Medical Discussion of Coronavirus

[Kamban]

Also, are you guys mixing/matching pfizer/moderna, or sticking with the same?

Took Pfizer 1st and 2nd in Dec/Jan. Took Moderna for 3rd as it has better efficacy against Delta and there was possibility of me visiting the country where this variant started and still has a significant presence.

Nothing for 24 hours. Fever to 102.8 and mild fatigue but no chills or major body aches between 24th and 36th hour. Took one Tylenol on the 2nd night and by the 3rd day morning I was fine. Did not miss any work .

[MaxPower]

I asked this question earlier, but here’s some data I heard about my hospital system on numbers with the latest surge. 33% mortality for patients admitted to the hospital with Covid. 50% mortality for patients admitted to the ICU with covid. 86 vaccinated patients admitted with covid, and only 1 death from the vaccinated cohort. Unsure on that patient’s co-morbidities.

[CordMcNally]

I asked this question earlier, but here’s some data I heard about my hospital system on numbers with the latest surge. 33% mortality for patients admitted to the hospital with Covid. 50% mortality for patients admitted to the ICU with covid. 86 vaccinated patients admitted with covid, and only 1 death from the vaccinated cohort. Unsure on that patient’s co-morbidities.

Is that confirmed data or just heard through the grapevine? Those mortality rates seem incredibly high.

[Tim]

https://finance.yahoo.com/video/merck-seeks-authorization-covid-pill-152539229.html?fr=yhssrp_catchall

1. Treatments
The pill might be an improvement. Any thoughts?
2. Vaccines
Educate me here. The only vaccine requirement I have ever heard about is Flu shot for healthcare workers. Physical exams possible in all others but that seems to be work related physical and now primarily drug screening. Possibly heart screening for physical jobs. The protections seemed to be to require (gov, education and employers to provide physical accommodations). Open for corrections. You guys do the exams and screening.TB?

[StarTrekDoc]

Is that confirmed data or just heard through the grapevine? Those mortality rates seem incredibly high.

Yeah, we're a tertiary/quad system and even our numbers pale to those mortality rates decimal misplaced perhaps at the very least.

Our vaccinated hosp still stands 15-20% total admits -- 0% ICU -- that's held pretty consistent throughout Delta. Overall covid census has been waning past three weeks.

[Rando]

The hospital system I work with doesn't give us that degree of breakdown. They have told us that 87% of the COVID admissions are unvaccinated. We've been at a plateau for about 4 weeks now, not really going up or down.

[Shant]

2. Vaccines
Educate me here. The only vaccine requirement I have ever heard about is Flu shot for healthcare workers.

Most of the vaccines are required as a condition to do your training and do not need booster shots. You don't hear about the other vaccines because people who really don't want to get them choose a more appropriate occupation before they start their training.

[pulmdoc]

Is that confirmed data or just heard through the grapevine? Those mortality rates seem incredibly high.

Depends on who is getting admitted. Anybody who comes to the ED here and is on <6LPM O2 gets sent home with oxygen, a pulse ox, IV remdesivir, dex, and instructions on when to return. We simply don't have the beds to keep anybody who can survive at home. It's unspoken rationing, but we have 48 hour ED holds on vented patients as it is.

[CordMcNally]

Depends on who is getting admitted. Anybody who comes to the ED here and is on <6LPM O2 gets sent home with oxygen, a pulse ox, IV remdesivir, dex, and instructions on when to return. We simply don't have the beds to keep anybody who can survive at home. It's unspoken rationing, but we have 48 hour ED holds on vented patients as it is.

A majority of hospitals aren't doing what your hospital is doing. Besides, even with discharging those patients, that wouldn't affect your ICU mortality and I'd be very hard pressed to not believe that the admission mortality is still 33%.

[Tim]

Most of the vaccines are required as a condition to do your training and do not need booster shots. You don't hear about the other vaccines because people who really don't want to get them choose a more appropriate occupation before they start their training.

I understand that healthcare has some specific requirements, probably for most licensed professionals (including nurses,NP's etc.) Additionally professionals (not sure about the others) now typically have a flu vaccine requirement.
No other company I have ever encountered actually requires a flu vaccine or any other. The point is that this vaccine seems to be the only one required by any employer excluding the above. I suppose you could count the military as a different segment. I have not idea of those requirements.
My point is HHS seems to have completely ignored everything else. This is the ONLY one that matters. Curious public health policy based on the risks.Their statement is not in the scope of healthcare. It is a blanket exception, not a word on any other vaccine. No list of vaccines require for employment in schools or private businesses.
This seems to be a brand new requirement in the private world for adults. This is neither pro or against, why are other vaccines important for the general public to the point they are restricted? If vaccines are required, so be it. Do it directly.

[Hank]

I asked this question earlier, but here’s some data I heard about my hospital system on numbers with the latest surge. 33% mortality for patients admitted to the hospital with Covid. 50% mortality for patients admitted to the ICU with covid. 86 vaccinated patients admitted with covid, and only 1 death from the vaccinated cohort. Unsure on that patient’s co-morbidities.

Those numbers sound closer to Ebola than to Covid-19

[Orthodoc]

Is that confirmed data or just heard through the grapevine? Those mortality rates seem incredibly high.

We had similar stats at my local level II hospital. 20% mortality for admitted with Covid, 50% for ICU, ~80% if on the vent.

[Shant]

Tim if there were an active pandemic level outbreak of the other diseases you bet your patootie that would also be a requirement.

[MaxPower]

Is that confirmed data or just heard through the grapevine? Those mortality rates seem incredibly high.

Crisis standards of care will do that. The only patients who get admitted are ones who are already super sick, so it skews the numbers. I don’t know the specific cutoffs for O2 requirements, but everyone admitted is in pretty dire straits.

We are also a referral center, so we get all of the very sickest from everywhere, including a county with a large senior population where the vaccination rate is amongst the lowest in the country.

Because of the crisis standards of care, our intensivists and hospice/palliative docs have been very aggressive at recommending comfort care for hopeless cases, so they’re churning a lot of people, who are again, from all over the state (and the neighboring state) who are the very sickest and largely unvaccinated—92% of recent admissions for Covid are unvaccinated.

[G]

A majority of hospitals aren't doing what your hospital is doing. Besides, even with discharging those patients, that wouldn't affect your ICU mortality and I'd be very hard pressed to not believe that the admission mortality is still 33%.

Hmm. We are doing similar to pulmdoc.