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Message
Brussels doing CT on every patient that comes in; finds 10% of population infected
Posted on 3/27/20 at 10:16 am
Posted on 3/27/20 at 10:16 am
LINK
translated with google translate
We just had something like this at my institution. Patient came in for some completely unrelated complaint and had to get a scan to for that indication and it came back with ground glass opacities all over the CT. The patient had no cough or fever.
Then you have that Italian study of a 3000 citizen village that found up to 50% of all infected are asymptomatic
This is a double-edged sword: it's almost impossible to defend against something like this but if alot of us have it/had it and never know, we're a lot closer to herd immunity than we may think
translated with google translate
quote:
All patients who rush to UZ Brussel with complaints about the new coronavirus have already been tested with a CT scan for two weeks. This screening is a good indicator because the scan provides a quick and efficient picture of any white spots in the lungs. Afterwards, a real corona test provides further information. Since Monday, all patients scheduled for hospitalization have also been systematically tested. "That is very important to be able to receive patients either in the Covid zone or in the normal zone," said spokeswoman Gina Volkaert. The triage serves to protect patients and staff.
quote:
Since the beginning of this week, all patients in the University Hospital of Brussels have undergone a CT scan. Also those who do not show symptoms of the new coronavirus and who are in hospital for normal hospitalization. The CT scan is a good indicator of a possible infection with Covid-19. The first results show that five out of fifty patients - or about 10 percent - are infected without showing any symptoms.
quote:
“It remains a small sample” The newspaper 'De Tijd' spoke to the head of radiology and it shows that yesterday, five out of fifty patients who underwent a CT scan were indeed infected with the virus, without showing any symptoms. The classic corona test confirmed that all five were positive. "It is of course a small sample that still has to be scientifically confirmed," explains Professor Johan de Mey. "But if so, you might deduce that 10 percent of Belgians without symptoms have the virus. We don't know how contagious such people are without symptoms, but it's a plea to monitor quarantine carefully."
We just had something like this at my institution. Patient came in for some completely unrelated complaint and had to get a scan to for that indication and it came back with ground glass opacities all over the CT. The patient had no cough or fever.
Then you have that Italian study of a 3000 citizen village that found up to 50% of all infected are asymptomatic
This is a double-edged sword: it's almost impossible to defend against something like this but if alot of us have it/had it and never know, we're a lot closer to herd immunity than we may think
This post was edited on 3/27/20 at 10:20 am
5
Posted on 3/27/20 at 10:18 am to Tiguar
What shows up on a CT scan to verify the virus present? 
Posted on 3/27/20 at 10:18 am to Tiguar
It's highly possible this strain has been global for months now and was not even noticed because it's just another illness in most people.
Posted on 3/27/20 at 10:19 am to Y.A. Tittle
ground class opacities bilaterally indiciate viral pneumonia
they tested every patient that had GGO on this CT (but had no symptoms) and they all came back covid19+
they tested every patient that had GGO on this CT (but had no symptoms) and they all came back covid19+
Posted on 3/27/20 at 10:19 am to Tiguar
*Brussels. 
Which Bilderberg wrote this report? No where near enough data to be putting this garbage out there.
Which Bilderberg wrote this report? No where near enough data to be putting this garbage out there. Posted on 3/27/20 at 10:20 am to KingOrange
quote:
No where near enough data to be putting this garbage out there.
the study in the italian village that I mentioned in the OP sort of corroborates that a lot of people are asymptomatic at least a little
Posted on 3/27/20 at 10:21 am to Y.A. Tittle
quote:
What shows up on a CT scan to verify the virus present?
quote:
ground glass opacities all over the CT
Posted on 3/27/20 at 10:21 am to Tiguar
quote:
This is a double-edged sword: it's almost impossible to defend against something like this but if alot of us have it/had it and never know, we're a lot closer to herd immunity than we may think
And, if that's the case, we should be pushing the spread of this disease as close to the limit that our healthcare system can handle rather than trying to limit the spread to minimize the throttling of our economy.
Still, I don't think testing all patients for infection is the best approach.
We should be doing random, geographical antibody testing of the general population to get an understanding of where we actually are.
This post was edited on 3/27/20 at 10:23 am
Posted on 3/27/20 at 10:22 am to Tiguar
quote:
ground class opacities bilaterally indiciate viral pneumonia
they tested every patient that had GGO on this CT (but had no symptoms) and they all came back covid19+
For patients that have no symptoms but show positive indications on CT, generally what is their prognosis? Does it clear up?
Posted on 3/27/20 at 10:22 am to moneyg
quote:
we should be pushing the spread of this disease as close to the limit that our healthcare system can handle rather than trying to limit the spread to minimize the throttling of our economy.
problem is we really have no data to be able to accurately assess how to do this because we have no idea who has and who has not had it
Posted on 3/27/20 at 10:23 am to Y.A. Tittle
quote:
What shows up on a CT scan to verify the virus present?
The CT scans were preliminary to look for white spots on the lungs and then an actual Corona test was performed
Posted on 3/27/20 at 10:24 am to GumboPot
quote:
For patients that have no symptoms but show positive indications on CT, generally what is their prognosis? Does it clear up?
I don't know. I don't know if the patients that eventually present with severe symptoms at one point were asymptomatic patients that would have had GGO on CT had we scanned them earlier.
Posted on 3/27/20 at 10:24 am to Tiguar
quote:
problem is we really have no data to be able to accurately assess how to do this because we have no idea who has and who has not had it
Yep, that's why I added:
quote:
We should be doing random, geographical antibody testing of the general population to get an understanding of where we actually are.
Posted on 3/27/20 at 10:24 am to Tiguar
quote:
the study in the italian village that I mentioned in the OP sort of corroborates that a lot of people are asymptomatic at least a little
No doubt and this is not pointed out at you bit IMO this is case study stuff which is good but scaring the shite out of people is going to destroy our Economy. I have turned off the TV.
Posted on 3/27/20 at 10:25 am to moneyg
I agree, a rapid and accurate antibody test would be a game changer for this.
Posted on 3/27/20 at 10:25 am to KingOrange
I don't see how saying 10% of the population has this and doesn't know it is very scary. It actually makes me more optimistic that we can take the lid off the quarantine sooner than we thought.
Posted on 3/27/20 at 10:27 am to Tiguar
quote:
I agree, a rapid and accurate antibody test would be a game changer for this.
Yeah, this would allow the medical community to aim right at the problem and not waste resources where the problem doesn't exists.
Posted on 3/27/20 at 10:29 am to moneyg
But do we have the antibody test yet?
I may have misunderstood, but thought Dr Birx stated that was still being worked on.
I may have misunderstood, but thought Dr Birx stated that was still being worked on.
Posted on 3/27/20 at 10:29 am to Tiguar
That was my takeaway also.
Posted on 3/27/20 at 10:34 am to Tiguar
quote:
I agree, a rapid and accurate antibody test would be a game changer for this.
Agree. And, there is no way that the cost of implementing it wouldn't be worth it. We need to use every resource we can to get this if we think there is ANY chance that this is widespread.
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