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

@HImom Interesting about MDs you know who are looking forward to $2400 EIPs. I assumed married MDs out of residency would have AGIs over $150k.

I agree.

2019 average salaries (obviously AGI varies): PCPs $237K, Specialists $341K.

https://www.medscape.com/slideshow/2019-compensation-overview-6011286#2

Average 2018 dentist salary: $176K https://www.forbes.com/sites/andrewdepietro/2019/11/22/dentist-salary-state/#6d0cea863291

Does anyone have a good source that is aggregating all coronavirus dataā€¦medical studies of treatments/vaccines, how long it lives on certain materials/surfaces, how much protection PPE gives, etc.?

CA has always been known in the nursing world as one of the hardest places to transfer a nursing license. Partly because of their requirements, but also partly because their Board of Nursing is chronically understaffed and takes forever to process requests.

Iā€™m finding a lot of hope in the fact that treatments (remedivisr, and the others mentioned in this thread by @3SailAway) are working. Effective treatments are the best thing we can hope for - eliminating the high death rate and allowing the economy to open back up because if you get sick enough to need the hospital, you have a good chance of surviving.

Iā€™m pretty sure at this point thatā€™s our best scenario - even beating vaccines.*

*if the success rate of the vaccine is similar to the flu - and donā€™t take this to be antivax - all tools are helpful

Iā€™m surprised to hear doctors in some places arenā€™t getting paid for tele health appointments. My insurance plan is covering them.

Agree with most of the above. But even if a vaccine was only as ā€œsuccessfulā€ as the flu, it would hopefully work as the flu shot does in at least mitigating the severity of infection acquired in spite of vaccination. For that reason Iā€™m praying so hard for a vaccine to be developed and tested as quickly as possible.

The reason the general flu shot has spotty effectiveness is that it contains only a some of the potential offending virii. Developers have to speculate on which will surge in the following season.
The vaccine being developed for COVID-19 should be more effective as it is specific for this virus.

There are a bunch of theories about why heart attacks and strokes arenā€™t showing up. I read one about heart attacks that not having to wake up as early and commute might be a factor? So interesting.

I agree with you completely. I just see successful treatments as what can happen quickly to get things restarted without a high death rate and vaccines as future assistance.

Iā€™ve heard that the doc has to be at the Med center to be able to bill for work and Uc they are working from home canā€™t bill or be paid, even if theyā€™re doing telehealth visits. Have heard this from several sources.

Itā€™s bad that MDs who work so hard and have such responsibility are not being well compensated in our state, which contributes to our shortage of MDs.

My lung doc has been trying to hire a 3rd lung doc for their clinic but the doc they nearly hired said theyā€™d have to pay him at least $100k more due to our higher cost of living in order for him to seriously consider moving from TX. Of course, no budget for that so theyā€™re still short-handed.

A relative of mine is a gastroenterologist in a group private practice. Theyā€™ve had to lay off most of their staff since so little money is coming in.

My dermatologist is seeing patients just one day a week.

My dentistā€™s office is closed.

I really wonder whether there will be an increase in finding cancers that are more advanced due to the shut down of screening exams over this time period.

I went to see my dermatologist right as this was all coming down as a reality. I had a very scary lesion on my shoulder. I went in and was the only patient in the waiting room for a practice that usually mandates at least a six month call for an appointment. They had absolutely perfect measures in place for infection mitigation. I immediately called my D2 and told her that she ought to get in to see the Dr about a problem she was having but had not moved on because of the difficulty of getting seen. She did call and had an appointment confirmed for the very next morning. UNHEARD of for this practice.

The ONLY hospital in McKinley County (which is bigger than the entire state of CT) has had a major outbreak of Covid-19. (1 in every 275 people in the county ill with Covid-19) The hospital is short staffed and running out of supplies. They just put out a request over the several state-wide TV stations asking for donations of home-sewn surgical masks and scrub caps because they canā€™t get enough for their staff.

Unfortunately, I think staff shortages and supply shortages are going to be the new normal. Even my wifeā€™s suburban hospital is on a waitlist for PPEā€™s. Morale isnā€™t great when theyā€™re reusing masks. Lots of talk about early retirement. How are ORā€™s going to reopen any time soon without proper PPEā€™s? Healthcare was already being rationed. Itā€™s all cost containment. The pandemic will make it worse.

We get so many of our meds from India and China. We donā€™t make anything here any more. No ventilators or masks. I donā€™t think people realize how bad the supply chain has been affected.

A vaccine would be great but thatā€™s realistically a year or two away. Until then I think the best hope is just speeding up the learning curve on the best ways to treat the virus and hopefully being able to get the drugs to fight it.

Yup. We may all get infected before vaccine comes out.

A vaccine would help slow transmission. Even if it were only 2/3s effective, that cuts the reproduction number by two thirds.

@ā€œCardinal Fangā€ - check this out.

https://www.medrxiv.org/content/10.1101/2020.04.14.20062463v1

Thanks for askingā€”the paper is already under peer review. They really are fast tracking publications.

It has not been peer reviewed.

The main result is that estimated prevalence of SARS-CoV-2 antibodies is about 2.49-4.16% of the county population (or 48,000-81,000 people), about 50-85 times the number of confirmed cases.

Based on that estimate and known fatalities, they estimate the fatality rate of COVID-19 to be 0.12-0.2%. However, they do not mention that there could be additional fatalities from COVID-19 that occurred without diagnosis of COVID-19.