Medical Discussion of Coronavirus

[fatlittlepig]

People are justifiably upset that our president would do something that selfish. Although they shouldn’t be surprised that the world’s worst narcissist would put others lives in danger for no apparent reason other than to stroke his own fragile ego. Nothing he does or says shocks me anymore for this reason.

Driving in a car with a known covid pt who is only wearing a piece of cloth on his face is definitely an exposure. Cant tell if the SS have true N95’s on or not but even so, in that closed space it’s still a risk to them. 5% of particles can still pass through and it is probably safe to assume that the air in that car was totally full of virus after that trip.

Fair points, but how do you think your covid patients get home from the hospital?

[StarTrekDoc]

Fair points, but how do you think your covid patients get home from the hospital?

From those with that medical cocktail - typically will be COVID PCR negative at that time of discharge.

For newly COVID+ diagnosis to get home-- personal transport for personal family taking that understandable risk.

The Photo Op drive around the area with people detailed for their job to protect you -- not a medical necessity; not a national issue -- willfully putting folk and self at risk. He's learned little unfortunately despite saying so.

[fatlittlepig]

From those with that medical cocktail - typically will be COVID PCR negative at that time of discharge.

For newly COVID+ diagnosis to get home-- personal transport for personal family taking that understandable risk.

The Photo Op drive around the area with people detailed for their job to protect you -- not a medical necessity; not a national issue -- willfully putting folk and self at risk. He's learned little unfortunately despite saying so.

I don’t believe we are recommending retesting prior to discharge or even prior to returning to work.

[hightower]

Fair points, but how do you think your covid patients get home from the hospital?

90% either drive themselves or have a loved one pick them up. The rest rely on some form of public or medical transportation. Their families are happy to take that risk and that’s their choice. The president ordering people to chauffeur him around so he can wave to the cameras as a political stunt is a totally unrelated situation. It shows his (and his administrations) total disrespect for others. They care about nothing other than themselves. But of course this is not news.

[hightower]

And now he is tweeting for people to “not be afraid of covid, dont let it dominate your lives”. Yeah “Mr President” what do you say to the 209k+ families who lost a loved one this year from it?

Perhaps natural selection could be at play here. Anyone dumb enough to listen to our president on this issue (and many others) is probably more likely to get infected and potentially die. Theoretically speaking, fewer of those genes would then make it into the next generation. Nature works in mysterious ways right? Lol, what insane times we are living in.

[StarTrekDoc]

I don’t believe we are recommending retesting prior to discharge or even prior to returning to work.

Sure - those on dexa and remdesivir don't get rechecked and get discharged before the 5 days are completed.

[CordMcNally]

“... dont let it dominate your lives”.

That's decent advice.

[fatlittlepig]

Sure - those on dexa and remdesivir don't get rechecked and get discharged before the 5 days are completed.

?
Your protocol may be different, but we are not retesting patients prior to discharge, and we are not requiring health care workers to test negative prior to return to work based on CDC recommendations. I also do not think it is "mandatory" that all five days of RDV are completed if patient is showing rapid recovery from covid.

[fatlittlepig]

And now he is tweeting for people to “not be afraid of covid, dont let it dominate your lives”. Yeah “Mr President” what do you say to the 209k+ families who lost a loved one this year from it?

Perhaps natural selection could be at play here. Anyone dumb enough to listen to our president on this issue (and many others) is probably more likely to get infected and potentially die. Theoretically speaking, fewer of those genes would then make it into the next generation. Nature works in mysterious ways right? Lol, what insane times we are living in.

I saw the tweet, the "don't be afraid of covid" is very unfortunate. I somewhat agree that we shouldn't let it dominate our lives.

[hightower]

Yeah sure it shouldn’t dominate our lives, but like it or not it kind of does. But most of his supporters are going to take that to mean “ignore it, pretend it doesn’t exist, and dont change a thing.”
And while you’re at it might as well ignore climate change. Might as well ignore the bleaching events on our coral reefs. Might as well ignore wildfires and rising sea levels too. Whoo hoo! I’m going to buy me a military issued hummer to take the kids to school, eat at McDonald’s virtually every meal, and heat my home with coal!
Right? Sounds crazy, but the community where I practice generally lives/thinks/behaves this way.

[StarTrekDoc]

?
Your protocol may be different, but we are not retesting patients prior to discharge, and we are not requiring health care workers to test negative prior to return to work based on CDC recommendations. I also do not think it is "mandatory" that all five days of RDV are completed if patient is showing rapid recovery from covid.

-10 days s/p covid+ to RTW.
-Speaking of CDC recs on +exposures for essential workers: Can work, with BID symptom check AND strict mask compliance while working. Dr. Conley got that right today.

Yet, to date -- not being followed by WH staff. eg: Press sec McEnany now positive too, that's that many more contacts she put into harms way (2 of her staff already positive).

Again, it's medically cavalier what's been done. Sure, it's better than Vegas odds nothing goes wrong. Perhaps folk are okay to operate medically at a higher error rate in general and with our President. I find it disturbing and certainly wouldn't rec that for my patients or family.

[CordMcNally]

Yeah sure it shouldn’t dominate our lives, but like it or not it kind of does. But most of his supporters are going to take that to mean “ignore it, pretend it doesn’t exist, and dont change a thing.”
And while you’re at it might as well ignore climate change. Might as well ignore the bleaching events on our coral reefs. Might as well ignore wildfires and rising sea levels too. Whoo hoo! I’m going to buy me a military issued hummer to take the kids to school, eat at McDonald’s virtually every meal, and heat my home with coal!
Right? Sounds crazy, but the community where I practice generally lives/thinks/behaves this way.

I don't let COVID-19 dominate my life. I don't let climate change dominate my life. I don't let the bleaching of our coral reefs dominate my life. I don't let wildfires or sea levels dominate my life. I don't let your decision to buy a HUMVEE dominate my life. I don't let your decision to eat McDonald's for every meal dominate my life. I don't let your decision to heat your home with coal dominate my life. That doesn't mean I don't care about any of those. Quite frankly, it sounds like you need to move since your community bothers you so much.

[fatlittlepig]

-10 days s/p covid+ to RTW.
-Speaking of CDC recs on +exposures for essential workers: Can work, with BID symptom check AND strict mask compliance while working. Dr. Conley got that right today.

Yet, to date -- not being followed by WH staff. eg: Press sec McEnany now positive too, that's that many more contacts she put into harms way (2 of her staff already positive).

Again, it's medically cavalier what's been done. Sure, it's better than Vegas odds nothing goes wrong. Perhaps folk are okay to operate medically at a higher error rate in general and with our President. I find it disturbing and certainly wouldn't rec that for my patients or family.

not sure i'm following you, what part of his care has been medically cavalier? His attitude prior and after infection has been cavalier, but i don't think his treatment has been.

[Tim]

And now he is tweeting for people to “not be afraid of covid, dont let it dominate your lives”. Yeah “Mr President” what do you say to the 209k+ families who lost a loved one this year from it?

Perhaps natural selection could be at play here. Anyone dumb enough to listen to our president on this issue (and many others) is probably more likely to get infected and potentially die. Theoretically speaking, fewer of those genes would then make it into the next generation. Nature works in mysterious ways right? Lol, what insane times we are living in.

It is insane how some define "non-political", one could say "dont let it dominate your lives".

[StarTrekDoc]

not sure i'm following you, what part of his care has been medically cavalier? His attitude prior and after infection has been cavalier, but i don't think his treatment has been.

Per current protocols - current guidelines for both dexa and remdesivir is mod/severe respiratory covid. Either the patient qualifies for those parameters or not.
If the pt qualifies, then the patient is deemed pretty severe and warrants intensive monitoring on stabilization through the course of this EUA protocol. Early discharge can be a bit cavalier -- even as it is the WHMedical staff -- do they have 24/7 anesthesia onsite? Allowing for an off-campus photo op -- can certainly meet the cavalier criteria.

If the pt does NOT qualify -- then using these EUA medications off protocol - can certainly be deemed cavalier.

So which is it?