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Re: ER physician here, any Covid questions fire away [Re: Willyb] #3478585
09/03/21 07:35 AM
09/03/21 07:35 AM
Joined: Jan 2014
Posts: 10,416
Scottsboro, Al
J
jbatey1 Offline
Lucky Bastage
jbatey1  Offline
Lucky Bastage
J
Joined: Jan 2014
Posts: 10,416
Scottsboro, Al

“There are long waits in our ER, our ICUs are full. ICU units that are designed for one patient have two patients in them, that’s because of COVID. If you come to us and need an ICU room today, and you’re not COVID, you’re going to wait because some people chose to not get vaccinated and they are sitting in our ICU taking up a bed. Our staff are exhausted mentally and physically. We are probably short 500 nurses right now to meet the demands,” said Samz. “There are long ER waits, there are slower EMS response times, ICU patients on regular nursing floors. The individual choices people are making not to get vaccinated are impacting everyone in our community.”




Do you look at un-vaccinated people in the ICU as "taking up a bed", like the Hunstville CEO does?

Hospitals have had over a year to pivot and adjust their processes, procedures and overall prepare and stay prepared for this ongoing pandemic. Why have most seemed to handle it in such a poor manner? Or in your opinion, have you seen hospitals handle it in a poor manner? Or Are they just "that" overwhelmed?

Do you believe Doctors and Nurses should be mandated into vaccinating to continue work in a hospital?


The fool tells me his reasons; the wise man persuades me with my own.
Re: ER physician here, any Covid questions fire away [Re: Willyb] #3478589
09/03/21 07:37 AM
09/03/21 07:37 AM
Joined: Dec 2002
Posts: 11,396
Kennedy, al
G
globe Offline
Booner
globe  Offline
Booner
G
Joined: Dec 2002
Posts: 11,396
Kennedy, al
Why would the cdc be against giving ivermectin and hydroxy chloroquine if they are both dosed appropriately for the individual? I understand they are both safe drugs, and can’t see the harm in trying them in very ill patients even if it’s not “approved” for this particular illness. The vaccine was “experiment” so why not an experimental treatment?
It’s creating a lot of distrust and division.


Everything woke turns to shucks
Re: ER physician here, any Covid questions fire away [Re: Deadwood] #3478590
09/03/21 07:39 AM
09/03/21 07:39 AM
Joined: Sep 2008
Posts: 2,099
N AL
tpageal Offline
Basket Rack
tpageal  Offline
Basket Rack
Joined: Sep 2008
Posts: 2,099
N AL
Originally Posted by Deadwood
Originally Posted by tpageal
If a deer has covid, can it be transmitted to humans?


Unlikely in his E.R., I’ll wager.


His handle says Deer Farmer, that’s what I asked.

Re: ER physician here, any Covid questions fire away [Re: eclipse829] #3478596
09/03/21 07:42 AM
09/03/21 07:42 AM
Joined: Dec 2014
Posts: 3,363
FL
daylate Offline
10 point
daylate  Offline
10 point
Joined: Dec 2014
Posts: 3,363
FL
Originally Posted by eclipse829
Do you bother wasting your time arguing with folks that continuously blast the medical field, make up cute names for a serious virus, create nick names such as clot shot, start damn near every conversation with "The Left" or "Big Pharma" or "Woke" yada. yada, yada...

If not, I suggest you find somewhere else to push your indoctrinated, protocol following, big pharma kick back, paid to play self elsewhere.

You mad bro?

Re: ER physician here, any Covid questions fire away [Re: hunterbuck] #3478597
09/03/21 07:43 AM
09/03/21 07:43 AM
Joined: Jan 2004
Posts: 765
Birmingham, AL
W
Willyb Offline OP
Deer Farmer
Willyb  Offline OP
Deer Farmer
W
Joined: Jan 2004
Posts: 765
Birmingham, AL
Top three independent risk factors for severe disease in my experience are
A) obesity
B) diabetes
C) age of 50 or older


Wish it was hunting season.....year round
Re: ER physician here, any Covid questions fire away [Re: Willyb] #3478599
09/03/21 07:44 AM
09/03/21 07:44 AM
Joined: Feb 2013
Posts: 8,404
A
Atoler Offline
14 point
Atoler  Offline
14 point
A
Joined: Feb 2013
Posts: 8,404
Originally Posted by Willyb


I’m not aware of an eligible group that I would recommend against them getting it.




Help me to understand why you would recommend I get the vaccine?

I'm 30 years old, healthy, no pre-existing conditions, strong immune system (the last time I can recall being sick enough to miss work or school was 20 years ago)

Re: ER physician here, any Covid questions fire away [Re: daylate] #3478603
09/03/21 07:46 AM
09/03/21 07:46 AM
Joined: Jan 2011
Posts: 38,489
N. Bama
257wbymag Offline
Boo Boo Head
257wbymag  Offline
Boo Boo Head
Joined: Jan 2011
Posts: 38,489
N. Bama
Originally Posted by daylate
Originally Posted by eclipse829
Do you bother wasting your time arguing with folks that continuously blast the medical field, make up cute names for a serious virus, create nick names such as clot shot, start damn near every conversation with "The Left" or "Big Pharma" or "Woke" yada. yada, yada...

If not, I suggest you find somewhere else to push your indoctrinated, protocol following, big pharma kick back, paid to play self elsewhere.

You mad bro?


That’s the typical eclipse289 post on here. Just a total asswipe


Quietly killing turkeys where youre not!!!
My tank full of give a fraks been runnin on empty
I'm the paterfamilias
Re: ER physician here, any Covid questions fire away [Re: Ryano] #3478604
09/03/21 07:47 AM
09/03/21 07:47 AM
Joined: Jan 2004
Posts: 765
Birmingham, AL
W
Willyb Offline OP
Deer Farmer
Willyb  Offline OP
Deer Farmer
W
Joined: Jan 2004
Posts: 765
Birmingham, AL
Originally Posted by Ryano
Do you prescribe Ivermectin? Do you know of any in NA that will? There is a video posted here that I recommend if you haven't seen it. It is convincing of its ability to prevent covid which lines up with the few cases I know of personally but then again I have not took it and thankfully have not knowingly been positive yet.


I have prescribed ivermectin to a few patients. I’ve watched some of the videos you may be referring to.


Wish it was hunting season.....year round
Re: ER physician here, any Covid questions fire away [Re: Willyb] #3478607
09/03/21 07:52 AM
09/03/21 07:52 AM
Joined: Sep 2015
Posts: 253
North Al.
H
HDS64 Offline
4 point
HDS64  Offline
4 point
H
Joined: Sep 2015
Posts: 253
North Al.
Originally Posted by Willyb
Originally Posted by Ryano
Do you prescribe Ivermectin? Do you know of any in NA that will? There is a video posted here that I recommend if you haven't seen it. It is convincing of its ability to prevent covid which lines up with the few cases I know of personally but then again I have not took it and thankfully have not knowingly been positive yet.


I have prescribed ivermectin to a few patients. I’ve watched some of the videos you may be referring to.


And did you see good results from the Ivermectin? Or was it a flop?

Re: ER physician here, any Covid questions fire away [Re: Willyb] #3478610
09/03/21 07:58 AM
09/03/21 07:58 AM
Joined: Nov 2005
Posts: 8,387
Chelsea, AL
lefthorn Offline
14 point
lefthorn  Offline
14 point
Joined: Nov 2005
Posts: 8,387
Chelsea, AL
WilyB

Do you ever see this going away completely or think it will be a yearly thing like the flu?

Also, do you think the vax may be contributing to the variance kind of like what has happened with MRSA ? By this I mean somehow virus survives in a vaxed person and that led to a variance where vax is not as effective?

Re: ER physician here, any Covid questions fire away [Re: Willyb] #3478611
09/03/21 07:58 AM
09/03/21 07:58 AM
Joined: Dec 2018
Posts: 2,260
Dale County, AL
DGAMBLER Offline
8 point
DGAMBLER  Offline
8 point
Joined: Dec 2018
Posts: 2,260
Dale County, AL
Finally, someone on here that actually knows what the heck they're talking about instead of a bunch of opinionated bull! Appreciate the thread Willyb.


To GOD be All the glory!!!
Re: ER physician here, any Covid questions fire away [Re: hunterbuck] #3478613
09/03/21 07:58 AM
09/03/21 07:58 AM
Joined: Aug 2007
Posts: 9,035
Jasper
bama7x57 Offline
14 point
bama7x57  Offline
14 point
Joined: Aug 2007
Posts: 9,035
Jasper
Originally Posted by hunterbuck
Just so we're crystal clear, is the graphic posted below pretty much in agreement with what you see in hospitals? And I'm sure you have contact with other hospitals and know their general numbers as well, correct?

[Linked Image]


Probably just a slip up... but the graph on the left should all be black stick figures on the bottom row to match the data above it.


Take your kids hunting instead of hunting your kids.

I'd rather be LOST in the woods than FOUND in the city.

Drive a hybrid, I need your gas.

Your mind is your primary weapon. Never let it get rusty.
Re: ER physician here, any Covid questions fire away [Re: Willyb] #3478615
09/03/21 08:01 AM
09/03/21 08:01 AM
Joined: Dec 2000
Posts: 1,371
Cullman,Al.
F
fingers Offline
8 point
fingers  Offline
8 point
F
Joined: Dec 2000
Posts: 1,371
Cullman,Al.
The long wait time in the ER is nothing knew and is NOT caused by Covid. I have been a Firefighter/Paramedic in the Birmingham area since 1993. I have had the not so great pleasure of being assigned to rescue/transport unit most of those years. I waited on the wall for three and a half hours at the old UAB with a cancer pt. puking her guts out and that was around 15 yrs. ago. It only got worse and spread to all the other Birmingham area hospitals. It got to where every hospital was on every kind of diversion and would discourage you from bringing them another pt., even though legally that can't refuse a pt. It is not the hospitals fault completely. For some reason I cannot explain, people started using the ER instead of their regular doctor I guess so they could be treated sooner. It got so bad that about 5 years ago I told the city I work for they could keep that little 5% premium rescue truck pay and I rolled to an engine company. It got to where you spent more time on the phone calling every single hospital to see who was not on divert. The free standing ER thing helped a little but even now those will get full quickly. These wait times have been going on for years.

Re: ER physician here, any Covid questions fire away [Re: BowPreacher] #3478616
09/03/21 08:01 AM
09/03/21 08:01 AM
Joined: Jan 2004
Posts: 765
Birmingham, AL
W
Willyb Offline OP
Deer Farmer
Willyb  Offline OP
Deer Farmer
W
Joined: Jan 2004
Posts: 765
Birmingham, AL
Originally Posted by BowPreacher
Can you comment on this video concerning the MAB? My son was tested positive yesterday and started symptoms 2 days prior. I will be encouraging him to get the MAB today. He is presently in our home and my wife has an immune deficiency. Even if she has no symptoms at the present should she now be proactive to seek the MAB. Would that be recommended for her now at this time?

The video is with Dr. Thrasher in Montgomery from Aug. 23...

https://youtu.be/TdddbUHsBoM


The regeneron infusion which is available statewide appears to be the best treatment available for early in the disease course the reduce the risk of progression to severe disease or illness. It is most effective if given within the first 72hrs. Based on the emergency use authorization issued one week ago your wife does qualify to receive the Regeneron (simply by having had direct contact with your son who has tested +) without showing symptoms or testing positive herself.


Wish it was hunting season.....year round
Re: ER physician here, any Covid questions fire away [Re: MorningAir] #3478617
09/03/21 08:05 AM
09/03/21 08:05 AM
Joined: Jan 2004
Posts: 765
Birmingham, AL
W
Willyb Offline OP
Deer Farmer
Willyb  Offline OP
Deer Farmer
W
Joined: Jan 2004
Posts: 765
Birmingham, AL
Originally Posted by MorningAir
What do you know about the j and j vaccine. I read some literature saying it had the highest efficacy rate, but all you ever hear about is how great Pfizer is?? FYI I heard of 3 nurses who all had moderna shot 1 last week and now they are all sick with covid.


In the studies I’ve seen the JJ vaccine produces on average lower antibody titers than either the Pfizer or moderna vaccine.

The vaccines do not “prevent” you from contracting Covid. They do however on average greatly reduce the severity of your illness and subsequent risk of hospitalization and death. With all the vaccines it takes several weeks after having had the last dose to receive full therapeutic benefit from the vaccine.


Wish it was hunting season.....year round
Re: ER physician here, any Covid questions fire away [Re: daylate] #3478618
09/03/21 08:06 AM
09/03/21 08:06 AM
Joined: Jun 2014
Posts: 4,272
Jasper Al
E
eclipse829 Offline
10 point
eclipse829  Offline
10 point
E
Joined: Jun 2014
Posts: 4,272
Jasper Al
Originally Posted by daylate
Originally Posted by eclipse829
Do you bother wasting your time arguing with folks that continuously blast the medical field, make up cute names for a serious virus, create nick names such as clot shot, start damn near every conversation with "The Left" or "Big Pharma" or "Woke" yada. yada, yada...

If not, I suggest you find somewhere else to push your indoctrinated, protocol following, big pharma kick back, paid to play self elsewhere.

You mad bro?


No, I'm trying to run him off. We don't need any real world front line truths spread around here. Doesn't fit.

Re: ER physician here, any Covid questions fire away [Re: 257wbymag] #3478619
09/03/21 08:08 AM
09/03/21 08:08 AM
Joined: Jun 2014
Posts: 4,272
Jasper Al
E
eclipse829 Offline
10 point
eclipse829  Offline
10 point
E
Joined: Jun 2014
Posts: 4,272
Jasper Al
Originally Posted by 257wbymag
Originally Posted by daylate
Originally Posted by eclipse829
Do you bother wasting your time arguing with folks that continuously blast the medical field, make up cute names for a serious virus, create nick names such as clot shot, start damn near every conversation with "The Left" or "Big Pharma" or "Woke" yada. yada, yada...

If not, I suggest you find somewhere else to push your indoctrinated, protocol following, big pharma kick back, paid to play self elsewhere.

You mad bro?


That’s the typical eclipse289 post on here. Just a total asswipe


bulldoodoo.

Im trying to run him off before he spreads any facts.

Re: ER physician here, any Covid questions fire away [Re: Rebelman] #3478621
09/03/21 08:14 AM
09/03/21 08:14 AM
Joined: Jan 2004
Posts: 765
Birmingham, AL
W
Willyb Offline OP
Deer Farmer
Willyb  Offline OP
Deer Farmer
W
Joined: Jan 2004
Posts: 765
Birmingham, AL
Originally Posted by Rebelman
Can you describe how the last year and a half have been as a physician? Has there ever been a time where you were most frustrated or overwhelmed? In your opinion, how do we end the pandemic?


The front end of this was unsettling. I didn’t know what exactly we were getting into. For two months I slept away from my wife and children, showered at work after my shift and did not hug or spend time closely with my family in fear of getting someone sick. Overtime I’ve become much more comfortable with Covid and how it does and doesn’t spread. It’s been frustrating at times at work to see our nursing staff numbers dwindle for various reasons, to see our ER and our hospital become congested. This last wave has been especially tough given that every person whom I’ve seen with moderate to severe disease (other than one patient who had received the JJ vaccine) has been unvaccinated. Every single one of them, and I do mean all of them have stated they wished they received the vaccine.


Wish it was hunting season.....year round
Re: ER physician here, any Covid questions fire away [Re: jckroner] #3478624
09/03/21 08:16 AM
09/03/21 08:16 AM
Joined: Jan 2004
Posts: 765
Birmingham, AL
W
Willyb Offline OP
Deer Farmer
Willyb  Offline OP
Deer Farmer
W
Joined: Jan 2004
Posts: 765
Birmingham, AL
Originally Posted by jckroner
Originally Posted by hunterbuck
Do the vaccines work in your opinion, and is there any group that is eligible for the vaccine that you do not recommend getting it?

If, in your opinion they do work, which vaccine do you recommend?

What if someone already has tachycardia?


Not a contraindication to receiving a vaccine that I’m aware of


Wish it was hunting season.....year round
Re: ER physician here, any Covid questions fire away [Re: fingers] #3478629
09/03/21 08:21 AM
09/03/21 08:21 AM
Joined: Jan 2004
Posts: 765
Birmingham, AL
W
Willyb Offline OP
Deer Farmer
Willyb  Offline OP
Deer Farmer
W
Joined: Jan 2004
Posts: 765
Birmingham, AL
Originally Posted by fingers
#1 Why is it that Israel with an approximate 80% vaccination rate is still seeing an increase in Covid cases while Palestine with an approximate 11% vaccination rate is seeing a much lower increase in new Covid cases.

#2 Why are we freaking out over a virus with such a high survival rate. I'm wrapping my fight with round 2 as I type this. Hopefully my natural immunity will be awesome after this.

#3 I have read that the vaccines are causing the virus to mutate faster than if we just let our bodies do it's thing. I cannot remember where I read this,honestly.



1) I can’t speak to that

2) some people are less susceptible than others to the virus. Many people even if they don’t die will experience permanent scarring in their lungs or other organs including cognitive decline. I’ve seen a healthy 53 and 54 yo man die in this most recent wave who had both previously had Covid last year

3) I can’t speak to that. Inevitably either way viruses do mutate over time however


Wish it was hunting season.....year round
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