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

That’s going to be institution specific.

My opinion: don’t waste resources on people with mild symptoms and nocomorbidities. The effects of hydroxychloroquine take be fully taken advantage of in patients deteriorating into ARDS because a lot of the damage there actually comes from your own immune response.

If your patient is >40 with comorbidities and/or starting to swirl the drain (about to be intubated), pull the trigger

There is no violation if there is no PHI disclosed.

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s! Are you worried about getting it?

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I just don’t worry about that

Really was trying to find out if it's worse or not after you've seen it first hand.

Clincial

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I’d be interested if they had a genetic quirk that boosts ACE2 expression....

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I saw the Chinese released a study that said those with blood type A were more likely to catch COVID 19.

But it's a preprint paper so no peer-review yet and these things have been all over the place so far:
TAKE IT WITH A GRAIN OF SALT RIGHT NOW

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The ABO group in 3694 normal people in Wuhan showed a distribution of 32.16%, 24.90%, 9.10% and 33.84% for A, B, AB and O, respectively, versus the distribution of 37.75%, 26.42%, 10.03% and 25.80% for A, B, AB and O, respectively, in 1775 COVID-19 patients from Wuhan Jinyintan Hospital. The proportion of blood group A and O in COVID-19 patients were significantly higher and lower, respectively, than that in normal people (both P < 0.001). Similar ABO distribution pattern was observed in 398 patients from another two hospitals in Wuhan and Shenzhen.

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Also, keep up the good work Tiguar.

Right on. That was my goal, but working in the IV room I don’t have to deal with anyone except the nurses that bitch after they lose the meds we send up. Besides, I don’t think I’d like having to go codes

Well West By God Virginia finally got their first case.

LINK

So, I have been trying to keep up with this thread, but have been unsuccessful. It’s been insane at work. I do primary care in LA. The last week, we have been getting many people with the same complaints. Extreme tiredness and fatigue, dry cough, some elevated temps (99-100), some with waxing and waning fevers. Most patients say “I feel like I’m getting the flu, but this feels different”. I’m assuming we are seeing either early or mild disease? Due to lack of testing, we have only started and can only test high risk patients. This will change Thursday. We should have mass testing capabilities through private lab. Ultimately, I have been completely booked with a mixture of sick and well visits. After educating people, they simply do not think that they are at risk- young and old alike. I cannot get the younger population to understand the risk they pose to the vulnerable population and I cannot get the vulnerable population to understand what the virus is doing to their population. Again, I’m in primary care, I’m used to the incompetence and ignorance, but this is a whole new level. We did have a provider meeting today and many of my partners are encountering the same symptoms. It’ll be interesting to see what comes of mass testing when we are capable. I fear the worst for our area due to people not really giving a shite and going about life as usual.

Where y’at?