt
SOB = Shortness of Breath, and ...
ARDS = Acute Respiratory Distress Syndrome
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