{COVID-19} Vaccination Injection Interjections VIII - Who cares at this point

[Lucavi]

Hulk would NEVER inject himself with questionable things.

Lex Luger did, and man, that dude got wrecked by all those drugs.

[archibaldcrane]

Wild
https://twitter.com/jeremychrysler/s...Dtqamh-Hg&s=19

[Day]

thats pretty awesome

could be a german but that looks like a malinois, absolute beast of a dog

[NynJa]

Wild
https://twitter.com/jeremychrysler/s...Dtqamh-Hg&s=19

Its the LongCovid farts

[Tyche]

About a month ago, a friend called me telling me her brother-in-law tested positive and was having a hard time. He was one of her close friends since grade school and he's how she and her husband met. He had difficulty breathing and was discharged from the ED on home oxygen. He was tachypneic, breathing about 40 times a minute, but his SpO2 was >90%. There's not a lot to do for the tachypnea and it's somewhat expected, so I told her to continue to check O2 and if it drops below 88% on 4L/min of O2, go back to ED. She called me later that afternoon saying he was going to ED. I told her I'd call work and go in and take care of him that night.

That night was decent. He was on a lot of oxygen, around 50L/min. But SpO2 stayed above 90%.

I was off for a few days after that and he continued to worsen. This was primarily a result of severe panic attacks. It's common with these patients. Feeling like you're suffocating can be quite a trigger and months prior, I spoke with the hospitalist group to have hydroxyzine added into the COVID order set. That won't stop a panic attack, but it'll help stave them off. Panic attacks in these cases are incredibly difficult to manage. I mentioned to Nynja that psychiatry has to have an intimate knowledge of pathophysiology because mental disorders can exacerbate and wreck lots of medical conditions. Panic attacks result in increased respiratory rates, increased heart rates, which in turn, increases myocardial oxygen demand, which in turn lowers your overall oxygen levels needed for other vital organs. Panic attacks can really set off a chain of destruction.

He was subsequently sent to critical care and put on a medication called precedex. It's a sedative that can be used without invasive ventilation. Downside is that it lowers your heart rate, so it has to be used with caution. In this case, the amount he needed lowered his heart rate too much, so he was subsequently intubated. Typically, you can do something call BiPap in AVAPS mode. This is a lot like a CPAP people use at home for sleep apnea, but it can be quite a bit more forceful. The difficulty with this therapy is the fact pneumomediastinums are quite common in COVID. I really don't understand why. Maybe Kuro can elaborate as to why we randomly find pneumomediastinums in COVID cases. This is where air leaks into the middle area of the sternum. If you force air in, you risk have a full-on pneumothorax (hole in lung, lung deflates), so you have to exercise a lot of caution when deciding how much pressure to use to oxygenate these patients as well. After about 3 weeks on a ventilator, he passed away today. 37 years old. No medical history.

Anyway, I say this to vent a bit. Managing these cases at the bedside is unlike anything I've seen in my career. And much of the management discussed above is driven by bedside nurses and respiratory therapists. They're sick, unstable, and when things fall apart, getting everything stabilized is a real struggle.

[Cail]

Yikes...sounds like a lot of stuff compounded everything else...

[Gadritan]

So obviously I popped hot Monday. Talked to my mom a bit earlier today. She’s an RMA at a small family practice. They have 8 employees out with confirmed positives and 2 more that were sent home today that are awaiting results. All vaxxed plus boosters.

I think it’s safe to say if you don’t contract it this round you either managed to literally avoid all contact with humans or you’re a mutant and we need to uh, borrow some blood.

[kuronosan]

I was off for a few days after that and he continued to worsen. This was primarily a result of severe panic attacks. It's common with these patients. Feeling like you're suffocating can be quite a trigger and months prior, I spoke with the hospitalist group to have hydroxyzine added into the COVID order set. That won't stop a panic attack, but it'll help stave them off. He was subsequently sent to critical care and put on a medication called Precedex.

Sucks that even Versed isn't a good option for these peeps, and panic attacks on a ventilator are essentially a death sentence. Glad to see he was put on Precedex, though unfortunate.

The difficulty with this therapy is the fact pneumomediastinums are quite common in COVID. I really don't understand why. Maybe Kuro can elaborate as to why we randomly find pneumomediastinums in COVID cases.

Probably has to do with poorer prognosis stemming from the tissue inflammation. Fluid builds up from inflammation, maybe ARDS-like syndrome? Pressure builds up in the finite spaces of the pleurae and causes transudation to the mediastinal tissues, inflammation spreads, *boom* perforation and pneumo. Much like you see in aortic dissection friable tissues don't hold up well to inflammation+pressure.

Seems to be an indication of bad outcomes in COVID patients and intubation probably doesn't help. Best to ask a Pulmonologist to be 100% sure.

[Astylla]

I think it’s safe to say if you don’t contract it this round you either managed to literally avoid all contact with humans or you’re a mutant and we need to uh, borrow some blood.

This is so crazy to me because I've been out and about nonstop as much as possible, work in a contagious environment, travel often and still..nothing but negative tests.
And I test weekly for work and had some home tests given from work.
Been having cold symptoms on and off for the last two weeks too.

I would get another PCR test if it wasn't booming out two weeks. Which basically means if you have it you might be over it before you can get a test here lol

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[Gadritan]

This is so crazy to me because I've been out and about nonstop as much as possible, work in a contagious environment, travel often and still..nothing but negative tests.
And I test weekly for work and had some home tests given from work.
Been having cold symptoms on and off for the last two weeks too.

I would get another PCR test if it wasn't booming out two weeks. Which basically means if you have it you might be over it before you can get a test here lol

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So about that blood


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[Tyrath]

I mean a lot of those people will have had contact with it and the vaccine prevented infection or they got infected but were asymptomatic so they will never know they had it.

[kisada]

but i was told that it's not effective against omicron..

[Gadritan]

but i was told that it's not effective against omicron..

Don’t rehash 5 more pages of mind numbing “that’s not what I said,” “that is what you said” “no it’s not” “it was implied” “no you implied it,” “no you did” “goal posts” “no, you’re a goal post,” “your mom went to college,” even if in jest.


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[thetruepandagod]

so im hearing you want some blood

[Andalusian girls]

yaaaa could i get about ehh 10 pints

[Zealot]

Took a COVID test, looks like I'm in the clear. Just regular sick.

[synistar]

This is so crazy to me because I've been out and about nonstop as much as possible, work in a contagious environment, travel often and still..nothing but negative tests.
And I test weekly for work and had some home tests given from work.
Been having cold symptoms on and off for the last two weeks too.

I would get another PCR test if it wasn't booming out two weeks. Which basically means if you have it you might be over it before you can get a test here lol

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Makes me wonder if workers in high exposure environments should take an antibody test to see if they aren't at risk of catching it if they never popped hot during this surge so far. Sure as heck save resources on all the testing and let those workers have some relief knowing they are at lower risk of catching it.

Just some food for thought from someone who works in the immunology field.

[zoobernut]

Got my booster yesterday. Arm is sore and I have a low grade 99.1 fever today. Feel tired and lethargic. I hope it wears off by tomorrow.

[archibaldcrane]

Wife and daughter had a scratchy throat, so I took the kids to get rapid tests before school this morning

Nope, this family remains undefeated, COVID ZERO bitch

[Koyangi]

I'm in that club too.