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re: Scientific Director for MD Anderson's Pancreatic Cancer Center descibes ages of patients

Posted on 3/15/20 at 12:01 am to
Posted by Ace Midnight
Between sanity and madness
Member since Dec 2006
89506 posts
Posted on 3/15/20 at 12:01 am to
quote:

You're not going to convince the TD infectious disease experts it's anything more than the flu.



With proper intervention with American medicine, this isn't many orders of magnitude worse than the flu. Probably worse. Probably more than a little worse, but not out of proportion with a particularly bad seasonal influenza strain.

And, so far, it isn't spreading as widely as the flu. It's early, but that's where we're at. I mean, it's tragic, but ~50 people. And John's Hopkins estimates ~50k have it. So, almost exactly, precisely the flu if that is accurate.
Posted by AUCE05
Member since Dec 2009
42559 posts
Posted on 3/15/20 at 12:05 am to
Man, you are all over the place.
Posted by Unknown_Poster
Member since Jun 2013
5758 posts
Posted on 3/15/20 at 12:06 am to
quote:


Not that I know of. Some people just get the flu and for whatever reason go into ARDS/bad superimposed bacterial pneumonia and die. It happens. Life is fragile. We need to stop pretending it isnt.

For someone with 90 fricking thousand posts on an internet forum you seem to be getting really bent out of shape about not prancing around town for a couple of weeks.
Posted by FightnBobLafollette
Member since Oct 2017
12204 posts
Posted on 3/15/20 at 12:08 am to
quote:



Really mouthbreather? This is what your tiny, poorly educated brain came up with? Laughable.



Except it’s reality.

It’s ok that your narrative isn’t working.
Posted by Scoop
RIP Scoop
Member since Sep 2005
44583 posts
Posted on 3/15/20 at 12:15 am to
quote:

45yo who died had EF go down to 10%.


You need to STFU.

Most people here don’t know what EF means but I do.

You are a fear mongering bitch.

This virus isn’t going to cause an EF of 10%.

Posted by Scoop
RIP Scoop
Member since Sep 2005
44583 posts
Posted on 3/15/20 at 12:32 am to
To put some light on what the OP is saying, by EF he means Ejection Fraction. It is a means by which the effectiveness of the left ventricule is measured mostly with regards to figuring the severity of congestive heart failure.

The EF is the percentage of the blood held in the left ventricle that is pushed out with each “heartbeat.’

A healthy heart pushes out 50% to 70%.

Below 50% is problematic, below 40% is troublesome.

This a-hole in the OP wants you to think that Convid19 is attacking the cardiovascular functioning of healthy people.

Posted by TutHillTiger
Mississippi Alabama
Member since Sep 2010
43700 posts
Posted on 3/15/20 at 1:48 am to
We weren’t meant to last anymore, our “Gods” decided we were way too much trouble when we realized our potential and lived 100s of years
Posted by SickGainzLP
Member since May 2019
1230 posts
Posted on 3/15/20 at 1:51 am to
Dude shut up. you literally have zero qualifications to tell anyone what they should worry about. If you have them cite them other wise STFU. This isn't political you idiots.
Posted by ell_13
Member since Apr 2013
84990 posts
Posted on 3/15/20 at 1:53 am to
quote:

Of 32 patients hospitalized in one Seattle hospital with #COVID19, 4 needed ICU care (again that 10% number for ICU admissions). The age of their youngest hospitalized patient - 22 years.
4 out of the total number of cases In Seattle isnt 10%.
Posted by EarlyCuyler3
Appalachia
Member since Nov 2017
27290 posts
Posted on 3/15/20 at 4:09 am to
quote:

Medicine isn’t like Scrubs, House, ER, or Gray’s Anatomy.

People die.


And a lot of the time, we don't even know what really got them in the end. We just ship them to the funeral home and admit another one to the unit.
Posted by TigerGman
Center of the Universe
Member since Sep 2006
11202 posts
Posted on 3/15/20 at 5:04 am to
quote:

There was no underlying issue in any of the patients?



So what? How many "young people" have High Blood pressure and don't even know it? I alone know 2 in their late 20's that do, how many are totally unaware?

ETA: High Blood pressure puts you at high risk of mortality from the Wuhan
This post was edited on 3/15/20 at 7:05 am
Posted by memphis tiger
Memphis, TN
Member since Feb 2006
20720 posts
Posted on 3/15/20 at 6:47 am to
So a scientific director is posting anecdotal cases like they are applicable to the situation at large.

Sounds pretty unscientific to me


Maybe MDA needs to re-evaluate who leads their scientific programs.
Posted by GRTiger
On a roof eating alligator pie
Member since Dec 2008
62911 posts
Posted on 3/15/20 at 6:55 am to
The one OT poster chronicling his desperate and too often failed attempts to get his own test is now stoking fears.

You're starting to paint a picture.
Posted by Sam4LSU
Member since Aug 2014
138 posts
Posted on 3/15/20 at 7:39 am to
Here’s my take- we are supposed to get mass testing capabilities later this week, probably around Thursday. I do primary care. I may be a complete moron, but 90% of my patients are also complete morons. Most of the public will not take social distancing seriously to protect the most vulnerable. If we are getting the amount of tests promised, I plan on testing every person that walks through my door. Insurance has promised to cover covid testing. The reason for my insanity is simply to identify the “majority”. The people we keep talking about being the “spreaders” of this virus. The people who will have minor cold symptoms, but WILL NOT STAY HOME. The thing is, if I truly don’t have anything to scare these people with, they will not stay home and our most vulnerable will be affected and our healthcare system will be overwhelmed. That car crash, that MI, that stroke... may not have the resources necessary when they go to the ED. I see about 25 patients per day (NP, not MD, yes I know my place in the world of medicine). Every year, during flu season, I tell people that they’re positive. Every year, I tell people the recommendation is for them to stay out of public for 7 days or 24 hours fever free- whichever comes last. Every year, MOST people do not listen to me. I do the very best I can to scare these people into listening, but their own selfish needs heavily out weigh the needs of others. Society is selfish (and fat). If I can get my hands on the ample amount of tests they’re telling me, I’m testing the masses. People are STILL coming see me for annual exams, right side pain x1 episode that occurred 3 weeks ago, back back x4 years- all ages!! My population is majority commercial insurance, some Medicaid and Medicare— what I’m saying is, I see all ages, all backgrounds, all races. The information we could get from swabbing everyone would be invaluable for the future- not to mention being able to scare people into taking social distancing seriously. I do fear that if I don’t have PROOF to show these people that they have covid, they’ll keep on about life and this will be worse than influenza or all the things it is being compared to.
This post was edited on 3/15/20 at 7:41 am
Posted by SaintsandTigers
Member since Feb 2020
461 posts
Posted on 3/15/20 at 7:57 am to
quote:

Happens to us with healthy pts every year.

Had a 2 year old with myocarditis die this year.

The issue with this is that all of you are finally seeing what actually happens in medicine now.

None of this is new.

It is just new for y’all.

Medicine isn’t like Scrubs, House, ER, or Gray’s Anatomy.

People die.
This. A lot of people get very sick and die every day. Our country has 330 million people, this is going to happen

But people are just now paying attention, and the media did a good job of giving death a face “your grandma” “you father” etc etc

Posted by ZappBrannigan
Member since Jun 2015
7692 posts
Posted on 3/15/20 at 8:26 am to
Ok Vandal Savage, we`ll go duke it out the Greek pantheon tomorrow and after tha Asgard.

Then we'll hit up the Egyptians and skip the rest of Africa, cause lets be frank there's no gods there.

YHWH will be trickier. But if we bait him with a virgin near a burning bush or a few jews in a religious argument we may get him cornered. Muslims are kinda useless on this one. Lets be honest.

For Scientology send the space force after xenu and I guess border wall utah and let em kill each other with Fan Fiction God disputes.
Posted by TigerNOLAGirl
Baton Rouge
Member since Dec 2019
719 posts
Posted on 3/15/20 at 8:34 am to
The young know nothing.
Do you really expect them to comprehend that healthy people die?! They know zero about healthcare.
They can't comprehend the concepts of responsibility, hard work or simple math.
Telling them life is short & brutal will shatter them.
And I will laugh at them.
Posted by BZ504
Texas
Member since Oct 2005
9441 posts
Posted on 3/15/20 at 8:40 am to
I know the virus is serious, but more people were probably killed in car wrecks yesterday than people dying of the virus.
Posted by mdomingue
Lafayette, LA
Member since Nov 2010
30174 posts
Posted on 3/15/20 at 8:52 am to
quote:

Life is fragile.


It’s odd, isn’t it. Life is fragile and at the same time robust. It seems so often that it is like a flip of the coin which wins out in these situations. Life is really a paradox.

Being a person of faith, I try to approach life through the lens of James 4:14 “ Yet you do not know what your life will be like tomorrow. You are just a vapor that appears for a little while and then vanishes away.”

Be cautious but enjoy your life, be kind if you can.

I, for one, appreciate you incite as a physician (assuming I’m not confusing you with someone else).
Posted by Adajax
Member since Nov 2015
6123 posts
Posted on 3/15/20 at 9:31 am to
quote:

People are STILL coming see me for annual exams,


Sounds like you're the problem. You preach social distancing and staying home and then act like you have no control over annual exams. These people aren't forcing you to give them annual physicals. Cancel them. It's within your power. Or is it that you don't want to lose that income?
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