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re: I lost a good friend to Covid this morning. Was his progression typical?
Posted on 2/7/22 at 6:55 pm to Blaeke
Posted on 2/7/22 at 6:55 pm to Blaeke
quote:
This pandemic has really highlighted the shocking incompetence of the medical community as a whole.
You are discovering a truism - most people are idiots. I’m an engineer, and I quail at the thought of driving over a bridge designed by many I’ve encountered. Luckily the safety factors are enormous.
Most doctors are good memorizers. That’s it. Every time I go to a doctor for anything important I check my medical sources and pick a good one. If we ever get socialized medicine I will pay out of pocket for private doctors.
0
Posted on 2/7/22 at 7:05 pm to L.A.
Sorry for your loss. Sounds like he might have had a pulmonary embolus
Posted on 2/7/22 at 7:12 pm to L.A.
There’s a lot of malpractice going on with this virus.
Posted on 2/7/22 at 7:31 pm to hubertcumberdale
There are many health systems that were in the dumps financially. Now they are doing just fine. Covid cases exaggerated based on the ICD codes for extra dollars. Placing people on vents when it is t necessary for $.
Posted on 2/9/22 at 6:44 am to jake wade
What kind of POS would downvote a honest description about their personal experience with Covid?
This post was edited on 2/9/22 at 6:45 am
Posted on 2/10/22 at 9:37 am to GumboPot
I agree with much of what you are saying but evidence based medicine needs to be followed otherwise it's just witchcraft. Some early treatments have been shown to be effective for non severe Covid and other treatments for prevention of severe Covid in higher risk population. Ivermectin studies are varied but there seems to be moderate certainty that it is effective. Neutralizing monoclonal antibodies can be effective. Corticosteroids in severe Covid can help. Fluvoxamine likely effective. Adequate vit D levels likely effective. Well designed randominzed controlled trials take time otherwise it's just witchcraft.
Posted on 2/10/22 at 9:46 am to FlyFishinTiger
quote:
Well designed randominzed controlled trials take time otherwise it's just witchcraft.
Maybe I’m misunderstanding you, but it almost seems like you’re calling all medicine prior to 1948 when RCT was first used witchcraft.
If people are dying/suffering and RCT isn't available, doctors should use trial and error, anecdotal evidence, common sense, experience, etc to treat patients.
RCT is not the only source of evidence for evidence based medical practice.
Posted on 2/10/22 at 1:08 pm to Earnest_P
I'll go with this definition,"Evidence-Based Medicine (EBM) aims for the ideal that healthcare professionals should make "conscientious, explicit, and judicious use of current best evidence" in their everyday practice. The practice of evidence-based medicine uses systematic reviews of the medical literature to evaluate the best evidence on specific clinical topics (evidence synthesis). The evidence is then translated into practice by medical practitioners who select treatment options for specific cases based on the best research, patient preferences and individual patient characteristics (knowledge translation). Evidence-based medicine practitioners engage in life-long learning and are committed to the continuing education of professionals and patient communities."
No I am not saying medicine prior to 1948 was witch craft. Also, clearly with covid some decisions of care had to be taken with out time for RCT's. However, anecdotal medicine is far from proof. The old but wise dictum of "First of all do no harm" should apply. I agree that at times one must consider the options you mention including trial and error, common sense, experience, etc one must rely on the best data available and not watch so many try to apply some vague, poorly studied experiential data to make medical decisions for patients. Good science should be relied upon. And I practiced long enough to remember when doctors sometimes had to rely on "shaking the trees" for accurate diagnois to determine best course of therapy.
No I am not saying medicine prior to 1948 was witch craft. Also, clearly with covid some decisions of care had to be taken with out time for RCT's. However, anecdotal medicine is far from proof. The old but wise dictum of "First of all do no harm" should apply. I agree that at times one must consider the options you mention including trial and error, common sense, experience, etc one must rely on the best data available and not watch so many try to apply some vague, poorly studied experiential data to make medical decisions for patients. Good science should be relied upon. And I practiced long enough to remember when doctors sometimes had to rely on "shaking the trees" for accurate diagnois to determine best course of therapy.
This post was edited on 2/10/22 at 1:16 pm
Posted on 2/10/22 at 3:22 pm to L.A.
It’s not typical, but it does happen. Many patients are in a hypercoagulable state after COVID. He may have had a PE. Any idea of the cause?
Posted on 2/11/22 at 8:48 am to MWP
Other than Ivermectin, what meds did your docs prescribe in your early days of Covid?
Posted on 2/11/22 at 8:58 am to L.A.
Seems to be. That’s the exact pattern my friend just went through and he died in late January. He was bad sick, then improved and the family thought he was gonna be fine and then over night took a turn for the worst and passed away within 2 days. Sorry for your loss.
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