{COVID-19} Coronavirus Pandemic III: Second Wave Preperation

[Heavencloud]

are guys both acting like you know anything about medicine? i'm perplexed. really not sure what this has to do with trump.

[Yabby]

Nope, we are reacting to Kuro saying even you wouldn't do something, then you... correcting him.

[kuronosan]

Nope, we are reacting to Kuro saying even you wouldn't do something, then you... correcting him.

No, I said he wouldn't do it under order from Trump.

He's absolutely right that testing tends to taper down as a season peaks and closes out.

Right now is not that time.

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[Yabby]

I guess we are all reading this part.

you could argue it's a waste of money for well appearing patients who are going home.

Which does imply he would stop testing if asked.

[Dimmauk]

I mean, testing is really just for epidemiology at this point in non-hospitalized patients. Same as how we stop testing for Influenza once it reaches a high prevalence in the population every year. Again, I am testing everyone that wants a test, but you could argue it's a waste of money for well appearing patients who are going home.

It's ok, we don't have to see an apology for being wrong

[Lokus]

There is still a wild gulf in the difference between slowing testing for political & egotistical reasons and slowing testing when at peak season. Trying to justify the former with the latter is some sus shit.

[kuronosan]

I guess we are all reading this part.




Which does imply he would stop testing if asked.

I sure hope not.

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[Heavencloud]

I guess we are all reading this part.




Which does imply he would stop testing if asked.

nope, just telling you how things go in medicine. why send a test if it changes nothing as far as treatment and disposition? influenza. we just treat if everything points to that (tamiflu, barf but helps certain populations). the test is a waste of time and money. discharge instructions are same. and these still get counted as a case. tests are not the end all be all. especially when the sensitivity is not even 80%.

[kuronosan]

Sorry, he's right guys.

I hard disagree that we should stop testing for COVID, but he is right about ID testing. Almost all guidelines recommend against testing if it won't change treatment and you have reasonable suspicion of an illness.

Most of the time for flu it's testing for patient comfort.

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[Salodin]

nope, just telling you how things go in medicine. why send a test if it changes nothing as far as treatment and disposition? influenza. we just treat if everything points to that (tamiflu, barf but helps certain populations). the test is a waste of time and money. discharge instructions are same. and these still get counted as a case. tests are not the end all be all. especially when the sensitivity is not even 80%.

Because said person might be mildly symptomatic, youre in the middle of a pandemic, and it would be nice to know if they should self quarantine versus idk...just ignoring it? There is zero reason to taper testing as of June 21st, 2020. The fact that you're trying to pretend otherwise gives the game away.

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[Salodin]

Sorry, he's right guys.

I hard disagree that we should stop testing for COVID, but he is right about ID testing. Almost all guidelines recommend against testing if it won't change treatment and you have reasonable suspicion of an illness.

Most of the time for flu it's testing for patient comfort.

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And didnt they change to that because of the unavailability of tests?

Almost like HC is trying to build a scarecrow, and you're dancing around it, when the original point is Trump admitted to trying to lower testing numbers, for weeks/months, because it makes him look bad, not because doctors agree we dont need it.

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[kuronosan]

And didnt they change to that because of the unavailability of tests?

Almost like HC is trying to build a scarecrow, and you're dancing around it, when the original point is Trump admitted to trying to lower testing numbers, for weeks/months, because it makes him look bad, not because doctors agree we dont need it.

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HC is an ER doc. His job is to stabilize people and move on, not think about how to keep them from being admitted to the hospital in 3 weeks, and he's bound by EMTALA to treat them every time they come in.

Most laws nullify reimbursement if a patient is hospitalized for the same problem within 30 days, meaning you don't get paid for repeat admission.

In the outpatient world we care about two things: what they need in the moment and what will keep them from having to go to the ER. We're in the middle of a pandemic. Most of my colleagues agree testing for COVID is the responsible thing to do. It's up to the labs to maintain reagent supply, not doctors.

I'm not certain what you're asking in regard to the testing. You mean they changed guidelines because tests were in short supply? If so, no. It's because the tests aren't cheap when insurance companies pass the cost to the patient. Depending on which method is used, it can cost the patient quite a bit. It comes down to saving them money versus making them feel good that you're testing.

I would argue that, as far as the pandemic goes, peace of mind and contact tracing supercedes all other concerns because this is a novel virus, so I'm 100% for testing anyone who needs it. It's the responsible thing to do and there's no reason to slow testing down for any reason right now. Once we've established what we need to, we can look at seasonal testing like we do for flu. Even then, I would argue otherwise. We routinely test full respiratory panels in patients with particular symptom clusters on admission in order to rule out certain diseases. There is absolutely no reason to abate testing right now.

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[Salodin]

Youre writing a whole lotta words, and yet you probably have no idea what youre arguing about because HC successfully scarecrowd you into defending him.

The point is the president has tried to/wanted to/did lower available testing/reporting in order to make pandemic numbers look better for him politically. If you think that's no big deal, and testing should come down anyways, then just say it.

If thats not what youre saying, then what the fuck are you doing?

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[kuronosan]

I get the feeling you aren't reading what I'm saying. HC came out with this LOLweonlytestingcuztracking and you jumped in saying he is admitting he agrees with Trump. I disagree, and explained why. You keep jumping back saying BROWHATYOUEVENURDEFENDING so I'm trying to explain why I'm actually not.

Now you're asking what I'm even arguing about, and I would challenge you to ask yourself that question because I honestly don't know what the fuck your point is anymore.

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[Salodin]

I get the feeling you aren't reading what I'm saying. HC came out with this LOLweonlytestingcuztracking and you jumped in saying he is admitting he agrees with Trump. I disagree, and explained why. You keep jumping back saying BROWHATYOUEVENURDEFENDING so I'm trying to explain why I'm actually not.

Now you're asking what I'm even arguing about, and I would challenge you to ask yourself that question because I honestly don't know what the fuck your point is anymore.

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Dude what are YOU arguing about?

I mean, testing is really just for epidemiology at this point in non-hospitalized patients. Same as how we stop testing for Influenza once it reaches a high prevalence in the population every year. Again, I am testing everyone that wants a test, but you could argue it's a waste of money for well appearing patients who are going home.

Hey Kuro, is it a waste of money to test for covid in patients who have to decide if they should self quarantine when they get home?

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[Gadritan]

I get the feeling you aren't reading what I'm saying. HC came out with this LOLweonlytestingcuztracking and you jumped in saying he is admitting he agrees with Trump. I disagree, and explained why. You keep jumping back saying BROWHATYOUEVENURDEFENDING so I'm trying to explain why I'm actually not.

Now you're asking what I'm even arguing about, and I would challenge you to ask yourself that question because I honestly don't know what the fuck your point is anymore.

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I think it's more so the context in which HC responded. He posted that in response to your post about Trump wanting to slow testing, which seems to be an attempt to validate what Trump said though that's not the reason Trump wants to slow testing.

In a vacuum his statement is correct. In context, it seems to be more Trumpism.

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[Salodin]

I think it's more so the context in which HC responded. He posted that in response to your post about Trump wanting to slow testing, which seems to be an attempt to validate what Trump said though that's not the reason Trump wants to slow testing.

In a vacuum his statement is correct. In context, it seems to be more Trumpism.

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So what youre saying is its trumpism, because this isn't devoid of context, they both know what the context is, they just choose to ignore it cause...reasons.

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[Gadritan]

So what youre saying is its trumpism, because this isn't devoid of context, they both know what the context is, they just choose to ignore it cause...reasons.

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Yes

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[Salodin]

I concur

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[kuronosan]

You caught me. I'm a closet Trump supporter because I choose to give HC the benefit of the doubt? Or because you failed to see where I essentially said if I'm wrong then he's a shitty doctor?

Get some perspective.

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