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re: Doctors not testing

Posted on 3/31/20 at 9:12 pm to
Posted by BRIllini07
Baton Rouge, LA
Member since Feb 2015
3211 posts
Posted on 3/31/20 at 9:12 pm to
quote:

Tests that help treatment are great. Tests that determine accurate stats are in the eye of the beholder. I, for one, don't care much for them


Understandably you're obligation is to treat what's in front of you - we appreciate it!

On the other hand, unfortunately we have a nation of 350 million beholders at the moment that are contributing to a mass tanking of many people's livelihoods while we wait for a path forward. One based on those stats - that are for some reason still unattainable despite many promises otherwise.

Posted by tketaco
Sunnyside, Houston
Member since Jan 2010
21814 posts
Posted on 3/31/20 at 9:21 pm to
So basically the people that die from Confirmed Corona Virus have been...

quote:

patients that have underlying health problems with respiratory issues
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 3/31/20 at 9:27 pm to
quote:

Doc, I’m not picking on you.

No hard feeling

quote:

I appreciate the sacrifice you are making- sincerely.

It's just work, and it's just like anything else. I'm not special. I promise.

quote:

But it’s frustrating to know that while “testing” has been so emphasize as a means to get a handle on this virus- while trying not to cause the next Great Depression- that testing isn’t being done on all suspected cases.


1) testing doesn't get hold of it. All suspected people quarantining does. The turnaround time is finally getting to be under 3-5 days
quote:

some
of the time and, again, will miss about 1 in 7 actual cases. The test doesn't change the right thing to do. And I don't need a test to suspect the virus. And I report suspected viruses through a specific diagnosis code for monitoring

Public health agencies and the CDC know the need. They restricted the available tests pretty heavily at first when they were more limited. They're becoming more widespread but still can be difficult to get and more difficult to get back.
Suspected people have a specific code to report and this is accounted for in the estimates made by the people that work well above my pay grade

I have no control over the "shelter in place" orders, etc. But everyone who has any febrile, respiratory or GI illness right now should be away from everyone else in the world right now, because you can just about bet that any febrile respiratory illness is this right now. Testing confirming that or not doesn't change it.


I sure would like the world to get back to normal, and I would like for it to get normal fast.

But right now, everyone with symptoms can be treated as a positive. The test helps confirm and treatment in some sicker folks.

If OP were tested and negative, he STILL should stay home and away from everyone until he's completely better + and arbitrary 1-3 days.
Posted by jennBN
Member since Jun 2010
3250 posts
Posted on 3/31/20 at 9:32 pm to
Do you guys still have a 5 day turnaround? Do you mind telling me where you practice (state not facility)?
Posted by LSUTigerBait07
SD, Chicago, or New Orleans
Member since Sep 2007
2208 posts
Posted on 3/31/20 at 9:33 pm to
We are in the same boat, just chill.
Posted by Jake88
Member since Apr 2005
80847 posts
Posted on 3/31/20 at 9:34 pm to
quote:


They will never know how many people actually have the virus
There will be studies of antibodies in communities and make estimates on the numbers affected throughout the country.
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 3/31/20 at 9:36 pm to
One more general point of consideration for those asking for more testing:


The cost of the test is something around $1000, last I've gotten numbers. The new Abbot "quick turnaround" test is going to be something like $60/test before factoring in the price of the machine (a few thousand and every site that would run the test would need one or more) to run it and the PPE/personnel required to administer it (the availability is more important than the price there)


While I can't confirm this or back it up with signed legislation, I can bet that you and me are paying for everyone run. And when talking about someone like the OP, it doesn't matter if the test is positive or negative, he stays home, and the CDC counts him as "suspected" in their projections all the same.
Posted by Chef Free Gold Bloom
Wherever I’m needed
Member since Dec 2019
1364 posts
Posted on 3/31/20 at 9:38 pm to
quote:

the goal of medicine isn't to look back and review stats. It's to take good care of the people in front of you.


Can someone please tell the media this
Posted by Redbone
between St. Amant and Port Vincent
Member since Sep 2012
20738 posts
Posted on 3/31/20 at 9:39 pm to
nm
This post was edited on 3/31/20 at 9:40 pm
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 3/31/20 at 9:39 pm to
quote:

Do you guys still have a 5 day turnaround?

Depends if we use the state lab or private. State lab is still somewhere around 5 days but lately seems to be creeping closer to 3.
I'm told we have a 48h turnaround through a private lab we have access to. We get something like 5 swabs a week, maybe. The last two I did this way:
1) the wrong test was run
2) reported on Monday from a Friday swab



I'm in somewhere, LA
Posted by jennBN
Member since Jun 2010
3250 posts
Posted on 3/31/20 at 9:41 pm to
We have in-house testing now with less than 24 hour turn around. Testing costs are under $200 and we are still only testing those who are "moderately" ill and may require admission.

Edit: I am in California
This post was edited on 3/31/20 at 9:42 pm
Posted by Redbone
between St. Amant and Port Vincent
Member since Sep 2012
20738 posts
Posted on 3/31/20 at 9:41 pm to
quote:

*Someone may respond with something witty about quantum physics. I would appreciate that.

Sorry. I'm only fluent in parallel universes.
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 3/31/20 at 9:44 pm to
quote:

Sorry. I'm only fluent in parallel universes



I'm hoping that me seeing you post nothing, editing it to "NM" is what caused this post to be made at once, in its entirety, while I wasn't watching.

Posted by TruBrew
Shreveport
Member since Sep 2019
2261 posts
Posted on 3/31/20 at 9:45 pm to
quote:

That is why the mortality rate is bull shite.


So the people that they claimed died actually didnt? I know...I know. So explain high IQ people.
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 3/31/20 at 9:46 pm to
Any idea the manufacturer of the test/machine you have?


Much of our testing was running through a CA lab early on and is now being shipped elsewhere due to a big backlog built up, from what I'm told.
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 3/31/20 at 9:51 pm to
quote:

So the people that they claimed died actually didnt?



It's not that.


1) Right now, we can say with near-certainty the number of people who die in the US per day.
2) With less certainty, we can say the number that die with coronavirus
3) With slightly less certainty than that, the number that died from coronavirus
4) With an estimate based on lack of testing but padded numbers to reflect the asymptomatic/lightly symptomatic that weren't tested, the number with coronavirus who will die.


He's talking about #4, you're talking about #2. They aren't at all the same thing.
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 3/31/20 at 9:52 pm to
quote:

We have in-house testing now with less than 24 hour turn around.


Same. They batch them since it takes like 7-8 hours I think total to run the test.
Posted by tiger91
In my own little world
Member since Nov 2005
40262 posts
Posted on 3/31/20 at 9:52 pm to
Jenn how are things where you are?

You too Nurse.
This post was edited on 3/31/20 at 9:55 pm
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 3/31/20 at 10:01 pm to
I’ll find out when I go back to work tomorrow, I’ve been out sick since last week (not COViD though....work said I couldn’t return until no symptoms for 72 hours)
Posted by Crazytrain69
Gonzales, LA
Member since Mar 2020
109 posts
Posted on 3/31/20 at 10:02 pm to
Tests come back in less than 48 hours.
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