Vacci-Nation [CLOSED DUE TO DISRESPECTFUL, INSULTING, POLITICAL POSTS

[Lantanafrs2]

I just dont want to risk being around unvaccinated plates and saucers.

[Irace86.2.0]

Patient today: 33 year old female, unvaccinated, COVID positive, 88-89% on high flow O2 and deteriorating, tachy in the 130s, hypotensive under 85 systolically, diaphoretic, pale, not good. No medical history. She is going to the ICU, meaning, most likely she would have died without intervention. Husband was positive too. He looked ok—just feverish.

Another woman, 82 year old, who was double vaccinated was positive too, but only mildly SOB. Admitted for bowel obstruction.

Just a few anecdotal cases. Seems like we have seem a mild uptick in cases. Several were really sick, but most are asymptomatic or mildly symptomatic. Most were caught on admission during standard screening, but where COVID wasn’t suspected.

[Dadhawk]

Originally Posted by Irace86.2.0

Patient today: 33 year old female, unvaccinated, COVID positive, 88-89% on high flow O2 and deteriorating, tachy in the 130s, hypotensive under 85 systolically, diaphoretic, pale, not good. No medical history. She is going to the ICU, meaning, most likely she would have died without intervention. Husband was positive too. He looked ok—just feverish.

Another woman, 82 year old, who was double vaccinated was positive too, but only mildly SOB. Admitted for bowel obstruction.
.

The difference here is the primary reason I got vaccinated. Even when it "fails" the symptoms are usually much less severe.

[soundman98]

Originally Posted by Irace86.2.0

Patient today: 33 year old female, unvaccinated, COVID positive, 88-89% on high flow O2 and deteriorating, tachy in the 130s, hypotensive under 85 systolically, diaphoretic, pale, not good. No medical history. She is going to the ICU, meaning, most likely she would have died without intervention. Husband was positive too. He looked ok—just feverish.

Another woman, 82 year old, who was double vaccinated was positive too, but only mildly SOB. Admitted for bowel obstruction.

Just a few anecdotal cases. Seems like we have seem a mild uptick in cases. Several were really sick, but most are asymptomatic or mildly symptomatic. Most were caught on admission during standard screening, but where COVID wasn’t suspected.

last week, one of the nurses i know that is part of the covid unit was excited to tell me that for the first time in, well, ever, her ward was empty.

but then illinois is expecting to open everything up soon, so there's a strong possibility that's going to change in a few weeks...

[Spuds]

Originally Posted by Irace86.2.0

Patient today: 33 year old female, unvaccinated, COVID positive, 88-89% on high flow O2 and deteriorating, tachy in the 130s, hypotensive under 85 systolically, diaphoretic, pale, not good. No medical history. She is going to the ICU, meaning, most likely she would have died without intervention. Husband was positive too. He looked ok—just feverish.

Another woman, 82 year old, who was double vaccinated was positive too, but only mildly SOB. Admitted for bowel obstruction.

Just a few anecdotal cases. Seems like we have seem a mild uptick in cases. Several were really sick, but most are asymptomatic or mildly symptomatic. Most were caught on admission during standard screening, but where COVID wasn’t suspected.

Have you seen anyone who was vaccinated against covid in bad shape due to covid?

[Lantanafrs2]

Originally Posted by Spuds

You propose making a dedicated bathroom for skillets? What about woks, pans, and cauldrons?

Originally Posted by Irace86.2.0

Patient today: 33 year old female, unvaccinated, COVID positive, 88-89% on high flow O2 and deteriorating, tachy in the 130s, hypotensive under 85 systolically, diaphoretic, pale, not good. No medical history. She is going to the ICU, meaning, most likely she would have died without intervention. Husband was positive too. He looked ok—just feverish.

Another woman, 82 year old, who was double vaccinated was positive too, but only mildly SOB. Admitted for bowel obstruction.

Just a few anecdotal cases. Seems like we have seem a mild uptick in cases. Several were really sick, but most are asymptomatic or mildly symptomatic. Most were caught on admission during standard screening, but where COVID wasn’t suspected.

Do you see a greater understanding of the illness now? Are there more or different treatments available as compared to 9 months or a year ago?

[spike021]

Originally Posted by Irace86.2.0

Patient today: 33 year old female, unvaccinated, COVID positive, 88-89% on high flow O2 and deteriorating, tachy in the 130s, hypotensive under 85 systolically, diaphoretic, pale, not good. No medical history. She is going to the ICU, meaning, most likely she would have died without intervention. Husband was positive too. He looked ok—just feverish.

Another woman, 82 year old, who was double vaccinated was positive too, but only mildly SOB. Admitted for bowel obstruction.

Just a few anecdotal cases. Seems like we have seem a mild uptick in cases. Several were really sick, but most are asymptomatic or mildly symptomatic. Most were caught on admission during standard screening, but where COVID wasn’t suspected.

My friend is a nurse at Stanford hospital (in fact I've mentioned her here several times). She's super concerned about the lightening of restrictions. Maybe because she's had COVID before, before she was vaxxed, or maybe just because of the victims she's seen this past year.

Some would say she's overly concerned, but I think there's definitely some weight to it. There's probably going to be at least a little regression as things fully open and return to normal.

[weederr33]

Originally Posted by Irace86.2.0

Patient today: 33 year old female, unvaccinated, COVID positive, 88-89% on high flow O2 and deteriorating, tachy in the 130s, hypotensive under 85 systolically, diaphoretic, pale, not good. No medical history. She is going to the ICU, meaning, most likely she would have died without intervention. Husband was positive too. He looked ok—just feverish.

Another woman, 82 year old, who was double vaccinated was positive too, but only mildly SOB. Admitted for bowel obstruction.

Just a few anecdotal cases. Seems like we have seem a mild uptick in cases. Several were really sick, but most are asymptomatic or mildly symptomatic. Most were caught on admission during standard screening, but where COVID wasn’t suspected.

Just throwing this out there, but might as well up the saturation to 90-95% on positive pressure.

also lulz at the bowel obstruction.

[Irace86.2.0]

Originally Posted by Spuds

Have you seen anyone who was vaccinated against covid in bad shape due to covid?

Not ICU level. I have only seen a few on my shifts. One needed a breathing treatment on top of high flow for a while, but improved quickly. The other quickly improved on BIPAP. Both were older than 65, and both had received one shot or had just received their second. I can’t remember which. Mixed races, white, hispanic, indian.

Several unvaccinated patients were admitted who looked pretty sick. Tele or ICU. Mostly hispanics because that has been the group here who has gotten it the worst. Last to be vaccinated or avoiding it or something. Maybe just most likely to get it and also least likely to be vaccinated whether they want it or not.

[Irace86.2.0]

Originally Posted by Lantanafrs2

Do you see a greater understanding of the illness now? Are there more or different treatments available as compared to 9 months or a year ago?

I wish I had a better answer for you. Most of the time people are stabilized over a few hours then move to the ICU. I don’t see whether they improve or expire from there, nor do I know how the ICU’s treatment plans have evolved over this period. The ED’s treatments are to manage the ABCs, initiate breathing treatments, intubate, start prophylactic antibiotics in cases, manage blood pressure and such things. Put a central line in. Put an arterial line. Basic, yet important stuff. Your answer would likely come from the ICU.

I do know there are many treatments they have at their disposal now like monoclonal antibodies and medications like antivirals such as Remdesivir. I just don’t have personal observation of these patients, witnessing their outcomes.

[Irace86.2.0]

Originally Posted by weederr33

Just throwing this out there, but might as well up the saturation to 90-95% on positive pressure.

also lulz at the bowel obstruction.

On BIPAP she only got as high as 92%. Non-smoker. No asthma. No medical history. Just a bad strain and/or luck and/or genetics.

[weederr33]

Originally Posted by Irace86.2.0

On BIPAP she only got as high as 92%. Non-smoker. No asthma. No medical history. Just a bad strain and/or luck and/or genetics.

Nah. More! MORE!! MOAR!!!!!!!!!

Also makes sense she doesn't need more than that. Unless she was having an AMI or something.

[Irace86.2.0]

Originally Posted by weederr33

Nah. More! MORE!! MOAR!!!!!!!!!

Also makes sense she doesn't need more than that. Unless she was having an AMI or something.

No MI. No PE. She probably had damage from COVID, so she essentially had a combination of decreased surface area for oxygen exchange and inflammation/fluid infiltrates that increase the transport distance for oxygen exchange. BIPAP would help open the alveoli, push out the fluid, open the airway and decreases the effort of breathing. The positive pressure should help with the speed of oxygen exchange due to an increase in the partial pressure of oxygen and high O2 concentration.

The problem is the machine and condition is still exhausting. There is a high incidence of fatiguing out. Then the patient isn’t breathing enough on their own, and we intubate. I’ve seen it plenty of times. This happens when someone isn’t hypotensive and sat’ing in the low 90’s, so her lack of real improvement is concerning.

[alphasaur]

Originally Posted by Spuds

Have you seen anyone who was vaccinated against covid in bad shape due to covid?

the data seems to suggest it doesn't happen/is one out of 10's thousands.