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OfflineLogicaL ChaosM
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Re: Coronavirus 2020 aka Wuhan Coronavirus aka COVID-19 - A Global Pandemic [Re: koods] * 1
    #26570064 - 03/31/20 09:30 PM (3 years, 9 months ago)

That story is way more sad in reverse-order! Damnit koods! :sad:


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Re: Coronavirus 2020 aka Wuhan Coronavirus aka COVID-19 - A Global Pandemic [Re: LogicaL Chaos] * 3
    #26570099 - 03/31/20 09:58 PM (3 years, 9 months ago)

Post from a nursing group:

Quote:

Because of the situation on my floor, I have taken literally all COVID positives and rule outs (lol). I made another post about it on this sub actually!

But anyways. Despite the crippling anxiety and questionable PPE; here’s what I’ve picked up:

-Doctors are tending to not want to treat a fever of less than 104. Reason being that the fever is what helps your body fight the virus and we actually NEED IT unless it gets to the point of risking seizures/frying your organs.

-Fluids are typically not utilized. They like to keep the patients dry. I think this has something to do with fluid hastening respiratory decompensation? Not 100% sure, if anyone knows please tell me!

-Because of the high untreated fever and not giving fluids, they are uncomfortable as hell. My last patient was bright tomato red and was practically begging for ice/Tylenol. I felt so bad for them but explained that this is what’s going to be best for their outcome.

-Steroids and NSAIDs are HIGHLY contraindicated. Under no circumstances should a COVID patient take them (d/t immune suppression?) However, that might be tricky if you had a COPD exac + COVID? Haven’t seen that one yet.

-Some doctors like to throw Zinc at these patients because why the fuck not.

-Low oxygen is utilized even if they may not absolutely need it to maintain a satisfactory 02 sat because it makes them “feel better” and provides a safe feeling; like they have something there that’s helping them.

-Azithromycin, Plaquenil, and Rocephin are drugs of choice for fighting this thing, although the actual benefits of Plaquenil are still kind of up in the air.

-We already know that some hallmark signs are loss of taste & smell, but they are now saying it can manifest as specific GI symptoms too; nausea without vomiting and diarrhea.

-This thing usually runs its course in about 14 days. By day 5 after exposure you will have symptoms.

-The main complaint of all my COVID patients is a sense of dread/like they’re going to die. I’m not sure if it’s just all the anxiety related to having the virus that is a source of the pandemic, or if the symptoms just have a way of making you feel extra doom-y. But yeah.

-BiPAP/Hi-flow nasal cannula really don’t help and just aerosolize the particles everywhere. This is why they’re going straight from nasal cannula today the vent.

-The test is actually only 60-70% accurate and only works for people who are actually shedding the virus. As of right now they’re is no way to check if someone has been exposed. I feel that doctors use the test as more of a diagnostic tool than an end-all be all.

-In my soul, I really feel like this thing is airborne. But nobody seems to want to admit that so.





other nurses chiming in disagreeing on that last point


Edited by morrowasted (03/31/20 10:08 PM)


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InvisibleShroomerInTheRye
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Re: Coronavirus 2020 aka Wuhan Coronavirus aka COVID-19 - A Global Pandemic [Re: morrowasted]
    #26570159 - 03/31/20 10:33 PM (3 years, 9 months ago)

Can't they bring in some kind of air quality testing machine in, like, a NYC ICU or some area that's got patients packed tightly in one room?


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Re: Coronavirus 2020 aka Wuhan Coronavirus aka COVID-19 - A Global Pandemic [Re: ShroomerInTheRye]
    #26570163 - 03/31/20 10:40 PM (3 years, 9 months ago)

From what I hear it's highly mutagenic, so an asymptomatic variant may happen.

We saw the reaction China had. Anyone that sees China reacted with such fear should know it's bad.
20,000,000 phones gone and the creators are active.

Everyday it seems more terrifying. We'll be at 1,000,000 infected soon.

We would know not it were airborne by now, I'd think. It's based on droplet size

I try to avoid putting faces to this


Edited by specialpeopleclub (03/31/20 10:43 PM)


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Invisiblelarry.fisherman
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Re: Coronavirus 2020 aka Wuhan Coronavirus aka COVID-19 - A Global Pandemic [Re: specialpeopleclub] * 2
    #26570364 - 04/01/20 04:12 AM (3 years, 9 months ago)

So I went in to town yesterday because I had to pay my rent. Figured I should get some gas and food. Literally the day after our town officially declared a state of emergency and out of the maybe 150-200 people I saw, maybe 5 had masks on. I was getting weird looks and a few smirks because I was wearing a mask. I'm glad I live a fair distance from town because my area is gonna get decimated based on how seriously the average person is taking it. I get that most of the people taking it seriously, the ones who bought all the masks, they're staying home. But still.. fucking plague rats. Not a single employee anywhere wearing PPE. Like, fuck.


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Invisiblepirate-blues
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Re: Coronavirus 2020 aka Wuhan Coronavirus aka COVID-19 - A Global Pandemic [Re: larry.fisherman] * 3
    #26570365 - 04/01/20 04:20 AM (3 years, 9 months ago)

Laying in bed. Starting to develop a mild dry cough. Hoping it's just allergies. No other symptoms, except for some crazy sneezing the last couple days - which I know does not tend to be attributed to COVID-19.

It's really hard not to turn into a bit of a hypochondriac in these times. Basically just feel like a sitting duck, anyway.


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OfflineLogicaL ChaosM
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Re: Coronavirus 2020 aka Wuhan Coronavirus aka COVID-19 - A Global Pandemic [Re: pirate-blues]
    #26570376 - 04/01/20 04:32 AM (3 years, 9 months ago)

:sad:

I hope u dont havent it pirate. Ive noticed Ive been sneezing more and getting mild runny noses, probably just the Spring weather as Im somewhat allergic to plant pollen.


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Invisiblelarry.fisherman
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Re: Coronavirus 2020 aka Wuhan Coronavirus aka COVID-19 - A Global Pandemic [Re: LogicaL Chaos]
    #26570379 - 04/01/20 04:35 AM (3 years, 9 months ago)

How many people are running around freaking out except it's just spring allergies, or the folks thinking it's just allergies but they're treating covid with Benadryl.. It makes me wonder if it's going to increase the number of active infected roaming around the population thinking they are fine


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OfflineLogicaL ChaosM
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Re: Coronavirus 2020 aka Wuhan Coronavirus aka COVID-19 - A Global Pandemic [Re: larry.fisherman]
    #26570385 - 04/01/20 04:44 AM (3 years, 9 months ago)

Thats part of the issue of why its spreading around so fast, lack of symptoms. How do people even know they have it before the virus actually makes them sick?

Since testing kits are still unavailable, its basically impossible to know if u are a carrier unless u show obvious symptoms of the virus.


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Invisiblepirate-blues
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Re: Coronavirus 2020 aka Wuhan Coronavirus aka COVID-19 - A Global Pandemic [Re: LogicaL Chaos] * 1
    #26570391 - 04/01/20 04:50 AM (3 years, 9 months ago)

Quote:

LogicaL Chaos said:
:sad:

I hope u dont havent it pirate. Ive noticed Ive been sneezing more and getting mild runny noses, probably just the Spring weather as Im somewhat allergic to plant pollen.





It's so mild that I feel paranoid even being worried about it, but I guess that kind of thinking is silly during a pandemic.

Part of me just wants to get it over with, so I can get on with my life and help out my parents and my friends and stuff, but after learning more about it, I'm not quite as eager to play the numbers lately :lol:.

Sneezing and a runny nose doesn't seem to be coronavirus symptoms so much as dry cough(which can also be hay fever for sure), fever, and shortness of breath. So I wouldn't worry too badly yet :sun:.


Edited by pirate-blues (04/01/20 04:57 AM)


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InvisibleAsante
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Re: Coronavirus 2020 aka Wuhan Coronavirus aka COVID-19 - A Global Pandemic [Re: LogicaL Chaos]
    #26570394 - 04/01/20 04:56 AM (3 years, 9 months ago)

If you think we should have seen this coming - you know what they say about hindsight.

2020 - what a year


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InvisibleShroomerInTheRye
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Re: Coronavirus 2020 aka Wuhan Coronavirus aka COVID-19 - A Global Pandemic [Re: Asante] * 3
    #26570406 - 04/01/20 05:26 AM (3 years, 9 months ago)

I've known for a while this was coming.  Not necessarily coronavirus, but some kind of illness.  It was only a matter of time.  In 2012, I ran into a health scare, and since that date, I've been keeping an adequate supply of lysol, cavi wipes, and medical supplies on hand.  This pandemic didn't catch me completely off guard.


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Re: Coronavirus 2020 aka Wuhan Coronavirus aka COVID-19 - A Global Pandemic [Re: ShroomerInTheRye] * 2
    #26570408 - 04/01/20 05:28 AM (3 years, 9 months ago)

Quote:

ShroomerInTheRye said:
It was only a matter of time.




Completely.


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OfflineLogicaL ChaosM
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Re: Coronavirus 2020 aka Wuhan Coronavirus aka COVID-19 - A Global Pandemic [Re: pirate-blues] * 1
    #26570410 - 04/01/20 05:29 AM (3 years, 9 months ago)

Well thats good. Perhaps we just have allergies or the common cold :thumbup:


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OfflineStable Genius
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Re: Coronavirus 2020 aka Wuhan Coronavirus aka COVID-19 - A Global Pandemic [Re: LogicaL Chaos]
    #26570428 - 04/01/20 05:44 AM (3 years, 9 months ago)



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Invisiblelarry.fisherman
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Re: Coronavirus 2020 aka Wuhan Coronavirus aka COVID-19 - A Global Pandemic [Re: ShroomerInTheRye] * 4
    #26570445 - 04/01/20 06:09 AM (3 years, 9 months ago)

Quote:

ShroomerInTheRye said:
I've known for a while this was coming.  Not necessarily coronavirus, but some kind of illness.  It was only a matter of time.  In 2012, I ran into a health scare, and since that date, I've been keeping an adequate supply of lysol, cavi wipes, and medical supplies on hand.  This pandemic didn't catch me completely off guard.



The shittiest part about the coronavirus pandemic is we're still due for a flu pandemic. If avian flu mutates contagiously then it's going to make this look like a practice run.


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Invisiblelarry.fisherman
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Re: Coronavirus 2020 aka Wuhan Coronavirus aka COVID-19 - A Global Pandemic [Re: larry.fisherman] * 1
    #26570453 - 04/01/20 06:18 AM (3 years, 9 months ago)

I guess Taiwan is claiming the WHO suppressed their efforts to warn them of confirmed human to human transmission weeks before the official acknowledgement by China and the WHO. For those who don't know, China has barred Taiwan from various organizations because they claim it to be their land. If you go on the WHO website they actually list some countries in various areas as (ex-China) and they are all about contested land going back hundreds or thousands of years, some due to conflict displacement or colonization. Basically Russia


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OfflineLogicaL ChaosM
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Re: Coronavirus 2020 aka Wuhan Coronavirus aka COVID-19 - A Global Pandemic [Re: larry.fisherman]
    #26570484 - 04/01/20 06:45 AM (3 years, 9 months ago)

So the WHO is guilty of witholding valuable info from Taiwan about the virus because China has a negative view towards Taiwan?

The bastards! :crankey:


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InvisibleInfiniteDreams
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Re: Coronavirus 2020 aka Wuhan Coronavirus aka COVID-19 - A Global Pandemic [Re: larry.fisherman]
    #26570499 - 04/01/20 06:57 AM (3 years, 9 months ago)

Quote:

larry.fisherman said:
Quote:

ShroomerInTheRye said:
I've known for a while this was coming.  Not necessarily coronavirus, but some kind of illness.  It was only a matter of time.  In 2012, I ran into a health scare, and since that date, I've been keeping an adequate supply of lysol, cavi wipes, and medical supplies on hand.  This pandemic didn't catch me completely off guard.



The shittiest part about the coronavirus pandemic is we're still due for a flu pandemic. If avian flu mutates contagiously then it's going to make this look like a practice run.





The US has already crossed the threshold to consider the flu an epidemic this year.  There have been at least 24000 deaths from the flu this year.  But it is not nearly as exciting to report on I guess.


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Re: Coronavirus 2020 aka Wuhan Coronavirus aka COVID-19 - A Global Pandemic [Re: InfiniteDreams] * 1
    #26570578 - 04/01/20 07:48 AM (3 years, 9 months ago)

https://www.medrxiv.org/content/10.1101/2020.03.18.20038018v1

Antibody responses to SARS-CoV-2 in COVID-19 patients: the perspective application of serological tests in clinical practice
Quote:


We aim to investigate the profile of acute antibody response in COVID-19 patients, and provide proposals for the usage of antibody test in clinical practice. Methods A multi-center cross-section study (285 patients) and a single-center follow-up study (63 patients) were performed to investigate the feature of acute antibody response to SARS-CoV-2. A cohort of 52 COVID-19 suspects and 64 close contacts were enrolled to evaluate the potentiality of the antibody test. Results The positive rate for IgG reached 100% around 20 days after symptoms onset. The median day of serocon-version for both lgG and IgM was 13 days after symptoms onset. Seroconversion of IgM occurred at the same time, or earlier, or later than that of IgG. IgG levels in 100% patients (19/19) entered a platform within 6 days after seroconversion. The criteria of IgG seroconversion and ≥ 4-fold increase in the IgG titers in sequential samples together diagnosed 82.9% (34/41) of the patients. Antibody test aided to confirm 4 patients with COVID-19 from 52 suspects who failed to be confirmed by RT-PCR and 7 patients from 148 close contacts with negative RT-PCR. Conclusion IgM and IgG should be detected simultaneously at the early phase of infection. The serological diagnosis criterion of seroconversion or ≥ 4-fold increase in the IgG titer is suitable for a majority of COVID-19 patients. Serologic test is helpful for the diagnosis of SARS-CoV-2 infection in suspects and close contacts.




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