Covid-19 Update Aggie Physician

1,387,269 Views | 3660 Replies | Last: 3 yr ago by tamc91
CowtownAg06
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Complete Idiot said:

If I look at the Texas Covid 19 dashboard site I see:

For new cases reported, I see ~1800 new cases a day on June 5th/6th and ~5600 new cases a day in recent days, just over a three fold increase.

For hospitalizations, I see ~2000 total Covid 19 hospitalizations on June 8th/9th and ~5900 Covid 19 hospitalizations today. Nearly a three fold increase.

It seems to be tracking, for hospitalizations.


I do t have time to dig it up tonight but I will tomorrow. You're comparing one number try at is a rate (cases/day) vs a static number (total hospitalized). You need to compare the same type of stat. Ideally it would be new admits per day as a % of new cases today. I'll see if I can do this tomorrow but my intuition says we aren't hospitalizing the same % as before. To go further further you'd want to compare net hospitalization to account for discharges.
Reveille
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Today's Update!

https://www.facebook.com/permalink.php?story_fbid=2740717579544515&id=1998386763777604&__tn__=K-R
Reveille
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Today's update!

https://www.facebook.com/1998386763777604/posts/2741691406113799/?sfnsn=mo
Old RV Ag
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Reveille said:

Today's update!

https://www.facebook.com/1998386763777604/posts/2741691406113799/?sfnsn=mo

Great read as always and many thanks for these updates.

I had a question in the decreasing mortality rates while yet increasing cases. Lots of theories I'm sure including better treatment and understanding. Some many say the virus is weakening. What's surprising is that most predictions of the summer heat "burning" it off or causing it to go "dormant" haven't come to be. However, due to the behavior of people in the heat, the heat itself, some social distancing, is it plausible that the death rates are decreasing as viral loading when a person is infected is lower during the summer.
Reveille
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Old RV Ag said:

Reveille said:

Today's update!

https://www.facebook.com/1998386763777604/posts/2741691406113799/?sfnsn=mo

Great read as always and many thanks for these updates.

I had a question in the decreasing mortality rates while yet increasing cases. Lots of theories I'm sure including better treatment and understanding. Some many say the virus is weakening. What's surprising is that most predictions of the summer heat "burning" it off or causing it to go "dormant" haven't come to be. However, due to the behavior of people in the heat, the heat itself, some social distancing, is it plausible that the death rates are decreasing as viral loading when a person is infected is lower during the summer.


That is possible read my post from last night as it addresses the fatality rates
oh no
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Old RV Ag
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Reveille said:

Old RV Ag said:

Reveille said:

Today's update!

https://www.facebook.com/1998386763777604/posts/2741691406113799/?sfnsn=mo

Great read as always and many thanks for these updates.

I had a question in the decreasing mortality rates while yet increasing cases. Lots of theories I'm sure including better treatment and understanding. Some many say the virus is weakening. What's surprising is that most predictions of the summer heat "burning" it off or causing it to go "dormant" haven't come to be. However, due to the behavior of people in the heat, the heat itself, some social distancing, is it plausible that the death rates are decreasing as viral loading when a person is infected is lower during the summer.


That is possible read my post from last night as it addresses the fatality rates
Thanks! Figures it'd be in the one night's post I missed reading.
cc_ag92
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Good morning! Thank you for all of your efforts to educate us!

I have a question about a situation involving our 21yo son. He works at a grocery store in their pick-up department. When on the floor, employees and most customers are wearing masks. However, in employee spaces, many to most employees are not. He says he keeps his on and maintains distance and hand washing practices. In the past two weeks, three of his coworkers have been home with Covid. He just learned about this yesterday. Yesterday, a coworker went home with a fever before he arrived.
He's having some anxiety about keeping this job. He had asthma as a child, but hasn't had an attack in almost ten years. He had seizures for the first and only time last September. We see my 70+ year old parents in their backyard and maintain distance from them, no hugs, spacing, etc.

Any thoughts on how we should advise him? I lean toward him keeping the job because he needs something to keep him busy as his Summer I classes are ending AND it's good for him to save money to feel like a contributing adult, but I don't want it to be at risk to his and our family's health. It feels like a fine line we're walking and I'm not sure what to tell him.

Thanks for any advice!
Reveille
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cc_ag92 said:

Good morning! Thank you for all of your efforts to educate us!

I have a question about a situation involving our 21yo son. He works at a grocery store in their pick-up department. When on the floor, employees and most customers are wearing masks. However, in employee spaces, many to most employees are not. He says he keeps his on and maintains distance and hand washing practices. In the past two weeks, three of his coworkers have been home with Covid. He just learned about this yesterday. Yesterday, a coworker went home with a fever before he arrived.
He's having some anxiety about keeping this job. He had asthma as a child, but hasn't had an attack in almost ten years. He had seizures for the first and only time last September. We see my 70+ year old parents in their backyard and maintain distance from them, no hugs, spacing, etc.

Any thoughts on how we should advise him? I lean toward him keeping the job because he needs something to keep him busy as his Summer I classes are ending AND it's good for him to save money to feel like a contributing adult, but I don't want it to be at risk to his and our family's health. It feels like a fine line we're walking and I'm not sure what to tell him.

Thanks for any advice!
He shouldn't be at high risk for severe disease. At his age even with asthma his risk is minimal for severe disease. My advise would be for him to continue to wear a mask in the employee areas also in addition to keeping his space. Also continue to be careful around your parents as that is the greatest risk in the family. My parents are in their 70's also and we sit about 10 ft apart in the living area when they come over. We also sit at 90 degree angles from each other to reduce the risk even more.
Aggie1
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From a Doc and USAF Flight Surgeon friend I have known since 1980:

Quote:


Been awhile since I've sent info on COVID-19; assume you're following latest developments. Here is something new & worth reading.

This week I was one of the COVID doctors in the hospital. Before I went on service, I had planned to share my experiences when I got home after my last shift. That didn't happen because I was mentally and emotionally exhausted after being at the hospital for 15+ hours.

I am going to try to break things down so that the general public can understand, because I want everyone, not just my fellow healthcare workers, to be as scared as I am.

This is going to be long, but hopefully will be worth the read for someone.

For references purposes, I am a Hospitalist, which is sort of like your primary care doctor when you're in the hospital. We manage your chronic medical conditions and most of your acute issues in the hospital and consult specialists when we need additional help with complex decision making or a specialized procedure to be performed. We are also the primary point of contact for your nurse on most issues.

I live in Arizona, the current COVID-19 hot spot. Arizona never really closed. Any level of closure that we obtained was the result of petitions with thousands of signatures from physicians. Despite pretty much being able to do anything you wanted to do except get your hair/nails done or eat out at a restaurant (carry out stayed open), people protested the state being closed. The state reopened immediately when criteria were put out to guide how and when states should reopen. To be clear, Arizona did not meet a single criteria for reopening. In addition, masks were not mandated. Governor Ducey avoided mandating masks and made it the responsibility of city Mayors to make any mandates. Mandatory masks were just implemented a few days ago.

As you have almost certainly seen in the news, the rapid reopening without mandated masks has been catastrophic. In a couple of weeks we have gone from a few hundred cases per day to around 3,500 cases per day. A few weeks ago, I was working at the COVID-free hospital designated to be the primary elective surgery campus within the network. The past few days, our recently reopened COVID Unit has been near or completely full. I shared the patient's on the unit with one other hospitalist.

Before I went on service this week, I read anything and everything I could to prepare myself to be the COVID doc. I was up to date on all of the latest recommendations. I was a little nervous, but felt like I was armed with the information that would allow me to help my patients.

I quickly learned that there is no possible way to prepare for how to treat a COVID patient. There is no rhyme, reason, or pattern. There is no possible way to predict what will happen with your patient.

In my sign out to the doc taking over for me today, I prefaced the individual patient sign outs with, "one slightly improving, one with less oxygen requirements but possible new liver failure developing, everyone else getting worse."

I have never seen anything like this. None of us have. We have no idea what we are doing. We are sharing evidence from small studies that could help and utilizing treatments that we think and hope are helpful. Of course, we also thought hydroxychloroquine was helpful a couple of months ago. So, we're hopefully helping people, maybe hurting them, and trying our best. We are flipping people on their stomachs while wide awake on a machine pushing oxygen into their lungs to try and help; this is called the prone position, and it works, but you're stuck in that position for as long as we can keep you there. The longer the better. Anyone on supplemental oxygen is receiving dexamethasone based on the European study that came out last week. We were using Remdesivir, but a patient I admitted two days ago is the last one that will receive it from our current stockpile. Convalescent plasma from patients that had COVID, recovered, and donated plasma is being administered, but studies suggest that antibody concentration diminishes by up to 90% within 2-3 months, so who knows if that's even doing anything.

I realized in the past two days that oxygen saturation numbers that you see on the machines are completely worthless in many COVID patients. So, the one thing we thought we knew, that COVID causes profound hypoxia, was true, but it's actually much worse than we thought. In order to figure out if you are hypoxic (low blood oxygen levels), a needle is stuck into an artery in your wrist as often as is needed. It hurts. A lot. I will have a needle stuck into your artery as often as I need to. I'm sorry, I know it hurts, but it's for your own good.

In any other time, most of my patients would already be intubated on a ventilator. We are managing so many critically ill patients on regular hospital floors. If we sent everyone to the ICU that would normally be there based on their current status and put them all on ventilators, all resources would be depleted in a day.

The patients I cared for the past few days were the most miserable, uncomfortable, terrified patients I have seen in the past four years. I sat with them while they cried because they are scared that they will get worse and get intubated and die without ever seeing their loved ones again. I can't comfort them by saying they'll get better soon, because I don't know that they will. All I can tell them is that we're doing everything we can and I really hope they improve. I held a patients hand while she cried and screamed, "oh my god, I'm going to die, aren't I? I'm dying" when I told her we couldn't give her more oxygen without intubating her and putting her on life support. I then tried to comfort her children over the phone after I informed them they were not allowed to come in to the hospital to be with her. They asked if someone could be there to comfort her if she is going to die.

Many of my patients were young. Many have no underlying conditions that predispose them to a bad outcome, yet are one bad blood oxygen reading away from needing to be intubated.

COVID does not care who you are.

I am scared and you should be, too.

All of that is to send the following message:

Please, please, stay home if you can. If you need to go out, WEAR A MASK! Do not touch your face. Wash your hands and sanitize often. I can't promise you won't end up in the hospital with COVID even if you do all of these things, but I promise it's the best shot you've got.

P.S. THANK YOU to all the amazing RNs, RTs, PCTs, Pharmacists, Pharmacy techs, lab techs, physical & occupational therapists, social workers, case managers, environmental service workers, and everyone else that makes it possible to care for these patients in the best way we know how. You don't get enough credit. You all are the real MVPs.

______________________________________

ADDENDUM: To be clear, COVID-19 is caused by a virus. This is a PUBLIC HEALTH CRISIS. It is not, never has been, and never will be a political issue. Politics have played a huge role in getting us into this mess, and it's time to cut them out. COVID doesn't discriminate, and it definitely doesn't care who you're going to vote for. When you see/hear/read anything related to COVID-19, pay attention to who is posting the information. If it is not coming from a medical professional, question your source.

______________________________________

ADDENDUM-2: I am so incredibly shocked at how widely this has been shared. Thank you all! Please continue to share! Since people are reading this, I would like to use this platform to ask you to PLEASE talk with your loved ones about your wishes. If you have an advance directive, please bring it with you if you are unfortunately in need of hospitalization. If you do not have an advance directive, it's time to get one. If we do not know what you would like to be done, we assume that the answer is everything. If your loved one or listed MPOA is unaware of your wishes, they will likely also err on the side of doing everything. Help them to make those very difficult decisions by making your wishes known. Do not wait until you are in the hospital, because it may be too late. Please look up what it means to be "full code" vs "DNR/DNI." Know what you would want done to you.

Sent from my iPad
texasaggie95
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I just found this thread. Great updates from Dr. Rev. Quick question that may have been covered in the first 76 pages, but I couldn't find it.

With our kids being isolated for 4-5 months, is it reasonable to think their immune system will be more susceptible to all the normal bugs out there once they go back to school? I guess this could relate to adults in isolation also. Just curious if we may have a bunch of sick people with non-COVID illness once we start interacting again.
txags92
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Reveille said:

Old RV Ag said:

Reveille said:

Today's update!

https://www.facebook.com/1998386763777604/posts/2741691406113799/?sfnsn=mo

Great read as always and many thanks for these updates.

I had a question in the decreasing mortality rates while yet increasing cases. Lots of theories I'm sure including better treatment and understanding. Some many say the virus is weakening. What's surprising is that most predictions of the summer heat "burning" it off or causing it to go "dormant" haven't come to be. However, due to the behavior of people in the heat, the heat itself, some social distancing, is it plausible that the death rates are decreasing as viral loading when a person is infected is lower during the summer.


That is possible read my post from last night as it addresses the fatality rates
Doc,

What are your thoughts on the decreasing mortality rate possibly being linked to people being outside more and having naturally higher Vitamin D levels than perhaps they did earlier this year, particularly up north? And if that is a possibility, are we hamstringing ourselves a bit by closing parks and beaches and encouraging people to stay indoors instead of getting outside?
Reveille
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txags92 said:

Reveille said:

Old RV Ag said:

Reveille said:

Today's update!

https://www.facebook.com/1998386763777604/posts/2741691406113799/?sfnsn=mo

Great read as always and many thanks for these updates.

I had a question in the decreasing mortality rates while yet increasing cases. Lots of theories I'm sure including better treatment and understanding. Some many say the virus is weakening. What's surprising is that most predictions of the summer heat "burning" it off or causing it to go "dormant" haven't come to be. However, due to the behavior of people in the heat, the heat itself, some social distancing, is it plausible that the death rates are decreasing as viral loading when a person is infected is lower during the summer.


That is possible read my post from last night as it addresses the fatality rates
Doc,

What are your thoughts on the decreasing mortality rate possibly being linked to people being outside more and having naturally higher Vitamin D levels than perhaps they did earlier this year, particularly up north? And if that is a possibility, are we hamstringing ourselves a bit by closing parks and beaches and encouraging people to stay indoors instead of getting outside?
That is certainly a possibility. Getting outdoors and exercising is good for you. Staying inside is not healthy so everyone should be spending some time outside. However, crowded beaches are not the answer. Parks are ok when you keep them from getting crowded. Jogging, fishing, biking, camping are all good ideas.
txags92
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Reveille said:

txags92 said:

Reveille said:

Old RV Ag said:

Reveille said:

Today's update!

https://www.facebook.com/1998386763777604/posts/2741691406113799/?sfnsn=mo

Great read as always and many thanks for these updates.

I had a question in the decreasing mortality rates while yet increasing cases. Lots of theories I'm sure including better treatment and understanding. Some many say the virus is weakening. What's surprising is that most predictions of the summer heat "burning" it off or causing it to go "dormant" haven't come to be. However, due to the behavior of people in the heat, the heat itself, some social distancing, is it plausible that the death rates are decreasing as viral loading when a person is infected is lower during the summer.


That is possible read my post from last night as it addresses the fatality rates
Doc,

What are your thoughts on the decreasing mortality rate possibly being linked to people being outside more and having naturally higher Vitamin D levels than perhaps they did earlier this year, particularly up north? And if that is a possibility, are we hamstringing ourselves a bit by closing parks and beaches and encouraging people to stay indoors instead of getting outside?
That is certainly a possibility. Getting outdoors and exercising is good for you. Staying inside is not healthy so everyone should be spending some time outside. However, crowded beaches are not the answer. Parks are ok when you keep them from getting crowded. Jogging, fishing, biking, camping are all good ideas.
Thanks Doc. Followup question...is there any indication that Covid can survive or thrive in moist AC systems similar to Legionnaire's Disease? Could that be at least part of why we are seeing an explosion in cases across the south as temps have been getting hotter?
BiochemAg97
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txags92 said:

Reveille said:

txags92 said:

Reveille said:

Old RV Ag said:

Reveille said:

Today's update!

https://www.facebook.com/1998386763777604/posts/2741691406113799/?sfnsn=mo

Great read as always and many thanks for these updates.

I had a question in the decreasing mortality rates while yet increasing cases. Lots of theories I'm sure including better treatment and understanding. Some many say the virus is weakening. What's surprising is that most predictions of the summer heat "burning" it off or causing it to go "dormant" haven't come to be. However, due to the behavior of people in the heat, the heat itself, some social distancing, is it plausible that the death rates are decreasing as viral loading when a person is infected is lower during the summer.


That is possible read my post from last night as it addresses the fatality rates
Doc,

What are your thoughts on the decreasing mortality rate possibly being linked to people being outside more and having naturally higher Vitamin D levels than perhaps they did earlier this year, particularly up north? And if that is a possibility, are we hamstringing ourselves a bit by closing parks and beaches and encouraging people to stay indoors instead of getting outside?
That is certainly a possibility. Getting outdoors and exercising is good for you. Staying inside is not healthy so everyone should be spending some time outside. However, crowded beaches are not the answer. Parks are ok when you keep them from getting crowded. Jogging, fishing, biking, camping are all good ideas.
Thanks Doc. Followup question...is there any indication that Covid can survive or thrive in moist AC systems similar to Legionnaire's Disease? Could that be at least part of why we are seeing an explosion in cases across the south as temps have been getting hotter?


Legionnaires is a bacteria. This is a virus. May not die as fast outside the body, but it isn't thriving outside the body.

More likely related to people spend more time indoors in the A/C as the temps outside increase.
Pasquale Liucci
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I'm sorry, but the data does not back this up. Maybe I just don't want to believe this account, but this sounds like the nightmarish stuff out of Wuhan or Bergamo when this first started rolling.

The data shows that COVID DOES care who you are and is selective based on age and health. Doctors on this very board have advised caution but also stated they are much better prepared to treat this and aren't flying blind anymore. And the data says that 99.7%+ of people who get this get better and maintain immunity, whether that's through AB response of T cells.
DadHammer
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Lester Freamon said:

I'm sorry, but the data does not back this up. Maybe I just don't want to believe this account, but this sounds like the nightmarish stuff out of Wuhan or Bergamo when this first started rolling.

The data shows that COVID DOES care who you are and is selective based on age and health. Doctors on this very board have advised caution but also stated they are much better prepared to treat this and aren't flying blind anymore. And the data says that 99.7%+ of people who get this get better and maintain immunity, whether that's through AB response of T cells.

Agree
SgtStiglitz
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Lester Freamon said:

I'm sorry, but the data does not back this up. Maybe I just don't want to believe this account, but this sounds like the nightmarish stuff out of Wuhan or Bergamo when this first started rolling.

The data shows that COVID DOES care who you are and is selective based on age and health. Doctors on this very board have advised caution but also stated they are much better prepared to treat this and aren't flying blind anymore. And the data says that 99.7%+ of people who get this get better and maintain immunity, whether that's through AB response of T cells.
Disagree. Hes giving you a report from the front lines. Did you not read the part how the hospital was out of their stockpile of medicine?
Reveille
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Today's update!

https://www.facebook.com/1998386763777604/posts/2742756979340575/?sfnsn=mo

Sorry link didn't work just fixed it.
cc_ag92
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The link didn't work for me, but I think this will. Reveille's July 2nd update
CowtownAg06
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Would T cell response keep you from getting the virus or lessen the severity of it?
Thanks!
eidetic78
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I think they are specifically talking about the disease course of the population of hospitalized patients, not the general population.
OKG2000
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Thank you for continuing to do these, I read them regularly and share with my family.

Are there any updates to what some of the most common long term impacts of getting Covid19 are? while mortality thakfully keeps declining, do they track other severe impacts and those rates?

Thanks again, Gig'em and God bless you Dr. Coates and all of the front line responders!
Cepe
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Lester Freamon said:

I'm sorry, but the data does not back this up. Maybe I just don't want to believe this account, but this sounds like the nightmarish stuff out of Wuhan or Bergamo when this first started rolling.

The data shows that COVID DOES care who you are and is selective based on age and health. Doctors on this very board have advised caution but also stated they are much better prepared to treat this and aren't flying blind anymore. And the data says that 99.7%+ of people who get this get better and maintain immunity, whether that's through AB response of T cells.


It was an interesting read. Particularly claiming it's not political but hits on the political points.

What's the end game here? We are in a bad situation and it's going to pass through all of us eventually and some will die, even potentially myself. That's what China has unleashed on the world. Is the end game we just stay home forever?

Not trying to be fatalistic but to move through it there will be suffering in many different ways.

I'm trying to reconcile myself with that fact.
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Complete Idiot
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JJMt said:

No offense, but I've grown increasingly skeptical of so much anonymous "first person" accounts on the internet. It would help to take your post more seriously if you could also provide the date of the post, the poster's name, and the hospital. I understand your reluctance to post his name, but if it's already gone viral, perhaps his name is already out in the public domain? Alternatively, is there any other way of verifying the information and claims made in the post?
It was posted by a Dr Brandon Bikowski on Facebook, he's from Scottsdale, AZ. But the poster above says he has known him since 1980 and Dr Bikowski looks like he wasn't yet born in 1980, no sign he was in the USAF, and he finished Med school in 2016. Either Dr Bikowski stole someone else's post as his own or the poster above is referencing a friend of his who shared/reposted Dr Bikowki. https://www.facebook.com/brandon.bikowski/posts/10218280116854094
Aggie1
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Complete Idiot said:

JJMt said:

No offense, but I've grown increasingly skeptical of so much anonymous "first person" accounts on the internet. It would help to take your post more seriously if you could also provide the date of the post, the poster's name, and the hospital. I understand your reluctance to post his name, but if it's already gone viral, perhaps his name is already out in the public domain? Alternatively, is there any other way of verifying the information and claims made in the post?
It was posted by a Dr Brandon Bikowski on Facebook, he's from Scottsdale, AZ. But the poster above says he has known him since 1980 and Dr Bikowski looks like he wasn't yet born in 1980, no sign he was in the USAF, and he finished Med school in 2016. Either Dr Bikowski stole someone else's post as his own or the poster above is referencing a friend of his who shared/reposted Dr Bikowki. https://www.facebook.com/brandon.bikowski/posts/10218280116854094
Sorry about the confusion on source. To be more clear the comments I received were first sent to an AF COL colleague of mine from the 1970's and 1980's (now retired in Scottsdale) who then subsequently forwarded them to me as information. I thought they would be good information as they are a first person account.
Complete Idiot
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Thanks for sharing, my guess was your friend in the medical field was sharing info from a front line doctor - that appears to be the case. I was just trying to answer the poster who wanted to know the source, definitely not a critique of you sharing.
RoyVal
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I'm on day 11 of fighting this Covid virus and I will say, reading all these updates, understanding what was going on and a little bit of the science behind it all, and knowing I was taking the right recommended supplements really put my mind at ease during this time. As sick as I've physically have felt these last 2 weeks, mentally, this also takes a huge toll. thanks for all the knowledge and taking the time to share all this info on TexAgs. thank you all
cowenlaw
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Get well soon. I'm praying for you.
Reveille
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RoyVal said:

I'm on day 11 of fighting this Covid virus and I will say, reading all these updates, understanding what was going on and a little bit of the science behind it all, and knowing I was taking the right recommended supplements really put my mind at ease during this time. As sick as I've physically have felt these last 2 weeks, mentally, this also takes a huge toll. thanks for all the knowledge and taking the time to share all this info on TexAgs. thank you all



Glad you are doing well! Will be praying for you to have a speedy recovery.
tamc91
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Doc,
Interesting study about T-cell response. I realize this is likely an early report on emerging research, but is there any indication that those who have had a cold recently will have a stronger immune response? I haven't had a common cold in years, but my wife teaches music so she likely has one every year.
E
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Reveille said:

txags92 said:

Reveille said:

Old RV Ag said:

Reveille said:

Today's update!

https://www.facebook.com/1998386763777604/posts/2741691406113799/?sfnsn=mo

Great read as always and many thanks for these updates.

I had a question in the decreasing mortality rates while yet increasing cases. Lots of theories I'm sure including better treatment and understanding. Some many say the virus is weakening. What's surprising is that most predictions of the summer heat "burning" it off or causing it to go "dormant" haven't come to be. However, due to the behavior of people in the heat, the heat itself, some social distancing, is it plausible that the death rates are decreasing as viral loading when a person is infected is lower during the summer.


That is possible read my post from last night as it addresses the fatality rates
Doc,

What are your thoughts on the decreasing mortality rate possibly being linked to people being outside more and having naturally higher Vitamin D levels than perhaps they did earlier this year, particularly up north? And if that is a possibility, are we hamstringing ourselves a bit by closing parks and beaches and encouraging people to stay indoors instead of getting outside?
That is certainly a possibility. Getting outdoors and exercising is good for you. Staying inside is not healthy so everyone should be spending some time outside. However, crowded beaches are not the answer. Parks are ok when you keep them from getting crowded. Jogging, fishing, biking, camping are all good ideas.


I was hoping you'd have playing golf to your good idea list...
E
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Reveille said:

E said:

Thanks for all the info given on this thread! I'm going to read more into it as I had a good friend test positive today.

My buddy seems to be at the beginning stages of it, his symptoms started yesterday (aches, cough, chills, stuffed nose), is around 30 yes old and not in the best shape. Thinks he contracted it 4 - 6 days prior to symptoms. What would you suggest he start taking to start to combat it? I sent him Vitamin C, D, Tylenol and fluids as he's quarantined and lives by himself. Is there anything else suggested for someone who just contracted it?
Quercetin and Zinc would potentially help him recover faster. It should slow down viral replication.


After 10 days my buddy finally tested negative today! He had a few nights with fever and chills, and in addition to standard flu like symptoms he said he had back pains in the areas where his lungs are. Only had light shortness of breath for like a day or two, but lost sense of taste/smell for like 5-7 days.

He did vitamin C, D, zinc and quercetin.
Reveille
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E said:

Reveille said:

txags92 said:

Reveille said:

Old RV Ag said:

Reveille said:

Today's update!

https://www.facebook.com/1998386763777604/posts/2741691406113799/?sfnsn=mo

Great read as always and many thanks for these updates.

I had a question in the decreasing mortality rates while yet increasing cases. Lots of theories I'm sure including better treatment and understanding. Some many say the virus is weakening. What's surprising is that most predictions of the summer heat "burning" it off or causing it to go "dormant" haven't come to be. However, due to the behavior of people in the heat, the heat itself, some social distancing, is it plausible that the death rates are decreasing as viral loading when a person is infected is lower during the summer.


That is possible read my post from last night as it addresses the fatality rates
Doc,

What are your thoughts on the decreasing mortality rate possibly being linked to people being outside more and having naturally higher Vitamin D levels than perhaps they did earlier this year, particularly up north? And if that is a possibility, are we hamstringing ourselves a bit by closing parks and beaches and encouraging people to stay indoors instead of getting outside?
That is certainly a possibility. Getting outdoors and exercising is good for you. Staying inside is not healthy so everyone should be spending some time outside. However, crowded beaches are not the answer. Parks are ok when you keep them from getting crowded. Jogging, fishing, biking, camping are all good ideas.


I was hoping you'd have playing golf to your good idea list...


Golf is good too. Just keep your distance from other players. Use your own cart if it is not someone you are always around like a family member.
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