re: Coronavirus Disease 2019 (COVID-19) ***W.H.O. DECLARES A GLOBAL PANDEMIC***

Anyone who is involved in actual Covid patient care actually seeing any people get this twice?

I know everything is highly anecdotal at this point but i recently reviewed a few cases at our facility of multiple patients with very suspicious symptomatic evidence with supporting positive lab results indicating recurrent infection; second time through with more severe disease.

Anyone else seeing this?

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Anyone who is involved in actual Covid patient care actually seeing any people get this twice?

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No. But people test positive for 3+ weeks sometimes while being largely asymptomatic.

We’d only have like 15-20 covids actually requiring a good bit of care ( supplemental O2, etc) but we have a ton of memory care patients (usually 15-20 more at a time) we can’t get rid of quickly, that are largely asymptomatic causing 2-3 week logjams.

Old folks too. Lot of mid 80s to 90s.

From everything the infectious disease doctors have said at work they think it’d be pretty rare for most people and most of the “2nd positives”are likely errors at some point in the testing.

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It’s not the flu, it doesn’t mutate yearly. We don’t have to “guess” at the next strain.

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I wish this was true but it certainly mutates. This is not arguable.

We all want you to be right but there is no evidence yet to support your statement.

ETA:

To the down voters, there is more than one strain and they mutate at least twice a month.

Hell, there have even been posters on this board who reported contracting Covid-19 and were asked, on this board, "which one".

Things don't go away just because you don't like it.

As for mutating to the point that a vaccine this year won't help next year, that is unknown since we haven't had a next year yet.

the cases i've seen have been people who had symptoms and tested positive, recovered, tested negative, and then several months later came back with a big DVT/PE and other symptoms and tested positive again.

its unclear to me what happened in these cases.

The impact of host resistance on cumulative mortality and the threshold of herd immunity for SARS-CoV-2

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In other words, the HIT declines in proportion to the size of the resistant group (Figure 1A). For example, when R0=2, HIT will be reached at 25% if half the population is resistant

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How do they know yet that it doesn’t mutate yearly? Thanks.

Also I was told about 500/600 pages ago that kids would be back in school/college in the fall — and if not we would be having bigger issues. I guess we’re having bigger issues.

I’m over every bit of this.

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Hell I thought we’d be back to normal by July

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Yeah, that GOP_Tiger had us goin'. And now that it's clear all of his well-meaning optimism was just bullshite, he's vanished. He just KNEW the heat was going to kill it off. I knew better because the doctor my wife works for is Indian and India had been in the mid-90s the entire time and had seen no effect on spread.

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How do they know yet that it doesn’t mutate yearly? Thanks.

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Coronaviruses are notoriously stable viruses. They get mutations but it rarely leads to changes in the function Or structure of the virus. They have core proteins that typically don’t change such as the spike protein and the ORF region. A few mutations have occurred but they haven’t significantly effected the structure of these areas. Antibodies can still recognize them and attach to them.

Influenza has always had tons of mutations and recombination of the surface proteins H and N. These surface proteins can arrange in any number of combinations and essentially form a new virus. That’s why you see the different names H1N1 or H4N9, it’s a different mixture of surface proteins that doesn’t take a lot of mutation to occur, mainly rearrangement. Think of it like a bike lock where you can spin the wheels to create any combination which would essentially be a new virus. An antibody for H1N1 can’t bind and antibody for H4N9 very effectively.

Influenza is a crazy effective virus. That’s why when people say “well the flu shot doesn’t work” they really don’t understand the difficulty involved in predicting the rearrangement of H and N for next year with enough time to create enough vaccine to distribute. If we knew the exact combination of flu for the coming year and had enough time to make the vaccine there would barely be any flu.

We don’t have a vaccine for a coronavirus because we have never needed it. Research of a vaccine costs billions of dollars and who is going to buy a vaccine for the common cold?

So how did five nurses who worked the covid unit not get it where I do consulting and only 1 did? They all (yes I’m assuming) used proper ppe. Why aren’t there tons of people who work at Walmart or Target or Academy sick??

Not trying to argue just trying to understand. But then again I should just give up with the trying to understand thing. Ugh this just all sucks.