kadee79
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Post by kadee79 on Apr 22, 2020 20:33:50 GMT -5
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Tiny
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Post by Tiny on Apr 22, 2020 20:38:23 GMT -5
Americans should be PROUD! We've all "volunteered" to be guinea pigs during the Covid19 pandemic. We've got the most infections and the most deaths. MAGA!!!
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deminmaine
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Post by deminmaine on Apr 23, 2020 8:32:42 GMT -5
Will be interesting to hear pulmonarymd weigh in on this if he gets time. I've read several disturbing reports on CV and clotting, which I won't repeat here, because the medical doctors themselves are scrambling to figure this out and theorizing what may be going on, and what other viruses it may be related to.
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bean29
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Post by bean29 on Apr 23, 2020 9:40:18 GMT -5
I am part of a discussion with other family members on FB, and my nieces are arguing that they should lift the quarantine b/c people are not going to the hospital because they are afraid of contracting COVID-19.
I fail to see how that is going to change whether or not you lift the quarantine.
This data is just coming out - also regarding that 88% of people on a ventilator die anyways. That is sad, but if my choice is NO CHANCE or 12%, I will take the 12%.
The Governor of WI extended the Safer at Home order until after Memorial Day, the Republicans are suing to lift the order. The Cynic in me thinks they want it lifted because the refused to reschedule our primary and they refused to loosen up the restrictions on mail- in - balloting, so they need to get the order lifted before the number of COVID-19 cases spikes up and it is tied back to long lines of people waiting in line to vote in the election.
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thyme4change
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Post by thyme4change on Apr 23, 2020 11:21:28 GMT -5
When that Broadway guy had his leg amputated, a bunch of people were saying it was a blot clot and had nothing to do with his positive Covid test - blah, blah media, stupid liberals, blah, blah, whatever. I guess they were wrong.
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justme
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Post by justme on Apr 23, 2020 11:40:44 GMT -5
When that Broadway guy had his leg amputated, a bunch of people were saying it was a blot clot and had nothing to do with his positive Covid test - blah, blah media, stupid liberals, blah, blah, whatever. I guess they were wrong. The articles I read was it had to do with poor blood flow to his feet while on the ventilator. It wasn't very clear in the articles I read if it was due to the ventilator or a clot. They did surgery and saw the blow flow returning, but I guess it wasn't enough or stopped since they had to amputate.
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Miss Tequila
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Post by Miss Tequila on Apr 23, 2020 11:44:03 GMT -5
Will be interesting to hear pulmonarymd weigh in on this if he gets time. I've read several disturbing reports on CV and clotting, which I won't repeat here, because the medical doctors themselves are scrambling to figure this out and theorizing what may be going on, and what other viruses it may be related to. Why did I think pulmonarymd was a female?? I think I even referred to him as "she" or "her" in posts...oops!
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Miss Tequila
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Post by Miss Tequila on Apr 23, 2020 11:44:52 GMT -5
When that Broadway guy had his leg amputated, a bunch of people were saying it was a blot clot and had nothing to do with his positive Covid test - blah, blah media, stupid liberals, blah, blah, whatever. I guess they were wrong. I never thought "stupid liberals" over that...I mean, I think that a lot but not over this issue
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pulmonarymd
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Post by pulmonarymd on Apr 23, 2020 11:45:35 GMT -5
When that Broadway guy had his leg amputated, a bunch of people were saying it was a blot clot and had nothing to do with his positive Covid test - blah, blah media, stupid liberals, blah, blah, whatever. I guess they were wrong. He was on ecmo, likely had to do with complications from that. But he did have COVID too. Intersting thing about the strokes. They have been seeing quite a bit of microvascular clotting in organs in people with COVID. There is discussion about the use of anticoagulants on these patients. However, we have tried them in other critical illness for a similar problem without my success. Studies need to be doone to see if it will be effective in this. High risk of bleeding in critically ill people on these medications, so its use needs to be carefully studied. This is the problem when you deal with a new disease. There is so much "noise" to plow through, and it takes time to figure things out. In the meantime, people die. But our first responsibility is to not make matters worse with our treatment.
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pulmonarymd
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Post by pulmonarymd on Apr 23, 2020 11:46:16 GMT -5
Will be interesting to hear pulmonarymd weigh in on this if he gets time. I've read several disturbing reports on CV and clotting, which I won't repeat here, because the medical doctors themselves are scrambling to figure this out and theorizing what may be going on, and what other viruses it may be related to. Why did I think pulmonarymd was a female?? I think I even referred to him as "she" or "her" in posts...oops! No worries, no offense. Women are probably better human beings anyway
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Miss Tequila
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Post by Miss Tequila on Apr 23, 2020 11:46:48 GMT -5
When that Broadway guy had his leg amputated, a bunch of people were saying it was a blot clot and had nothing to do with his positive Covid test - blah, blah media, stupid liberals, blah, blah, whatever. I guess they were wrong. The articles I read was it had to do with poor blood flow to his feet while on the ventilator. It wasn't very clear in the articles I read if it was due to the ventilator or a clot. They did surgery and saw the blow flow returning, but I guess it wasn't enough or stopped since they had to amputate. I read the 12% survival stat and my heart sunk. 12% is better than 0% but Jesus, those are still some awful odds! I thought his amputation was a blood clot due to Covid but I admittedly didn't understand what caused it. Then again, I think that was pretty vague in the article that I read.
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Miss Tequila
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Post by Miss Tequila on Apr 23, 2020 11:48:00 GMT -5
Why did I think pulmonarymd was a female?? I think I even referred to him as "she" or "her" in posts...oops! No worries, no offense. Women are probably better human beings anyway Thank you! And it is difficult to know the sex based on our names...unless it is one like mine!
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pulmonarymd
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Post by pulmonarymd on Apr 23, 2020 11:50:21 GMT -5
The articles I read was it had to do with poor blood flow to his feet while on the ventilator. It wasn't very clear in the articles I read if it was due to the ventilator or a clot. They did surgery and saw the blow flow returning, but I guess it wasn't enough or stopped since they had to amputate. I read the 12% survival stat and my heart sunk. 12% is better than 0% but Jesus, those are still some awful odds! I thought his amputation was a blood clot due to Covid but I admittedly didn't understand what caused it. Then again, I think that was pretty vague in the article that I read. This is the nightmare we are dealing with, and why we get angry with people who say it is no big deal. Hopefully it is better than that. We have had the first 2 patients we put on a ventilator survive and go home. Hope our luck continues. Ventilators do not cause clots. He was on ecmo, and clotting is a complication, depending on how its done. Given size of clot, I suspect it came from that
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Miss Tequila
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Post by Miss Tequila on Apr 23, 2020 11:53:37 GMT -5
When that Broadway guy had his leg amputated, a bunch of people were saying it was a blot clot and had nothing to do with his positive Covid test - blah, blah media, stupid liberals, blah, blah, whatever. I guess they were wrong. He was on ecmo, likely had to do with complications from that. But he did have COVID too. Intersting thing about the strokes. They have been seeing quite a bit of microvascular clotting in organs in people with COVID. There is discussion about the use of anticoagulants on these patients. However, we have tried them in other critical illness for a similar problem without my success. Studies need to be doone to see if it will be effective in this. High risk of bleeding in critically ill people on these medications, so its use needs to be carefully studied. This is the problem when you deal with a new disease. There is so much "noise" to plow through, and it takes time to figure things out. In the meantime, people die. But our first responsibility is to not make matters worse with our treatment. I had to google what an ecmo was...is that what they use during open heart surgery? Strokes in young, otherwise healthy people is terrifying.
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pulmonarymd
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Post by pulmonarymd on Apr 23, 2020 11:54:14 GMT -5
He was on ecmo, likely had to do with complications from that. But he did have COVID too. Intersting thing about the strokes. They have been seeing quite a bit of microvascular clotting in organs in people with COVID. There is discussion about the use of anticoagulants on these patients. However, we have tried them in other critical illness for a similar problem without my success. Studies need to be doone to see if it will be effective in this. High risk of bleeding in critically ill people on these medications, so its use needs to be carefully studied. This is the problem when you deal with a new disease. There is so much "noise" to plow through, and it takes time to figure things out. In the meantime, people die. But our first responsibility is to not make matters worse with our treatment. I had to google what an ecmo was...is that what they use during open heart surgery? Strokes in young, otherwise healthy people is terrifying. Sort of
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saveinla
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Post by saveinla on Apr 23, 2020 11:55:20 GMT -5
pulmonarymd, Is it also true that the severity depends on how the problem manifests itself - meaning if you have stomach pain you see some things and if you have cough and breathing problems, its another? There was a link somewhere - will try to find it, but is that something you are seeing or reading about?
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pulmonarymd
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Post by pulmonarymd on Apr 23, 2020 11:57:07 GMT -5
pulmonarymd , Is it also true that the severity depends on how the problem manifests itself - meaning if you have stomach pain you see some things and if you have cough and breathing problems, its another? There was a link somewhere - will try to find it, but is that something you are seeing or reading about? Not sure, I am more involved with the people who come in really sick. Do not have enough bandwith to take everything in right now. Sorry
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Miss Tequila
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Post by Miss Tequila on Apr 23, 2020 11:58:18 GMT -5
I read the 12% survival stat and my heart sunk. 12% is better than 0% but Jesus, those are still some awful odds! I thought his amputation was a blood clot due to Covid but I admittedly didn't understand what caused it. Then again, I think that was pretty vague in the article that I read. This is the nightmare we are dealing with, and why we get angry with people who say it is no big deal. Hopefully it is better than that. We have had the first 2 patients we put on a ventilator survive and go home. Hope our luck continues. Ventilators do not cause clots. He was on ecmo, and clotting is a complication, depending on how its done. Given size of clot, I suspect it came from that I'm right there with you. This IS a big deal and it terrifies me. I watch the new clips of the idiots protesting. Anyone caught protesting and honestly, anyone in general caught not following the social distancing rules, should automatically go under lockdown. And if they get sick, it's natural god damn selection.
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saveinla
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Post by saveinla on Apr 23, 2020 12:08:12 GMT -5
pulmonarymd , Is it also true that the severity depends on how the problem manifests itself - meaning if you have stomach pain you see some things and if you have cough and breathing problems, its another? There was a link somewhere - will try to find it, but is that something you are seeing or reading about? Not sure, I am more involved with the people who come in really sick. Do not have enough bandwith to take everything in right now. Sorry No worries. Thank you
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justme
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Post by justme on Apr 23, 2020 12:16:19 GMT -5
I read the 12% survival stat and my heart sunk. 12% is better than 0% but Jesus, those are still some awful odds! I thought his amputation was a blood clot due to Covid but I admittedly didn't understand what caused it. Then again, I think that was pretty vague in the article that I read. This is the nightmare we are dealing with, and why we get angry with people who say it is no big deal. Hopefully it is better than that. We have had the first 2 patients we put on a ventilator survive and go home. Hope our luck continues. Ventilators do not cause clots. He was on ecmo, and clotting is a complication, depending on how its done. Given size of clot, I suspect it came from that Gotcha. My brain obviously correlated the two or I read a poorly researched article.
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oped
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Post by oped on Apr 23, 2020 12:24:06 GMT -5
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pulmonarymd
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Post by pulmonarymd on Apr 23, 2020 12:26:56 GMT -5
No one knows long term at present. I would be surprised if someone who was completely asymptomatic has them, but would not be surprised about people developing asthma afterwards
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oped
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Post by oped on Apr 23, 2020 12:34:14 GMT -5
No one knows long term at present. I would be surprised if someone who was completely asymptomatic has them, but would not be surprised about people developing asthma afterwards Do the appearance of ground-glass opacity generally mean longer term issues? Or do they typically ‘heal’..?
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swamp
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Post by swamp on Apr 23, 2020 12:38:41 GMT -5
This is the nightmare we are dealing with, and why we get angry with people who say it is no big deal. Hopefully it is better than that. We have had the first 2 patients we put on a ventilator survive and go home. Hope our luck continues. Ventilators do not cause clots. He was on ecmo, and clotting is a complication, depending on how its done. Given size of clot, I suspect it came from that I'm right there with you. This IS a big deal and it terrifies me. I watch the new clips of the idiots protesting. Anyone caught protesting and honestly, anyone in general caught not following the social distancing rules, should automatically go under lockdown. And if they get sick, it's natural god damn selection. I agree with you on that, but the problem I have is with how contagious COVID is. For every idiot, they take down 40 (I'm making the number up, don't jump on me for overexaggerating the danger) with them.
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swamp
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Post by swamp on Apr 23, 2020 12:40:50 GMT -5
I read something last night, NYT maybe? I'm reading too much to keep it all straight.
Docs are seeing tiny clots in the lungs of people that died from COVID. I'll see if I can find the article.
Edit: It was WaPo. I can't link it here because of the paywall, and I don't know my password. I read WaPo on my iPad.
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dezii
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Post by dezii on Apr 23, 2020 12:42:00 GMT -5
Will be interesting to hear pulmonarymd weigh in on this if he gets time. I've read several disturbing reports on CV and clotting, which I won't repeat here, because the medical doctors themselves are scrambling to figure this out and theorizing what may be going on, and what other viruses it may be related to. Fact is...we hear about Heart Disease, Cancer but when it comes to strokes...it seems to be just another sickness out there... I had one about four years ago and when was admitted to first rehab facility...couldn't get over how many folks..all ages..three rooms full...like a epidemic... Most important to me is rehab as best one can do...then accept what u have and learn to live with it...keeps one mentally strong..no "woe is me"..no one wants to hear that...including one self.. In my case , very lucky...appetite still strong, able to speak, understand..with help of hemi walker able to move from room to room...bathroom etc... Best thing was I had bite the Bullit and taken out a disability policy years earlier..big decision for me at the time, but after meeting all criteria, including a delay of payments...the policy was a god send..paying me $100.00 a day...three years...Living in Florida, that payout was fine..If up in North East, not so good...suggest all, youngest the best, to look into such policies..granted a expense but if auto payment..after a while don't even realize it's being paid out
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Miss Tequila
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Post by Miss Tequila on Apr 23, 2020 12:49:44 GMT -5
I'm right there with you. This IS a big deal and it terrifies me. I watch the new clips of the idiots protesting. Anyone caught protesting and honestly, anyone in general caught not following the social distancing rules, should automatically go under lockdown. And if they get sick, it's natural god damn selection. I agree with you on that, but the problem I have is with how contagious COVID is. For every idiot, they take down 40 (I'm making the number up, don't jump on me for overexaggerating the danger) with them. I agree with that which is why my first statement was to put them in lock down. Everyone had the right to do themselves harm but it is not acceptable to put the rest of us at risk.
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pulmonarymd
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Post by pulmonarymd on Apr 23, 2020 12:56:13 GMT -5
No one knows long term at present. I would be surprised if someone who was completely asymptomatic has them, but would not be surprised about people developing asthma afterwards Do the appearance of ground-glass opacity generally mean longer term issues? Or do they typically ‘heal’..? That is a sign of pneumonia and infiltration. As people get better, the either resolve or become scars. Usually if they persist, they are a sign of ongoing inflammatory lung disease or rarely, cancer. It will be interesting if people develop these findings as a chronic issue, but I doubt it. Unfortunately, finding treatments that work for the rally sick is our main focus, and these other issues will have to wait
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pulmonarymd
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Post by pulmonarymd on Apr 23, 2020 12:58:07 GMT -5
I read something last night, NYT maybe? I'm reading too much to keep it all straight. Docs are seeing tiny clots in the lungs of people that died from COVID. I'll see if I can find the article. Edit: It was WaPo. I can't link it here because of the paywall, and I don't know my password. I read WaPo on my iPad. We see these with many infections that cause DIC. Whether these are different in this disease is unclear.This is the reason that anticoagulation was tried in the past, and some people are trying it now
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pulmonarymd
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Post by pulmonarymd on Apr 23, 2020 12:59:48 GMT -5
I'm right there with you. This IS a big deal and it terrifies me. I watch the new clips of the idiots protesting. Anyone caught protesting and honestly, anyone in general caught not following the social distancing rules, should automatically go under lockdown. And if they get sick, it's natural god damn selection. I agree with you on that, but the problem I have is with how contagious COVID is. For every idiot, they take down 40 (I'm making the number up, don't jump on me for overexaggerating the danger) with them. Average is 2.3. It is one for influenza, and I think it is 4 for measles. But some people appear to be more efficient at spreading it, the so called super spreaders
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