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Grim day - BostonCard - 04-08-2020

Yesterday, nearly 2000 Americans died of Coronavirus (the true number is probably greater, because this only includes known positives).

Quote:An estimated additional 180 - 195 deaths per day occurring at home in New York City due to COVID-19 are not being counted in the official figures. "Early on in this crisis we were able to swab people who died at home, and thus got a coronavirus reading. But those days are long gone. We simply don't have the testing capacity for the large numbers dying at home. Now only those few who had a test confirmation *before* dying are marked as victims of coronavirus on their death certificate. This almost certainly means we are undercounting the total number of victims of this pandemic," said Mark Levine, Chair of New York City Council health committee

The previous high had been 1330, and there had been hope that the number of deaths was leveling off in the 1000 - 1500 range.  In addition to New York, New Jersey, Michigan and Georgia all recorded triple digit deaths.

There were 7382 deaths worldwide from Covid-19 yesterday alone.  Things, maybe, hopefully, are slowing down in some places, but this thing cannot slow down fast enough.

BC


RE: Grim day - burger - 04-08-2020

By deaths, California had a better day yesterday than the last few, so that's something.

I'm seeing a lot of articles suggesting gross underreporting of deaths, on the order of 100% or more. 

https://www.economist.com/graphic-detail/2020/04/03/covid-19s-death-toll-appears-higher-than-official-figures-suggest

https://www.nytimes.com/2020/04/05/us/coronavirus-deaths-undercount.html

When all is said and done, I won't be surprised if the actual numbers are 2-3x the reported. 

Some of those additional deaths will be non-covid ailments that people did not seek treatment for: https://www.nytimes.com/2020/04/06/well/live/coronavirus-doctors-hospitals-emergency-care-heart-attack-stroke.html?action=click&module=Top%20Stories&pgtype=Homepage I had a family member with a non-virus medical emergency a week ago, and we drove to within a block of the ER before we decided to turn around and wait it out at home instead. Everything turned out fine, fortunately. People are being forced to make awful decisions now.


RE: Grim day - akiddoc - 04-08-2020

(04-08-2020, 08:41 AM)burger Wrote:  By deaths, California had a better day yesterday than the last few, so that's something.

I'm seeing a lot of articles suggesting gross underreporting of deaths, on the order of 100% or more. 

https://www.economist.com/graphic-detail/2020/04/03/covid-19s-death-toll-appears-higher-than-official-figures-suggest

https://www.nytimes.com/2020/04/05/us/coronavirus-deaths-undercount.html

When all is said and done, I won't be surprised if the actual numbers are 2-3x the reported. 

Some of those additional deaths will be non-covid ailments that people did not seek treatment for: https://www.nytimes.com/2020/04/06/well/live/coronavirus-doctors-hospitals-emergency-care-heart-attack-stroke.html?action=click&module=Top%20Stories&pgtype=Homepage  I had a family member with a non-virus medical emergency a week ago, and we drove to within a block of the ER before we decided to turn around and wait it out at home instead.  Everything turned out fine, fortunately.  People are being forced to make awful decisions now.

My answer to that is PHONE YOUR PRIMARY CARE DOCTOR. They can help you make a decision on how serious the ailment is. It's safer to go to the doctor's office than the ER. Most doctors are sitting around doing nothing because everyone is afraid to go in at this time.


RE: Grim day - cardcrimson - 04-08-2020

(04-08-2020, 07:39 PM)akiddoc Wrote:  My answer to that is PHONE YOUR PRIMARY CARE DOCTOR. They can help you make a decision on how serious the ailment is. It's safer to go to the doctor's office than the ER. Most doctors are sitting around doing nothing because everyone is afraid to go in at this time.

Excellent advice. Several weeks ago, I went to the local Kaiser facility for a prescription, and the place was a ghost town, and that was weeks ago. Still, I tweaked my knee today and there is no way, no matter how bad it turns out, that I'm headed to Kaiser to have it looked at. Got a cabinet full of expired pain killers. . . .


RE: Grim day - burger - 04-08-2020

(04-08-2020, 07:39 PM)akiddoc Wrote:  
(04-08-2020, 08:41 AM)burger Wrote:  By deaths, California had a better day yesterday than the last few, so that's something.

I'm seeing a lot of articles suggesting gross underreporting of deaths, on the order of 100% or more. 

https://www.economist.com/graphic-detail/2020/04/03/covid-19s-death-toll-appears-higher-than-official-figures-suggest

https://www.nytimes.com/2020/04/05/us/coronavirus-deaths-undercount.html

When all is said and done, I won't be surprised if the actual numbers are 2-3x the reported. 

Some of those additional deaths will be non-covid ailments that people did not seek treatment for: https://www.nytimes.com/2020/04/06/well/live/coronavirus-doctors-hospitals-emergency-care-heart-attack-stroke.html?action=click&module=Top%20Stories&pgtype=Homepage  I had a family member with a non-virus medical emergency a week ago, and we drove to within a block of the ER before we decided to turn around and wait it out at home instead.  Everything turned out fine, fortunately.  People are being forced to make awful decisions now.

My answer to that is PHONE YOUR PRIMARY CARE DOCTOR. They can help you make a decision on how serious the ailment is. It's safer to go to the doctor's office than the ER. Most doctors are sitting around doing nothing because everyone is afraid to go in at this time.

That is good advice, and we did.  The symptoms were right on the verge of what the doctor said should trigger a trip to the ER.  The virus made us shift the goalposts a bit in the other directions.  I suspect that's true for a lot of people now.


RE: Grim day - dabigv13 - 04-08-2020

Our hospital census and ED visits are at 50% of normal. Most everything is telemedicine now. Even things I think are worth a patient coming in for, they'd rather push off for a few more weeks. I imagine this will herald a major shift in that direction, particularly for the next year people will likely want to avoid medical facilities, and those habits may stick.


RE: Grim day - Mick - 04-09-2020

(04-08-2020, 07:39 PM)akiddoc Wrote:  My answer to that is PHONE YOUR PRIMARY CARE DOCTOR. They can help you make a decision on how serious the ailment is. It's safer to go to the doctor's office than the ER. Most doctors are sitting around doing nothing because everyone is afraid to go in at this time.

Sound advice. I had a televisit with my PCP to make sure I was stocked up on prescriptions. My first employee started to show symptoms. She had a televisit on 4/7 with her PCP, who agreed she should get tested. Earliest test she could get was three days later (tomorrow), then she'll have to wait for results. But at least she's on the path.


RE: Grim day - JustAnotherFan - 04-09-2020

(04-08-2020, 07:39 PM)akiddoc Wrote:  
(04-08-2020, 08:41 AM)burger Wrote:  By deaths, California had a better day yesterday than the last few, so that's something.

I'm seeing a lot of articles suggesting gross underreporting of deaths, on the order of 100% or more. 

https://www.economist.com/graphic-detail/2020/04/03/covid-19s-death-toll-appears-higher-than-official-figures-suggest

https://www.nytimes.com/2020/04/05/us/coronavirus-deaths-undercount.html

When all is said and done, I won't be surprised if the actual numbers are 2-3x the reported. 

Some of those additional deaths will be non-covid ailments that people did not seek treatment for: https://www.nytimes.com/2020/04/06/well/live/coronavirus-doctors-hospitals-emergency-care-heart-attack-stroke.html?action=click&module=Top%20Stories&pgtype=Homepage  I had a family member with a non-virus medical emergency a week ago, and we drove to within a block of the ER before we decided to turn around and wait it out at home instead.  Everything turned out fine, fortunately.  People are being forced to make awful decisions now.

My answer to that is PHONE YOUR PRIMARY CARE DOCTOR. They can help you make a decision on how serious the ailment is. It's safer to go to the doctor's office than the ER. Most doctors are sitting around doing nothing because everyone is afraid to go in at this time.

How many Americans don't actually have a primary care doctor? Meaning their best option is to wade into an ER? (I don't know the answer)


RE: Grim day - Mick - 04-09-2020

(04-09-2020, 07:40 PM)JustAnotherFan Wrote:  
(04-08-2020, 07:39 PM)akiddoc Wrote:  My answer to that is PHONE YOUR PRIMARY CARE DOCTOR. They can help you make a decision on how serious the ailment is. It's safer to go to the doctor's office than the ER. Most doctors are sitting around doing nothing because everyone is afraid to go in at this time.

How many Americans don't actually have a primary care doctor? Meaning their best option is to wade into an ER? (I don't know the answer)

Old data, but this study measuring the percentage of Americans with PCPs indicates that:

 - 77% of all adults had primary care physicians in 2002, falling to 75% in 2015.
 - 71% of 30 year olds had PCPs in 2002, falling to 64% in 2015

https://www.reuters.com/article/us-health-pcp-trends/declining-numbers-of-americans-have-a-primary-care-provider-idUSKBN1YK1Z4


RE: Grim day - chrisk - 04-09-2020

(04-09-2020, 08:02 PM)Mick Wrote:  
(04-09-2020, 07:40 PM)JustAnotherFan Wrote:  
(04-08-2020, 07:39 PM)akiddoc Wrote:  My answer to that is PHONE YOUR PRIMARY CARE DOCTOR. They can help you make a decision on how serious the ailment is. It's safer to go to the doctor's office than the ER. Most doctors are sitting around doing nothing because everyone is afraid to go in at this time.

How many Americans don't actually have a primary care doctor? Meaning their best option is to wade into an ER? (I don't know the answer)

Old data, but this study measuring the percentage of Americans with PCPs indicates that:

 - 77% of all adults had primary care physicians in 2002, falling to 75% in 2015.
 - 71% of 30 year olds had PCPs in 2002, falling to 64% in 2015

https://www.reuters.com/article/us-health-pcp-trends/declining-numbers-of-americans-have-a-primary-care-provider-idUSKBN1YK1Z4

You can go to or call an urgent care center rather than try to go to an ER if it is not an emergency. Are ER's even accepting non-emergencies now?


RE: Grim day - magnus - 04-09-2020

I don't have a PCP. I'm on a PPO and have gotten used to just going to a specialist when needed.   Then again,  I've gone to get a routine checkup/ physical in the last 10 years so I think that hospital has assigned that doctor as my PCP.  Not that i know who that is.  Heh


RE: Grim day - JustAnotherFan - 04-10-2020

(04-09-2020, 08:02 PM)Mick Wrote:  
(04-09-2020, 07:40 PM)JustAnotherFan Wrote:  
(04-08-2020, 07:39 PM)akiddoc Wrote:  My answer to that is PHONE YOUR PRIMARY CARE DOCTOR. They can help you make a decision on how serious the ailment is. It's safer to go to the doctor's office than the ER. Most doctors are sitting around doing nothing because everyone is afraid to go in at this time.

How many Americans don't actually have a primary care doctor? Meaning their best option is to wade into an ER? (I don't know the answer)

Old data, but this study measuring the percentage of Americans with PCPs indicates that:

 - 77% of all adults had primary care physicians in 2002, falling to 75% in 2015.
 - 71% of 30 year olds had PCPs in 2002, falling to 64% in 2015

https://www.reuters.com/article/us-health-pcp-trends/declining-numbers-of-americans-have-a-primary-care-provider-idUSKBN1YK1Z4

Thank you. 25% of adults not having a primary care physician sounds like a bad thing during a pandemic.