Coronavirus’s spread in U.S. is ‘inevitable,’ CDC warns

[90DayFinancier 910]

43 minutes ago, Steeleballz said:

 

    You don't have to reconcile it. It's a standard terminology. Demand means number of tests actually ordered. They are not referring not who want's one but doesn't meet the criteria. It means they are currently able to run every test that is submitted to their laboratory in a timely fashion without haveing to send any out to a different facility.

 

   In a traditional economic sense, obviously there are no where near enough kits to meet actual the demand for testing.

Not everyone at the Kirkland care facility was tested, that is what I cannot reconcile.

[Voice of Reason 10,298]

3 minutes ago, 90DayFinancier said:

What does testing change?

1. Epidemiologists want the data to know how far, how fast and by what means the virus is transmitting. Reliable test data helps them to help plan the response.

2. Care providers need to understand whether they should be around patients or quarantined

3. If you have influenza A and not Covid-19 , you would want to know

I could go on, in my mind it is one of the most powerful tools in the kit.

 

1. It's too late for that.  It's fast, widespread, and the late symptoms make it hard to pin down data.  ESPECIALLY when idiots who come from an infected location waltz thru customs and airports without saying anything.

 

2. By the time a positive test result is had, said caregiver could have infected hundreds.

 

3. No, I wouldn't.  The care is the same for each, as is the length of the illness.  Take care of oneself, and this, too shall pass.

[Steeleballz 7,550]

6 minutes ago, 90DayFinancier said:

Not everyone at the Kirkland care facility was tested, that is what I cannot reconcile.

 

   I agree with you on that one. I think they have all been tested now, but they really needed to initiate testing immediately after the first two cases. They knew this was a high risk population and visitors were coming from all over. All I can think of is that they (CDC) knew from the beginning that they would not be able to meet the demand for testing and thus adhere to the strict testing criteria instead of using a common sense approach.  

 

  

[Voice of Reason 10,298]

3 minutes ago, Steeleballz said:

 

   I agree with you on that one. I think they have all been tested now, but they really needed to initiate testing immediately after the first two cases. They knew this was a high risk population and visitors were coming from all over. All I can think of is that they (CDC) knew from the beginning that they would not be able to meet the demand for testing and thus adhere to the strict testing criteria instead of using a common sense approach.  

 

  

I think after the first two cases, the best scenario was to assume EVERYONE was infected.  To include all family members who had visited in the previous three weeks.

[Steeleballz 7,550]

1 minute ago, Voice of Reason said:

I think after the first two cases, the best scenario was to assume EVERYONE was infected.  To include all family members who had visited in the previous three weeks.

 

   That is the best assumption, but given the current goals, confirmation is always better than assumption.

 

   If you take something like seasonal flu, many doctors won't even order the test unless you insist. They just treat you based on symptoms and instruct you to stay home and rest, and go to ER if your symptoms get severe. As NeonRed posted earlier, the test result doesn't change how you respond to or treat someone. However in at risk populations, they tend to err on the side of caution. Older people can progress to severe symptoms very quickly. They are usually tested and need hospital care much sooner and more frequently than younger adults.

 

  We may reach the point where we approach COVID-19 the same as we do with seasonal Flu. In fact logistically, we may get there PDQ. However I think in the initial stages, when they were still attempting to contain the spread, they probably needed to test more and guess less.

[yuna628 9,707]

35 minutes ago, Voice of Reason said:

1. It's too late for that.  It's fast, widespread, and the late symptoms make it hard to pin down data.  ESPECIALLY when idiots who come from an infected location waltz thru customs and airports without saying anything.

 

2. By the time a positive test result is had, said caregiver could have infected hundreds.

 

3. No, I wouldn't.  The care is the same for each, as is the length of the illness.  Take care of oneself, and this, too shall pass.

As far as I understand it the care is vastly different for those with flu and with COVID19. Some patients require being long term intubated, oxygen, and in some cases it looks like very heavy duty drugs of the sort you'd give to an HIV patient. Saw a study that patients may be left with long term irreversible damage to the lungs. The length of the illness, especially in those severely ill also seems to be longer, as well as a recovery period where they still may be infectious (some have been sick again). I've also heard of some cases where ECMO was used as last resort. The therapies used for these patients would be astronomical if they even work. Regular treatments for flu have no effect.

Edited March 7, 2020 by yuna628

[Steeleballz 7,550]

2 minutes ago, yuna628 said:

As far as I understand it the care is vastly different for those with flu and with COVID19. Some patients require being long term intubated, oxygen, and in some cases it looks like very heavy duty drugs of the sort you'd give to an HIV patient. Saw a study that patients may be left with long term irreversible damage to the lungs. The length of the illness, especially in those severely ill also seems to be longer, as well as a recovery period where they still may be infectious (some have been sick again). I've also heard of some cases where ECMO was used as last resort. The therapies used for these patients would be astronomical if they even work. Regular treatments for flu have no effect.

 

   There have also been several reports of relapse after treatment. I think at least one case where someone was released from hospital and died after symptoms returned after they had been at home. 

[Neonred 3,636]

7 minutes ago, yuna628 said:

As far as I understand it the care is vastly different for those with flu and with COVID19. Some patients require being long term intubated, oxygen, and in some cases it looks like very heavy duty drugs of the sort you'd give to an HIV patient. Saw a study that patients may be left with long term irreversible damage to the lungs. The length of the illness, especially in those severely ill also seems to be longer, as well as a recovery period where they still may be infectious (some have been sick again). I've also heard of some cases where ECMO was used as last resort. The therapies used for these patients would be astronomical if they even work. Regular treatments for flu have no effect.

So you would treat a mild case of COVID19 different than a case of the flu?

[yuna628 9,707]

3 minutes ago, Neonred said:

So you would treat a mild case of COVID19 different than a case of the flu?

Remember that there is a yearly vaccination for the flu, even if it isn't always 100% effective on a circulating bug of the year, it is somewhat effective. We also have treatments such as tamiflu and others when signs begin that can effectively treat it or cut the time spent in bed down quickly. We have nothing for this. No treatment, no vaccination, nothing that can stop you from going to a low level sickness to critical.

 

This disease can cause flu like symptoms sure, but it is not the flu. 

[Voice of Reason 10,298]

11 minutes ago, Steeleballz said:

 

   There have also been several reports of relapse after treatment. I think at least one case where someone was released from hospital and died after symptoms returned after they had been at home. 

Hadn't heard that yet.  That IS a game changer.

[Voice of Reason 10,298]

10 minutes ago, Neonred said:

So you would treat a mild case of COVID19 different than a case of the flu?

https://www.hopkinsmedicine.org/health/conditions-and-diseases/coronavirus/coronavirus-disease-2019-vs-the-flu

 

Gonna have to disagree with Yuna here, the treatment is basically the same.  This article has a nice rundown of the similarities and differences between the two.

[Neonred 3,636]

2 minutes ago, yuna628 said:

Remember that there is a yearly vaccination for the flu, even if it isn't always 100% effective on a circulating bug of the year, it is somewhat effective. We also have treatments such as tamiflu and others when signs begin that can effectively treat it or cut the time spent in bed down quickly. We have nothing for this. No treatment, no vaccination, nothing that can stop you from going to a low level sickness to critical.

 

This disease can cause flu like symptoms sure, but it is not the flu. 

Not really an answer.

 

Remember, inspite of the hysteria, 80% of all COVID19 infections are mild and not any different than the flu.

So, again, would you treat that differently than the flu?

[Ban Hammer 13,508]

looks like a good time to be a caveman.

[yuna628 9,707]

2 minutes ago, Neonred said:

Not really an answer.

 

Remember, inspite of the hysteria, 80% of all COVID19 infections are mild and not any different than the flu.

So, again, would you treat that differently than the flu?

Yes I would. But i'm not a doctor. I'd simply like people to stop conflating the two diseases. It's really not funny when people constantly say "hey don't worry you'll only likely die if you're old or immuno-compromised" well, I care for two elderly immuno-compromised and I'm immuno-compromised myself. Har har.

 

People only tend to worry about things when it finally effects them.

Edited March 7, 2020 by yuna628

[Neonred 3,636]

2 minutes ago, yuna628 said:

Yes I would. But i'm not a doctor. I'd simply like people to stop conflating the two diseases. It's really not funny when people constantly say "hey don't worry you'll only likely die if you're old or immuno-compromised" well, I care for two elderly immuno-compromised and I'm immuno-compromised myself. Har har.

 

People only tend to worry about things when it finally effects them.

So you would treat them differently how?