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

Posted on 3/23/20 at 5:21 pm to
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 3/23/20 at 5:21 pm to
quote:

Is bacterial vs viral pneumonia able to be differentiated by just a blood test? Do y'all go off of elevated white counts to determine bacterial vs viral?


Clinical correlation, looks different on imaging, certain lab values are more specific for bacterial infections etc.

in this particular case we saw the lung xray clear a little a few days after hydroxychloroquine then cloud back up and procalcitonin trended up; this suggests VAP (ventilator associated pneumonia)

quote:

How did the patient react the hydroxychloroquine?


fever broke after second dose and seemed to be getting better, then oxygenation tanked and their wbc shot up

quote:

Are y'all using azithromycin as well? Meaning were y'all and if not have y'all been able to add it?


not in this particular case
Posted by IAmNERD
Member since May 2017
24248 posts
Posted on 3/23/20 at 5:24 pm to
quote:

looks different on imaging

That's pretty neat (not for the pt). I was wondering if it was something like an actual physical difference you could see on imaging or if it was just a difference in blood.

Thanks.
This post was edited on 3/23/20 at 5:25 pm
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 3/23/20 at 5:26 pm to
quote:

That's pretty neat (not for the pt)


it's nuanced and not 100% by any stretch but bacterial and viral pneumonias have some characteristics that suggest one or the other
Posted by DollaChoppa
I Simp for ACC
Member since May 2008
84774 posts
Posted on 3/23/20 at 5:36 pm to
Yea, Ive enjoyed when stats show comparisons from like 100th case. Or could be changed to some other value that makes sense. 200th, whatever. more interesting that way
Posted by SadSouthernBuck
Las Vegas
Member since Dec 2007
748 posts
Posted on 3/23/20 at 6:00 pm to
On an unrelated note, I just noticed on the John Hopkins Website that French Polynesia seems to have been hit hard. They have 19,874 cases and 860 deaths. The population was just under 276,000 in 2017.

ETA: of the 862 deaths listed for France, 860 are these in French Polynesia.
This post was edited on 3/23/20 at 6:01 pm
Posted by hg
Member since Jun 2009
128295 posts
Posted on 3/23/20 at 6:01 pm to
My aunt was the one from Bienville Parish that contacted Convid after having tons of other health problems as well. She just passed away.
Posted by jamiegla1
Member since Aug 2016
7944 posts
Posted on 3/23/20 at 6:02 pm to
sorry for your loss, man
Posted by VABuckeye
NOVA
Member since Dec 2007
38283 posts
Posted on 3/23/20 at 6:08 pm to
Somethng is fishy about the French numbers you listed. Every French death is attributed to an island. No way in hell that's accurate.
Posted by JohnnyKilroy
Cajun Navy Vice Admiral
Member since Oct 2012
41110 posts
Posted on 3/23/20 at 6:10 pm to
Pretty sure the website is either wrong or you are reading it incorrectly. Googling french Polynesia brings up articles from a couple of hours ago stating that they have 23 cases there currently.
Posted by SadSouthernBuck
Las Vegas
Member since Dec 2007
748 posts
Posted on 3/23/20 at 6:26 pm to
quote:

Pretty sure the website is either wrong or you are reading it incorrectly. Googling french Polynesia brings up articles from a couple of hours ago stating that they have 23 cases there currently.


Yeah - someone probably messed up when they were updating the French number as mainland France doesn't show any cases and we know that's not true.
Posted by Scruffy
Kansas City
Member since Jul 2011
77270 posts
Posted on 3/23/20 at 6:27 pm to
quote:

How the Covid-19 recession could become a depression
quote:

But this is not 2008, when the economy was intact but the credit markets were frozen. The real economy is in shambles. Millions of workers are being forced to shelter in place, and the factories and machines they operate are lying quiet. We are losing the use of land and knowledge, because the clusters of human beings necessary to build on them could spread a deadly disease.

quote:

As Jason Furman, who served as deputy director of the National Economic Council during the financial crisis, put it to me, this isn’t a financial crisis, where if you can stop the panic, you can unfreeze the economy. “Here, there’s a deadly germ out there and you don’t want to go near it for your sake and your community’s sake. There’s only one equilibrium: It’s economic inactivity until the danger passes.”

quote:

“We’re about to see dizzying decline in economic activity,” says Zandi, the Moody’s economist. “There’s no analogue to it in the modern era.” It’s a shocking statement, coming barely a decade after a global financial crisis that was, supposedly, our generation’s great economic flood. But Zandi thinks what’s coming now may prove much worse.
quote:

On Friday, Goldman Sachs projected gross domestic product (or GDP, a measure of the size of the economy) would fall at a 24 percent rate in the second quarter of the year. If you’re used to looking at GDP numbers, I don’t know how to convey how startling that forecast is. “A decline of this magnitude would be nearly two-and-a-half times the size of the largest quarterly decline in the history of the modern GDP statistics,” they write.
quote:

The nightmare scenario is that the virus isn’t under control by the summer, and extreme social distancing measures are needed throughout the year — which many public health experts consider likely. Then, Zandi said, the ground could collapse underneath the economy.
LINK

This insanity of shutting down the world needs to be ended yesterday.
Posted by tiger91
In my own little world
Member since Nov 2005
40230 posts
Posted on 3/23/20 at 6:28 pm to
hg so truly sorry to hear this.
Posted by dallastigers
Member since Dec 2003
10617 posts
Posted on 3/23/20 at 6:30 pm to
quote:

How are cases/deaths reported? Is it deaths from midnight to midnight or just from the time since the previous reporting time?


Also were any tested after dying?

Collin County's death was tested after he passed away in hospital already (had other issues that he might have been in hospital for originally & was sick for awhile but was never part of numbers while living only day after he passed away).

Or even some errors depending on site.
Earlier today I saw Middlesex, NJ pop up with 63 deaths on Hopkins's site. I had an older tab still open with earlier numbers from morning showing they had 0 deaths but by around 2pm afternoon 63 new cases added and 63 deaths added. I checked again when responding here and after refreshing it still said the same. But I double checked to get get total cases and refreshed a 2nd time, but then the 63 added cases were no longer listed as 63 deaths. So for several hours they had 63 deaths listed in John Hopkins tracker, but it must have been a mistake.

It did make me wonder if any samples from previous deaths are going to be tested once demand for tests levels out in areas.
Posted by tigerskin
Member since Nov 2004
46735 posts
Posted on 3/23/20 at 6:30 pm to
Scruffy, did you listen to Trump just now? He is going to be ready to open things up when that 15 day plan ends. Can’t remember which day that started on but think about a week ago.
Posted by CivilTiger83
Member since Dec 2017
2525 posts
Posted on 3/23/20 at 6:35 pm to
quote:

not in this particular case


In hindsight do you wish you had used Hydroxychloroquine with an antibiotic like Zithromax?

Are you putting him on an antibiotic now?
Posted by VABuckeye
NOVA
Member since Dec 2007
38283 posts
Posted on 3/23/20 at 6:36 pm to
quote:

Scruffy, did you listen to Trump just now? He is going to be ready to open things up when that 15 day plan ends. Can’t remember which day that started on but think about a week ago.


That's not exactly what was said. They want to evaluate the progress after the 15 day and hope that it won't be too long after that.
Posted by IAmNERD
Member since May 2017
24248 posts
Posted on 3/23/20 at 6:36 pm to
quote:

There’s no analogue to it in the modern era.” It’s a shocking statement, coming barely a decade after a global financial crisis that was, supposedly, our generation’s great economic flood.

This is the scary part to me. I am old enough to where I was in the workforce during that downturn and it was absolutely brutal. I got through relatively financially intact, because I was young enough that I didn't have too much invested but still had to scrape by and wonder when my company would shutter. I didn't have a mortgage or kids or any responsibility really other than paying rent and utilities. 12 years later, and it's a completely different story as I have 2 other people that depend on me and my ability to provide for them. The stakes are much higher this time around for me.
This post was edited on 3/23/20 at 6:40 pm
Posted by IAmNERD
Member since May 2017
24248 posts
Posted on 3/23/20 at 6:38 pm to
quote:

He is going to be ready to open things up when that 15 day plan ends.

What happens when the numbers are still growing in 15 days despite the measures already taken?
Posted by Double Oh
Louisiana
Member since Sep 2008
24237 posts
Posted on 3/23/20 at 6:39 pm to
Then every store shuts down and nobody can come out there house for 6 weeks
Posted by tigerskin
Member since Nov 2004
46735 posts
Posted on 3/23/20 at 6:39 pm to
quote:

That's not exactly what was said. They want to evaluate the progress after the 15 day and hope that it won't be too long after that.


I could have worded it better. I meant he will “WANT” to open things up. Regardless, he won’t drag it out and will open things up much sooner than Fauci would want. Was pretty easy to see that. Not judging one way or the other.
This post was edited on 3/23/20 at 6:47 pm
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