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re: Local ER doc (South LA) here to answer your COVID-19 questions
Posted on 4/1/20 at 9:19 pm to lsupride87
Posted on 4/1/20 at 9:19 pm to lsupride87
Yes basically african americans and obesity. I would say about 90% of the patients in the ICUs fit this criteria.
This post was edited on 4/1/20 at 9:21 pm
3
Posted on 4/1/20 at 9:20 pm to BeepNode
quote:
Information: How good is the information sharing amongst the medical community? Do they share what is working and what isn't? Is the information crowdsourced at all or is it all centrally controlled?
Not very good from my perspective. Each hospital has different ways to go about this based on intensivist opinion. Twitter and podcasts may really be the best information sharing avenue.
quote:
Auto-immune diseases: Are people with psoriasis, crohns, MS, lupus, etc worse off once they contract CV because of cytokine storms?
I don't now. But I did have a myasthenia patient today and 2 of the drugs on the do not give list were hydroxychloroquine and azithromycin.
Posted on 4/1/20 at 9:20 pm to FlappingPierre
quote:Yep. Ochsner is my system, so not surprised Umc is seeing the same
Yes basically african americans and obesity. I would say about 90% of the patients fit this criteria.
Posted on 4/1/20 at 9:20 pm to Red Drum
Can you manage a vent if not no questions here
Posted on 4/1/20 at 9:21 pm to white perch
quote:
What are your initial vent settings for intubated pts.
That would depend on many things:
Patients lung capacity
Current ABG’s
PEEP
How much pressure it takes to adequately fill patients lungs
Elasticity of patients lungs
Expiratory adequacy of patient
Posted on 4/1/20 at 9:21 pm to lsupride87
I am at OLOL. My buddy works at umc. Saying same things tho
Posted on 4/1/20 at 9:21 pm to Celery
quote:
How do u feel about the state and federal government’s response. Appropriate? Unnecessary? Should be doing more?
Don't know.
quote:
How are the folks in the ER holding up? Y’all slammed? Gonna make it through?
Fortunately most people are staying in. Censuses are down and most patient are their legitimately.
Posted on 4/1/20 at 9:22 pm to GusMcRae
Basically with the vented pts, we are starting off at high PEEPs. but again patient dependent
Posted on 4/1/20 at 9:22 pm to Red Drum
I am concerned with your screen name being Red Rum and you are a doctor
Posted on 4/1/20 at 9:23 pm to bee Rye
quote:
does that mean dad bod/beer gut? Cause I fall squarely in that category
Yeah, I got a little bit of a beer belly. But I also ran 5 miles today at an 8:23 pace with almost 300ft of elevation gain. I stay active but the BP remains high without medication.
Posted on 4/1/20 at 9:23 pm to Red Drum
What is plan on testing healthcare workers for antibodies to covid19?
Posted on 4/1/20 at 9:23 pm to Red Drum
Does the Covid come out more at night? Are curfews good for this?
Posted on 4/1/20 at 9:23 pm to 9Fiddy
quote:
Given what you’ve said about the hydroxy/z pack combo and needing ekg during administration, would someone like me (early 40s with a fib) not be able to take it?
Prolonged QT interval biggest risk. Depends on meds. Are u on amiodorone?
Most meds wouldn't contraindicate.
Posted on 4/1/20 at 9:23 pm to Red Drum
quote:
Red Drum
Why did China eat those things?
Posted on 4/1/20 at 9:23 pm to jmarto1
Hospital workers can't have fun too?
Posted on 4/1/20 at 9:24 pm to Red Drum
Thanks for providing the information
Posted on 4/1/20 at 9:24 pm to McVick
quote:You are fine, statistically speaking
Yeah, I got a little bit of a beer belly. But I also ran 5 miles today at an 8:23 pace with almost 300ft of elevation gain. I stay active but the BP remains high without medication.
For the majority, like 90% or more of our patients under 70, you can tell they are unhealthy just by looking at them.
I am not a doctor. Just telling you based on data I see
This post was edited on 4/1/20 at 9:26 pm
Posted on 4/1/20 at 9:25 pm to jmarto1
quote:Legit concern IMO.
I am concerned with your screen name being Red Rum and you are a doctor
Posted on 4/1/20 at 9:25 pm to Wallywalrus
Thanks dickwad. Down 20 lbs, but still have a way to go. GFYS.
Posted on 4/1/20 at 9:25 pm to sleepytime
quote:
Have you or your colleagues been advised on any meds other than plaquenil that target TLR 7/8/9 or possibly currently available estrogen receptor modulators as being in the pipeline for testing?
No. Are you talking about effects on Hgb? From ER perspective, my main concern is the hypoxemia we r seening.. is it real? is O2 curve shifted so far that they can sat 50% but still oxygenate?
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