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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
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To: BusterDog

Thanks for posting.


2 posted on 03/25/2020 6:48:57 PM PDT by Jane Long (Praise God, from whom ALL blessings flow.)
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To: BusterDog

Yup. That’s the flu.


3 posted on 03/25/2020 6:50:05 PM PDT by Vermont Lt
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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)
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To: Pontiac

Later


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)
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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
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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.)
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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!!!!)
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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.


9 posted on 03/25/2020 6:56:11 PM PDT by Vermont Lt
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To: Vermont Lt

Not Kyoto, Keto.


10 posted on 03/25/2020 6:56:51 PM PDT by Vermont Lt
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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])
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To: BusterDog

Would be interesting to see the percentage that don’t present to hospital.


12 posted on 03/25/2020 6:57:35 PM PDT by arkfreepdom
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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
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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".)
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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?!


15 posted on 03/25/2020 6:59:06 PM PDT by the_Watchman
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To: RushIsMyTeddyBear

As well as kidney.


16 posted on 03/25/2020 6:59:18 PM PDT by RushIsMyTeddyBear ("Progressives" (elitist Communists) "Love you to death".)
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To: arkfreepdom

Here in ark it was 4.5% hospitalized 2 days ago, but those are early numbers.


17 posted on 03/25/2020 6:59:40 PM PDT by arkfreepdom
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Comment #18 Removed by Moderator

To: AAABEST

Really? You cannot read sarcasm? How old are you?


19 posted on 03/25/2020 7:00:44 PM PDT by Vermont Lt
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To: Vermont Lt
SOB = Shortness of Breath, and ...

ARDS = Acute Respiratory Distress Syndrome

20 posted on 03/25/2020 7:00:45 PM PDT by Seaplaner
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