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ECMO is a bridge. It’s got to lead somewhere where the patient can oxygenate, ventilate, and perfuse on their own. ICU docs I’ve talked to seem to suggest that the damage from really bad COVID is irreversible. I know of attempts to try and get these patients transplanted but I don’t know the outcomes and we don’t have nearly enough lungs to make this a workable solution.
I work in a (mostly) closed system, so the people I’m talking about have documented COVID prior positives with intervening negative tests. They’ve been immunocompetent, have the same level of BMI and tobacco use as you’d expect from a Southern city. Part of me wonders if it’s a dose response thing. The people that are on their second (or third!) round of COVID all have lifestyles of occupations that make them high risk for exposure to mask less COVID carriers.
America is the land of believing that there's no bad healthcare decision that can't be completely mitigated by some miracle treatment. In some ways that insatiable appetite has inspired amazing breakthroughs. In a lot of other ways it's a negative as people neglect basic preventative care and become disillusioned with healthcare in general when they realize the suffering:miracle ratio is still skewed way to the left.
Best movies, ever.
Because these selfish idiots are putting everyone else at risk of life and death. Including us who are called to tube them, manage them and be exposed to a much deadlier variant because it is allowed to mutate and evolve to a much deadlier variant.
Not only wasting resources, but also putting other vaccinated people and healthcare workers’s lives at rist at risk.
Is that the lambda variant, or something else?
Start with My Neighbor Totoro
Something else.
Yikes. 'Cause what little bit I've heard, delta is like coffee, and lambda is like espresso.
I need a groaning emoji.
Call me a bleeding heart, but I see them as gullible & ignorant people who've been failed by their country's leaders
some, maybe...but most seem to be just selfish
www.marketwatch.com
I remember when our plum. crit guys gave a grand rounds on ECMO and it started with:Let's ask emergency physician Dr. Ryan Padgett, who knows a thing or two about COVID and ECMO about this. Paraphrasing, "I got COVID. I was put on ECMO. And I lived. Thanks."
EvergreenHealth doctor opens up about ‘brush with death,’ recovery after coronavirus
Dr. Ryan Padgett, an emergency department physician, was one of the first front-line health care workers in Washington to test positive for COVID-19.www.seattletimes.com
So, the irony here is that people enrolled in hospice tend to actually live longer than they would otherwise. They incur less hospitalizations and less intensive care. By minimizing exposure to *us*, they are less likely to develop iatrogenic complications, infections, and a lot of other problems. I desperately try to keep my patients out of the hospital - they do much better. Heck, me sitting on my hands and doing nothing even at my inpatient level hospice house tends to have better outcomes than doing *stuff.* (And I am in essence treating their families who beg me to "do something." I am very good at looking serious while nodding reassurringly.) I am continually surprised at the resiliency of the human body.
To quote house of God, don’t just do something, stand there. Totally underrated skill in medicine.
Vaccinated people can get and spread COVID in significant numbers. Asymptomatic people can also get and spread the virus totally undetected. These three facts in combination, make total viral eradication essentially impossible. Given these three assumptions, what is the goal of these repeated lockdowns?
NZ was COVID free for like 5 months. That's the goal.
What’s the vaccination rate there in NZ, and do they have the same vaccines as western countries or is it the Chinese or Russian version?
So, the goal is repeated lockdowns, even when the population is fully vaccinated, forever?
