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Jrinne
Viral Facts

Some people are basing their short-term investing on how well our health system may be handling the viral problem (at least in part) including whether the testing will be adequate.

Here is the present policy in one US hospital for those who may find the information useful.

The "Asses Clinical Suspicion of COVID-19" leaves the ER doctor with a signifiant amount of latitude, it would seem.

I can say from experience the different physicians will behave differently with Dr. uhhh "Smith" (I have someone in mind) testing everyone and the risk of malpractice (and true concern) guaranteeing a high level of testing in the ER if the physicians are truly given the latitude to do so.

Best,

Jim

Attachment Test Policy.png (161488 bytes) (Download count: 246)


From time to time you will encounter Luddites, who are beyond redemption.
--de Prado, Marcos López on the topic of machine learning for financial applications

Mar 17, 2020 7:53:18 AM       
Edit 11 times, last edit by Jrinne at Mar 17, 2020 8:26:03 AM
nisser
Re: Viral Facts

It's similar to what most jurisdictions are doing.
Countries are running out of swabs and protective equipment so things have to be rationed.

China had a very strict quarantine system that I don't think would work in the States (jsut yet).
They found that social distancing and travel bans helped slow things down but it still spread. It wasn't until they began quarantining all suspect cases as well. They split patients into 4 groups

1. Confirmed - patients went into stable hospital or dedicated ICU hospital
2. Suspected - quarantined in specialized hotels/schools/lobbies
3. Suspected with fever - Quarantined in specialized hotels/schools/lobbies
4. Resolved

Try telling an American to go sit alone in a hotel while their swabs are being processed.

Mar 17, 2020 11:56:08 AM       
marco
Re: Viral Facts

Quarantined and immediately isolated from their families. Patients being tested have to wait 4 hours for the results and if positive they are sent away. Really doubt that's happening in Italy. Certainly not here. How long does the test take here if you can even get one ? Few days, right ?

Portfolio123 Staff.

Mar 17, 2020 3:40:34 PM       
enisbe
Re: Viral Facts

Found this....

.... «Significa che se in America ci sono 3.500 casi di COVID-19 confermati - spiega il coordinatore del lavoro Jeffrey Shaman - in realtà ce ne potrebbero essere 35mila in tutto»....

https://www.corriere.it/salute/malattie_infet...a-9725-c592292e4a85.shtml

Rough translation:
Some research from data in China indicates that there are about 10x more infected that actually detected (3500 to 35000). People that are non-symptomatic are responsible for the majority of new cases.

That is spooky.

Mar 17, 2020 4:00:42 PM       
Jrinne
Re: Viral Facts

Quarantined and immediately isolated from their families. Patients being tested have to wait 4 hours for the results and if positive they are sent away. Really doubt that's happening in Italy. Certainly not here. How long does the test take here if you can even get one ? Few days, right ?

Cleveland Clinic web site says: "Cleveland Clinic’s on-site testing should yield results within one day…."

This from Bloomberg: "Labs don’t have to send the CDC samples of their coronavirus test results anymore to get confirmation of positive cases thanks to an FDA policy change effective as of yesterday."

Jim

From time to time you will encounter Luddites, who are beyond redemption.
--de Prado, Marcos López on the topic of machine learning for financial applications

Mar 17, 2020 4:45:44 PM       
Edit 1 times, last edit by Jrinne at Mar 17, 2020 5:00:43 PM
Barn
Re: Viral Facts

I work for a hospital here in Canada and we are under strict lock down with skeleton crews, front line staff and non essential patients being turned away at the door. Everyone non staff is screened before being allowed in. In our city we have a testing center that was setup last week for CV19 only. They can do about 400 tests/day and will only test if you have a fever and have been out of country in the last 14days or have been in contact with someone that has tested positive. It still takes a couple of days to get the test results but all suspected cases have to self quarantine at home, unless you show signs of respiratory issues. Then get to the hospital. The province has ordered shutdown of almost everything non essential and everyone is to stay at home and keep distance and order when out of your house. So far I think it's working really well and Canada's case count is still quite low.

Just my $0.02 ... Actually I need that back for my port.
Barn

Mar 18, 2020 12:07:20 PM       
Jrinne
Re: Viral Facts

Everyone non staff is screened before being allowed in.


Thank you Barn,

Same here except they stuck a thermometer in my mouth while I nodded to questions about travel (screening staff too). Visitors are restricted and elective surgical cases are cancelled.

I only post to say test results do take several days at our hospital still (as Marco posted) but the nurses say better kits will be here soon. No cases at our hospital yet.

-Jim

From time to time you will encounter Luddites, who are beyond redemption.
--de Prado, Marcos López on the topic of machine learning for financial applications

Mar 18, 2020 12:35:58 PM       
Edit 1 times, last edit by Jrinne at Mar 18, 2020 12:38:25 PM
Barn
Re: Viral Facts

Everyone non staff is screened before being allowed in.


Thank you Barn,

Same here except they stuck a thermometer in my mouth while I nodded to questions about travel (screening staff too). Visitors are restricted and elective surgical cases are cancelled.

I only post to say test results do take several days at our hospital still (as Marco posted) but the nurses say better kits will be here soon. No cases at our hospital yet.

-Jim


I work at 2 different hospitals and we have each had a case show up. Since they opened the dedicated CV19 test center in the middle of the city I haven't heard of anymore cases coming in.

I hope the US gets this under control.

Just my $0.02 ... Actually I need that back for my port.
Barn

Mar 18, 2020 1:31:11 PM       
Jrinne
Re: Viral Facts

The use of ACE inhibitors may be linked to bad outcomes according to an article in Lancet: Are patients with hypertension and diabetes m...k for COVID-19 infection?

From the article: "…….had hypertension and 12% had diabetes. Notably, the most frequent comorbidities reported in these three studies of patients with COVID-19 are often treated with angiotensin-converting enzyme (ACE) inhibitors;"

The relation of ibuprofen to the ACE receptor is one reason French authorities are recommending that we stay away from ibuprofen to treat symptoms and use acetaminophen (Tylenol) instead.

From another article: "...human pathogenic coronaviruses bind target cells together using angiotensin-converting enzyme 2 (ACE2),..."

-Jim

From time to time you will encounter Luddites, who are beyond redemption.
--de Prado, Marcos López on the topic of machine learning for financial applications

Mar 18, 2020 8:47:28 PM       
Edit 1 times, last edit by Jrinne at Mar 18, 2020 8:48:06 PM
RTNL
Re: Viral Facts

thanks, that's useful information!

Mar 18, 2020 9:08:34 PM       
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