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Message
re: Local ER doc (South LA) here to answer your COVID-19 questions
Posted on 4/2/20 at 9:28 am to Antonio Moss
Posted on 4/2/20 at 9:28 am to Antonio Moss
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.
No, I think for most part the idea being discussed is that the working class healthy people shouldn’t be held back the same as everyone else because in the long run we need to be producing as a society.
I personally am fully aware that a small percentage of young people will get it. I also am tired of 40-59 year olds being called young, let’s stop that BS and divide it to under 30 as young and 30-55 as middle age at least? Yes the young people that get it will take up a portion of the hospital beds. Yes this will cause issues. But by and large those small issues will be well worth keeping society up and running.
Personally I think everyone over 60 shouldn’t be allowed to drive or work away from home. Let’s also deliver food to them. Give them the stimulus money. Have those least effected help them out and help us all out by working.
0
Posted on 4/2/20 at 9:28 am to Antonio Moss
From the HL thread:
Antonio Moss:
You are wrong about the healthy people needing significant medical intervention.
And if they did, they would get their treatment in any situation.
Antonio Moss:
quote:
You, and others, keep harping on this idea that only significantly obese/diabetic/COPD people are affected which is simply not true.
They may the group with the worst outcomes but there are still plenty of healthy people who will need significant medical intervention due to COVID which adds stress to the system.
You are wrong about the healthy people needing significant medical intervention.
And if they did, they would get their treatment in any situation.
This post was edited on 4/2/20 at 9:29 am
Posted on 4/2/20 at 9:35 am to ell_13
The whole point of my argument in that thread was that the unhealthy and old were the ones straining the system and that they should be the ones to quarantine while the rest of us go on about our lives.
You tried to say that healthy people who get covid put a strain too. How’s that argument looking now?
You tried to say that healthy people who get covid put a strain too. How’s that argument looking now?
Posted on 4/2/20 at 9:35 am to uway
quote:
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.
OR the fact that "little huggies fruit drink" NOT JUICE can be purchased with SNAP. Or Chips & cookies be purchased with SNAP. There really should be some sort of allowed/not allowed you pay for it things.
Let healthy choices be purchased with SNAP and not the crap.
Posted on 4/2/20 at 9:42 am to uway
quote:Only in America do poor people die from obesity related diseases.
So this crisis is largely the result of excessive government handouts for groceries.
Posted on 4/2/20 at 9:45 am to ell_13
quote:
You are wrong about the healthy people needing significant medical intervention.
Nope.
Quite literally every study released is acknowledging this. They aren't needing critical intervention like ICUs but they are being admitted at significant rates
quote:
And if they did, they would get their treatment in any situation.
Which is utterly irrelevant.
Posted on 4/2/20 at 9:46 am to ell_13
quote:
The whole point of my argument in that thread was that the unhealthy and old were the ones straining the system and that they should be the ones to quarantine while the rest of us go on about our lives.
You tried to say that healthy people who get covid put a strain too. How’s that argument looking now?
Correct.
Posted on 4/2/20 at 9:47 am to Antonio Moss
quote:They. Aren’t. Healthy.
they are being admitted at significant rates
Your studies are just about an age range. They don’t factor in obesity and other health issues. And the “rate” is low as frick in terms of the total number of sicknesses in that age range. I already have a post explaining why the 20% number is foolish to focus on and doesn’t tell the whole story.
This post was edited on 4/2/20 at 9:49 am
Posted on 4/2/20 at 9:48 am to ell_13
quote:
You tried to say that healthy people who get covid put a strain too. How’s that argument looking now?
Most are sent home.
Posted on 4/2/20 at 9:49 am to Antonio Moss
quote:Show me the study saying young and HEALTHY people are being hospitalized at SIGNIFICANT rates
Quite literally every study released is acknowledging this.
Posted on 4/2/20 at 9:49 am to Antonio Moss
quote:Digging your heals in when multiple docs in this thread alone have proven you wrong. Bold strategy.
Correct
Posted on 4/2/20 at 9:50 am to SmackoverHawg
Doesn’t Bipap aerosolize the pathogen presenting a greater risk to healthcare workers?
Posted on 4/2/20 at 10:06 am to Red Drum
Serious question.
If an anonymous person hurt their knee should they go in with the virus out there.
It swelled up and the person has put a pillow under it when sitting to relieve pressure and iced it down.
The are around the knee first felt stiff and after 7 days it has loosened up
The person is starting to walk on it and it still feels tender less stiff.
Should that person go see a doctor as going to a doctors office is very risky at this time?
If an anonymous person hurt their knee should they go in with the virus out there.
It swelled up and the person has put a pillow under it when sitting to relieve pressure and iced it down.
The are around the knee first felt stiff and after 7 days it has loosened up
The person is starting to walk on it and it still feels tender less stiff.
Should that person go see a doctor as going to a doctors office is very risky at this time?
This post was edited on 4/2/20 at 10:10 am
Posted on 4/2/20 at 10:06 am to OptionRight
quote:
Doesn’t Bipap aerosolize the pathogen presenting a greater risk to healthcare workers?
Yes, at the hospital I work for we are not using Bipap on any covid patients. If they can’t sustain greater than 90% o2 sats on a non rebreather they are intubated.
Posted on 4/2/20 at 10:08 am to latxwoman
I think the results of patients with auto-immune will be very interesting to see after all of this.
I have Ankylosing Spondylitis, and I take three medications that lower my immune system (Humira, methotrexate, and sulfasalazine). Obviously, this makes me more susceptible to catching covid, but I hear that Humira could possibly help fight it off also. I’ve been on Humira for three years, and I’ve never gotten sick (knock on wood). Before that, I was a teacher for twenty years, and I rarely got sick.
I have Ankylosing Spondylitis, and I take three medications that lower my immune system (Humira, methotrexate, and sulfasalazine). Obviously, this makes me more susceptible to catching covid, but I hear that Humira could possibly help fight it off also. I’ve been on Humira for three years, and I’ve never gotten sick (knock on wood). Before that, I was a teacher for twenty years, and I rarely got sick.
Posted on 4/2/20 at 10:10 am to ell_13
quote:
They. Aren’t. Healthy.
Some are and the numbers (which what matters!!!), the numbers of admits are a strain right now. And if you reopen everything too quickly which was the argument in the other thread then you exponentially increase that strain.
We are adding hundreds of patients that are 18-49 into our hospitals which are typically not accounted for. If you open everything back up, that number jumps.
The argument that only the elderly are straining the system is false. You are wrong. They may be placing the most strain on the system but other demographic admissions have dramatically increased as well.
The idea that you can quarantine just the old and at-risk and not strain the system is wrong. We are quarantining 90% of society now and it is still straining it. If you allow this demographic out too early then you not only increase their hospitalization rates, you also increase transmission to the elderly and at-risk.
quote:
Your studies are just about an age range. They don’t factor in obesity and other health issues.
They are looking at increased hospitalization rates in a demographic which is exactly what we are discussing.
quote:
And the “rate” is low as frick in terms of the total number of sicknesses in that age range. I already have a post explaining why the 20% number is foolish to focus on and doesn’t tell the whole story.
All your points are completely ridiculous because you discount a whole set of numbers and unilaterally declare them irrelevant.
Do you honestly believe that you know more than the people running these systems? You know more than what the CDC is seeing and reporting on?
It's an incredible level of arrogance. For weeks, everything you've said about this pandemic has been wrong and now you sit here, with a complete lack of ability to understand statistical models, declaring what should be considered and what should not.
Posted on 4/2/20 at 10:14 am to johnnyrocket
quote:
johnnyrocket
Try telemed. They may be able to direct you.
Posted on 4/2/20 at 10:15 am to tiger91
Thanks
Posted on 4/2/20 at 10:21 am to Antonio Moss
quote:I believe the docs and analysts in this thread. Do you?
Do you honestly believe that you know more than the people running these systems?
Look. I didn’t say that your 20% number was wrong. Just that it’s almost all unhealthy people. And the rate at which 18-49 year olds are being hospitalized is not 20%. Because that’s not what the number suggests.
My point is that healthy young people aren’t stressing the system. They’re not why we are where we are today. That’s not debatable man. You want to know when they stressed the system? Swine which attacked the working class way worse than this and mostly spared the old. It resulted in almost 300,000 hospitalizations in 10 months. How the hell did we survive that without a CNN death and case ticker???
Posted on 4/2/20 at 10:21 am to lsupride87
CDC
Worse in cluster zones:
NYC
20% of young require hospitalization
Researchers analyzed data on 4,226 COVID-19 cases reported to the CDC from Feb. 12 to March 16 by 49 states, three U.S. territories and Washington, D.C. The CDC had complete age data for 2,449 of these patients.
The CDC found 31 percent of all cases involved individuals age 65 or older. This age group also accounted for 45 percent of hospitalizations, 53 percent of intensive care unit admissions and 80 percent of deaths.
quote:
Among 508 (12%) patients known to have been hospitalized, 9% were aged =85 years, start highlight36%end highlight were aged 65–84 years, 17% were aged 55–64 years, 18% were 45–54 years, and 20% were aged 20–44 years. Less than 1% of hospitalizations were among persons aged =19 years (Figure 2). The percentage of persons hospitalized increased with age, from 2%–3% among persons aged start highlight=19end highlight years, to =31% among adults aged =85 years.
Worse in cluster zones:
NYC
quote:
More than a quarter of hospitalizations related to the coronavirus crisis in New York City have been for patients under the age of 50, according to data provided by City Hall officials.
20% of young require hospitalization
Researchers analyzed data on 4,226 COVID-19 cases reported to the CDC from Feb. 12 to March 16 by 49 states, three U.S. territories and Washington, D.C. The CDC had complete age data for 2,449 of these patients.
The CDC found 31 percent of all cases involved individuals age 65 or older. This age group also accounted for 45 percent of hospitalizations, 53 percent of intensive care unit admissions and 80 percent of deaths.
quote:
However, the report also shows that millennials "are not invincible," STAT wrote in an article about the CDC analysis. Of the 508 cases known to involve hospitalizations, 20 percent involved patients ages 20 to 44, and of the 705 cases in that age range, between 14.3 percent and 20.8 percent were hospitalized. About 2 percent to 4 percent of patients in this age range required treatment in an ICU.
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