OG doc. AMA on COVID-19

1. Would you suggest avoiding airplanes? Even shorter 2 hour flights? 
 

2. How serious do you think this is? People blowing it out of proportion? Or is there a reason for the hysteria. 

 

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NiteProwleR - 

How many bullshitters are you getting who just have just want attention? I'm guessing all this hoopla is gonna bring out the looneys.


Several, including those having a runny nose. People are scared, I get it but if you're not coughing, don't have shortness of breath or no fever, you don't have COVID-19.

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The Closed Guard - 

CDC thinks 8 weeks before they think its under control. Thoughts on that number? 

Nope.

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Why is COVID-19 more dangerous than swine flu when 60 million Americans were infected and 300,000 were hospitalized? There was no where near this amount of panic back then. 

1 Like
androb - 
mataleo1 -
Jacks Wasted Life - 

Thank you for this AMA.

1) Is it true that because it is aerosol based, we are all likely to get it?  Or will preventative measures like washing hands before eating or preparing food and not touching our nose, mouth, or eyes reduce our chances of getting infected?

2) I’ve heard rumors that some states are strongly considering 2-4 week quarantines for all residents.  Have you heard anything on this?

3) If a 2-4 week quarantine were implemented, how beneficial do you think it would it be in combating the virus?  Would it potentially prevent many cases or just delay them, essentially to give health care facilities more lead time to prepare for the inevitable?

  1. There remains confusion here. It doesn’t seem to be airborne but can still travel because of droplets. The main risk is contact with an infected host and then touching your face. So hand washing remains paramount.

  2. At my hospital, they’ve put EVERY health care worker that comes back from outside the country in forced quarantine.

  3. It really depends on how successful we are at enforcing the quarantine. They seem to have had success in China and South Korea with this.

Can you verify this 

250 000 test were given in SK (to those with symptoms) and only 2% of the tests came back positive 

are you seeing those types of numbers as well. That most people with symptoms that are getting tested are coming back negative?

I don’t know what’s going on in Saskatchawan but I can find out.

More patients have been tested in Montreal than NYC as of today. More than 90% have been negative so far.

Lots of RSV and influenza infections though (which can mimic COVID)

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What are the risks to pregnant women and newborn child?

 

 If your wife was due to have a baby in the next two weeks what would you do?

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Doctor, thanks for posting.  Keep up the good work, keep safe, keep healthy.  God bless.

11 Likes

The Closed Guard - 

1. Would you suggest avoiding airplanes? Even shorter 2 hour flights? 
 


2. How serious do you think this is? People blowing it out of proportion? Or is there a reason for the hysteria. 


 


I would suggest postponing any non-essential flight. Planes are the worst environment to get droplets on you.

It is very serious. I am contact with several friends in Italy and it's downright scary what is happening over there. As mentioned in other threads, there are specific reasons why Italy might have a lot more cases. Nevertheless, we need to be prepared and hope nothing bad happens over here. Hysteria never helps and is never justified. But yes the overwhelming feeling among health care professionals is that this is very serious.

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How realistic is the CDCs 8 week window before things are under control? 

Also Thank You for doing this. Stay safe

2 Likes

In. Thank you 

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tbizzle - 

Why is COVID-19 more dangerous than swine flu when 60 million Americans were infected and 300,000 were hospitalized? There was no where near this amount of panic back then. 


We don't have exact data to compare and numbers might be completely off, but, based on what we have, I can break it down quickly:

Mortality: for swine flu (in the US) was about 4k/22 million and preliminary data from Italy and Spain is that it's somewhere between 2-5%

Acute Care necessity: around 0.2% for swine flue and about 10-15% for COVID-19.

Hospitalizations: about 1-2% for swine flu, about 25% for COVID

Again, the numbers might be completely different as we know more, but it seems reasonable to be prepared.

3 Likes
ltlurker - 

What are the risks to pregnant women and newborn child?

 If your wife was due to have a baby in the next two weeks what would you do?

The flu rarely kills young people but it does kill pregnant women to a much higher rate (won’t go into the specifics on why, but it’s both because of immunosuppresion and because your body overreacts when infected). I know that this isn’t the flu but if my wife was pregnant, I would tell her to stay home.

The Closed Guard - 

How realistic is the CDCs 8 week window before things are under control? 


Can't comment myself, but according to my wife this is a reasonable estimate

mataleo1 -
androb - 
mataleo1 -
Jacks Wasted Life - 

Thank you for this AMA.


 


1) Is it true that because it is aerosol based, we are all likely to get it?  Or will preventative measures like washing hands before eating or preparing food and not touching our nose, mouth, or eyes reduce our chances of getting infected?


2) I’ve heard rumors that some states are strongly considering 2-4 week quarantines for all residents.  Have you heard anything on this?


3) If a 2-4 week quarantine were implemented, how beneficial do you think it would it be in combating the virus?  Would it potentially prevent many cases or just delay them, essentially to give health care facilities more lead time to prepare for the inevitable?


1) There remains confusion here. It doesn't seem to be airborne but can still travel because of droplets. The main risk is contact with an infected host and then touching your face. So hand washing remains paramount.

2) I don't know about that, I'll ask my wife. At my hospital, they've put EVERY health care worker that comes back from outside the country in forced quarantine.

3) It really depends on how successful we are at enforcing the quarantine. They seem to have had success in China and South Korea with this.

Can you verify this 


250 000 test were given in SK (to those with symptoms) and only 2% of the tests came back positive 


are you seeing those types of numbers as well. That most people with symptoms that are getting tested are coming back negative?


I don't know what's going on in Saskatchawan but I can find out.

More patients have been tested in Montreal than NYC as of today. More than 90% have been negative so far.

Lots of RSV and influenza infections though (which can mimic COVID)

SK=South Korea. 
they seem to have the best handle on it. 
 


lol I don’t know if 250k people total live in Saskatchewan (jokes)

androb - 
mataleo1 -
androb - 
mataleo1 -
Jacks Wasted Life - 

Thank you for this AMA.

1) Is it true that because it is aerosol based, we are all likely to get it?  Or will preventative measures like washing hands before eating or preparing food and not touching our nose, mouth, or eyes reduce our chances of getting infected?

2) I’ve heard rumors that some states are strongly considering 2-4 week quarantines for all residents.  Have you heard anything on this?

3) If a 2-4 week quarantine were implemented, how beneficial do you think it would it be in combating the virus?  Would it potentially prevent many cases or just delay them, essentially to give health care facilities more lead time to prepare for the inevitable?

  1. There remains confusion here. It doesn’t seem to be airborne but can still travel because of droplets. The main risk is contact with an infected host and then touching your face. So hand washing remains paramount.

  2. At my hospital, they’ve put EVERY health care worker that comes back from outside the country in forced quarantine.

  3. It really depends on how successful we are at enforcing the quarantine. They seem to have had success in China and South Korea with this.

Can you verify this 

250 000 test were given in SK (to those with symptoms) and only 2% of the tests came back positive 

are you seeing those types of numbers as well. That most people with symptoms that are getting tested are coming back negative?

I don’t know what’s going on in Saskatchawan but I can find out.

More patients have been tested in Montreal than NYC as of today. More than 90% have been negative so far.

Lots of RSV and influenza infections though (which can mimic COVID)

SK=South Korea. 

they seem to have the best handle on it. 

 

lol I don’t know if 250k people total live in Saskatchewan (jokes)

Ha!

Have you read their car drive-in system for detection? That was a brilliant idea. We should do this here. SK has done an amazing job of isolating people at risk, quick detection, and quick treatments. Hope we were as good here!

2 Likes

mataleo1 -
tbizzle - 

Why is COVID-19 more dangerous than swine flu when 60 million Americans were infected and 300,000 were hospitalized? There was no where near this amount of panic back then. 


We don't have exact data to compare and numbers might be completely off, but, based on what we have, I can break it down quickly:

Mortality: for swine flu (in the US) was about 4k/22 million and preliminary data from Italy and Spain is that it's somewhere between 2-5%

Acute Care necessity: around 0.2% for swine flue and about 10-15% for COVID-19.

Hospitalizations: about 1-2% for swine flu, about 25% for COVID

Again, the numbers might be completely different as we know more, but it seems reasonable to be prepared.

That’s from Italy. (Not sure why Italy is such a hotbed) but there are other countries reporting numbers not nearly so scary. 
 


and a previous post of yours says 90% of people showing symptoms that are tested are coming back negative 

I have an office of 10 employee’s. Do you recommend we work remote starting ASAP? 
 

 

trobinson21 -
mataleo1 -
trobinson21 - 

Why aren’t you treating patients and searching for answers instead of playing politics and arguing on here all day?


Fuck off buddy: I've been on call for the last 16 days straight.

I'm still on call now covering the ICU. Fortunately, I have residents and fellow to help out. Happy?

Lol you’re full of shit.

ok we get it, trob


 


youre such an alpha who just doesnt give a fuck


 


 


 


 


but yet here you are, caring about what others do and calling actual physicians bullshitters bc you want to maintain this wannabe alpha "youre all panicking and im the chill alpha spiral man" schtick

16 Likes

mataleo1 -
Believe in the Power of One - 

Also, are there tests in the US or not? Can you clear that up at all? I know they fucked the first kit up, but is there something better?


How close to a vaccine? 


Thank you!


I'm in NYC and we do have access to tests for patients considered at risk and those with typical symptoms.

Some teams already claim they have a vaccine but it still takes testing (pharmacokinetics, safety, immunogenic responses, etc...). I'd say we're about 6 months away to having vaccines available to large populations.

NYCHHC system?


you dont ahve to answer obv