Patients asking for mask exeptions

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WisNeuro said:
Our state has a mask mandate in indoor public spaces. Our hospital system has mandated them longer than it's been a state mandate. My family med spouse has had a handful of asks for mask exemptions. Far as I know she's written two, and it was for people who had moderate to severe COPD, some other comorbidities, and were on oxygen. She did recommend to those people that they should isolate as much as possible anyway, as they are in the highest risk groups, but these exemptions at least made some sense.
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Oh that makes sense. I thought we were talking about psych patients.
 
WisNeuro said:
Our state has a mask mandate in indoor public spaces. Our hospital system has mandated them longer than it's been a state mandate. My family med spouse has had a handful of asks for mask exemptions. Far as I know she's written two, and it was for people who had moderate to severe COPD, some other comorbidities, and were on oxygen. She did recommend to those people that they should isolate as much as possible anyway, as they are in the highest risk groups, but these exemptions at least made some sense.
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I’m going to disagree that copd makes a madk exemption medically appropriate
 
mariajane said:
Oh, and you’ll all be pleased to know that his pediatrician has been notified and remains unwilling to write for an exemption. He said to air it out on the weekends and apply antifungals. GENIUS IDEAS.

I’ve worked in healthcare alongside many, many physicians (some good, some bad) during my twenty year career. And what I know is that the docs coming out have LITTLE clue as to how much you don’t know.... and hope skeptically the field of medicine should be treated. We treat symptoms far more than we cure anything. New medications are introduced onto the market only to be retracted ten years later due to unexpected harm. Patients are tossed to and fro to have unnece$$ary procedure$ done because they unwittingly trust their physician. Patients are still recommended low fat diets to reduce serum cholesterol. Pain procedures that aren’t worth a fifty cent syringe are handed out like candy. Medicine knows only the tip of the breadth of the knowledge really needed. And so I log on to here a bunch of self-aggrandizing newbies tossing around pointless debates with pointless studies about pointless masks....all filtered thru the lens of their liberal world paradigm... which hasn’t yet shifted into a conservative pro-capitalism stance because they haven’t lived long enough and made money to the extent enough to see that the government (and medicine) sucks at MOST of what it does.....so for know these oversized pea brains who know a thing or two about human anatomy and pathophysiology are pontificating on why free citizens with real conditions should be squelched from really breathing, oxygenating, and ventilating. So, yeah, most of you guys need to shut up, put your partisan heads down, and just push your ineffective medical recommendations.
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I feel like you might be failing to differentiate between “I firmly feel the govt should put you in jail if you don’t wear this mask” and “I am giving my expert medical opinion that this person is medically unable to wear a mask”. They are very different

I’m sorry about your family health complaints. I feel the frustration in your post is generally misplaced
 
mariajane said:
There’s my eleven-year-old son’s facial yeast infection.... attributed to mask wearing. Hope you’re all still contented with not writing an exemption for a kid with an essentially 0% chance of dying from the virus. Oh, and my daughter is a nationally ranked age group swimmer.... it’s neat watching her do vigorous dry land exercises without proper ventilation. It’s also neat that she has a new diagnosis of exercise-induced asthma (coincidence?) and uses albuterol MDI PRN now... while wearing a mask.
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Considering it is for public safety, yup, still pretty set on not supporting the mask exemptions in the vast majority of cases. Her exercise induced asthma has absolutely nothing to do with masks, so stop peddling that conspiracy theory garbage. It sucks that you have to deal with minor inconveniences of mask wearing. Compared to people dying, seems like a pretty good trade-off for me.
 
mariajane said:
my frustrations are numerous and certainly not misplaced. I am frustrated by ill-conceived govt mandates. But I’m equally frustrated by ignorant healthcare providers who are unwilling to treat their patients well because they are blinded by their own political ideology as well as their failed analyses of the (covid) situation at hand. There are children at my kids’ school who have physician exemption letters... and these children are doing fine. Meanwhile our personal pediatrician, not unlike the people on this thread, refuses to write for such despite clear harm due to masking.
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Would you like to speak with the manager?
 
mariajane said:
my frustrations are numerous and certainly not misplaced. I am frustrated by ill-conceived govt mandates. But I’m equally frustrated by ignorant healthcare providers who are unwilling to treat their patients well because they are blinded by their own political ideology as well as their failed analyses of the (covid) situation at hand. There are children at my kids’ school who have physician exemption letters... and these children are doing fine. Meanwhile our personal pediatrician, not unlike the people on this thread, refuses to write for such despite clear harm due to masking.
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Your argument with govt I’m fine with. Remember I’m the crazy libertarian who doesn’t think it should be a govt issue

That said, your understanding of asthma is lacking and it would be medically inaccurate to write a letter for the situations you described saying someone medically can’t wear a mask

it’s fine to be mad, just aim the anger better. Again, I’m sorry for your family health concerns
 
mariajane said:
Conspiracy theory. Cute. I showed you the picture,

It is obvious to many intelligent clinicians that the immunocompromised should be isolated and the rest of us should be allowed to live our lives.
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You showed me a picture of exercise induced asthma? Must have missed that one. Yes, we should huddle the immunocompromised into concentration camps, brilliant idea.
 
mariajane said:
To be clear, i only requested the mask exemption for my son with yeast all over his face.

Yes, I concur regarding the mask mandate in general. And you are probably right.... my anger doth spilleth over. The field of medicine has lost my respect in large part.
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Then your respect is not logically applied.

I wish your family well
 
mariajane said:
I showed a picture of my son’s face. Feel free to scroll upward if you’d like to better inform yourself on my argument before making false assertions.
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I made no false assertion, I was commenting on your nonsense of linking your child's asthma to mask wearing, utter nonsense.
 
mariajane said:
My primary complaint regarding MD unwillingness to write mask exemptions related to my son with a yeast infection clearly due to mask wearing AND to my daughter who must wear a mask while vigorously exercising. I did not firmly state that her new diagnosis is due to the mask....i just said that i find it curious.
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" also neat that she has a new diagnosis of exercise-induced asthma (coincidence?)"

Yeah, wasn't trying to link those two things at all, despite anyone with a modicum of knowledge in the area knows that there is no connection.
 
mariajane said:
thanks for the quote because that proves my point. I did not state it was a clear cause. We can go over this as many times as you need to though. My only request for mask exemption was for my son due to candida. And, indeed, I do believe athletes who are exercising vigorously should not be masked.
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While you did not aver it, you clearly hinted that there was an association. You had a somewhat defensible point with the candida, but then ruined any credibility of an argument with the message board, conspiracy theory garbage. That **** gets people killed. Next you're going to tell us to start drinking bleach.
 
sb247 said:
*not medical advice.

I will say that I have met a lot of patients with “asthma” diagnosis that have never had a PFT and had some other issue
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Gets worse than that, I've seen pts diagnosed with "Primary Progressive MS" based on one MRI, who somehow have lived 20+ years with fairly stable functioning.
 
mariajane said:
I’m getting people killed? LOL.
Most docs were on board with this social distancing, masking, contact tracing paranoia in March, April (though not me nor the libertarian dude I would guess), but you guys are a minority now. It’s become OBVIOUS by now. But, hey, wear a hazmat suit for all I care.
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I'd love to see the evidence that supporting mask wearing is a minority opinion in the doctoral level healthcare community.
 
WisNeuro said:
Gets worse than that, I've seen pts diagnosed with "Primary Progressive MS" based on one MRI, who somehow have lived 20+ years with fairly stable functioning.
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I met a patient once with multiple ed visits for sickle cell pain crisis, older than me, normal spleen, hgb >14, no sickle cell screen in system

checked it, no sickle cell,
 
sb247 said:
I met a patient once with multiple ed visits for sickle cell pain crisis, older than me, normal spleen, hgb >14, no sickle cell screen in system

checked it, no sickle cell,
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Yeah, biggest problem for those patients who switch healthcare systems. New system just assumes old diagnoses are legit and continue treating without verification.
 
mariajane said:
Again, the masks, distancing etc were for the purpose of flattening the curve...preserving resources. What’s the point now? Are you suggesting people will simply never get the virus? Because that has never been the goal as far as I can tell. If that is the goal then are you suggesting we mask/socially distance only until we get a fully effective and mandated vaccine? I’m just trying to understand your end game.
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It's really not that difficult. Look at the case-matched fatality rates very early on in the pandemic. They were terrible. Look at the case-matched fatality rates now, 33%+ better. The more time we stall, better we are able to treat the virus. Shorter hospital stays, fewer people that need to be intubated, more resources for non-COVID related issues. Cheaper, and more people live, for one thing. As for preserving resources, there are still massive shortages of many things, so that's still on the table. Even from a simple economics point of view, this makes sense. According to most economic and healthcare experts =, we'd actually have a much better economy if we went into a hard lockdown at the start, instead of the piecemeal state-by-state mess.
 
mariajane said:
There’s my eleven-year-old son’s facial yeast infection.... attributed to mask wearing. Hope you’re all still contented with not writing an exemption for a kid with an essentially 0% chance of dying from the virus. Oh, and my daughter is a nationally ranked age group swimmer.... it’s neat watching her do vigorous dry land exercises without proper ventilation. It’s also neat that she has a new presumptive diagnosis of exercise-induced asthma (coincidence?) and uses albuterol MDI PRN now... while wearing a mask.
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You might want to investigate other causes for the yeast infection. It was very possibly the mask coupled with something else, but hey, feel free to blame the mask because you're right, your son likely won't die from COVID, but someone else he infects will. So to hell with the rest of us I guess is your point.

Your daughter's asthma is not about the mask and if you're worried about it, then maybe she shouldn't exercise "vigorously." But it isn't because of the mask.

mariajane said:
I’m getting people killed? LOL.
Most docs were on board with this social distancing, masking, contact tracing paranoia in March, April (though not me nor the libertarian dude I would guess), but you guys are a minority now. It’s become OBVIOUS by now. But, hey, wear a hazmat suit for all I care.
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Evidence please? On what planet are doctors in the minority with regard to masks?
 
papers.ssrn.com

Pandemics Depress the Economy, Public Health Interventions Do Not: Evidence from the 1918 Flu

We study the impact of non-pharmaceutical interventions (NPIs) on mortality and economic activity across U.S. cities during the 1918 Flu Pandemic. The combinati
papers.ssrn.com
fivethirtyeight.com

Experts Think The Economy Would Be Stronger If COVID-19 Lockdowns Had Been More Aggressive

Back in the early days of the coronavirus in the U.S., many economists believed that aggressive lockdowns would be the best long-term solution for managing the …
fivethirtyeight.com fivethirtyeight.com

That was always the reason, not sure about the NEW moniker there. You seem to have a feeble grasp of the concept of logic. As far as teh hard lockdown, it never happened here. In other countries with harder lockdowns, their economies recovered more quickly. Ours didn't, because we half-assed it, and many places didn't do anything.
 
mariajane said:
IT WAS THE STUPID FREAKING CURVE
They wanted to flatten the curve so that the spike in infections did not overwhelm the hospital systems ALL AT ONCE. A five second Google search will affirm this, DOCTOR. Just type in the following: “Why should we flatten the curve?” ‍♀
Unless people literally never leave their homes, we know that getting exposed to covid is an inevitability. It’s microscopic and floats via droplet and aerosol both. Again, this conversation confirms what I’ve been believing and why I ranted as I did originally. I feel better now.
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You do know that flattening the curve is multifactorial, right? It preserved resources, and allows time to better understand how to treat the virus. Not getting it was never the issue. Preventing as much needless death was, by delaying it as much as feasible. Fatality rates have dropped considerably. This is simple math, and the numbers are publicly available. Any educated person can understand these numbers.
 
mariajane said:
Thanks for the advice but, yeah, she’s gonna keep swimming.... she’s swimming division 1 college times as a twelve year old. I’m just encouraging her to do dry land with mask below the nose. ❤
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We’re all so impressed

Football players do hypoxia sprint training all the time. I think she too will make it having to wear a flimsy surgical mask
 
calvnandhobbs68 said:
We’re all so impressed

Football players do hypoxia sprint training all the time. I think she too will make it having to wear a flimsy surgical mask
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I dunno, I sprained my shoulder when I was wearing a mask last month, pretty sure they are related. These things are dangerous.
 
mariajane said:
Your problem is that you can’t discern lack of evidence. This conversation has reached its natural end; I’ve been amply entertained. I’m gonna go pick up my yeast-infected, wheezing children. Haha bye.
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Sweet it never should have had a beginning considering you resurrected a thread that someone last posted in 9/8 to share a pic of your kids face and post junk about how a surgical/cotton mask would somehow cause exercise induced asthma (again, not really understanding the pathophysiology of asthma I'm assuming.....).

You've pretty much done nothing but reinforce the general idea we have concerning NPs anyway here.
 
mariajane said:
I said it caused a candidal infection. You know nothing about my opinion on NP education or you’d laugh at your own ridiculous remark. I am more than aware of the disparity between medical school and its lesser counterparts. More astonishing, you fail to recognize your own painful arrogance which will never bode well for you in your personal or professional lives should it persist unchecked.
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hahaha just can't help yourself. I thought it was bye bye?

"It’s also neat that she has a new presumptive diagnosis of exercise-induced asthma (coincidence?) and uses albuterol MDI PRN now... while wearing a mask."
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"I'm not saying it DID cause the asthma, I'm just asking questions?!"

Hey but guess what! If she does have new onset exercise induced asthma...all the more reason for her not to get COVID.
 
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