OT: Dumb virus treatment question

thatsbaseball

All-American
May 29, 2007
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Wifey and I have dodged the virus so far (knock on wood) but I'm curious as to what happens if one of us gets it. Obviously you call your doctor and tell him you're getting sick and probably follow some sort of protocol to self medicate at home and try to ride it out but then what happens especially if your health deteriorates to the point you need hospitalization. I.E. Does your doctor continue to handle your case or are you "handed off" to the hospital staff or a specialist or whom ? I know this is a pretty simple minded question this late in the game but I've just never asked anyone how it all works.
 

Baddmann

Freshman
Sep 20, 2015
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Quick answer: You self treat at home. If you start to have trouble breathing and your O2 levels get low, then you need to go to the hospital. At that point, the hospitalist and pulmonologist will handle your treatment.
 
Sep 21, 2017
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I had it back in Early April and spent 3 days in the hospital due to pneumonia caused by the virus. I live south of Memphis in MS and this made things a little complicated because my Dr is in TN. To get tested back then you had to jump thru some hoops and they were still trying to figure things out on how to handle patents in the hospital. At that time if you showed up at the hospital without a Dr. referral with Covid symptoms you were shunned because you could have infected the entire staff. I'm not sure where you are located or if things have changed but this the short version of my experience.

If you have symptoms start an open line of communication with your Dr. and just self treat at home. In my case we did a virtual appointment and he coordinated with the baptist medical system to get me tested. When my condition got worse (mainly my lung function) I emailed him and he had to arrange for me to go to the ER. I was then handed over to their to their staff and I was treated by the hospital's specialist. After I was discharged continued to have checkups with that specialist for about 6 weeks.

I have a feeling that if I did not have that open line of communication with my Dr. I'm not sure I would be here right now.
 

horshack.sixpack

All-American
Oct 30, 2012
12,161
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Wifey and I have dodged the virus so far (knock on wood) but I'm curious as to what happens if one of us gets it. Obviously you call your doctor and tell him you're getting sick and probably follow some sort of protocol to self medicate at home and try to ride it out but then what happens especially if your health deteriorates to the point you need hospitalization. I.E. Does your doctor continue to handle your case or are you "handed off" to the hospital staff or a specialist or whom ? I know this is a pretty simple minded question this late in the game but I've just never asked anyone how it all works.

Related, for docs on the board. If someone gets it do they now get immediate treatment (Remdesivir) to ensure that they have the best chance of it NOT turning bad? I know with Flu, you pretty much get Tamiflu from the start to stave off the virus.
 

BrunswickDawg

Junior
Aug 22, 2012
336
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63
Hope you have symptoms so that you can try to stave it off. I'm two weeks into recovery right now. I had zero symptoms until I noticed a little shortness of breath on Thursday afternoon 4 weeks ago. I got tested Friday, which came back positive. By the time I got to our Immediate Care for intake Saturday morning (our hospital is triaging COVID cases there) my blood o2 level was down in the low 80s, and I got admitted immediately. Spent 6 days in the hospital on o2 and Remdesivir, along with a whole lot of other drugs. I'm 47 and relatively healthy with no underlying conditions. It kicked my ***.
 

missouridawg

Junior
Oct 6, 2009
9,407
309
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My mother and father are both quarantined at home with the virus.

Both are mid-60s. Dad is overweight, diabetic, and has stage 1 lung cancer (he was tested last Thursday on the day his cancer surgery was scheduled and came up positive, delaying his surgery for 2-3 weeks). Dad had a strong cold for a few days. Never had a fever, but did have body aches. Had a weak cough. Diagnosed 7 days ago, but on days 6 and 7 after diagnosis he already feels a lot better and is doing yard work now. Mom is slightly overweight and has had a smidge more severe symptoms with aches. She's had as light fever, but nothing over 100F, with a decent cough. She's still under the weather a bit, but her symptoms have largely been really mild.

They've both been told to stay home for 2 weeks. If their fever gets out of control or if their breathing became too difficult, they were told to go to the hospital. Otherwise, watch some shows and stay away from people. They were not prescribed any medicine at all, nor were they given any advice on taking supplements (vitamin C and D, for example). I was pretty alarmed and pissed about them not getting any kind of medicine for this. They are monitoring their blood O2 levels and that's about it.
 
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Uncle Ruckus

All-American
Apr 1, 2011
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I see that you have a doctor. So, tell me this. As a guy in my early 30s, how do I get "a doctor"?
 

johnson86-1

All-American
Aug 22, 2012
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I see that you have a doctor. So, tell me this. As a guy in my early 30s, how do I get "a doctor"?

Not sure this is universal, but where I live, you have to find somebody taking new patients and schedule an appointment even though you're not sick. Will likely take 6 weeks, but that will "establish" you as a patient. Need to make sure you schedule another visit before 12 months are up, so basically make that the time you do an annual physical, which your insurance should pay for. When you're actually sick, they should work you in, even if it's just with one of the nurse practitioners in their own office, who then might call in the doctor if they think he/she is needed.
 

Upyurs

Redshirt
Nov 24, 2017
453
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That’s so odd how a 47 year old with no health conditions is admitted to hospital yet 60 yo with lung cancer and other health related conditions seems to have nothing more than cold/mild flu like conditions. This is such a strange virus.
 

BrunswickDawg

Junior
Aug 22, 2012
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That’s so odd how a 47 year old with no health conditions is admitted to hospital yet 60 yo with lung cancer and other health related conditions seems to have nothing more than cold/mild flu like conditions. This is such a strange virus.

My Dr. said that there is no rhyme or reason to the cases he has seen. My wife tested negative on the same day, then tested negative again at the end of the week I spent at home in bed. Never had any symptoms.
 

L4Dawg

All-American
Oct 27, 2016
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That’s so odd how a 47 year old with no health conditions is admitted to hospital yet 60 yo with lung cancer and other health related conditions seems to have nothing more than cold/mild flu like conditions. This is such a strange virus.
There is some very preliminary stuff that might indicate that your initial viral load on infection plays a role in how sick you get. If you have a high dose of it you get sicker. That makes sense but with this thing as you said, who knows.
 

Ingomardawg

Redshirt
Oct 1, 2018
71
3
7
I’m 78, wife 71. Got sick Oct 21. Tested positive and given steroids. We isolated until free of temp for 3 days. Thankfully our cases were mild. We were told if breathing difficulties appeared or temp went above 100.4 to call the ER and they would take over. We also took Vit C and D, Zinc, and LOTS of H2O.

I am overweight with 2 separate heart issues and for both of us it was like a bad cold. We were very fortunate.
 

RocketDawg

All-Conference
Oct 21, 2011
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Quick answer: You self treat at home. If you start to have trouble breathing and your O2 levels get low, then you need to go to the hospital. At that point, the hospitalist and pulmonologist will handle your treatment.

You can buy your own finger pulse oximeter. I got mine from Amazon for just over $30 (brand is Innovo), but they have some that are less expensive. It seems to be quite accurate.
 

RocketDawg

All-Conference
Oct 21, 2011
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Sometimes it's difficult. You just have to find a doc that's taking new patients. I was lucky - my doctor worked the ER for about 20 years and decided to go into private practice about the same time I needed a new doc.
 

RocketDawg

All-Conference
Oct 21, 2011
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The treatment that Pres Trump got, Regeneron, seemed to work well but not sure if it's available to the general public.
 

RocketDawg

All-Conference
Oct 21, 2011
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There's a Covid Task Force brieifing on television right now. Fauci just said that two vaccines should be ready for use at the end of December. The 4-star logistics guy said there are 100 million kits all ready to go as soon as use is approved.
 

RocketDawg

All-Conference
Oct 21, 2011
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Just curious - were you careful about distancing, wearing a mask, being with others not part of your immediate family?
 

FQDawg

Senior
May 1, 2006
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There's a Covid Task Force brieifing on television right now. Fauci just said that two vaccines should be ready for use at the end of December. The 4-star logistics guy said there are 100 million kits all ready to go as soon as use is approved.

Did they mention anything about how they'd be distributed and if there is an order of preference (for lack of a better word)? Meaning, I would assume front line medical professionals would be first in line but just curious if they mentioned any specifics.
 

Jeffreauxdawg

All-American
Dec 15, 2017
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My Dr. said that there is no rhyme or reason to the cases he has seen. My wife tested negative on the same day, then tested negative again at the end of the week I spent at home in bed. Never had any symptoms.

Something being researched is the amount of the initial viral dose you receive. If a heavy shedder sprayed droplets and you inhaled it could lead to a greater illness than a light shedder and an aerosol.

Sunburn is the best analogy I heard. 1 hour in direct sunlight can burn you. 4 hours will be a whole lot worse. Then other factors like high blood pressure, diabetes, blood type, etc could be like having a fair completion and spending six hours in the mojave with baby oil on.

If the initial viral dose theory is true, the mask is like SPF 50. You can still get a sunburn, but if you do, it will be a whole lot milder than it could have been.

https://www.medpagetoday.com/infectiousdisease/covid19/88692
 

greenbean.sixpack

All-American
Oct 6, 2012
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I see that you have a doctor. So, tell me this. As a guy in my early 30s, how do I get "a doctor"?

If you are healthy, you don't need a doctor. Doctors are for the weak and pregnant women. I'm mid 50s and don't have a doctor, every couple of years if I get a sinus infection I can't shake I hit up a nurse prac.

How did our species thrive for thousands of years without going to the doctor every 15 minutes? For most men, going to a doc, unless you have a serious issue, is a practice that is only a few decades old.

Most doctors and preachers these days about one thing, lightening your wallet.
 

BoDawg.sixpack

All-Conference
Feb 5, 2010
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I heard today that

the first three priority groups would be military, front line medical, then law enforcement in that order. This was 3rd hand info so take it with a grain.
 

RocketDawg

All-Conference
Oct 21, 2011
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I think you meant you do NOT know where you got the virus. I guess it just takes one little slip-up. Probably those of us who haven't had it yet are really just lucky.
 

RocketDawg

All-Conference
Oct 21, 2011
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I didn't see the entire briefing, so didn't hear what the order of priority is. Never thought about military being first, but I suppose that makes sense, at least for deployed military. I'd probably go frontline health care workers first though if it was my decision.

100M vaccine kits already available is a lot - could do almost 1/3 of the populace, and Pfizer and Moderna are probably producing additional doses right now.
 

RocketDawg

All-Conference
Oct 21, 2011
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Why not just go to a doc-in-a-box emergency clinic unless you have some condition that requires a full time doc? Not sure I'd trust an on-line doctor - might be a good chance the doc is a fake or scam. I didn't have one until I retired, but we had an annual physical at work that was pretty thorough.
 

Jeffreauxdawg

All-American
Dec 15, 2017
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Has anyone tried an online doc? I don’t have a doc either and would rather not waste all day to try to see one

I just switched to primary care through Teladoc this summer. Way better than my old physician. The typical model if you are under 50 and male without health issues:

Book a physical 6 months out. 2 weeks before the physical you go get blood drawn at the Dr's office. At the actual physical, he checks your nuts and then goes over all your labs and then recommends a specialist if necessary. I have heart issues in my family and my my potassium or something was borderline when I turned 39 and mine sent me to a cardiologist. Took 4 months to get in and so on. After the cardiologist I had to book an appointment with primary care doc and go over everything again after new labs where everything was normal. So after 10 months, a thousand dollars in office fees and countless hours of doctor visits I was told I was healthy.

This year my doc was closed for Covid19 for my physical so I tried Teladoc. They pulled my records and then called me. Talked to a doctor, and a cardiologist on a conference call. They sent me for labs and a calcium score the next week since I am now over 40 and at moderate risk because of family history. They set up another call a week or so later. The next call was with the doc, cardiologist, and a nutritionist. All was good on the labs, the calcium score was zero (a good indicator arteries are clear and low risk of heart attack), and the nutritionist wants me to get more nutrients from organic foods and not just supplements. Cardiologist said we will do another calcium score at 50 and maybe a stress test.

So it took about a month total with one trip each to a local med imaging and lab. Cost about $300 total and I have moved across the country since and still get to keep my doctor. The phone calls last 20 minutes apiece and I didn't wait for an hour and half to drive across town.

I guess my nuts are a little more lonely and when I turn 50 some stranger is going to have to stick a finger up my butt, but overall... Virtual primary care is like comparing an iPhone to the telegraph. The fact that the cardiologist, doc, and I talked about everything together on both calls was awesome. It cut all kinds of potential confusion out of the scenario.
 

pmack65

Redshirt
Sep 7, 2013
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Plan 1 is all front liners, nurses, docs, medics. Plan 1b all people with underlining conditions. Plan 2 people over 65. There are additional plans for the entire population.
 

Len2003

Redshirt
May 13, 2018
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If you are healthy, you don't need a doctor. Doctors are for the weak and pregnant women. I'm mid 50s and don't have a doctor, every couple of years if I get a sinus infection I can't shake I hit up a nurse prac.

How did our species thrive for thousands of years without going to the doctor every 15 minutes? For most men, going to a doc, unless you have a serious issue, is a practice that is only a few decades old.

Most doctors and preachers these days about one thing, lightening your wallet.

You sound like the type of patient I get that comes in with an bleeding aneurysm or uncontrolled diabetes because they never had yearly screenings along the way.
 

Ingomardawg

Redshirt
Oct 1, 2018
71
3
7
I think you meant you do NOT know where you got the virus. I guess it just takes one little slip-up. Probably those of us who haven't had it yet are really just lucky.

No, I DO know where my slip up occurred. We were very careful, , but someone sat down next to me who tested positive the next day and I tested positive 5 days later.
 

MadDawg.sixpack

Redshirt
May 22, 2006
3,358
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Related, for docs on the board. If someone gets it do they now get immediate treatment (Remdesivir) to ensure that they have the best chance of it NOT turning bad? I know with Flu, you pretty much get Tamiflu from the start to stave off the virus.

Pepcid AC and Claritin
 
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