pperc early reports from our monoclonal antibody study showing improved time to recovery in outpatients. Iirc would be first outpatient positive trial data.
Also we’re in surge mode at our org and so yesterday I worked the Covid only clinic and had to wear n95, gowns, face shields, etc for 8 hours. Shit is miserable for that long. Pretty confident i swabbed at least 14 probables and probably 20 negatives. Blegh
What's your process? Are you doing vitals and exams on all of those? Have they been virtually triaged already? I still don't get an n95 mask.
We’re seeing only symptomatic. Asymptomatic just get virtual visit and test. Nurse does vitals (bp, rr,pulse sat). She’ll do swab then if it’s super obvious. Otherwise I’ll go in and assess if needs CXR or Covid/strep if it isn’t clear. We’re getting Covid/flu/rsv cartridges soon, that will help decision making for swabs. Im doing appts every 10 minutes so gets pretty chaotic.
Obviously anecdotal, but are you seeing the same things that have been out there, that the worst cases seem to be mostly people with one or multiple comorbidities, or is it a bit of a grab-bag?
I hate hate hate hate covid day, which i have once a week. I feel like a fucking robot saying the same shit. Which is usually "i don't know." 10min slots is brutal. My clinic's patients expect they're getting everything in the world everytime they come in, so that would never fly. But we also don't have a really well defined covid clinic anymore, and that's one reason i think shutting down our resp clinics and just mixing everything back together was a really fucking bad idea. Now it's just regular clinic, and oh by the way if you have covid sx were doing this and this. Except when you're the only doc <40 in clinic on a given day. Then everyday is covid day, also.
Yeah old people do badly. Young people are fine. Obviously rare exceptions apply. Still have a healthy 24 year old who can’t taste/smell right 6 months later and some people who are dealing with chronic fatigue and cough shit
I saw that the recommendation from the CDC is if you have been in close contact with a Covid+ person, you are to quarantine for 14 days, even if you get tested and are negative. Why would that be? Shouldn't the negative test give you the green light? If you make out with 20 covid+ people, then test negative 5 days later, is there a chance you could somehow be covid+ some time after that, with no other exposure to a + person?
I attribute it to an abundance of caution, but at the same time it sort of casts doubt on the reliability of tests if we can't use them to determine if someone is + or not. How about if you are exposed, you need 2 (-) tests before you can un-quarantine? Though that would put a larger strain on an already depleted testing system.
My understanding is it takes 2-14 days for symptoms to show up, and you're only contagious (and for a large chunk of tests out there, able to test positive) within a couple days of showing symptoms.
This image was in the NEJM article on the last page. It argues for much more (rapid) antigen testing. Says those tests can be made in the millions each week. Could get us to many ppl testing multiple times a week. From article:
The Big Ten's decision to play this year was largely based on doing a form of antigen testing where they could test positive before being infectious, thus negating the need for contact tracing. I believe they're testing daily.
So that would mean there is a correlation to being symptomatic and being contagious. I thought that was a rumor that was dispelled. That in fact asymptomatic people can be spreaders as easily as symptomatic carriers, and that asymptomatic carriers often have as much viral load as symptomatic carriers.
My son has now taken 4 Covid tests and they were all negative. Everyone else in my house was positive and he had about 6 of the symptoms when he took 2 of those tests.
He has been in quarantine for 28 days. Trying to avoid going through this again in the next 90 days since we are pretty sure he had it based on his symptoms. One of the 4 was the previous time he had to quarantine. School recommended it since had been closely exposed to a classmate that was positive.
You nailed it. Really wishing we could have avoided sending our kids to school. It’s been a mess from the jump.
pperc or anyone, looking for a good study on mask usage. Have an in-law who's a dentist and he's being a twat.
He has no reason to be. He should be in pretty heavy PPE every day. So far that seems to be working. I’m not aware of any outbreaks from dental offices. I’ll see if I have time to find some stuff.
I know guys I'm on your side and l agree with y'all. I would still very much appreciate a study soaked in EBM showing the efficacy of mask usage if someone is able. It will make my wife happy and thus improve my quality of life. TIA.
https://www.cdc.gov/coronavirus/201...cloth-face-cover-guidance.html#recent-studies Start with these references. Read them and pick the ones you think best.
You’re not going to find a study designed with direct measure of mask efficacy on SARS-CoV-2 transmission as a readout. There isn’t an ethical way to design and execute that. The evidence is strewn through many observational studies, indirect experiments, mountains of preexisting research in virology, existence of asymptotic spread of this virus, the pre-symptomatic period, and some common sense. https://www.cdc.gov/coronavirus/201...cloth-face-cover-guidance.html#recent-studies https://theconversation.com/cloth-m...ss-coronavirus-means-you-get-less-sick-143726
Is he actually looking at patients' mouths without a mask on at all? I'm assuming he's at least doing that because that was SOP before the pandemic.
Is he doing his job without wearing a mask? I thought dentists always wore masks. If so, someone oughtta report his ass to the state dental board. Not kidding.
I figured he's probably voting D but realizes that a large portion of his fan base is Trumpers so he just tells people to go vote Marijuana is his wedge issue
He wears masks but says he does because he's just doing it "for appearances" and hasn't seen any data that truly supports it.
Has anyone checked the IHME Deaths Projections lately? The freaking curve is almost going straight up by the end of the year. https://covid19.healthdata.org/united-states-of-america?view=total-deaths&tab=trend
That isn’t surprising. In my experience the DDS and DMD community is different than other medical professionals in terms of awareness. A long time ago I did a study on biomedical waste procedures that was published in a peer reviewed journal. One of the big findings was that dentists were absolutely unaware of bio hazards in their work environments. Basically all of them reported that they do not generate bio hazardous waste. The study actually lead to the profession taking a close look at the issues and adopting the standards we all see today...including wearing masks.
sorry haven’t checked this thread in awhile https://files.fast.ai/papers/masks_lit_review.pdf https://jamanetwork.com/journals/jama/fullarticle/2768533 https://www.nature.com/articles/s41591-020-0843-2#Sec3 https://www.researchgate.net/public...d_public_wearing_of_masks_Update_June_15_2020 https://advances.sciencemag.org/content/6/36/eabd3083 https://www.fau.edu/newsdesk/articles/efficacy-facemasks-coronavirus.php https://www.healthaffairs.org/doi/10.1377/hlthaff.2020.00818 https://www.cmaj.ca/content/192/15/E410 https://www.washingtonpost.com/business/2020/06/17/masks-salons-missouri/ Hope this helps
Also my wife got Covid and overnight is declining pretty fast. Going to enroll her into the monoclonal antibody study.