Coronavirus thread

[JHC]

Do you have a link to the source for this? It's something I'd like to share with a couple people.

Hey vett your own risk.

He appears to be real. This long post of his is all over FB.

https://www.facebook.com/james.stein...B6Lflcgpw9xiIA


https://www.facebook.com/search/top/...epa=SEARCH_BOX

Profile page from the school

https://www.uwhealth.org/findadoctor...-stein-md/7618

[HRoark]

Hey vett your own risk.

He appears to be real. This long post of his is all over FB.

https://www.facebook.com/james.stein...B6Lflcgpw9xiIA


https://www.facebook.com/search/top/...epa=SEARCH_BOX

Profile page from the school

https://www.uwhealth.org/findadoctor...-stein-md/7618

Well I guess that shows I'm a little out of touch with facebook and the internet. He went and made it hard for me to find by posting it publicly on his facebook page.

[RoyGBiv]

Link already posted. Sorry.

[YVK]

https://www.buzzfeednews.com/article...after-covid-19

Here's one for the docs here. 43 year old nurse, no underlying health conditions, healthy, works out every day. Spent 4.5 weeks intubated, 6 total weeks in the hospital.

Went to the hospital on March 16, one of the early COVID patients. Do you think early treatment strategies negatively impacted his progress? Has the medical community learned new treatment techniques in the past 2 months that might have been better for him?

No intelligent comment can be made about this case without knowing the details. If this was direct Sars-CoV2 effects, the guy is clearly an outlier and we'll be seeing a bunch of publications dissecting these in years to come. What we don't know if he was just an unlucky dude who suffered complications of a critical illness in general. Did he aspirate when they intubated him and went through a superimposed pneumonia, did he suffer an anoxic brain injury, did they have to use high pressures and volumes to expand his huge chest and caused a barotrauma, did his vocal cords get screwed, was he on HIV preventative meds or is he shooting steroids and that played a role somehow (neither would count as an underlying), did he become septic etc, etc, etc. Did he truly have no underlying at all? I remember reports from several months ago when some 30+ yo ESPN reporter died after catching a pneumonia during a live coverage of an NFL game. Was reported as pneumonia, until the postmortem exam showed that he had a lymphoma. The 40+ ED nurse in NYC who died early during the NYC surge and got a national coverage turned out to have had a severe asthma.

We forget that people go in for routine procedures and illnesses and sometimes they die from them, even in early age. We forget that fit 40-50 yo gym rats do very well as a group health-wise in general but once in a while one of them collapses dead in a gym or during a run. Whatever happened to this guy, regardless what it was, was a statistical outlier and those are hard to learn from. I am glad he survived.

[DC_P]

Here is some guidance –

7. Stop buying toilet paper and paper towels just because you see it in the store you went to to buy something else.

[shootist26]

No intelligent comment can be made about this case without knowing the details. If this was direct Sars-CoV2 effects, the guy is clearly an outlier and we'll be seeing a bunch of publications dissecting these in years to come. What we don't know if he was just an unlucky dude who suffered complications of a critical illness in general. Did he aspirate when they intubated him and went through a superimposed pneumonia, did he suffer an anoxic brain injury, did they have to use high pressures and volumes to expand his huge chest and caused a barotrauma, did his vocal cords get screwed, was he on HIV preventative meds or is he shooting steroids and that played a role somehow (neither would count as an underlying), did he become septic etc, etc, etc. Did he truly have no underlying at all? I remember reports from several months ago when some 30+ yo ESPN reporter died after catching a pneumonia during a live coverage of an NFL game. Was reported as pneumonia, until the postmortem exam showed that he had a lymphoma. The 40+ ED nurse in NYC who died early during the NYC surge and got a national coverage turned out to have had a severe asthma.

We forget that people go in for routine procedures and illnesses and sometimes they die from them, even in early age. We forget that fit 40-50 yo gym rats do very well as a group health-wise in general but once in a while one of them collapses dead in a gym or during a run. Whatever happened to this guy, regardless what it was, was a statistical outlier and those are hard to learn from. I am glad he survived.

Very interesting. Thanks. I know that article had almost zero info but was curious if this guy's case had been discussed anywhere in the medical community

[Nephrology]

Very interesting. Thanks. I know that article had almost zero info but was curious if this guy's case had been discussed anywhere in the medical community

There are lots and lots of stories of otherwise healthy people getting sick and dying from COVID-19 - I don't think there is much noteworthy about his case in particular.

Like YVK noted, this happens all the time, but it is still relatively rare for young, otherwise healthy people to get this sick. As a good example, the actress Brittany Murphy died at the age of 32 from secondary MRSA pneumonia. No underlying health conditions and she was taking antibiotics (though not ones with good MRSA coverage). She just got unlucky. Unfortunately, happens all the time. Was even more unfortunate that the public seemed to assume she died of an overdose, which was not the case at all.

[YVK]

As a good example, the actress Brittany Murphy died at the age of 32 from secondary MRSA pneumonia. No underlying health conditions and she was taking antibiotics (though not ones with good MRSA coverage). She just got unlucky.

I believe I read somewhere she had a psychiatric illness.

[Nephrology]

I believe I read somewhere she had a psychiatric illness.

You can read her autopsy report here -

http://www.autopsyfiles.org/reports/...any_report.pdf

Per the report, she did have several Rx psych meds and narcotics on board - fluoxetine, klonopin, hydrocodone - but it seems like she died of respiratory arrest 2/2 the pneumonia.

[YVK]

You can read her autopsy report here -

http://www.autopsyfiles.org/reports/...any_report.pdf

Per the report, she did have several Rx psych meds and narcotics on board - fluoxetine, klonopin, hydrocodone - but it seems like she died of respiratory arrest 2/2 the pneumonia.

Says a history of diabetes too. Not as healthy as she seemed.