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  • Originally posted by zlandar View Post

    My anecdotal experience is omicron is significantly less virulent then Delta or the initial covid.
    Do we, you, have enough cases of omicron in COVID naive patients to compare? What percent of patients with omicron today never contracted any Covid variant and have never been vaccinated?

    How much less virulent is it?

    We all want this to be true!
    Last edited by FIREshrink; 12-26-2021, 09:27 AM.

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    • Originally posted by doctorbone View Post
      Why are these patients coming to the ER? To get a Covid test or are they worried about getting sicker at home?

      I wouldn’t go to the ER just for a headache or URI symptoms. It seems like very few people who come to the ER are getting admitted. Do they just want reassurance?
      1) For someone to confirm it’s COVID.
      2) To be 100% cured, absolutely and immediately.
      3) To relieve any and all discomfort.
      4) To be admitted so no one at home catches it.
      5) For a work note.
      6) For an explanation of why they are so tired.
      7) Because their family member was just here, and told they had COVID.
      8) for IV Monoclonal treatment (We’re out )
      I could go on….

      Dont get me wrong though. We welcome any and all patients, no matter how minor. Swab n’ homes are very quick visits for the walking well.

      If there’s one thing we learned in the first original wave, and our one and only area shutdown, (while cutting everyone’s shifts to 1/3rd time) it’s that we will happily see anyone for anything. We don’t ever want to see the Spring 2020 lack of volume again.

      COVID patients, even those in respiratory failure, are pretty straightforward. It’s not normally a huge diagnostic or treatment dilemma downstairs.

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      • Originally posted by Jaqen Haghar MD View Post
        We don’t ever want to see the Spring 2020 lack of volume again.
        100% - that was truly an existential period for quite a few docs and practices. Those 2 months or so of greatly diminished patient volume was both eerie & tranquil at the same time.

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        • Originally posted by FIREshrink View Post

          Do we, you, have enough cases of omicron in COVID naive patients to compare? What percent of patients with omicron today never contracted any Covid variant and have never been vaccinated?

          How much less virulent is it?

          We all want this to be true!
          just looking at the other countries who have had their omi spikes start going down they haven't seen much impact on hospitalizations. seems like omi can't get into the lungs as easily as previous variants so would make sense that its much less deadly.

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          • Silver lining and great 2021 year end gift from omicron would be it primes everyone's system enough to stay ahead of Pi those afterwards while taking out Delta for the count

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            • Well, another couple of shifts of Omicron everywhere, ED packed, big waits, most testing COVID positive just about, still zero COVID admits for me. Patients are definitely less sick with this one. Definitely jamming up the place though.

              Multiple new record breaking days of case numbers for the state. ICU beds occupied with COVID patients falling, admitted COVID patient numbers flat over the same period. Hopefully the latter trend holds.

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              • Originally posted by StarTrekDoc View Post
                Silver lining and great 2021 year end gift from omicron would be it primes everyone's system enough to stay ahead of Pi those afterwards while taking out Delta for the count
                That would be a good outcome and looking increasingly likely.

                Best wishes to everyone for the new year.

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                • Originally posted by Dont_know_mind View Post

                  That would be a good outcome and looking increasingly likely.

                  Best wishes to everyone for the new year.
                  Found out a shocker or 2 yesterday.:
                  Extended Family is irresponsible has been my conclusion for quite awhile based on other situations. No being judgmental, just how reliable they are.
                  One niece: had be using her mother for childcare.
                  Another niece turns out to be an anti-vac for her whole family.
                  Both of their parents live in the same house and had hosted the 94 yr old grandmother for a week.
                  Each niece has 4 children + 2 adults.
                  100% tested positive for Covid prior to Christmas.
                  So that is 16 people (12 positive + 4 exposed) that have been in proximity to MIL.
                  Additional lesson learned.
                  The only way I pieced this together was my daughter was told in confidence and I am not allowed to communicate this to family. Needed to know to isolate the 94 yr old MIL. It is a good thing we canceled the Christmas Eve large extended family get together. Another nephew had a smaller get together that we were invited to attend.
                  I have no idea if they were symptomatic or just selfish. I strongly support any type of Covid screening or testing. People are hiding it, to avoid personal inconvenience or restrictions. I hope the severity is much less with Omicron.
                  Covid fatigue is changing behaviors, and not for the better.


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                  • Originally posted by Jaqen Haghar MD View Post
                    Well, another couple of shifts of Omicron everywhere, ED packed, big waits, most testing COVID positive just about, still zero COVID admits for me. Patients are definitely less sick with this one. Definitely jamming up the place though.

                    Multiple new record breaking days of case numbers for the state. ICU beds occupied with COVID patients falling, admitted COVID patient numbers flat over the same period. Hopefully the latter trend holds.
                    That's great to hear. I wonder why the NE, with high vax and boost rates, is imploding so fast?

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                    • Originally posted by snowcanyon View Post

                      That's great to hear. I wonder why the NE, with high vax and boost rates, is imploding so fast?
                      I thought it was FL?

                      We haven't gotten the omicron spike yet. I did admit one unvaccinated hypoxic covid patient yesterday. Me: "Sir, as I suspected, you have COVID." Him: "OK, but why am I so short of breath?" Me: "Um...because you have COVID." Him: "So you're saying all the tests were okay and there is nothing else wrong?" Me: [closes the door and walks away]

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                      • Can someone explain the changes the CDC is making. The changes in responsibilities back to the states, distributions of all types of testing and therapeutics still controlled by the CDC. But vaccines and testing are now mandated but you might have a problem getting tested and the quarantine guidelines are modified but it is NOW the states responsibility? Something new every day. It is getting confusing who is on first base.
                        https://news.yahoo.com/texas-runs-mo...114925210.html
                        It may have been a good choice to restrict monoclonal supplies to states that were using them. Now the allocations are based on population. Shortage of tests are on the agenda as well.
                        I hear the testing supply will ramp up in late January. Such is life. The supply chain was ramped down in October with manufacturers not getting commitments.
                        Such is life.
                        "On Monday’s call, Biden said a “federal response” is not the key to fighting the COVID-19 pandemic, but calls for a “state-level” solution. The bite pointed to long queues at test sites over the Christmas weekend in the middle of the omicron climb. He said: “Seeing how hard it was for some people to get a test this weekend shows we have more work to do.” This was supposedly on a conference call to the governors.

                        I hope this doesn't deteriorate to the PPE and vent shortages. The good part is solutions are available, just not now. More political messaging. Omicron is taking its own path.

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                        • Originally posted by Tim View Post
                          100% tested positive for Covid prior to Christmas.
                          So that is 16 people (12 positive + 4 exposed) that have been in proximity to MIL.

                          Covid fatigue is changing behaviors, and not for the better.

                          That sucks. Hope MIL shows why she's 94.

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                          • Numbers: San Diego County
                            Fully Vac 80%
                            Boosted 25%

                            County
                            Test+ numbers surpassed peak Delta surge levels over summer and still upward this week at 2600/day. Models anticipate 3000-4000 peak in 1-2 weeks (but unknown with school back)

                            Hospital specs:
                            ED up 40%
                            Hosp steady - still 75/25 : unvac/vac
                            ICU steady; still all unvac.

                            -MAB infusions completely overrun. triage usage on risk calculator
                            -no orals yet -- 1-2 weeks at county level anticipated.
                            -Omicron will hit you regardless of vac status. I appears sx consistently less with boosted and vaccinated still; but Omicron breaks through relatively easily -- especially at dinner parties.

                            MY GUESS: This will explode further with return to school kids in two weeks. Most kids unvac or barely 2 shots.


                            My Rec: swab ALL party participants for any indoor party event.



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                            • Originally posted by StarTrekDoc View Post
                              My Rec: swab ALL party participants for any indoor party event.
                              My Rec: you're going to get it so do what you can to protect yourself and go about your life at your particular comfort level.

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                              • Originally posted by StarTrekDoc View Post

                                That sucks. Hope MIL shows why she's 94.
                                She made it past the one year mark with the major hip surgery. She told my wife she is done with staying different places, My house or the house we keep for her and another BIL. He is the one that was afraid of needles, but got vaccinated. The only problem is he can't help her with messes or bathing. Limited days. Maybe next summer we can have another birthday bash. Hoping for a down time in the surges. She is making due with scratch offs. She stayed up until midnight on Christmas Eve. Big event for her and us.
                                She even toasted with our clan.

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