Mortality rate is more like 0.3-0.7% (CFR) by most recent measures. We have gotten a lot better at treating it, mostly because our paradigm of the use of early intubation in worsening acute respiratory failure doesn't really apply to covid. In fact, we learned that you need to avoid intubation at all costs if possible - even if that means permitting oxygen saturations well into the low 80s. We also now know the role of corticosteroids, convalescent plasma, and which inflammatory markers to trend.
Don't get me wrong, it's still a serious deal, but much less scary than earlier this year where CFR was around 1.4% and we didn't quite understand transmission well.
I do wish we had more guidance on managing outpatients though. Right now it's pretty much "stay at home and if you feel worse go to the hospital" (although I'll sometimes throw corticosteroids and antibiotics at my chronic lung disease patients).
We will definitely get through this. Don't worry. Expect a vaccine in spring or early summer, with roll out throughout the rest of the year. Things will start to return to normal after that but masks will be the last thing to go because they are so damn easy to implement (and they are effective).
So save your doomerism for...uhhh...(gestures widely) pretty much everything else about this capitalist hellhole.
Not all inattention problems are due to ADHD. Instead of trying to match symptoms to a presumed diagnosis, tell your doctor what you are experiencing honestly and let them help you find the best treatment.
The modern medical career is a slow death by student loans, billing paperwork, and RVU targets.
Every minute you spend with a patient generates about the same time in administrative tasks. Which is rough when you have to see 25 patients in a day, each of whom (understandably) expect more than 10 minutes with you.
After my clinic day is over I'm usually doing charting and "tasks" for 2 hours. Usually have to do this on weekends too.
I mean I get paid better than most Americans even if you subtract out my loans but it's kind of exhausting working 60 hour weeks every week for the rest of your career.
Nah. Dexamethasone is pretty much standard of care for hospitalized patients. Honestly,. If he hasn't crumped yet, he is probably going to make it out of this fine. Unfortunately.
When accelerating an asteroid to near C with some slow-burn engines could make an essentially undetectable, doomsday, kinetic kill vehicle, it's hard to imagine a universe where the best option isn't to immediately kill any nascent civilization that pings its location.
No. Unless it's hydrofluoric acid nothing is eating through a few mm of polymer quickly. (And unless you are a chemistry teacher, if you have HFA you are about to be brought up on terrorism charges)
·4 years ago
Mortality rate is more like 0.3-0.7% (CFR) by most recent measures. We have gotten a lot better at treating it, mostly because our paradigm of the use of early intubation in worsening acute respiratory failure doesn't really apply to covid. In fact, we learned that you need to avoid intubation at all costs if possible - even if that means permitting oxygen saturations well into the low 80s. We also now know the role of corticosteroids, convalescent plasma, and which inflammatory markers to trend.
Don't get me wrong, it's still a serious deal, but much less scary than earlier this year where CFR was around 1.4% and we didn't quite understand transmission well.
I do wish we had more guidance on managing outpatients though. Right now it's pretty much "stay at home and if you feel worse go to the hospital" (although I'll sometimes throw corticosteroids and antibiotics at my chronic lung disease patients).
We will definitely get through this. Don't worry. Expect a vaccine in spring or early summer, with roll out throughout the rest of the year. Things will start to return to normal after that but masks will be the last thing to go because they are so damn easy to implement (and they are effective).
So save your doomerism for...uhhh...(gestures widely) pretty much everything else about this capitalist hellhole.