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re: Local ER doc (South LA) here to answer your COVID-19 questions

Posted on 4/2/20 at 8:49 am to
Posted by lsupride87
Member since Dec 2007
95870 posts
Posted on 4/2/20 at 8:49 am to
quote:

He answer this ?

Yes. Multiple times
Posted by Chef Free Gold Bloom
Wherever I’m needed
Member since Dec 2019
1364 posts
Posted on 4/2/20 at 8:50 am to
quote:

Yes. Multiple times


Where?
Posted by lsupride87
Member since Dec 2007
95870 posts
Posted on 4/2/20 at 8:51 am to
Throughout multiple pages

He, the other er doc, and myself(data cruncher for a hospital) have l pointed out if you are under 70 in our hospitals you are likely very obese

And that is what all doctors will tell you to be honest. The doctors on tv though won’t be as forthcoming
This post was edited on 4/2/20 at 8:52 am
Posted by tgrbaitn08
Member since Dec 2007
146214 posts
Posted on 4/2/20 at 8:53 am to
quote:

pointed out if you are under 70 in our hospitals you are likely very obese


And black
Posted by Chef Free Gold Bloom
Wherever I’m needed
Member since Dec 2019
1364 posts
Posted on 4/2/20 at 8:54 am to
quote:

He, the other er doc, and myself(data cruncher for a hospital) have l pointed out if you are under 70 in our hospitals you are likely very obese

And that is what all doctors will tell you to be honest


Thank you.
Posted by lsupride87
Member since Dec 2007
95870 posts
Posted on 4/2/20 at 8:56 am to
I don’t think the black part is really noteworthy. It just so happens in our area people in poor overall health with bad diabetes happens to be more skewed to the AA population


Also, here is the docs direct quote on people under 60 he sees getting sick

quote:

All I can say is that I have not seen one person under 60 with moderately controlled DM2, otherwise healthy and not obese, per past medical records, that has gone on a vent.
Posted by Antonio Moss
Baton Rouge
Member since Mar 2006
48328 posts
Posted on 4/2/20 at 9:00 am to
quote:

All I can say is that I have not seen one person under 60 with moderately controlled DM2, otherwise healthy and not obese, per past medical records, that has gone on a vent.


The young (18-49) have much better outcomes but they are still accounting for a significant percentage of hospitalizations.

A new study released this morning found that about 20% of all hospitalizations of COVID in the US are for people ages 20-44.
Posted by baldona
Florida
Member since Feb 2016
20508 posts
Posted on 4/2/20 at 9:01 am to
quote:

don’t think the black part is really noteworthy. It just so happens in our area people in poor overall health with bad diabetes happens to be more skewed to the AA population


Interesting and good info, I agree. Which makes sense, and I’d bet throughout the country the hot spots will have similar data. The areas where people have traditional close contact with a lot of people/ families will be hit the hardest. Also those with a lot of travelers such as Miami, NYC, LA, Seattle, etc. But I also have a feeling a vast majority of them that aren’t in the hospital also have contracted it already.
Posted by baldona
Florida
Member since Feb 2016
20508 posts
Posted on 4/2/20 at 9:04 am to
quote:

The young (18-49) have much better outcomes but they are still accounting for a significant percentage of hospitalizations.

A new study released this morning found that about 20% of all hospitalizations of COVID in the US are for people ages 20-44.


An easy common sense explanation for this is that is the working class and travelers. Who live in cities and have been traveling for work or recreation the most? 20-44 year olds.

It would make sense that a huge portion of people that age contracted it, most have little to no symptoms, but since so many did contract it a small portion are still hospitalized.
Posted by uway
Member since Sep 2004
33109 posts
Posted on 4/2/20 at 9:13 am to
quote:

Yes basically african americans and obesity. I would say about 90% of the patients in the ICUs fit this criteria.


So this crisis is largely the result of excessive government handouts for groceries.

Which, to repeat myself, is also why:
- groceries are so expensive
- "poor" people are fat and a huge drain on the healthcare system
- we need 3rd world immigrants to do menial labor jobs
- the societal fabric is so damaged

I know that "conservatives" crying about government handouts is a really tired trope, but I don't think we understand or at least acknowledge the extent of society wide deleterious effects of encouraging and enabling people to spend other people's money on unhealthy food.

Eta and I'm not saying that poor children should starve in a society as wealthy as ours. I am saying that the amount given to each family by SNAP is too damn high. I think that's an undeniable fact.
This post was edited on 4/2/20 at 9:18 am
Posted by latxwoman
Member since Mar 2019
750 posts
Posted on 4/2/20 at 9:15 am to
quote:

Auto-immune diseases: Are people with psoriasis, crohns, MS, lupus, etc worse off once they contract CV because of cytokine storms?


This depends, you are more at risk with an autoimmune disease if you are taking a medication that puts you at risk for disease. Several DMD's ( disease-modifying drugs) do this.

I have MS. I contacted my neurologist, and she told me to continue to take low dose naltrexone, which is my dmd. I did some research and it helps with a cytokine storm, and it restores my immune system. So I should be ( hopefully) good if I catch this. Who really knows, I guess I will find out if I do catch it.

( I am not a doc)
Posted by lsupride87
Member since Dec 2007
95870 posts
Posted on 4/2/20 at 9:16 am to
quote:

The young (18-49) have much better outcomes but they are still accounting for a significant percentage of hospitalizations.

A new study released this morning found that about 20% of all hospitalizations of COVID in the US are for people ages 20-44.
How does that contradict anything he said?

He or myself didn’t say we aren’t seeing younger patients. We said the ones we are seeing almost all are obese with uncontrolled diabetes
Posted by ell_13
Member since Apr 2013
85074 posts
Posted on 4/2/20 at 9:18 am to
quote:

An easy common sense explanation for this is that is the working class and travelers. Who live in cities and have been traveling for work or recreation the most? 20-44 year olds.
Or simply that they’re just such a large portion of the population. It’s a huge age gap 18-49. So if you have 100,000 people get sick in that group. Even a small portion could have health issues and they could take up 400 hospital beds. Whereas if just 10,000 people over 65 get sick, they could take up 2,000 beds. And there’s your “20% of beds being used by young people” narrative. The context is important and doesn’t show the doomsday picture some people want to paint about young healthy people being vulnerable.
This post was edited on 4/2/20 at 9:19 am
Posted by Antonio Moss
Baton Rouge
Member since Mar 2006
48328 posts
Posted on 4/2/20 at 9:19 am to
quote:

How does that contradict anything he said?


It didn't. It's right in line with what Red Drum said and what I'm hearing from the heads of medical systems in LA.

quote:

He or myself didn’t say we aren’t seeing younger patients. We said the ones we are seeing almost all are obese with uncontrolled diabetes



Again, not disputing that.

But there are a certain number of posters on this site that cannot differentiate between fatality rates and hospitalization rates and what increased hospitalization rates do to a regional healthcare system. All they hear is that fatality rates for 18-49 are extremely low (especially without comorbidities) and immediately think there is no problem.
Posted by lsupride87
Member since Dec 2007
95870 posts
Posted on 4/2/20 at 9:20 am to
quote:

The context is important and doesn’t show the doomsday picture some people want to paint about young healthy people being vulnerable.

Well for one it just says 18-49, it says nothing about healthy......

Unless Nola and br are some huge outlier, we aren’t seeing young and healthy

We are seeing old, or younger and obese/very sick
Posted by lsupride87
Member since Dec 2007
95870 posts
Posted on 4/2/20 at 9:22 am to
quote:

But there are a certain number of posters on this site that cannot differentiate between fatality rates and hospitalization rates and what increased hospitalization rates do to a regional healthcare system. All they hear is that fatality rates for 18-49 are extremely low (especially without comorbidities) and immediately think there is no problem.
You wouldn’t hear me argue agaisnt that

The strain on hospitals is real. I just hope when it’s over we are honest with everyone what attributed to that strain. But I don’t see that being the case
Posted by ell_13
Member since Apr 2013
85074 posts
Posted on 4/2/20 at 9:23 am to
Antonio Moss in the Hobby Lobby thread wanted to point out that the young and healthy are taking up beds too and that’s a good reason to shut everything down. My point was that they’re a non factor in ANY hypothetical situation because those people, if truly needing beds, would get them over any other group because their lives would be a priority over the fat 75 year old. Again, just a hypothetical.
Posted by BRIllini07
Baton Rouge, LA
Member since Feb 2015
3017 posts
Posted on 4/2/20 at 9:26 am to
quote:

I don’t think the black part is really noteworthy. It just so happens in our area people in poor overall health with bad diabetes happens to be more skewed to the AA population


This will become very noteworthy once this turns political (already starting to get there). Eventually we'll have to loosen the screws on this shutdown, and the 'easy' political victim argument will be on the rise....

"Sure, when white people were getting sick we shut down your precious economy. Now that it's disproportionally inner city black people still getting it, all of a sudden it's more important for Karen to be able to sit inside Starbucks"
Posted by Antonio Moss
Baton Rouge
Member since Mar 2006
48328 posts
Posted on 4/2/20 at 9:26 am to
quote:

The strain on hospitals is real.


And, as a society, that is our number one problem right now. If we have massive clusters that overwhelm regional systems that are close in proximity, you will see something similar that is happening in Spain and Italy with significantly increased mortality rates (probably never to 9-10% because of age distribution, but bad nonetheless).

quote:

I just hope when it’s over we are honest with everyone what attributed to that strain. But I don’t see that being the case





No chance
Posted by Antonio Moss
Baton Rouge
Member since Mar 2006
48328 posts
Posted on 4/2/20 at 9:27 am to
quote:

My point was that they’re a non factor in ANY hypothetical situation because those people, if truly needing beds, would get them over any other group because their lives would be a priority over the fat 75 year old. Again, just a hypothetical.


And you are wrong, as usual.
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