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re: Louisiana now at 13 positive cases

Posted on 3/11/20 at 10:25 am to
Posted by demtigers73
Coastal Club
Member since Aug 2014
5533 posts
Posted on 3/11/20 at 10:25 am to
Going to Toledo Bend camp until this is over. Have fun!
Posted by CelticDog
Member since Apr 2015
42867 posts
Posted on 3/11/20 at 10:25 am to
quote:

Can not believe frickn bloupe2 went to dam pels game last friday with fn symotoms then tested positive 2 days later. What an idiot


self centered.

should be a crime.

Posted by Scoob
Near Exxon
Member since Jun 2009
20460 posts
Posted on 3/11/20 at 10:34 am to
quote:

Currently, we have a total of six presumptive positive cases of coronavirus in Louisiana. While we investigate these cases, we cannot disclose any additional information about these patients at this time. #lagov “

“Of the new cases: all three are Orleans Parish residents, 2 hospitalized in Orleans Parish, 1 hospitalized in St. Tammany Parish
Where's this info coming from, and what is the definition of "PRESUMPTIVE"?

Because there are several "possible" in hospitals outside NOLA now.
Posted by tigerskin
Member since Nov 2004
40640 posts
Posted on 3/11/20 at 10:34 am to
For those wondering what is the importance of keeping the numbers as low as possible, this explains the importance of not overwhelming the hospitals.


“I'm not an expert on this virus or any other virus for that matter. I am a US trained OBGYN Ex-Pat living in Verona Italy (Northern Italy, in the hot zone). I was asked to share my thoughts so here goes.

We all started off thinking that this was some overblown flu, making jokes and not understanding why China was in lockdown. Then the cases began to multiply at a freakish rate. We believed this was because we were testing EVERYONE and finding cases that had no symptoms. Then the ICU’s of some parts of Lombardy (all around Milan) began to fill up and overflow. Today March 9th 2020 some hospitals in those areas have implemented a triage system as to who will be intubated and who will not (people over 70 and or with co-morbidities).

Let me back up a little. This is not a zombie apocalypse. The actual percentage of people dying is really low. Children and young adults seem to not be affected with more than flu-like symptoms. In the beginning only elderly with comorbidities or smokers were getting really sick, just like a really bad influenza outbreak. This was all great until younger (think 50’s) and relatively healthy people began to become very ill in addition to the large number of already sick.

The real problem is 3-fold here in Italy, 2 virus related. (again my opinion)

1) It seems to be stunningly infective. Surviving 12 hours on metal surfaces (that’s right, door handles and all).

2) Here, about 10% of the infected need ICU beds and around 4-5% need ventilators due to ARDS. This is the BIG BIG problem and why Italy quarantined 16 million people and why multi-billion-euro soccer games are played in empty stadiums (What is 4-5% of 16 million? We don’t have that many ventilators).

Italy is not a third world country and our hospitals are set up pretty much like the ones in the US. You might debate that we have a lower threshold for admission and longer stays vs the US but this is a RESOURCE ISSUE. There are not enough ventilators for the number of people who need them. This is due to sheer volume and THIS is the REAL problem. This is why countries are in lockdown and freaking out. This is a real medical emergency and doctors are now deciding who lives (gets intubated) and who does not. Couple this with the median age of the sick becoming younger and things get worse.

3) Italians (the people, not doctors) are undisciplined in some things. They have been given guidelines, like stay at home as much as possible and many do whatever in spite of this. The ski resorts are full for example. This helps to continue the spread of the disease. On the other hand, at the supermarket the other day, for the first time in 15 years I saw a single file line with people 3 feet away from each other without police or guns involved.

So: The faster the virus is contained the lower number of ventilators will be needed.

1. Wash. Your. Hands. Wash them so much. If you can’t wash use the gels and hand sanitizers. Maybe stop shaking hands, some kind of elbow bump would be cool.

2. Don’t pick your nose. Or put your fingers in your mouth, on your lips, or in your eyes.

3. Surgical masks seem to be enough to limit the spread AND protect you from disease. FFP2 / 3 only if you are working directly on a Covid-19 patient. Also do not put an FFP mask on a sick person, most have valves and that allows the virus OUT – provides NO protection for others.

4. Sanitize the objects that lots of other people touch,

5. Social distancing. Do it. This means keeping people apart from one another (preferably 6 feet apart, and sanitizing shared objects).

6. Travel is about to be screwed. Plan for it and around it. I would not say travel somewhere I would not be happy to be stuck at for 3-6 weeks.

7. If you are sick, stay home. For the love of all that is holy. Stay at home.

8. If school or other events are cancelled and or you are asked to limit non-essential movement. Just do it.

I didn't write this for professional purposes, I am not an expert but I do have a brain (at least I think I do). Hope this helps in some way.

I LEAVE YOU WITH: THIS IS NOT A NORMAL FLU.

Don’t panic, toilet paper will continue to be made, at the same time do not BLOW THIS OFF

J.Stefano Lehman MD, OBGYN “



Posted by tigerskin
Member since Nov 2004
40640 posts
Posted on 3/11/20 at 10:35 am to
Presumptive means they have tested positive, just waiting for CDC to confirm.
Posted by mylsuhat
Mandeville, LA
Member since Mar 2008
48952 posts
Posted on 3/11/20 at 10:37 am to
You know how many healthier folks likely have the virus but just stayed home and didn't go get checked?


I'd bet there are hundreds of cases in LA but people haven't been tested
Posted by tigerskin
Member since Nov 2004
40640 posts
Posted on 3/11/20 at 10:39 am to
There is no doubt about that. Until very recently docs weren’t even allowed to do the test in Louisiana unless the person was sick as shite or recently visited China.
Posted by ANewFlame
Member since Jan 2018
215 posts
Posted on 3/11/20 at 10:40 am to
quote:



Depending on where you are going you might want to plan for longer than that. We might not let you back in the country until this blows over.


My daughter had to confirm that she had enough money for an extended stay before she was allowed to check-in for her flight to Spain yesterday.
Posted by Scoob
Near Exxon
Member since Jun 2009
20460 posts
Posted on 3/11/20 at 11:05 am to
quote:

Presumptive means they have tested positive, just waiting for CDC to confirm.

So the Advocate still says everything in La is in the NOLA area.

There are isolation cases in other areas, not in NOLA. What is the proper terminology, if not "presumptive"? Because if you put someone in respiratory isolation while ruling something out, I'm going to call that a presumption. And a prudent one.
So, when do these make the count?

Posted by Gorilla Ball
Member since Feb 2006
11790 posts
Posted on 3/11/20 at 11:05 am to
I thought the samples were sent off to CDC in Atlanta waiting on confirmation
Posted by tigerskin
Member since Nov 2004
40640 posts
Posted on 3/11/20 at 11:08 am to
I just told you. If they get a positive result in Louisiana, they are “presumptive.” Then they send it to CDC which will take several days.That is just the protocol right now.

People with other respiratory issues that test negative in Louisiana are not “presumptive.”
This post was edited on 3/11/20 at 11:10 am
Posted by Scoob
Near Exxon
Member since Jun 2009
20460 posts
Posted on 3/11/20 at 11:26 am to
quote:

People with other respiratory issues that test negative in Louisiana are not “presumptive.”

And until they test negative?

There's a gray area there.
Posted by UnluckyTiger
Member since Sep 2003
35949 posts
Posted on 3/11/20 at 11:32 am to
Did your mom forward that to you in an email chain?
Posted by CAD703X
Liberty Island
Member since Jul 2008
78372 posts
Posted on 3/11/20 at 11:40 am to
quote:

Louisiana now at 6 positive cases


Williamson County in TN says 'hold my cerveza'.
Posted by fatboydave
Fat boy land
Member since Aug 2004
17979 posts
Posted on 3/11/20 at 11:42 am to
Posted by tigerskin
Member since Nov 2004
40640 posts
Posted on 3/11/20 at 12:06 pm to
quote:

Did your mom forward that to you in an email chain?



I am a physician that has access to physicians across the world.
Posted by tigerskin
Member since Nov 2004
40640 posts
Posted on 3/11/20 at 12:07 pm to
quote:

And until they test negative?

There's a gray area there.


Yes, there are more cases out there that just simply haven’t been tested yet. Our testing capacity is going up.
Posted by NOFOX
New Orleans
Member since Jan 2014
9957 posts
Posted on 3/11/20 at 12:08 pm to
quote:

And until they test negative?

There's a gray area there.


The only cases labeled 'presumptive' are those patients who test positive via a private lab.
Posted by Asharad
Tiamat
Member since Dec 2010
5722 posts
Posted on 3/11/20 at 12:09 pm to
Let's create another 20 threads about Corona virus
Posted by TutHillTiger
Mississippi Alabama
Member since Sep 2010
43700 posts
Posted on 3/11/20 at 12:10 pm to
Expect numbers to double every 4 days for next three months
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