Question for Docs/Hospital Admins re SOP for Covid patients

1,205 Views | 3 Replies | Last: 3 yr ago by planoaggie123
Jabin
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Questions for any doctors &/or hospital admins that care to answer. My neighbor up here in Pennsylvania is male, 66, overweight but very physically active, and has diabetes and had a heart attack ~10 years ago. He is not vaccinated.

He has all of the classic symptoms of Covid - short of breath, loss of taste & smell, low blood ox count, etc.

His wife took him to the local hospital (a small rural hospital that is part of the UPMC system) day before yesterday and they kept him overnight and then released him the next day. All that they did for him was give him a saline drip and some antibiotics. They also gave him a Covid test but told him that it would take 3-5 days to get the results back.

His wife took him back to the hospital this a.m. when his blood ox count dropped to 86.

Why did the hospital release him yesterday? Why didn't they do more for him, such as administer monoclonal antibodies? My impression is that time is of the essence concerning treatment, so why the delay?
planoaggie123
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AG
There would have to be a darn good reason if he was under 10 days w/ comorbidities that they did not provide him with monoclonal antibodies. I might still fight for it depending how many days out....not sure how effective it is after 6 or so days and not sure also if there are issues with giving it when symptoms are starting to get "bad".


It is amazing how far into this we are and stuff like that happens....again....maybe there is a good reason for no antibody but i am guessing not...
Not a Bot
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AG
A PCR should not take 3-5 days to result.
Jabin
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I can't really push myself into these folks situation, but I'm really bothered by this and concerned that if I were to get Covid that I might not be able to receive MAs at UPMC. I went to the UPMC and apparently they do administer them but have eligibility criteria:

Monoclonal Antibodies | UPMC

Quote:

Eligibility criteria are:*
  • Test positive for COVID-19 (PCR or antigen test), AND:
  • Have had mild-moderate symptoms for 7 days or less (must still be symptomatic), AND:
  • Age 65 years OR
  • Age 12 years and older weighing at least 40 kg with at least one of the following:
    • BMI > 25 kg/m2, or if age 12-17, have BMI 85th percentile for their age and gender based on CDC growth charts
    • Pregnancy
    • Chronic kidney disease
    • Cardiovascular disease (including congenital heart disease, hypertension)
    • Diabetes
    • Down syndrome
    • Dementia
    • Liver disease
    • Current or former smoker
    • Current or history of substance abuse
    • Immunosuppressive disease or immunosuppressive treatment
    • History of stroke or cerebrovascular disease
    • Chronic lung disease
    • Sickle cell disease
    • Neurodevelopmental disorders (e.g., cerebral palsy)
    • Having a medical-related technological dependence (e.g., tracheostomy, gastrostomy)
Note: Monoclonal antibody treatment needs to be given within 7 days of the start of symptoms.
Perhaps he waited too long (i.e., >7 days of the start of symptoms) or perhaps they considered his symptoms to be more than "mild-moderate". But if the latter is true, I'm surprised that they just sent him home in that case.
planoaggie123
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AG
Jabin said:


Perhaps he waited too long (i.e., >7 days of the start of symptoms) or perhaps they considered his symptoms to be more than "mild-moderate". But if the latter is true, I'm surprised that they just sent him home in that case.
I think your point nailed it....its hard no to see any way they did not mess up....granted, not a doctor but just a regular person that uses common sense with a basic understanding of the situation...
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