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

@“Snowball City” Unfortunately, it looks like some of the issues might be with the heart, not just the lungs. Can she get that looked at where she is?

My lad still has issues when he tries to do more than “basics.” He tells me he hasn’t done as much lately, so thinks it might be getting better. I’m not sure what to make of that. If he’s not doing as much, I’m not sure he can tell. But at least he’s feeling better just in his house doing everyday things there.

@Creekland She thought her lung CT scan would have caught her heart too. I should ask her to follow up with her doctor to make sure the radiologist made remarks about it being ok.

Most of her pain is in the lower third or so of her lungs.

edited to add:
Fatigue was a shorter term issue for her but she stopped reading at night. Too much effort to follow a plot.

Most of the time the lungs feel fine when she wakes up. As the day goes the pain increases. She slings around 40 pound boxes even if it hurts. Sometimes after a particularly arduous work day her lung still hurt through the night and wakes up with pain.

@“Snowball City” She’s more active than my guy. Mine “just” talks for hours online for his job (streaming games for a major company). That’s what he thinks is now getting better because before he had to really stagger when he did it due to fatigue. I can’t imagine how he would feel if he tried to sling 40lb boxes around. He still gets fatigued doing weeds outside his house if he does it for too long. None of it used to bother him at all pre-Covid.

I wish your daughter well. It has to be frustrating that she can’t get looked at. Any chance of enough time to take a boat to Miami?

Can she have an echocardiogram?

These reports of ongoing illness are so distressing I hope your kids get better!

I just read about the hybrid school approach possibly increasing spread of the virus, because on off days kids might be in day care or with other caregivers. Therefore, some experts feel it will expand the networks for spread.

If lung and heart after-effects are long-term or permanent, that could have long lasting health effects, since people who have these effects will be less able or willing to exercise or do physically active things, resulting in worse overall health long term.

@ucbalumnus I worry about that with my guy telling me he no longer goes out to see if he’s still having problems. How much is he getting out of shape and how is that affecting his health? But on the other hand, is resting helping him recover?

I don’t think anyone knows. I don’t know that trying to recover is even his goal vs just avoiding the fatigue so he can do his job inside. I don’t want to be “that mom” and press/nag too much.

I read that there were more serious car crashes in LA County during the pandemic. Speed killed. Usually, the freeways operate at 20mph.

The article I read said there was a higher percentage of fatal car accidents everywhere, but the overall numbers of deaths were lower due to fewer accidents in sheer number (all types). I’m sure that could vary from one place to another, but it’s the overall number that matters for calculations of death for 2020.

Switching topics, has anyone seen where the positive college students get counted? Will it be Gettysburg for the 5 just announced (yesterday) there? Or will it be their home address?

https://www.gettysburg.edu/opening/

It was this article for the car accidents:

https://www.nsc.org/in-the-newsroom/motor-vehicle-fatality-rates-jump-14-in-march-despite-quarantines

Actual numbers were up for Jan and Feb, but dropped in March and if the estimate held for Memorial Day weekend, that was going to be the lowest number of deaths since 2014.

Jan and Feb weren’t included in the spike of unexplained deaths if I recall correctly (too lazy to go back and double check).

Scientists claim that they have made a molecule that neutralizes SARS-CoV-2 spike proteins, can be aerosolized (e.g. for use in an inhaler), and can be made inexpensively. However, no clinical trials yet.

https://www.ucsf.edu/news/2020/08/418241/aeronabs-promise-powerful-inhalable-protection-against-covid-19

Use a rice cooker to sanitize masks!

Researchers out of University of Illinois at Urbana-Champaign show household electric cookers can be used to decontaminate N95 respirators for reuse.

https://www.washingtonpost.com/lifestyle/wellness/mask-n95-multicooker-covid/2020/08/14/94544304-dd8d-11ea-809e-b8be57ba616e_story.html

Instant Pots, too, for your own masks:

https://hartfordhealthcaremedicalgroup.org/about-us/news-center/news-detail?articleId=26488&publicid=465

We shouldn’t be using N95’s anyway, unless a health care worker. Good to know my rice is COVID-free!

I had hospital 2 days ago. See my cardiologist and the pacemaker technician. I am in one of the EU countries, that mask rules are more less.The big hospital but small compared to what I see online of USA hospitals. Going in and in hall see like 7 masks. In cardiology was 2 persons wearing mask. I had a diy hand sewn to model used during Spanish Flu 1918. It is a heatwave for longer than 1 week here and looked online about wearing mask during heatwave in my condition heart/lung so not wanting too pass out walking towards hospital I did not wear mine.
I have had issues with pre-syncope.
I notice not many people adhere to the 1.5 mtr distance.
And very few used the handsanitizers placed at entrance and again in hallway.
Patients were asked come alone or only 1 really much needed caregiver.
Most everyone was there as twos. And also many complete families.
At bloodwork area I hear nurse remark about it, family say they have to bring all the kids as no one will watch kids for neighbours.
I was supposed to have half hour hospital but it extended into 1.5 hours.

I have to go to hospital again in 3 weeks for Echocardiogram, all places are full is earliest available. Usually there are earlier slots. I am cardiology patient for decades never had to wait 3 weeks.

EUA for a saliva test developed at Yale:

https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-fda-issues-emergency-use-authorization-yale-school-public-health

This seems promising but I can tell from this article or others if this is a PCR test or antigen or is this just a method of acquiring samples without swabs? Are the samples acquired using this method to be used for PCR Or antigen?

Here are links to all the EUA tests approved by the FDA.
https://www.fda.gov/emergency-preparedness-and-response/mcm-legal-regulatory-and-policy-framework/emergency-use-authorization

SalivaDirect (PCR test) is the 5th saliva based covid test…labs (or other companies) have to start manufacturing these, it’s not really clear but I don’t think Yale is commercializing the test.

https://covidtrackerct.com/about-salivadirect/

This is the research paper on SalivaDirect (not yet peer reviewed). https://www.medrxiv.org/content/10.1101/2020.08.03.20167791v1

I’m changing my mind about how valuable Saliva Direct is, after reading an Andy Slavitt thread on Twitter. He writes that it’s cheap, it’s easy to do with whatever reagents you happen to have (“you” being a lab; labs have reagents), it’s accurate enough, it’s quick.

Also, the people who developed it and who funded it are making $0 in profit. The NBA Players Association paid for it, and Yale developed it. They’re letting anybody use it, provided (as I understand it) they approve them.

Slavitt writes, “For all of these reasons Saliva Direct should create millions more in test capacity. Easy to use. High volume. Cheap. Widely available and accurate.” This is a great thing if it happens.

That would be a vast improvement over current testing where it can take long enough to get the results that they are no longer useful.

What would also be useful is a cheap test that does not require a lab and gives results in minutes, so that it can be used by people going to work or school or grocery store or whatever – do the test before you go, and if it says you have COVID-19, don’t go but call your physician instead.