yeah I didn't realize there was this level of discussion, I haven't been around texags much in a while.

I run them more wet than most people would likely prefer and once they move from the infectious to inflammatory stage I am very liberal with steroids and IL-6 inhibitors, almost everyone goes on anticoagulation unless you have a contraindication. My admissions come in incredibly ill now because nobody will come to hospital until they're about to die so its hard for me to know what helps in the early infectious stage at this point. intubation is almost a death sentence, I will tolerate you tanking for a long time before I will intubate, prolonged RRs in the 40's or hypoxia in the 60-70s for a few hours if you are not having arrhythmia issues. I'm praying for some type of legal immunity after this is over because it has truly been trial by fire the last few months.

I have a collection of maybe 250 of the worst CT scans I have ever seen. Imaging I would have believed was incompatible with life just a few months ago.

God bless you and all the doctors fighting this thing. As a lay person reading this, I have to admit I have no idea what y'all are talking about. But I read these threads to my teenager who is likely gonna do something in the medical field and she translates. I'm so proud of you guys. Keep up the good fight y'all

I'm getting much more pushback from the pharmacy with the actemra now. They want hep panels and quantiferon and HIV screens. We've come to the agreement that they'll give it to me as long as I draw the labs first but we don't have to wait for the results.

Soon I'll run into a supply issue like everything over the last two months. Currently I am short on ventimasks, MDIs, phlebotomists and its almost impossible to get blood products. I am lucky there are a lot of residents from India and Cuba who are expert phlebotomists from their time as medical students in their country who will help me obtain labs as I'm a worthless bougie American trained doctor. A lot of people here will hate me for saying it but the residents in NYC should all be given medals and offered permanent residence, they are legitimate heros who could have gone back to their homes and been doctors but chose to stay.

Wow great stuff man. My experience with toci has been nothing short of miraculous. But all the hospitals in this state battling for doses. Can't get sirulamab. God bless you in NYC. I get freaked out here dealing with 5-10. Can't imagine dealing with your volume. Please be safe.

For the most part but I had a 31 year old woman with a 2 week old baby on a vent for 19 days as well before she walked out. A 36 year old former marine and construction worker who was 185lb, a fair number in their 40s. But otherwise the old, sick and fat are most at risk of very severe disease (as is true in every medical condition).

email/message the staff with your state MD license. Great to have you on here.