Medical Discussion of Coronavirus

[wa2106]

24h post-second dose Pfizer. Sore deltoid (mild, similar to first dose). No systemic symptoms.

I do not usually get "the flu" after flu vaccine - wonder if systemic immune response is similar between the two and is predictable?

[Tim]

"The challenge in 1A distribution aren't really healthcare hubs as we have the infrastructure and HR to deliver the last mile."

The reports may be incorrect:

• Large healthcare groups were restricting vaccines to their own employees
• A large percentage of vaccines had not been used.
• Vaccines were unavailable to 1A except for pharmacies.

County fairs (for the vast majority of the counties in the country) are heavily ran by FFA and 4H. They have potentially a building but would zero capability of managing a vaccination process. The would rely on the hospitals and pharmacies to run the process. A site is not the problem, it is the restrictions that the healthcare organizations in the above three bullets.

UT Southwestern is a fine organization. They cannot handle anyone outside of their own system.

When can I make an appointment? We are developing a registration process for individuals who are not currently UTSW patients and will provide frequent updates on this website. Current patients can schedule an appointment through your secure MyChart account when you become eligible. Click on the "Schedule a COVID-19 Vaccine" icon under the Quick Links section for instructions and available times. Patients must have an appointment to get vaccinated. There is no need to show up early for your appointment, and we're asking you to please come to the vaccination area alone, if possible, to help maintain COVID-19 safety protocols.

The organizations that ARE set up are cutoff from the supply and likely in the future.
"If you are receiving this email, you are still on our waiting list to receive the COVID-19 vaccine. We did not receive any vaccines this week, but are hopeful that we will receive an allotment next week. "

I think the flaw was the County Health Departments were thinking they would continue to provide vaccine through clinics currently set up and the healthcare organizations would be open to vaccinating those outside of their circle and pharmacies would pick up the rest. Not point blame, simply speculation that most many of the 1A were outside or the loop and 1B as well. None of that changes the fact that there is a shortage and the country is changing the jet engine in mid-flight.


Added:
"Memorial Hermann will vaccinate roughly 13,000 people older than 65 this week at NRG Park, though appointments are by invitation only, according to the hospital.
The drive-thru clinic is scheduled to run from 7 a.m. to 7 p.m. Thursday to Sunday, according to the hospital's website."

Memorial Hermann is not a Hub (as of now). These vaccines have been being accumulated since Week 2. 1A at all the suburban hospitals have been restricted to primarily employees. Same approach for Methodist and HCA.

This could have been the preferable choice because the only got Pfister and the storage issue. Open it up to non-patients at the suburban hospital or consolidate. That would have been 1,000 for each suburban hospital during the last 3.5 weeks.

[molar roller]

Day 10 with COVID, not doing any better.
The only symptom so far has been fever. In a tight range of 37.5-38.5, not really changing at all. No cough, no respiratory issues. I brought in my pulse ox home, ox sat was 97-98 before, today more like 95.
My PCP has me on Azithromycin 250mg, Pepcid 40mg, Zinc 220 mg, Vit D 5000 iu, and Vit c 500mg. He tells me to hang in and wait 14 days from onset. He's been my PCP for 15 yrs, but then again I've never been sick before. 47 yo male, in good health, no comorbities. At this point I'd be hoping to see some progress, but no change at all - is that expected?

[fatlittlepig]

Day 10 with COVID, not doing any better.
The only symptom so far has been fever. In a tight range of 37.5-38.5, not really changing at all. No cough, no respiratory issues. I brought in my pulse ox home, ox sat was 97-98 before, today more like 95.
My PCP has me on Azithromycin 250mg, Pepcid 40mg, Zinc 220 mg, Vit D 5000 iu, and Vit c 500mg. He tells me to hang in and wait 14 days from onset. He's been my PCP for 15 yrs, but then again I've never been sick before. 47 yo male, in good health, no comorbities. At this point I'd be hoping to see some progress, but no change at all - is that expected?

Get well soon buddy

[Hatton]

Day 10 with COVID, not doing any better.
The only symptom so far has been fever. In a tight range of 37.5-38.5, not really changing at all. No cough, no respiratory issues. I brought in my pulse ox home, ox sat was 97-98 before, today more like 95.
My PCP has me on Azithromycin 250mg, Pepcid 40mg, Zinc 220 mg, Vit D 5000 iu, and Vit c 500mg. He tells me to hang in and wait 14 days from onset. He's been my PCP for 15 yrs, but then again I've never been sick before. 47 yo male, in good health, no comorbities. At this point I'd be hoping to see some progress, but no change at all - is that expected?

Bumping this thread to see if anyone can answer his question.

[Peds]

Day 10 with COVID, not doing any better.
The only symptom so far has been fever. In a tight range of 37.5-38.5, not really changing at all. No cough, no respiratory issues. I brought in my pulse ox home, ox sat was 97-98 before, today more like 95.
My PCP has me on Azithromycin 250mg, Pepcid 40mg, Zinc 220 mg, Vit D 5000 iu, and Vit c 500mg. He tells me to hang in and wait 14 days from onset. He's been my PCP for 15 yrs, but then again I've never been sick before. 47 yo male, in good health, no comorbities. At this point I'd be hoping to see some progress, but no change at all - is that expected?

sorry, but what is all that junk for?
like all things viral its a waiting game with close follow up for development of secondary issues.

[CordMcNally]

Symptoms can certainly last several weeks. The most important thing you need is a pulse ox and ibuprofen/tylenol. Your PCP looks like he's just trying to throw stuff against the wall to see if it sticks. Hint: it doesn't. Many people get some rough days between days 7-14. Hope you get to feeling better.

[Lordosis]

I have heard a few people raving about Vit D with covid. I have not seen any evidence though honestly I did not really look.

A few years ago I read a quote that I have been appreciating more and more "Vitamin D is a treatment just looking for its disease"

[CordMcNally]

I have heard a few people raving about Vit D with covid. I have not seen any evidence though honestly I did not really look.

A few years ago I read a quote that I have been appreciating more and more "Vitamin D is a treatment just looking for its disease"

Paul Marik has been touting Vitamin D, just like he touted his metabolic cocktail for sepsis.

[Bmac]

Seems like Vitamin D of the 21st century is the Vitamin C of the 20th century . . .

[Kamban]

Day 10 with COVID, not doing any better.
The only symptom so far has been fever. In a tight range of 37.5-38.5, not really changing at all. No cough, no respiratory issues. I brought in my pulse ox home, ox sat was 97-98 before, today more like 95.
My PCP has me on Azithromycin 250mg, Pepcid 40mg, Zinc 220 mg, Vit D 5000 iu, and Vit c 500mg. He tells me to hang in and wait 14 days from onset. He's been my PCP for 15 yrs, but then again I've never been sick before. 47 yo male, in good health, no comorbities. At this point I'd be hoping to see some progress, but no change at all - is that expected?

I am not sure if any of these do any good. Hopefully it does no harm. Unless you are Vitamin D deficienct adding extra Vitamin D is unlikely to do much. And if you are truly deficienct, 50K q weekly x 8 is the initial loading dose

[molar roller]

ah, the power of the WCI post! After 9 days of sheer misery, and less than 12 hours after my post, I was fever-free this morning.
Still pretty weak and probably a long road ahead, but at least the fever broke.

I am not a religious man, but I respect dental gods. They punish arrogance, and their vengeance is fast. I decided that since I'm above my "number', I'll be taking a lot more time off this year, was thinking a week off every 6. They must've said "Great idea, you can start now".

So back to the vaccine - my wife and I had appointments scheduled for last week. Canceled, because I was positive and she was starting to have joint pains. Joint pains persisted for about a week but she never had any other symptoms, and her test just came back negative (taken 8 days after I tested positive). Is it best to schedule her vaccine asap - or wait a few weeks for ab test?

[Kamban]

ah, the power of the WCI post! After 9 days of sheer misery, and less than 12 hours after my post, I was fever-free this morning.
Still pretty weak and probably a long road ahead, but at least the fever broke.

I am not a religious man, but I respect dental gods. They punish arrogance, and their vengeance is fast. I decided that since I'm above my "number', I'll be taking a lot more time off this year, was thinking a week off every 6. They must've said "Great idea, you can start now".

So back to the vaccine - my wife and I had appointments scheduled for last week. Canceled, because I was positive and she was starting to have joint pains. Joint pains persisted for about a week but she never had any other symptoms, and her test just came back negative (taken 8 days after I tested positive). Is it best to schedule her vaccine asap - or wait a few weeks for ab test?

Schedule asap. Antibody tests won't really help much. Hatton had the vaccine and yet her commercial ab test was negative. I would not rely on it.

[pulmdoc]

Day 10 with COVID, not doing any better.
The only symptom so far has been fever. In a tight range of 37.5-38.5, not really changing at all. No cough, no respiratory issues. I brought in my pulse ox home, ox sat was 97-98 before, today more like 95.
My PCP has me on Azithromycin 250mg, Pepcid 40mg, Zinc 220 mg, Vit D 5000 iu, and Vit c 500mg. He tells me to hang in and wait 14 days from onset. He's been my PCP for 15 yrs, but then again I've never been sick before. 47 yo male, in good health, no comorbities. At this point I'd be hoping to see some progress, but no change at all - is that expected?

20% of mild COVID will have symptoms >4 weeks, 10% for >8 weeks. 90% of patients hospitalized for COVID still have symptoms at 8 weeks. The good news is that if you haven't developed pneumonia by day 14, the odds of riding it out are very very much in your favor. Hang in there.

[Jaqen Haghar MD]

I love having people go on specific, healthy, mildly complex diets, and taking various vitamins. It gives them something to focus their nervous energy on, while they run their natural course and get better. I call it “The Village Shaman Treatment”.