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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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To: SaxxonWoods

The author of the post linked in this thread claims that he’s discharging 10-15 multifocal multifocal pneumonias every shift.

So, how many patients is this doctor seeing per shift? The average ER doc sees 2-3 patients per hour. A typical ER shift is 12 hours.

Unless he’s working 100 hour shifts, it is difficult to believe that 10-15 of his probable 25-40 daily patients have multifocal pneumonia, much less that this many patients with that diagnosis are being discharged by a single physician on a daily basis.

That one seemingly exaggerated statement makes me wonder how much else he might have embellished.


181 posted on 03/25/2020 8:15:07 PM PDT by GOPmember
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To: BusterDog

“ worldwide 86% of covid 19 patients that go on a vent die. Seattle reporting 70%. ”

Hmmmmmm.....


182 posted on 03/25/2020 8:16:00 PM PDT by moehoward
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To: CodeToad

“If estimates of those people are correct then this thing is 1/10th as deadly as the flu.”

Please show us the math.

Right. You can’t. You’re full of crap.


183 posted on 03/25/2020 8:16:06 PM PDT by calenel (Don't panic. Prepare and be vigilant. Join the war effort. On the human side.)
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To: Vermont Lt; Moonman62
I spent Sunday in a large ER in Hartford. About six hours.

The place was a ghost town. The normal ER patients were staying away. People were not driving, so little trauma. No shootings. No families. No noise.

It was the creepiest thing I’ve felt in a long time.

I asked where the Covid people were. The only ones coming in were intubated,tested, and sent upstairs. They had a no visitor policy, and an external testing site.

Under normal circumstances, there is a frequent and low-flying air ambulance that goes between two Level 1 trauma centers here. Since early March, no air ambulance traffic. Silence.

184 posted on 03/25/2020 8:16:25 PM PDT by thecodont
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To: FreeReign

didnt happen until that incident.


185 posted on 03/25/2020 8:16:46 PM PDT by RummyChick
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To: Vermont Lt

Yeah. I saw that down the line. More than once I’ve assumed the /s without putting it there. God bless!


186 posted on 03/25/2020 8:16:54 PM PDT by Fester Chugabrew
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To: frog in a pot

There are trillions and trillions of dollars at stake. The pending emergency relief to the United States, is but one example.

Irony: China is going to find out that our POTUS is a very astute student of Sun Tzu.

Payback’s a bitch!


187 posted on 03/25/2020 8:18:06 PM PDT by freepersup (BQQM!)
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To: RummyChick
RC....I'm not a Doc. But in the biz..

SNL is a Doc..my daughter is very, very smart could be a Doc...didn't want to be. She's actually over the top smart...

Naw..I ain't guessing...Actually going to the the porch and burning a "Black Pearl" cigar..with a good beer. And my dogs....yeah!!

Listening to https://www.youtube.com/watch?v=mcnvfCQK4QQ

You should listen....

188 posted on 03/25/2020 8:18:32 PM PDT by Osage Orange (FWIW)
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To: wastoute
Sure we are aware of what has happened in recent decades, but i really do believe most of us have felt China’s problem was a terrible Ro due to their environment. We never thought that this disease could come here. I certainly didn’t.

I put the Ro on this bug at about 2.7.

189 posted on 03/25/2020 8:18:50 PM PDT by eastexsteve
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To: Fester Chugabrew

It’s nice to be reminded once in a while. Thanks.


190 posted on 03/25/2020 8:19:17 PM PDT by Vermont Lt
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To: RummyChick
if the patch doesnt go away then it is a continuous little storm I would suppose.

My wife had a small patch and treated it with a steroid based ointment for two weeks.

It's now been about 6 weeks and it hasn't returned.

191 posted on 03/25/2020 8:19:36 PM PDT by FreeReign
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To: Osage Orange

“You should listen.... “

That post creeped me out.


192 posted on 03/25/2020 8:19:54 PM PDT by BusterDog
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To: RummyChick
"one of the things I read today listed hypertension over cardiac and one more thing...dont remember...as being the biggest problem.

To me, that makes sense because untreated hypertension can cause heart attack (and of course, stroke), but can also interfere with the kidneys. Add diabetes & some other things and you can end up with one heck of a sick patient unless that patient is well cared for & has kept these things under good control. Even then....????

193 posted on 03/25/2020 8:22:02 PM PDT by ZephyrTX
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To: eastexsteve

At this point Ro s are sort of academic. I see on another board, New Orleans is in full melt down.


194 posted on 03/25/2020 8:22:27 PM PDT by wastoute (Government cannot redistribute wealth. Government can only redistribute poverty.)
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To: Blood of Tyrants

Question: why base your logic on something you can’t measure?

You can only plan a response on measurables. The data you are looking for won’t even have decent estimates until 2 to 3 years after the fact.

I think this is the most annoying question FluBros ask.

Besides every quote so far says 80% will have mildness. President Trump even says 80%! Yet, flubros KNOW it’s much better, right...

But by far be it from me to have to explain to you grade school math.

Let’s see:

X is the number of people infected in a given instance (not cumulative)

numInfected = x * .70 (who will get it) * .20 (who will be critical)

Now lets look at ICU bed availability. We’ll say 2e5 to be more than fair to the USA health care system. I think the true count is what, 1.5e5? Anyhow, we can push this hard in flubro direction, and still make a point.

Equation is now:

.14x >=2e5

Solving for x...
x >= 2e5/.14
x >= 1,428,571

As soon as in ANY GIVEN INSTANCE x >= 1.43e6, death rate will sky rocket, because health care above the bed count then becomes unavailable. Most of the critical care, then become die at home.

But its actually even worse than that. These critical cases will not be carefully placed where the perfect number of beds are available, and do you really think communities are going to take patients from hot bed communities?

What this means is, it will not take a .70 nationwide infection rate to generate huge death tolls. Infection hot beds will develop, those areas will run out of beds, deaths will snowball.

It just seems to me FluBros are math & logic challenged.

And in one side of their head, completely trusting of the CCP numbers, and in the other, completely distrusts CCP (but numbers still good!).

That said, there is a trade off point, but society will set it, not freepers, not even the President of the United States. When we hit it, we will know, because people will “risk it for the biscuit” anyway. And people in the USA are armed to the teeth (and we should be, it’s a God given right, guaranteed by the Constitution — stupid not to be).

Till then, math dominates Flawed FluBro Logic.


195 posted on 03/25/2020 8:22:47 PM PDT by Aqua225 (Realist)
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To: ZephyrTX
We hear of the airway rescue and SOB (shortness of breath), but we do NOT hear about the cardiac issues or other organ failures that happen.

He mentioned the onset of Atrial Fibrulation (Afib) when there was no previous history. I wonder what happens to a patient if they already have Afib? I have been told this is the most common heart arrhythmia and can lead to a stroke really fast.

196 posted on 03/25/2020 8:22:47 PM PDT by eastexsteve
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To: wastoute
👍
197 posted on 03/25/2020 8:24:32 PM PDT by Pelham (RIP California, killed by massive immigration)
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To: eastexsteve

New Jersey nursing home is evacuated after ALL 94 residents are presumed positive for coronavirus and rampant staff illnesses left just three nuns to care for them

https://www.dailymail.co.uk/news/article-8153765/US-coronavirus-New-Jersey-nursing-home-evacuated-94-residents-presumed-positive.html


198 posted on 03/25/2020 8:26:09 PM PDT by RummyChick
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To: 21twelve

Likely albuterol.

CC


199 posted on 03/25/2020 8:26:23 PM PDT by Celtic Conservative (My cats are more amusing than 200 channels worth of TV)
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To: RummyChick

Nursing manager at Mount Sinai West hospital in NYC where staff were forced to wear TRASH BAGS as protective equipment dies of coronavirus at age 48

https://www.dailymail.co.uk/news/article-8154039/US-coronavirus-Worker-NYC-hospital-staff-forced-wear-TRASH-BAGS-dies-48.html


200 posted on 03/25/2020 8:27:31 PM PDT by RummyChick
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