aginlakeway said:

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Marcus Aurelius said:

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Had my first death today. Sat at home with symptoms for 7 days. Then the 7-9 day viral pneumonia hypoxia. Come to hospital. He got HCQ at day 7. Too late. We aren't using this drug appropriately. Needs to be given in first 48 hrs. Somehow. It's doing nothing to pts who are hypoxic. Anecdotal.

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Very sorry to hear this.

May I ask why he sat at home with symptoms for 7 days?

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aggie-beta said:

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Marcus Aurelius said:

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Had my first death today. Sat at home with symptoms for 7 days. Then the 7-9 day viral pneumonia hypoxia. Come to hospital. He got HCQ at day 7. Too late. We aren't using this drug appropriately. Needs to be given in first 48 hrs. Somehow. It's doing nothing to pts who are hypoxic. Anecdotal.

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If someone like you or one of your coworkers got Covid, would yall wait until they needed to be in the hospital to start the meds or is this something the doctor has no control over because there is that little supply?

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KidDoc said:

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aginlakeway said:

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Marcus Aurelius said:

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Had my first death today. Sat at home with symptoms for 7 days. Then the 7-9 day viral pneumonia hypoxia. Come to hospital. He got HCQ at day 7. Too late. We aren't using this drug appropriately. Needs to be given in first 48 hrs. Somehow. It's doing nothing to pts who are hypoxic. Anecdotal.

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Very sorry to hear this.

May I ask why he sat at home with symptoms for 7 days?

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What else would you advise a patient to do? This is the current treatment. Stay home until you need to be hospitalized.

I agree that it will likely be shown that early intervention with HCQ may be helpful but since we cannot test and there is a shortage of HCQ it is a difficult problem to get a handle on.

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Marcus Aurelius said:

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No. Absolutely not. But not sure there's access now. We discussed this at meeting last night. And I doubt hospital would take care of us. 20% of physicians in Italy got infected. As I said anecdote - but my gut tells me only using it for hospitalized patients is an improper use of it.

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aginlakeway said:

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KidDoc said:

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aginlakeway said:

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Marcus Aurelius said:

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Had my first death today. Sat at home with symptoms for 7 days. Then the 7-9 day viral pneumonia hypoxia. Come to hospital. He got HCQ at day 7. Too late. We aren't using this drug appropriately. Needs to be given in first 48 hrs. Somehow. It's doing nothing to pts who are hypoxic. Anecdotal.

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Very sorry to hear this.

May I ask why he sat at home with symptoms for 7 days?

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What else would you advise a patient to do? This is the current treatment. Stay home until you need to be hospitalized.

I agree that it will likely be shown that early intervention with HCQ may be helpful but since we cannot test and there is a shortage of HCQ it is a difficult problem to get a handle on.

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I assumed he was having breathing issues as a symptom. He apparently was not.

I have a friend who just did a drive up test here in Austin an hour ago. So I disagree with your test statement.

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KidDoc said:

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aginlakeway said:

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KidDoc said:

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aginlakeway said:

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Marcus Aurelius said:

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Had my first death today. Sat at home with symptoms for 7 days. Then the 7-9 day viral pneumonia hypoxia. Come to hospital. He got HCQ at day 7. Too late. We aren't using this drug appropriately. Needs to be given in first 48 hrs. Somehow. It's doing nothing to pts who are hypoxic. Anecdotal.

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Very sorry to hear this.

May I ask why he sat at home with symptoms for 7 days?

---

What else would you advise a patient to do? This is the current treatment. Stay home until you need to be hospitalized.

I agree that it will likely be shown that early intervention with HCQ may be helpful but since we cannot test and there is a shortage of HCQ it is a difficult problem to get a handle on.

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I assumed he was having breathing issues as a symptom. He apparently was not.

I have a friend who just did a drive up test here in Austin an hour ago. So I disagree with your test statement.

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Yeah the Texas major metro are slowly getting drive through testing cranking. Aggieland is not there yet. We can still only tests if risk factors, confirmed exposure, hospitalization, etc.

What did they tell your buddy the expected turn around time was? If > 48 hours then likely not terribly helpful as far as HCQ intervention likely to help.

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aginlakeway said:

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KidDoc said:

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aginlakeway said:

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Marcus Aurelius said:

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Had my first death today. Sat at home with symptoms for 7 days. Then the 7-9 day viral pneumonia hypoxia. Come to hospital. He got HCQ at day 7. Too late. We aren't using this drug appropriately. Needs to be given in first 48 hrs. Somehow. It's doing nothing to pts who are hypoxic. Anecdotal.

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Very sorry to hear this.

May I ask why he sat at home with symptoms for 7 days?

---

What else would you advise a patient to do? This is the current treatment. Stay home until you need to be hospitalized.

I agree that it will likely be shown that early intervention with HCQ may be helpful but since we cannot test and there is a shortage of HCQ it is a difficult problem to get a handle on.

---

I assumed he was having breathing issues as a symptom. He apparently was not.

I have a friend who just did a drive up test here in Austin an hour ago. So I disagree with your test statement.

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KidDoc said:

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aginlakeway said:

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KidDoc said:

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aginlakeway said:

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Marcus Aurelius said:

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Had my first death today. Sat at home with symptoms for 7 days. Then the 7-9 day viral pneumonia hypoxia. Come to hospital. He got HCQ at day 7. Too late. We aren't using this drug appropriately. Needs to be given in first 48 hrs. Somehow. It's doing nothing to pts who are hypoxic. Anecdotal.

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Very sorry to hear this.

May I ask why he sat at home with symptoms for 7 days?

---

What else would you advise a patient to do? This is the current treatment. Stay home until you need to be hospitalized.

I agree that it will likely be shown that early intervention with HCQ may be helpful but since we cannot test and there is a shortage of HCQ it is a difficult problem to get a handle on.

---

I assumed he was having breathing issues as a symptom. He apparently was not.

I have a friend who just did a drive up test here in Austin an hour ago. So I disagree with your test statement.

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Yeah the Texas major metro are slowly getting drive through testing cranking. Aggieland is not there yet. We can still only tests if risk factors, confirmed exposure, hospitalization, etc.

What did they tell your buddy the expected turn around time was? If > 48 hours then likely not terribly helpful as far as HCQ intervention likely to help.

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aginlakeway said:

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KidDoc said:

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aginlakeway said:

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Marcus Aurelius said:

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Had my first death today. Sat at home with symptoms for 7 days. Then the 7-9 day viral pneumonia hypoxia. Come to hospital. He got HCQ at day 7. Too late. We aren't using this drug appropriately. Needs to be given in first 48 hrs. Somehow. It's doing nothing to pts who are hypoxic. Anecdotal.

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Very sorry to hear this.

May I ask why he sat at home with symptoms for 7 days?

---

What else would you advise a patient to do? This is the current treatment. Stay home until you need to be hospitalized.

I agree that it will likely be shown that early intervention with HCQ may be helpful but since we cannot test and there is a shortage of HCQ it is a difficult problem to get a handle on.

---

I assumed he was having breathing issues as a symptom. He apparently was not.

I have a friend who just did a drive up test here in Austin an hour ago. So I disagree with your test statement.

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BiochemAg97 said:

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aginlakeway said:

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KidDoc said:

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aginlakeway said:

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Marcus Aurelius said:

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Had my first death today. Sat at home with symptoms for 7 days. Then the 7-9 day viral pneumonia hypoxia. Come to hospital. He got HCQ at day 7. Too late. We aren't using this drug appropriately. Needs to be given in first 48 hrs. Somehow. It's doing nothing to pts who are hypoxic. Anecdotal.

---

Very sorry to hear this.

May I ask why he sat at home with symptoms for 7 days?

---

What else would you advise a patient to do? This is the current treatment. Stay home until you need to be hospitalized.

I agree that it will likely be shown that early intervention with HCQ may be helpful but since we cannot test and there is a shortage of HCQ it is a difficult problem to get a handle on.

---

I assumed he was having breathing issues as a symptom. He apparently was not.

I have a friend who just did a drive up test here in Austin an hour ago. So I disagree with your test statement.

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When does he get the test results?

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culdeus said:

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Was HIPPA really written to protect in a situation like this? Could it be amended for better contact tracing and still protect people that have herpes or whatever they are trying to guard against?

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TxAG#2011 said:

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Marcus Aurelius said:

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Had my first death today. Sat at home with symptoms for 7 days. Then the 7-9 day viral pneumonia hypoxia. Come to hospital. He got HCQ at day 7. Too late. We aren't using this drug appropriately. Needs to be given in first 48 hrs. Somehow. It's doing nothing to pts who are hypoxic. Anecdotal.

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Hopefully in a few weeks the rapid tests will be in abundance. Patient gets tested > gets results immediately > positive cases are given a regiment of HCQ (assuming it proves to be effective by then)

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aggie-beta said:

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Infection_Ag11 said:

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Player To Be Named Later said:

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So how on earth can they tell us they are useless for people to wear? Especially given the potentially lengthy asymptomatic but contagious phase.

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Because only a small minority will ever wear them, an even smaller minority will wear them correctly, and a yet smaller minority will do the other necessary aspects (leaving it on all the time, not touching their face, washing hands, etc.) to provide the true benefit.

Essentially, unless we are all onboard and doing it to the best of our abilities, it's just a waste of masks that could best be used elsewhere.

Now if we could adopt the mindset of the Chinese/Japanese/Koreans (the needs of the many...) and 80-90% of us are wearing masks correctly all day long? Sure, sign me up. That will never happen here though.

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How about since many of us are not even working we just wear them to go to the grocery store. It's not hard to avoid touching your face with a mask on. I wear one nearly all day at work and never touch my face with it on.

I think it's annoying to see doctors posting the same bull crap as the government. If people are trained properly they could learn in a 10 minute video the proper way to wear a mask to a grocery store and the proper way to take it off. We don't have to use your precious masks to get some benefit so quit giving bad advice because precious medical masks are low in stock.

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SUag said:

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JB99 said:

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SUag said:

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What's the point of this? Is he saying not to use it until it's definitive? What does this accomplish?

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Fitch said:

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74Ag1 said:

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JB99 said:

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SUag said:

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What's the point of this? Is he saying not to use it until it's definitive? What does this accomplish?

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He is trying to defend his "wrong" position. He is a typical overly cautious Dr that wants to see all the clinical trials and tests that take a long time. Typical bureaucrat... slow.

All the use is saving lives but he want accept it. FDA has approved it.

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Sir, this is not correct.

The drug is unproven for COVID-19 in a clinical setting, with or without azithromycin and zinc. There are a myriad of small-patient-count reports and anecdotes that encourage optimism, but nothing defendable right now. The trials and studies in New York and elsewhere are trying to answer whether it's a valid prophylactic, treatment, or otherwise. Doctors on these forums have acknowledged doubts about it working. Everyone involved is still trying to figure it out.

Think about the weight of making this drug an endorsed medical recommendation from the federal government of the United States without substantial evidence it works.

Literally billions of people would hang their hopes on it, on trials of 30 or 40 people at a time right now. Best case - it works and we have massive runs on supply. Worst case - it has minimal to no effect outside of the small study populations circulated to date, or worse, gives false hope.

Can we just pray for and support the people trying to figure out how to help?

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Fitch said:

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74Ag1 said:

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JB99 said:

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SUag said:

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What's the point of this? Is he saying not to use it until it's definitive? What does this accomplish?

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He is trying to defend his "wrong" position. He is a typical overly cautious Dr that wants to see all the clinical trials and tests that take a long time. Typical bureaucrat... slow.

All the use is saving lives but he want accept it. FDA has approved it.

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Sir, this is not correct.

The drug is unproven for COVID-19 in a clinical setting, with or without azithromycin and zinc. There are a myriad of small-patient-count reports and anecdotes that encourage optimism, but nothing defendable right now. The trials and studies in New York and elsewhere are trying to answer whether it's a valid prophylactic, treatment, or otherwise. Timing, age, gender, hyer(hypo)tension, pre-existing conditions, blood type, all have a weight in decision-making for any drug. Doctors on these forums have acknowledged doubts about it working. Everyone involved is still trying to figure it out.

Think about the weight of making this drug an endorsed medical recommendation from the federal government of the United States without substantial evidence it works.

Literally billions of people would hang their hopes on it, on trials of 30 or 40 people at a time right now. Best case - it works and we have massive runs on supply. Worst case - it has minimal to no effect outside of the small study populations circulated to date, or worse, gives false hope.

Can we just pray for and support the people trying to figure out how to help?

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