Inside Medicine. What Are You Seeing? [COVID-19 medical news]

This is why they are Virologists and were not… Lol (your not… Right?)

I thought they were going to target health care workers, in the hopes that it would lessen the severity of the disease.

It seems like it’s not normal clotting but clotting in overdrive. Talk to your doctor but I would. I already take a full 325 /daily instead of Coumadin for a leg clot so hopefully that will help.

How reliable is their reporting is my question? Indonesia was in denial at the start of this then they got serious about it.

Or they just don’t know… to what magnitude neither they nor anyone else knows.

DH skillfully put a power drill through the outside of his thumb today.

The major medical organization where he gets all his care (he’s insurance is Medicare) offers Tele visits. The first two questions when one requests such a visit are:

  1. Have you had a cough in the last 14 days?
  2. Have you had a fever of 100.4 or higher in the last 14 days?

He answered. NO. And the system promptly replied - 'you are not eligible for a remote vide visit.

Okay. So, instead of looking at the injury (I didn’t think it needed stitches and it was more of. a tear than puncture wound), they required him to come in. Hmm…flushed the wound, put on butterfly bandages. No antibiotic prescription.

This happens to be the highest priced provider in CA., and in pretty much the whole nation. They are losing $$ - so rather than prevent the exposure, they are requiring patients to come in for face to face visits.

Grrrrrrr

OTOH, DS who had a scheduled visit with another organization for an ongoing joint problem was told it must be a tele-visit. Their billing is about 25%-50% less than the group DH uses.

I am not a doctor, I’d certainly consider it if I started feeling sick.

@dietz199 It makes no sense for your husband’s provider to require a face to face visit for the reasons they gave. Especially since Medicare is paying the same for video visits as for in person visits during the crisis.

There are some conditions, however, where the exam cannot be adequately performed via video and an in person visit is necessary.

In April I’ve had two telehealth visits as has my S and D and my mom. None of us have a fever or a cough. I believe our insurer will pay—mine has told us my visit and D’s are covered. S was told his separate BCBS insurer covered his visit and I’m pretty sure Medicare and mom’s s BCBS policy will cover her claim.

One of my providers opted not to file a claim because he’s working from home but did a FaceTime chat with us anyway.

I am referring to the Indonesian president in denial telling everyone to go about their business and say a prayer at the start of all this
Then people started dyeing. My daughter was going to go back to Indonesia and Southeast Asia again before this began so I had been following the news there daily.

All payers are now paying as long as your doctors uses a 95 modifier… He will know that. I also have just called some patients but I also have patients coming in since it can be dangerous on a potential infection as described by the poster above, to let it brew and get worse. Sometimes it can be a fine line
I require all to wear masks, we do a forehead scan for temp, coming alone unless a minor. Etc etc…

On one of the TWIV episodes they read a letter from an American in Vietnam. They are very aggressively following and isolating possible connections of coronavirus patients.

About BCG, polio and other such shots I read the idea is they give a generalized immunity boost for 1-2 years, so it’s not like you are protected if you were immunized as a child.

My daughter is a nurse in east coast hospital. After infectious disease specialists consulting with researchers at their affiliated university studied Duke’s protocols they’ve started cleaning and reusing masks which will greatly increase their supply of this vital PPE.

I’m supposed to have an in person medical test and visit in mid-May. Will see what happens. Told them I’d be happy to reschedule or postpone. Also mentioned don’t believe test is needed.

The claim that BCG or OPV vaccination in the population improving resistance to SARS-CoV-2 would seem odd in this context, since the places where that was done generally give those vaccines to children, so adults have had those vaccines many years or decades ago.

Do you think it might help the vaccine stay “active” if there is a higher incidence of the wild virus periodically going through the population? I have no idea if this is a thing, but it occurred to me that in places with higher TB vaccination, maybe the reason for that is a lot more TB exposure (since I gather there are issues with the vaccine).

Re: #395

Wild pathogen could theoretically function as a “booster” if a previously vaccinated person with immunity encounters it.

Not sure which thread this goes in; see link for more:

https://www.nbcnewyork.com/news/local/new-york-virus-deaths-top-15k-cuomo-expected-to-detail-plan-to-fight-nursing-home-outbreaks/2386556/

DH’s antibody test came back negative. On the one hand, I’m disappointed, but on the other hand, his (obsessive) infection control measures must be working. It was an FDA approved test and results took six days. He spends all day most days in the ICU, and still lives at home with us.

I heard there are about 100 different antibody tests. Out of them about 90 are worse than useless. I hope what NY used is not one of them.