Covid-19 Update Aggie Physician

1,388,789 Views | 3660 Replies | Last: 3 yr ago by tamc91
Reveille
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Tx-Ag2010 said:

I'm assuming those odds are just increased risk in each age bracket and that a 31yo A+ is still pretty low?
Age is a much greater risk factor than blood type! So yes a 33 year old is still very very low regardless of blood tests.
theNetSmith
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Doc-

Can you give your opinion on the risk of serious complications for each of the following, assuming they were to contract the c-virus?

50yo WM, 6'1", 260lbs, diagnosed with high blood pressure
46yo WF with COPD
12yo WM with asthma

Thanks for all of the helpful info you have provided day-in/day-out, both here and in your FB posts. You have gone WAY above and beyond and should be commended for your hard work and dedication to educating us dummies.

-Tim
Jackal99
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Doc, what are your thoughts on road travel? Staying in hotels, takeout/drive-thru meals, etc? What about renting a car - any chance of any particles/etc being left in air vents? Our travel restrictions from work have been relaxed, and we are discussing driving north later this summer to visit family. Any concerns about staying in a house with them, with taking appropriate distancing measures? Everybody will have been self-isolated for the most part by then. Thanks!
AggieFactor
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Rev, took a test today because my coworker tested positive. My last exposure to him was Monday. My primary care already scheduled me another test on this coming Monday for my possible second negative test. If both test come back negative she says I'm in the clear and don't need to do the full 14 day quarantine. Do you concur?
SoulSlaveAG2005
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Just catching up to the blood type and infection discussion.

Purely anecdotal data, but I looked at all the convalescent plasma orders based on ABO type we have filled since early April.

46% of orders were for type O
26% for type A
24% for type B
And 4% type AB

Again, I have no idea the other issues or where these patients are in treatment other than bad enough for the hospital to order convalescent plasma to try and turn them around.

Just found it interesting, as I was sorting through data sets and catching up on texags.

This message has been approved by Brad, Jerry and Mitch..
BiochemAg97
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AggieFactor said:

Rev, took a test today because my coworker tested positive. My last exposure to him was Monday. My primary care already scheduled me another test on this coming Monday for my possible second negative test. If both test come back negative she says I'm in the clear and don't need to do the full 14 day quarantine. Do you concur?
If you were infected by your coworker, it should definitely show up in a test a week later. If both are negative, then you should be in the clear.
Big Al 1992
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Our family was exposed and needs to get tested. There's a doctor office in Tomball doing the blood test - I believe it tests for active disease and antibodies and results in 15 minutes. Sounds like the Abbott test but not sure. We could nasal swap - is there a quick result nasal swap or are they 3-5 dAys before result. Is there one that's more accurate than others? I know the antibodies tests are all over the place in terms of reliability but not sure about Covid tests.
BiochemAg97
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Big Al 1992 said:

Our family was exposed and needs to get tested. There's a doctor office in Tomball doing the blood test - I believe it tests for active disease and antibodies and results in 15 minutes. Sounds like the Abbott test but not sure. We could nasal swap - is there a quick result nasal swap or are they 3-5 dAys before result. Is there one that's more accurate than others? I know the antibodies tests are all over the place in terms of reliability but not sure about Covid tests.
Abbott has a 15 min viral test by swab. There was some concern about accuracy, but Abbott said the swabs needed to go straight into the machine rather than into the sample collection buffer.
Reveille
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theNetSmith said:

Doc-

Can you give your opinion on the risk of serious complications for each of the following, assuming they were to contract the c-virus?

50yo WM, 6'1", 260lbs, diagnosed with high blood pressure
46yo WF with COPD
12yo WM with asthma

Thanks for all of the helpful info you have provided day-in/day-out, both here and in your FB posts. You have gone WAY above and beyond and should be commended for your hard work and dedication to educating us dummies.

-Tim
50 y/o male is the highest risk of that group due to weight and blood pressure. Need to make sure that you are getting blood pressure under control. I would also take the Quercetin, zinc, NAC and Vitamin D.

46 y/o with COPD is minimal risk unless COPD is severe. Should make sure she is not smoking might consider Quercetin, Zinc, and Vitamin D. NAC is questionable as it has been shown to help in COPD but some potential risk of bronchoconstriction in asthmatics. Might choose CoQ10 instead.

12 y/o almost no risk.
Reveille
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SoulSlaveAG2005 said:

Just catching up to the blood type and infection discussion.

Purely anecdotal data, but I looked at all the convalescent plasma orders based on ABO type we have filled since early April.

46% of orders were for type O
26% for type A
24% for type B
And 4% type AB

Again, I have no idea the other issues or where these patients are in treatment other than bad enough for the hospital to order convalescent plasma to try and turn them around.

Just found it interesting, as I was sorting through data sets and catching up on texags.


Very interesting thanks for posting. Those ratios are very similar to the ratios in the population.
Reveille
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Jackal99 said:

Doc, what are your thoughts on road travel? Staying in hotels, takeout/drive-thru meals, etc? What about renting a car - any chance of any particles/etc being left in air vents? Our travel restrictions from work have been relaxed, and we are discussing driving north later this summer to visit family. Any concerns about staying in a house with them, with taking appropriate distancing measures? Everybody will have been self-isolated for the most part by then. Thanks!
Doubt rental car would dangerous as heat will kill fast in the sun. Hotels possibly but not likely as it is not as transmissible on surfaces as once thought. Would be a little cautious while staying with others make sure to social distance.
Big Al 1992
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Big Al 1992 said:

Our family was exposed and needs to get tested. There's a doctor office in Tomball doing the blood test - I believe it tests for active disease and antibodies and results in 15 minutes. Sounds like the Abbott test but not sure. We could nasal swab - is there a quick result nasal swaB or are they 3-5 dAys before result. Is there one that's more accurate than others? I know the antibodies tests are all over the place in terms of reliability but not sure about Covid tests.


Doc - you may have missed our earlier question. Thoughts?
Went to a 24/7 doc in a box today for a test but that place was a living Petri dish - line out the door, no one wiping down anything.
Exsurge Domine
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Big Al 1992 said:

Big Al 1992 said:

Our family was exposed and needs to get tested. There's a doctor office in Tomball doing the blood test - I believe it tests for active disease and antibodies and results in 15 minutes. Sounds like the Abbott test but not sure. We could nasal swab - is there a quick result nasal swaB or are they 3-5 dAys before result. Is there one that's more accurate than others? I know the antibodies tests are all over the place in terms of reliability but not sure about Covid tests.


Doc - you may have missed our earlier question. Thoughts?
Went to a 24/7 doc in a box today for a test but that place was a living Petri dish - line out the door, no one wiping down anything.


Haha yep, shocked me as well. I hightailed it out of here
Reveille
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There is a quick test with the swab but usually it is only available in emergency rooms!
AggieFactor
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Rev, what are you seeing as far as false negatives right now? I know Johns Hopkins recently released a report on the RT-PCR testing showing that they are still seeing a 20% false negative clip even after symptoms have presented.

https://www.itnonline.com/content/covid-19-genetic-pcr-tests-give-false-negative-results-if-used-too-early

I have a test lined up for Monday morning, 7 days after my last know exposure. Do I need to be looking for a different type of testing method to get a more definitive result?
Big Al 1992
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I also wondered about test reliability- and of the number of positive cases, how many are the same person getting multiple tests just to confirm, therefore making it look like a lot more positives (or negatives) than are out there.
Reveille
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AggieFactor said:

Rev, what are you seeing as far as false negatives right now? I know Johns Hopkins recently released a report on the RT-PCR testing showing that they are still seeing a 20% false negative clip even after symptoms have presented.

https://www.itnonline.com/content/covid-19-genetic-pcr-tests-give-false-negative-results-if-used-too-early

I have a test lined up for Monday morning, 7 days after my last know exposure. Do I need to be looking for a different type of testing method to get a more definitive result?
I have seen some false negatives for sure. One person I was sure had it tested negative with the PCR I treated him anyway and we ran antibody testing a week after he recovered and it was positive. So he was a false negative. Probably have seen more but hard to track without multiple tests or antibody tests done after.
Reveille
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Today's Update!

https://www.facebook.com/permalink.php?story_fbid=2726516530964620&id=1998386763777604&__tn__=K-R
Aggie95
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With all the supplements does it matter if you take them all at once? Are any better taken in morning or at night?
Reveille
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Aggie95 said:

With all the supplements does it matter if you take them all at once? Are any better taken in morning or at night?
No you can take them whenever you want. You don't need them all. I wrote previously about which ones do similar actions.
Phrasing
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Thanks Doc! Quick question on the Zinc - you mentioned to take as much as you can up to 40 mg without feeling bad. I'm guessing that relates to stomach issues? I was taking 30mg per day and developed a dull pain in my stomach (a mild pain) and had frequent urgent trips to the bathroom. I sometimes took with food and sometimes didn't. Once I stopped the Zinc, everything went back to normal. Was I experiencing Zinc toxicity?

Should I get back on but just at a lower dose?
lfis492a
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Years ago I reviewed literature on Dr. Hans's theories and work with Orotate salts, in regards to zinc orotate over current/ standard form. After looking at both sides of the argument and seeing the flawed trial I sided with Dr. Nieper. Dr. Have you any experience/ exposure with info on zinc orotate ?
lfis492a
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Years ago I reviewed literature on Dr. Hans's theories and work with Orotate salts, in regards to zinc orotate over current/ standard form. After looking at both sides of the argument and seeing the flawed trial I sided with Dr. Hans Nieper. Dr. Have you any experience/ exposure with info on zinc orotate ?
Reveille
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Phrasing said:

Thanks Doc! Quick question on the Zinc - you mentioned to take as much as you can up to 40 mg without feeling bad. I'm guessing that relates to stomach issues? I was taking 30mg per day and developed a dull pain in my stomach (a mild pain) and had frequent urgent trips to the bathroom. I sometimes took with food and sometimes didn't. Once I stopped the Zinc, everything went back to normal. Was I experiencing Zinc toxicity?

Should I get back on but just at a lower dose?
Yes use a lower dose. 10mg should be plenty for most people.
Reveille
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lfis492a said:

Years ago I reviewed literature on Dr. Hans's theories and work with Orotate salts, in regards to zinc orotate over current/ standard form. After looking at both sides of the argument and seeing the flawed trial I sided with Dr. Hans Nieper. Dr. Have you any experience/ exposure with info on zinc orotate ?
I have not looked at that. I will have to see what I find on that information.
Reveille
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Today's Update!

https://www.facebook.com/permalink.php?story_fbid=2727556094193997&id=1998386763777604&__tn__=K-R
texaggie90
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Home test coming soon

http://www.globenewswire.com/news-release/2020/06/16/2049140/0/en/Fulgent-Genetics-Announces-FDA-Authorization-and-Launch-of-At-Home-Testing-Service-for-COVID-19.html
agforlife97
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Reveille said:

Today's Update!

https://www.facebook.com/permalink.php?story_fbid=2727556094193997&id=1998386763777604&__tn__=K-R

Are you hearing of lots of symptomatic people showing up at hospitals needing hospitalization for covid, or are many of these new hospitalizations due to people in the hospital for elective procedures who happen to test positive? On ICU data, do we know what percentage of the ICU beds are being used by critical covid patients?

The reason I ask is that it's difficult to reconcile the "second wave" narrative with the lower death figures we've seen.
AggieFactor
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I think it is precisely because of the lower death rate that we are seeing an increase an hospitalizations and ICU bed occupancy. The doctors are starting to figure out treatments that are allowing these patients to survive longer. Unfortunately from an occupancy standpoint, that means they are having to stay in the hospital a week or so more to recover, where in the past, they would have died. I think this should have been expected as treatments improved. First was figuring how to get patients to not die, now we start to figure out a way to help them recover faster and you should start to see hospitalization numbers decrease sharply, even without a downturn in the total number of cases.

Just my non-medical thoughts.
CowtownAg06
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I think it's more likely that new cases are young/less severe. Here's the ICU chart for SE Texas. Not a huge surge.

CowtownAg06
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That's all ICU beds, not just COVID.
BiochemAg97
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This is Houston Area and not state wide, but it shows % occupancy of ICU for COVID. Second chart lists COVID, non-COVID, and vacant ICU beds.


usmcaggie
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Reveille, you've been an island of sanity in a sea of disinformation, or lack of information. Thanks.

Luc Montagnier, the French Nobel laureate who discovered the AIDS virus, noted that the COVID 2 virus appeared to have had HIV gene sequences inserted into its SARS RNA by the Wuhan lab. He postulated that they did this in order to work on vaccines, but he could not be sure.

Although the result of the initial escape from the lab would have been horrible, and it was, he noted that over time the virus would cleanse itself of the gene manipulations - they are inefficient to viral reproduction - and the net of this would be that the virus would become far less lethal over time.

Are we seeing this now? Is the virus less lethal now than in February, for example? Will we reach a point to where the virus is no longer any more lethal than flu? Finally, as you survey the literature, has the RNA sequence of the strain changed over time, as Montagnier predicted?

Thanks, amigo, for all the information you have gifted to us.






Semper Fidelis
Reveille
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Today's Update!

https://www.facebook.com/permalink.php?story_fbid=2728582090758064&id=1998386763777604&__tn__=K-R
jwj
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Thanks for the updates. What is your opinion about hcl, Zinc, and Azythro if given of first two days of symptoms of a heart healthy person? Really enjoy your insights.
Thank you!.
jim james
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