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NOTABLE! I'm a Doctor Who Has COVID-19. AMA

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For those that know me, I'm a part-time ER doctor turned entrepreneur. I was recently diagnosed with COVID-19 and wanted to help dispel any rumors about the illness, etc.

Quick background

- Middle aged, absolutely no health issues (like really. None)
- Never smoker, drink only 1-2 glasses of wine (or good whiskey!) a month. No drugs
- Workout 2x day (lift and cardio) - #75Hard routine, for those curious.
- Part time ER doctor still because I follow @Vigilante's advice to draw from the employee cup for as long as possible.
- Work in Texas and have seen literally hundreds of COVID-19 POSITIVE patients over the pandemic course.

[And yes, we are admitting a LOT of COVID-19 patients because they are sick. Recently admitted a 30 yo Paramedic who was sitting 70% on room air(!)]

- Not a Mask Karen/Nazi when not in the hospital. In fact, this is my motto outside of the hospital:

34054
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This is an update I shared with a colleague today:

I tested POSITIVE via nasal PCR for COVID-19. I'm doing well now. Managed to knock out a great w/o this morning (db presses, pull-ups, curls) but it was rough for a while.

HPI: Have worked every weekend in June and first weekend in July in the ERs. At least 5-10 COVID-19+ pts/12 hour shift. Using PPE when in room, face mask at workstation.
- Last work shift was 7/5.
- Sx onset 7/7 as follows: Fevers, arthralgia, myalgia. Dry cough.
- Sats on 7/9 down to 92%/RA. Add'l sx incl. nausea, loose stools and abdominal pain. Tachycardia.
- Started HCQ +Azithro+Zn on 7/9.
- Significant overall improvement.
- Nasal swab test 7/10
- Result POSITIVE yesterday (7/14).
- URI sx until 7/14 + fatigue.
- Absolutely asymptomatic today. Checked QTC with an EKG back in Mar and nl s no findings.
- Still taking med regimen.
- Sats have been 97-98 since 7/10


AMA. Will respond when time allows.
 

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What do you think of the political situation?

Are you concerned about your health getting worse with the virus?

What made you get tested?
 

Jon L

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92% RA ... that's oxygen level? That's approaching not so great, right? (I remember my daughter was admitted when hers was 89 or so for pneumonia)
 

Simon Angel

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What do you think abount exercising while sick with a what looks like a mild case of COVID-19?

Since COVID-19 appears to be mostly a clotting disorder, would the best course of action to treat it be staying active and eating foods/taking supplements that help thin the blood? Like walking a lot at home rather than lying in bed, supplementing with turmeric, high doses of fish oil, Vitamin D, Zinc and Vitamin C.

Is bigger viral load/less viral load a huge factor in the disease's progression?

And last but not least, how to not die?

Thanks.
 

Jon L

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Is HCQ/Azithro/Zinc a go-to treatment now? (for patients without heart conditions) How widespread is its use?
 

Jon L

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Also ... sorry for all the questions. You did say AMA, though :)

The ACTUAL death rate for people who get the disease, including those who never show any symptoms, is something like .3% in the US. While not good, its a far cry from what was being reported (3-7%) earlier as the main reason for shutting down the economy.

Does the flu behave similarly? Are there significant numbers of flu cases that never show symptoms? Are those numbers included in the overall death rate? Why or why not?

To me, not including asymptomatic cases in the death rate artificially increases it, and is done simply to scare people so that we all stay home. We do need to stay home and wear masks to some extent because we need to not overwhelm ICUs, which would happen if everyone got sick all at once. But, lying like this to the public is a bad way of making that happen.

Am I looking at this correctly? What am I missing? What would you add to my line of logic?
 
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What do you think of the political situation?

Are you concerned about your health getting worse with the virus?

What made you get tested?
Politics are ruining everything, including medicine.

Not really. If I get through the next 48 hours then I should be perfectly fine.

The low sats.
 
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92% RA ... that's oxygen level? That's approaching not so great, right? (I remember my daughter was admitted when hers was 89 or so for pneumonia)
Correct. Normal for most people is 97-100% on "room air," aka your normal atmosphere at sea level.

92% is enough to admit most folks who don't have underlying disease.
 
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What do you think abount exercising while sick with a what looks like a mild case of COVID-19?

Since COVID-19 appears to be mostly a clotting disorder, would the best course of action to treat it be staying active and eating foods/taking supplements that help thin the blood? Like walking a lot at home rather than lying in bed, supplementing with turmeric, high doses of fish oil, Vitamin D, Zinc and Vitamin C.

Is bigger viral load/less viral load a huge factor in the disease's progression?

And last but not least, how to not die?

Thanks.
Eh. Exercise to your tolerance. I for one was completely wiped out and couldn't do anything.

Yes to the above. Baby aspirin (81 mg) daily can't hurt most people.

Yes. Bigger viral load -->> worse illness

Don't be fat. Don't smoke. Don't add on to any medical problems that you might have.
 
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How serious is it? Is it as bad as we're being told on the news?
Depends.

If you're over 50 with medical illnesses then you have to be cautious. That said, younger folks with medical issues need to talk with their doctor in order to assess their risk.

In Texas, yes, the prevalence is astounding and so is the number of people being hospitalized. We don't know what underlying medical conditions most of these people have. So far the death rates are down.

FWIW, all of the dozens that I've admitted have all had serious underlying medical conditions such as serious asthma, COPD, diabetes, morbid obesity (BMI >35), etc etc.
 

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Is HCQ/Azithro/Zinc a go-to treatment now? (for patients without heart conditions) How widespread is its use?
Not officially. But if you want my opinion and the non-public opinion of many physicians? YES.

If I as a doctor were to publicly advocate for this there's a very real risk of losing my medical license because of 'Muh narrative." Not science.

Here's a nice little website that lays it down science-wise. Fauci et al are a bunch of fools or evil or both.

 
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Also ... sorry for all the questions. You did say AMA, though :)

The ACTUAL death rate for people who get the disease, including those who never show any symptoms, is something like .3% in the US. While not good, its a far cry from what was being reported (3-7%) earlier as the main reason for shutting down the economy.

Does the flu behave similarly? Are there significant numbers of flu cases that never show symptoms? Are those numbers included in the overall death rate? Why or why not?

To me, not including asymptomatic cases in the death rate artificially increases it, and is done simply to scare people so that we all stay home. We do need to stay home and wear masks to some extent because we need to not overwhelm ICUs, which would happen if everyone got sick all at once. But, lying like this to the public is a bad way of making that happen.

Am I looking at this correctly? What am I missing? What would you add to my line of logic?
It's actually much less deadly than the flu. Even the CDC is saying this now. :SMH:

The flu, like most illnesses, has an asymptomatic prodromal period where you can infect those around you. However very few people are ever asymptomatic with the flu (but may mask as a "light cold") because everyone's immune system is different. Think Bell Curve/Normal distribution. I'd say my immune system was at least 2 sigma above mean based on past performance.

Arguments in favor of mitigating hospital overload are valid IMHO. Any other emotional or Karen--like arguments are shit.
 
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Are you having trouble working on your mission?
Did your motivation go down?
Well the last ten days have certainly been sub-optimal. Motivation in the absence of health was non-existent.

That said, I have a VA who's been cranking out stuff/TCB while I've been down b/c I have that system in place.

One lesson I'd offer for those who "struggle" for motivation or their "why":

Do some sort of program like 75Hard or whatever that forces you way out of your comfort zone, forces you to achieve something personally difficult, and when it comes time to buckle down for the entrepreneur thing....it should be much easier.
 

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It's actually much less deadly than the flu. Even the CDC is saying this now. :SMH:

The flu, like most illnesses, has an asymptomatic prodromal period where you can infect those around you. However very few people are ever asymptomatic with the flu (but may mask as a "light cold") because everyone's immune system is different. Think Bell Curve/Normal distribution. I'd say my immune system was at least 2 sigma above mean based on past performance.

Arguments in favor of mitigating hospital overload are valid IMHO. Any other emotional or Karen--like arguments are shit.
FFS. That is all I have to say.
 
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Are asymptomatic people contagious?
The jury is out. I'd say NO based on multiple studies but this is evolving.
 

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Fee for service? For F sake?
Definitely fee for service. ;-)

This whole thing is so annoying. For all the people saying 'I follow the science' ... really? You do? If you did, you wouldn't be making these politically charged statements where you cherry pick certain studies that support your pet theory. (and I don't mean you, by the way ... I mean Fauci, Trump, various governors, the CDC and what not)
 

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I read a LOT on the subject so no questions. Just get well soon ! You're an entrepreneur for God's sake...kick it's a$$ ! Thank you for this thread.
 

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It's actually much less deadly than the flu. Even the CDC is saying this now. :SMH:
Would you mind sharing the source of where the CDC said this? I had a look at the CDC website, and the data there seems different.

Data of the 2016-2017 flu season: Burden of Influenza

Symptomatic illnesses: 29,000,000
Deaths: 38,000


which is a death rate of 0.13%

whereas the death rate for covid is around 4%: Coronavirus Disease 2019 (COVID-19) in the U.S.

TOTAL CASES: 3,416,428
TOTAL DEATHS: 135,991


Am I looking at the data in the wrong way?
 

Jon L

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Would you mind sharing the source of where the CDC said this? I had a look at the CDC website, and the data there seems different.

Data of the 2016-2017 flu season: Burden of Influenza

Symptomatic illnesses: 29,000,000
Deaths: 38,000


which is a death rate of 0.13%

whereas the death rate for covid is around 4%: Coronavirus Disease 2019 (COVID-19) in the U.S.

TOTAL CASES: 3,416,428
TOTAL DEATHS: 135,991


Am I looking at the data in the wrong way?
from:

"'Our best estimate right now is that for every case that's reported, there actually are 10 other infections,' Dr. Robert Redfield, director of the CDC, said on a call with reporters Thursday. "
 
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from:

"'Our best estimate right now is that for every case that's reported, there actually are 10 other infections,' Dr. Robert Redfield, director of the CDC, said on a call with reporters Thursday. "
Right.

Which would put the fatality rate @ 0.004% or 4 in 1,000.

For comparison, your risk of dying from a lightning strike in your life is estimated to be 1 in 3,000.
 

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Right.

Which would put the fatality rate @ 0.004% or 4 in 1,000.

For comparison, your risk of dying from a lightning strike in your life is estimated to be 1 in 3,000.
Would it be right to say that Covid is more opportunistic than the flu? Does the flu affect people with underlying conditions as much or in the same ways as covid seems to?
 

daniel_m

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What kind of long term effects are you seeing from Corona Virus, in patients and other people who got it?

I'm not afraid of getting sick, but I am a little bit concerned in permanent lung damage, if that's possible. It's my understanding that some people have lingering symptoms even months after beating COVID, which is really bizarre.
 
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Would it be right to say that Covid is more opportunistic than the flu? Does the flu affect people with underlying conditions as much or in the same ways as covid seems to?
Depends. Probably about the same infectivity.

Hard to say. Different flu seasons have differing mortalities.

Flu season 2012 killed lots of 20-somethings without any issues.
 
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What kind of long term effects are you seeing from Corona Virus, in patients and other people who got it?

I'm not afraid of getting sick, but I am a little bit concerned in permanent lung damage, if that's possible. It's my understanding that some people have lingering symptoms even months after beating COVID, which is really bizarre.
Not sure yet, to be honest.
 

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What are your thoughts on kids going to back to school?
And what are your thoughts on kids wearing masks for up to eight hours per day… Specifically elementary school age kids?
 

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