Covid-19 Update Aggie Physician

1,388,935 Views | 3660 Replies | Last: 3 yr ago by tamc91
Reveille
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Today's update!

https://www.facebook.com/permalink.php?story_fbid=2715404475409159&id=1998386763777604&__tn__=K-R
SgtStiglitz
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New Texas COVID numbers: After big 1-day drop, Texas sees big rise in hospitalizations, increased more than 300 to 1,796. State reports 1,649 new cases, 33 new deaths. 7-day positivity rate over 6 percent the last 2 days, highest mark since May 12.
tamc91
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I don't want to make light of the people affected by this disease, but you realize that 1,700 is approximately 0.005% of the population. Of course, 300 is even less. I'm not sure I'd say that is a big increase considering the size of our State or the statistical variability from day to day with testing and the characteristics of this virus.
SgtStiglitz
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I was only referring to city of Dallas. The state of Louisiana made out fine after Mardi Gras. The CITY of New Orleans, not so much. And yes, the 7-14 day trend is what matters with the state reopening and recent swarms of protests in major cities.
3rd Generation Ag
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Doc Rev. Just saw a news report that Pepcid has caused improvement. Is there a scientific reason this might be working?

Is this something we should have on the shelf just in case?
JYDog90
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From Tx Med Center:


Formerly Willy Wonka
FlyRod
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Doc,

Any thoughts on Vitamin K?

https://www.theguardian.com/science/2020/jun/05/vitamin-k-could-help-fight-coronavirus-study-suggests
Old RV Ag
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FlyRod said:

Doc,

Any thoughts on Vitamin K?

https://www.theguardian.com/science/2020/jun/05/vitamin-k-could-help-fight-coronavirus-study-suggests
Wow - such contradictory items. I thought I read that blood thinners were beneficial in fighting COVID but that one says Vitamin K. Vitamin K counteracts blood thinners! I know I have to follow what foods have high Vitamin K since if I eat them it can drop my INR out of the therapeutic range as I'm on Warfarin. Kale has an outrageous amount of Vitamin K so it gives me a nice reason not to eat that vile weed if someone tries to serve it to me.

Docs, really really interested in thoughts on these.
Cepe
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Old RV Ag said:

FlyRod said:

Doc,

Any thoughts on Vitamin K?

https://www.theguardian.com/science/2020/jun/05/vitamin-k-could-help-fight-coronavirus-study-suggests
Wow - such contradictory items. I thought I read that blood thinners were beneficial in fighting COVID but that one says Vitamin K. Vitamin K counteracts blood thinners! I know I have to follow what foods have high Vitamin K since if I eat them it can drop my INR out of the therapeutic range as I'm on Warfarin. Kale has an outrageous amount of Vitamin K so it gives me a nice reason not to eat that vile weed if someone tries to serve it to me.

Docs, really really interested in thoughts on these.
Don't confuse K1 with K2. Two totally different things.

Vitamin K2 puts calcium where it belongs and takes it out from where it doesn't belong. Almost no input into clotting like K1.

I take very high levels of K2 and have almost no tarter on my teeth, for example.

https://www.todaysdietitian.com/newarchives/060113p54.shtml
Bruce Almighty
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I'm skeptical of a lot of these vitamin studies. This mostly kills old people and old people are usually deficient in vitamins.
Reveille
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Today's update!

https://www.facebook.com/1998386763777604/posts/2716476178635322/?sfnsn=mo
Greenlander
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Thanks Dr. Coates! I read your report daily.
maroonbeansnrice
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As much as we want as many "cures" out there that actually work to be found, it is somewhat ironic that Remdesivir (alone?) may not be effective.

"Chinese researchers observed that Remdesivir and chloroquine, a malaria treatment, could have an impact in slowing down the coronavirus. On January 21, it was reported that China's Wuhan Institute of Virology of the Chinese Academy of Sciences filed a patent for commercial use of Remdesivir in China. Also involved is the Military Medicine Institute of that nation. They sought to secure this patent out of national interest."
“It ain’t like it used to be.”
-Jimbo Fisher
Reveille
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coopertulsa said:

Thanks Dr. Coates! I read your report daily.


You're welcome! Glad it is helping you!
Reveille
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Today's Update!

[url=https://www.facebook.com/permalink.php?story_fbid=2716476178635322&id=1998386763777604&__tn__=K-R][/url]https://www.facebook.com/permalink.php?story_fbid=2718392588443681&id=1998386763777604&__tn__=K-R
AgLA06
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Doc,

So now that we're 3-4 months into this what are your bigger picture thoughts? Feel free to add anything.

- What do you think happens over the summer? What about flu season (fall/winter)?
- Thoughts on common treatments and survivability now versus March?
- How should normal families be living their lives now (precautions, travel, etc. )?
- Thoughts on kids going back to school? Families to work?



OldArmy71
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Dr. Coates, do you have a link to the article about the possible protective effect of hormone treatments for prostate cancer? Thanks!
OldArmy71
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I found the original article:

Here is the original article published in Annals of Oncology.
Reveille
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OldArmy71 said:

Dr. Coates, do you have a link to the article about the possible protective effect of hormone treatments for prostate cancer? Thanks!
Sorry I thought I attached the link!
Reveille
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AgLA06 said:

Doc,

So now that we're 3-4 months into this what are your bigger picture thoughts? Feel free to add anything.

- What do you think happens over the summer? What about flu season (fall/winter)?
- Thoughts on common treatments and survivability now versus March?
- How should normal families be living their lives now (precautions, travel, etc. )?
- Thoughts on kids going back to school? Families to work?




Summer I thought we see a decrease in cases but with recent events doubt that happens in major cities. Will likely slow down some in a month or so. Fall will be difficult with Flu to be able to differentiate the two. Hopefully faster testing will be available by that time. I think treatments will be better and survival rates should continue to improve now that we have a better understanding of how it actually kills.

How families should proceed will have a lot to do with who is high risk in the family. Young families under age 50 generally have very little risk. So they should be able to do most things. However, they need to be careful when getting around grandparents or others with risk factors diabetes, heart disease, high cholesterol, smoking, obesity, etc.

As for schools I think it is generally safe for students. It is the elder teachers and faculty that we will have to be careful of. Will students catch it but it is really not as dangerous as influenza in the school age kids. We will just have to be careful when they visit with their grandparents or someone with risk factors.
BobSacamano
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Reveille
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Today's Update!

https://www.facebook.com/permalink.php?story_fbid=2719359698346970&id=1998386763777604&__tn__=K-R-R
Reveille
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Today's Update!

https://www.facebook.com/permalink.php?story_fbid=2720327074916899&id=1998386763777604&__tn__=K-R
CowtownAg06
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Hey Doc, thanks as always. Question on your stats: When you are quoting total beds and ICU beds needed/available, are you including non-covid beds as well? In other words, are the 2500 or ICU beds available taking out what is being used by everyone else?
Thanks!
Reveille
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CowtownAg06 said:

Hey Doc, thanks as always. Question on your stats: When you are quoting total beds and ICU beds needed/available, are you including non-covid beds as well? In other words, are the 2500 or ICU beds available taking out what is being used by everyone else?
Thanks!
No that is current total beds available. They are not specific just to Covid-19. They can be used for other medical issues but are currently available for Covid-19 if needed.
jobu93
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so a question regarding the total hospital admits rising.... Could that also not just as easily be attributed to life in general normalizing? More accidents, more anything that causes someone to be sent to the hospital?
CowtownAg06
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Thank... does help to understand the "fear" of running out beds being misplaced. My wife used to work at Texas Childrens and had a friend tell her they were almost out of beds. I had a hard time understanding how that was COVID related.
terradactylexpress
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They have been splitting out the difference between COVID and non-Covid, I imagine both are rising, but COVID specific hospitalizations have been on the rise
AgLA06
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Reveille said:

CowtownAg06 said:

Hey Doc, thanks as always. Question on your stats: When you are quoting total beds and ICU beds needed/available, are you including non-covid beds as well? In other words, are the 2500 or ICU beds available taking out what is being used by everyone else?
Thanks!
No that is current total beds available. They are not specific just to Covid-19. They can be used for other medical issues but are currently available for Covid-19 if needed.
Maybe Google failed me, but when this first started I looked up similar stats for Houston. Supposedly there was approximately 20K hospital beds in Houston with 15%ish being ICU. Either Dallas and the rest of the state has practically no beds compared to Houston or your number of beds and ICU beds would seem to be low.

Reveille
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Today's Update!

https://www.facebook.com/permalink.php?story_fbid=2721503278132612&id=1998386763777604&__tn__=K-R
Phrasing
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Thanks Doc! Any serious concern with the increase in cases and hospitalizations? I know it's not optimal but is this a result of an increase in testing or is it more serious?
ocag
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So, what does that survey mean for those of us with Type B blood?
Reveille
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ocag said:

So, what does that survey mean for those of us with Type B blood?
Type B is in middle which means that it is neither protective or at an increased risk.
Reveille
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Today's Update!

https://www.facebook.com/permalink.php?story_fbid=2722534248029515&id=1998386763777604&__tn__=K-R
Tx-Ag2010
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I'm assuming those odds are just increased risk in each age bracket and that a 31yo A+ is still pretty low?
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