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Thread: Coronavirus thread

  1. #2881
    Member Aisin Gioro's Avatar
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    Feb 2019
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    The road from Pingquan
    Quote Originally Posted by ccmdfd View Post
    Interesting.

    Not commonly used in USA at all.

    cc
    The cynic in me suspects that the way Chinese pharma and hospital relationships incentivize certain medications and tx plays a role in this. Methylpresnisolone has an interesting (not in a good way...) history in China, dating from its introduction only about 20-25 years ago.

    While the situation is much better than it was 10 years ago, the scope and prevalence of inherent venality among senior management at medical institutions in China would still be staggering to most Western observers. Think of the ethics of the shadiest strip mall "pain clinic" operator and scale that up to the head of a 1,000 bed hospital. Every Chinese clinician I know looks up to Western hospitals in this regard, even the ones who have seen the flaws in US, UK, Canadian, etc. medical centres up close. As might be expected, those on the front lines are usually focused on the right things, but the level of frustration and disillusionment they have to deal with as a result of the people running things is heartbreaking at times.

  2. #2882
    Chasing the Horizon RJ's Avatar
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    Jan 2014
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    Central FL
    Quote Originally Posted by HCM View Post
    A firsthand account of the effects of COVID-19
    Holy shit balls. That’s just chilling.

  3. #2883
    Member Aisin Gioro's Avatar
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    Feb 2019
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    The road from Pingquan
    Quote Originally Posted by Nephrology View Post
    AFAIK while there is evidence to support the use of solumedrol in some pneumonias, the evidence that it is effective for ARDS is shaky unless the underlying cause is steroid responsive (eg eosinophilic pneumonia or CAP). . Example here. @ccmdfd can comment more.

    edit: oops, he already did.
    I think a lot of clinicians in China would agree in principle, but the dynamics of hospitals in China are keeping them on that shaky path. (Ex., my reply to @ccmdfd for one factor that might be contributing to the pervasiveness, despite a lack of support or even contraindications.) I'm heartened by the fact that this kind of influence is lessening, and I'm hopeful that if some good can come out of this crisis, it's that the status and authority of doctors, especially clinicians, in China is being improved greatly.

  4. #2884
    THE THIRST MUTILATOR Nephrology's Avatar
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    Sep 2011
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    Quote Originally Posted by YVK View Post
    Learning point from ^^^^: don't self diagnose, self analyze, and self manage. Don't expect high fever kill the virus. Your neck and arms weren't tingling from a low sat. Bilateral pneumonia feels like shit, don't sit at home and see if things get better. Go to ER.
    Yeah I would be in the hospital by day 5 or so of his account.

  5. #2885
    Site Supporter
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    Oct 2013
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    Canton GA
    When do we think this hit the US? There was some really bad flu with CV19 "like" symptoms going around in February. Could CV19 been in the US before "officially" diagnosed.

  6. #2886
    Site Supporter OlongJohnson's Avatar
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    Mar 2015
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    "carbine-infested rural (and suburban) areas"
    If for some reason you don't have a thermometer in the house, add it to your list for your next trip out.
    .
    -----------------------------------------
    Not another dime.

  7. #2887
    banana republican blues's Avatar
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    Aug 2016
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    Blue Ridge Mtns
    Quote Originally Posted by OlongJohnson View Post
    If for some reason you don't have a thermometer in the house, add it to your list for your next trip out.
    I've been looking for one online and haven't found one that seems decent at a reasonable price.
    There's nothing civil about this war.

  8. #2888
    Quote Originally Posted by blues View Post
    I've been looking for one online and haven't found one that seems decent at a reasonable price.
    https://www.amazon.com/dp/B071Y7YDK3...language=en_US
    #RESIST

  9. #2889
    THE THIRST MUTILATOR Nephrology's Avatar
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    Sep 2011
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    West
    Quote Originally Posted by ranger View Post
    When do we think this hit the US? There was some really bad flu with CV19 "like" symptoms going around in February. Could CV19 been in the US before "officially" diagnosed.
    Yes that’s very possible but hard to confirm

  10. #2890
    banana republican blues's Avatar
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    Aug 2016
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    Blue Ridge Mtns
    Quote Originally Posted by LittleLebowski View Post
    Reviews don't seem particularly confidence inspiring.
    There's nothing civil about this war.

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