Black Dog
-
Posts
1,711 -
Joined
-
Last visited
-
Days Won
19
Posts posted by Black Dog
-
-
You know, there are some really interesting things we are seeing as a result of the pandemic.
I had two patients when we were at our "peak" here. One woman in her 60s, another in her 70s. Coincidentally both on the same day. They both had an odd looking pneumonia/pneumonitis. They were both pretty sick and both ended up in the ICU for a few days. At that point, anyone that sick got tested for everything. They both ended up testing negative for Covid and influenza. We also did viral respiratory panels on them which tests for a variety of relatively rare viruses and oddly one had RSV. That's a virus that causes bronchiolitis in young children. Adults can get it but it is typically just like a common cold as far as severity. The other person tested negative for everything. So who knows what that was. Maybe a false negative test? Anyway, point is that it's not always easy to know what someone has just based on symptoms and "what's going around".
Other things like people with insanely low oxygen levels but minimal to no symptoms. Normal respiratory rates and other vital signs, awake alert and comfortable. Strange. Apparently they are not oxygenating very well (but well enough), but, they are able to blow off CO2 relatively normally. Weird stuff.
-
1
-
-
6 hours ago, gdecant1 said:
What was wrong ? ..... YOU and your comment stating the number of office visits to a doctor was an indication of the severity of this pandemic. Your not really in the healthcare field are you? I wonder if all those people that went through the drive through testing sites were charged for an office visit and are on that chart.
To say because they didn't visit a doctors office they couldn't be that sick is just stupid and would never come out a healthcare professionals mouth.
People seeking medical care is absolutely an indicator of severity. You could almost forget every other number and just look at hospitalizations and deaths. And, yes, at our drive through site they are charged for a visit because they are evaluated by a health care provider (either a PA or Nurse Practitioner) in person in the drive through.
-
4 hours ago, gdecant1 said:
Yes they did survive. What does that have to do with the chart that you posted?
They are seeking care via TELEPHONE! They call to make an appointment for flu like symptoms. Some questions are asked and again they tell you they have no tests, stay home, call in medications and tell you if it gets to be life threatening go to the hospital. I am now beginning to question your credentials.
Example, Husband and wife get sick with flu like symptoms. Husband is over twenty years military and still at it. He is told to stay home. Medications called into pharmacy. Military sends the local health department to administer test. Did not test wife. Said they have too few tests and if you have it she has it.
I have more!
And what do you find wrong with that?
-
1
-
-
12 minutes ago, 'Scales said:
well, they did include a chart. 😁
![[biggrin]](//content.invisioncic.com/p286412/emoticons/default_msp_biggrin.gif "[biggrin]")
-
1 minute ago, 'Scales said:
...on this, interestingly our Flu cases in Aust for the month of April were 229 nationally, compared to 18,705 last April according to the New Scientist. We may actually see less deaths from Covid+Flu this year than just for Flu alone last year it says. Hope so!
It's uncharted territory. We'll see what happens.
-
2 hours ago, 'Scales said:
In Covid? Well schools are recommencing and shops opening so it might well as kids are closer together and more people out and about.
we had predictions that we might have less impactful of a flu season down here this year due to people exercising better hygiene practices and staying home from school/work at the slightest of symptoms thus reducing spread. See what happens I guess.
Yeah, based on how low the numbers are there it doesn't seem like it's quite run it's course yet. I don't know how much testing you are actually getting done there so that may be an issue. But, unless it has run through the population and there is large scale immunity I would expect it to surge when the conditions for respiratory viruses improve. You make a good point that peoples behaviors are going to be different and that may change things a little but I think it's gonna just do it's thing.
-
4 hours ago, gdecant1 said:
Is there a chart for hospital admissions? Not ONE person who has had this virus that i know personally visited a doctors office! They did not want them in there since there were no tests (had to be on your deathbed and admitted to the hospital to get one) and as of yet they couldn't do anything anyway so medications were called into a pharmacy and you wait it out. Your chart means nothing.
And what happened to these people you know who so badly needed a doctor and a test but got neither? Did they survive?
That gets to the other point you made which is correct, that people are going to doctors ER and urgent care less. People say the virus is widespread and it is. But if it makes people so sick why are they not seeking care? It's because they're not getting very sick. That's why the ILI graph is so good because like I said, it reflects the overall severity and burden of ILI activity.
-
4 hours ago, ghost_of_fl said:
They are mainly going off the stats from hospitals since that is the only place you can get tested right now for the most part.
4 hours ago, gdecant1 said:Knew that was coming! Let me edit my statement although changing the wording doesn’t change the facts. “Had flu like symptoms”. How’s that....How do you know they didn’t?
Man that's great. The CDC and NIH still think we need a test. They don't know that all people need are your phone numbers so they can call you and you'll tell them if they have it based on hospital stats and their symptoms!
-
2 minutes ago, gdecant1 said:
Knew that was coming! Let me edit my statement although changing the wording doesn’t change the facts. “Had flu like symptoms”. How’s that....How do you know they didn’t?
So that's the standard now? How do we know they didn't?? Do you know how many things cause flu like symptoms? Hum, that's right, you don't.
-
Just now, ghost_of_fl said:
They are mainly going off the stats from hospitals since that is the only place you can get tested right now for the most part.
Who is "they"?
Who says you can only get tested at a hospital? Simply not true.
-
20 minutes ago, gdecant1 said:
Is there a chart for hospital admissions? Not ONE person who has had this virus that i know personally visited a doctors office! They did not want them in there since there were no tests (had to be on your deathbed and admitted to the hospital to get one) and as of yet they couldn't do anything anyway so medications were called into a pharmacy and you wait it out. Your chart means nothing.
First of all, it's not my chart. It's the CDC's chart.
So, of all the people you know who "had this virus", who didn't go to a doctor and couldn't get a test, how do you know they had it?
-
Here's the latest ILI graph from the CDC. This reflects "influenza-like-illness" activity across the US. That includes Covid illnesses. It's not based on tests or deaths but rather medical visits for flu like illness/symptoms. It's not specific for anything but it is a good indicator of the overall illness burden and trend. We are now well below baseline and falling fast.
-
1
-
-
1 hour ago, jvi said:
he said not in either cat so not concerned - YOU CAN STILL SPREAD IT AND THAT IS CONCERNING
My primary risk for exposure is going to work. Should I stop working? Should all doctors stop working? Maybe anyone who hasn't had the virus yet should be killed because they could get it and if so they could spread it. That would save lives, right?
BTW, you do know that we use PPE and that if a health care worker becomes ill we are out for 2 weeks for patient safety.
-
9 minutes ago, jvi said:
not concerned for others ? how about the old vetrans who fought and died for us,our parents and grandparents? OLD people deserve more than young people ---SHOW SOME RESPECT
How is my recognition of the reality that I've either already had, or will likely get this infection disrespectful to anyone?
-
6 hours ago, IanHenry said:
I have guitars with both types of neck, I've got a 2014 Traditional with a very big neck, it doesn't really bother me, I find I adapt to the different sizes within a few minutes.
That's me now. I used to like thin necks like the "modern slim taper D". Now I really don't like those at all. They're thin but to me they feel like they have thick shoulders which, to me, makes feel wider if that makes sense. My favorite are the R0 V2 necks but the ES-339 I recently got has a thick neck like a '59 but it doesn't feel really any different to me than the V2 necks because it has soft shoulders. It wasn't until I actually measured it that I realized how thick it was.
-
Outstanding!
-
11 hours ago, SteveFord said:
Declining daily deaths from the plague are always a welcome thing!
Those are positive tests - 50,000 is a lot of people. I suppose the numbers could be much higher, I've only got the official statistics.
Really a strange thing as you can get it and not know it all the way to get it and croak with a tube down your throat.
I'm doing my best to keep from getting it but these local bozos act like it's not even around.
If I were over 60 and/or had health conditions, I'd stay the hell away from it. Since I'm not in either category (although by age I'm getting close) I'm not very concerned about it. Plus, I know that if I haven't already had it, it's only a matter of time until I do. But I actually think I've already had it.
-
1
-
-
1 hour ago, zigzag said:
Health officials here and around the world are predicting a second wave. Hope they're wrong.
In the Northern Hemisphere there will be a lull over the summer. Then there may be a "second wave" when the flu season starts up again. But it most likely won't be anything like this was. Too many people have already had it.
I suspect the Southern Hemisphere will likely have a big uptick when their Flu season starts which is basically now.
-
44 minutes ago, SteveFord said:
It's amazing how fast this spreads.
York County
4/3/2020 - 121
5/3/2020 - 679
PA total
4/3/2020 - 8420
5/3/2020 - 49,267
Those numbers sound like positive tests. That doesn't really tell you how "fast it's spreading". Right now across the country, testing capability is really ramping up. Where I live, testing has been very restrictive. Only for very high risk people. In the last 10 days or so that's been opened up to nearly "anyone who wants one" can get a test. So when you have an infection that causes so many asymptomatic and minimally symptomatic cases the numbers of positive tests will go up by definition as you expand testing. From what I can see (on worldometers) it looks like your daily deaths in PA are going down a lot.
-
1 hour ago, Mr. Gibson said:
WHAT???? And miss all this entertainment ??
LOL
-
1
-
-
I've seen reports of increased domestic violence and child abuse, presumably due to people being cooped up together too much (which is really sad when you think about). I wonder if there are more virtual fights o the internet too?
-
1
-
1
-
-
15 minutes ago, mihcmac said:
I believe there is no resolution to this, but I am glad you speak your minds and that we are not under a totalitarian form of control, yet.
Hear, hear!
-
2
-
-
4 minutes ago, Lord Summerisle said:
And I severely doubt, as a physician, you're squeamish about caskets. You've probably seen thousands of instances where it didn't work out on the operating table, and that was the next destination for the rapidly stiffening remains left sitting in front of you. Such is life. Ashes to ashes, dust to dust, nothingness to nothingness.
I'm not squeamish about much of anything. I'm not offended by caskets. I'm just pointing out that you are trying to be offensive whether you want to admit it or not. You do it all the time.
-
9 minutes ago, Lord Summerisle said:
Wtf is that mindless gibberish?
That is just typical of the conservative response. If you think there is something terribly wrong and desperately needs fixing under a Republican administration, you're a quivering jellyfish with your marbles in your socks who needs gently talking down from the window ledge.
Oh, sorry, I thought you were looking for a safe space. I agree it's mindless gibberish, but it ain't my mindless gibberish.
![[biggrin]](http://content.invisioncic.com/p286412/emoticons/default_msp_biggrin.gif "[biggrin]")
Optimism...
in The Gibson Lounge
Posted
+1 to that.