Click to Translate to English Click to Translate to French  Click to Translate to Spanish  Click to Translate to German  Click to Translate to Italian  Click to Translate to Japanese  Click to Translate to Chinese Simplified  Click to Translate to Korean  Click to Translate to Arabic  Click to Translate to Russian  Click to Translate to Portuguese  Click to Translate to Myanmar (Burmese)

PANDEMIC ALERT LEVEL
123456
Forum Home Forum Home > Main Forums > Latest News
  New Posts New Posts RSS Feed - Video from New Zealand-U.S. Military Mobilizes
  FAQ FAQ  Forum Search   Events   Register Register  Login Login

Tracking the next pandemic: Avian Flu Talk

Video from New Zealand-U.S. Military Mobilizes

 Post Reply Post Reply Page  <12
Author
Message
dr d View Drop Down
Valued Member
Valued Member
Avatar

Joined: November 30 2006
Location: United States
Status: Offline
Points: 360
Post Options Post Options   Thanks (0) Thanks(0)   Quote dr d Quote  Post ReplyReply Direct Link To This Post Posted: August 04 2009 at 2:20pm
Johnny, the quote from Happiness is  from a friend of ours who is down in Brazil in the middle of it. The info is from the docs at the hospital . Her husband is still in ICU. Now off the trach support for short periods of time. Estimates to her are 6 weeks recovery. No gov info just from the grassroots.
Dr d
Back to Top
dr d View Drop Down
Valued Member
Valued Member
Avatar

Joined: November 30 2006
Location: United States
Status: Offline
Points: 360
Post Options Post Options   Thanks (0) Thanks(0)   Quote dr d Quote  Post ReplyReply Direct Link To This Post Posted: August 04 2009 at 2:26pm
I had two moms in today both pregnant with deep wet coughs. One at 26 weeks the other at 14 weeks. Their OB would not see them. Got in touch with Epidemilogy here for advice. THey called the OB to see their patients. In the interim of this mess,the kids,clinically have the flu. NOW the sticky part. Did I test? I told the Epi person no I did not. You (the epi person) told me last week not to. are you now changing your mind. WElll..in a pregnant woman we would test but WE ARE OUT OF THE RAPID TESTS. But I only have 48 hrs to start the meds the PCR will take three days. Treat or not...So then the answer was, THe risk to the fetus at 14 weeks too high even tho that mom was the sicker. 26 weeks treat the mom is at higher risk and both could die..
Dr d
Back to Top
Johnray1 View Drop Down
Valued Member
Valued Member
Avatar

Joined: April 23 2006
Location: United States
Status: Offline
Points: 8159
Post Options Post Options   Thanks (0) Thanks(0)   Quote Johnray1 Quote  Post ReplyReply Direct Link To This Post Posted: August 04 2009 at 5:19pm
drd,the story that you tell above is the exact reason that when I had my own practice,I did see pregnant ladies. It is truly scary to try to treat them.Johnray1 
Back to Top
Johnray1 View Drop Down
Valued Member
Valued Member
Avatar

Joined: April 23 2006
Location: United States
Status: Offline
Points: 8159
Post Options Post Options   Thanks (0) Thanks(0)   Quote Johnray1 Quote  Post ReplyReply Direct Link To This Post Posted: August 04 2009 at 5:20pm
drd.I meant to say that I did Not treat pregnant ladies.Johnray1
Back to Top
reality check View Drop Down
Valued Member
Valued Member
Avatar

Joined: May 15 2007
Location: CANADA
Status: Offline
Points: 683
Post Options Post Options   Thanks (0) Thanks(0)   Quote reality check Quote  Post ReplyReply Direct Link To This Post Posted: August 04 2009 at 6:25pm
 
see comment below.RC
"tell med the grasshoppers won"
Back to Top
reality check View Drop Down
Valued Member
Valued Member
Avatar

Joined: May 15 2007
Location: CANADA
Status: Offline
Points: 683
Post Options Post Options   Thanks (0) Thanks(0)   Quote reality check Quote  Post ReplyReply Direct Link To This Post Posted: August 04 2009 at 6:31pm
Originally posted by reality check reality check wrote:

Originally posted by dr d dr d wrote:

I had two moms in today both pregnant with deep wet coughs. One at 26 weeks the other at 14 weeks. Their OB would not see them. Got in touch with Epidemilogy here for advice. THey called the OB to see their patients. In the interim of this mess,the kids,clinically have the flu. NOW the sticky part. Did I test? I told the Epi person no I did not. You (the epi person) told me last week not to. are you now changing your mind. WElll..in a pregnant woman we would test but WE ARE OUT OF THE RAPID TESTS. But I only have 48 hrs to start the meds the PCR will take three days. Treat or not...So then the answer was, THe risk to the fetus at 14 weeks too high even tho that mom was the sicker. 26 weeks treat the mom is at higher risk and both could die..
 
 
dr d.....Risk assessment is the order of the day.Pregnant....other sources of rapid tests.(.read other hospitals in your area.)..mounds of evidence prego and H1N1 bad mix..I think get a rapid test kit asap and prepare to treat as warrented.jmoRC btw...when did an epi tell a docter what to do become the protocalConfused?
"tell med the grasshoppers won"
Back to Top
Johnray1 View Drop Down
Valued Member
Valued Member
Avatar

Joined: April 23 2006
Location: United States
Status: Offline
Points: 8159
Post Options Post Options   Thanks (0) Thanks(0)   Quote Johnray1 Quote  Post ReplyReply Direct Link To This Post Posted: August 04 2009 at 8:00pm
RC,this is really none of my business and I have never had a problem with you.But I do not know why drd has not responded to your advice.He is probably to nice of a guy. drd took two patients that their doctor who should have seen them,was afraid to.I would also have been afraid to. But drd took on this resposibility,mostly likely out of a sense of duty.He will make his own determination of what to do with what he has avalible to work with. Any doctor who does not at least occssionally call another doctor ,in another field, for advice,is probably not doing his job. I know that I have called specialists many times,instead of guessing. I quess what I am saying is,he is the drd treating these patient,even with advice from some other doctor,drd is still in charge and still responsible. He does not need your advice or mine.If he does,he will call and ask for it. What you have written is insulting to drd. Are you a doctor or some one that thinks that they know everything.Johnray1
Back to Top
hope4bestprep4wrst View Drop Down
V.I.P. Member
V.I.P. Member
Avatar

Joined: August 01 2008
Status: Offline
Points: 148
Post Options Post Options   Thanks (0) Thanks(0)   Quote hope4bestprep4wrst Quote  Post ReplyReply Direct Link To This Post Posted: August 04 2009 at 8:12pm
Johnray1
Second that, also guys some docs are girls....
D
Be Well
Back to Top
reality check View Drop Down
Valued Member
Valued Member
Avatar

Joined: May 15 2007
Location: CANADA
Status: Offline
Points: 683
Post Options Post Options   Thanks (0) Thanks(0)   Quote reality check Quote  Post ReplyReply Direct Link To This Post Posted: August 04 2009 at 8:22pm
Originally posted by Johnray1 Johnray1 wrote:

RC,this is really none of my business and I have never had a problem with you.But I do not know why drd has not responded to your advice.He is probably to nice of a guy. drd took two patients that their doctor who should have seen them,was afraid to.I would also have been afraid to. But drd took on this resposibility,mostly likely out of a sense of duty.He will make his own determination of what to do with what he has avalible to work with. Any doctor who does not at least occssionally call another doctor ,in another field, for advice,is probably not doing his job. I know that I have called specialists many times,instead of guessing. I quess what I am saying is,he is the drd treating these patient,even with advice from some other doctor,drd is still in charge and still responsible. He does not need your advice or mine.If he does,he will call and ask for it. What you have written is insulting to drd. Are you a doctor or some one that thinks that they know everything.Johnray1
 
 
Hey Johnray...I simply sugested what I normally do when called upon in my profession. No disrespect intended.RC
"tell med the grasshoppers won"
Back to Top
Johnray1 View Drop Down
Valued Member
Valued Member
Avatar

Joined: April 23 2006
Location: United States
Status: Offline
Points: 8159
Post Options Post Options   Thanks (0) Thanks(0)   Quote Johnray1 Quote  Post ReplyReply Direct Link To This Post Posted: August 04 2009 at 8:31pm
hope4bestprep4wrat, I know that and I did not intend to leave the lady docs out. When I refer to any one as a doctor,at least in my mind,there is no male or female attached to that. Johnray1
Back to Top
hope4bestprep4wrst View Drop Down
V.I.P. Member
V.I.P. Member
Avatar

Joined: August 01 2008
Status: Offline
Points: 148
Post Options Post Options   Thanks (0) Thanks(0)   Quote hope4bestprep4wrst Quote  Post ReplyReply Direct Link To This Post Posted: August 05 2009 at 5:40am
Johnray1 and anyone else I may have inadvertently offended
Please accept my apologies, I must have been a little tired last night and regretted writing this soon after I wrote it. I know you know there are women docs, I just thought you didn't know that Dr. d is a woman (or so it has been posted here) so I was cleverly (sic) pointing it out. I think I should go back to lurking, I apologize again. I appreciate what you, RC, Med and everyone else does here to try to help but find that I am not contributing so much and usually annoying :)  I think I will sit back and learn.
Of course you know there are women in medicine. apologies again.
Be Well
Back to Top
Johnray1 View Drop Down
Valued Member
Valued Member
Avatar

Joined: April 23 2006
Location: United States
Status: Offline
Points: 8159
Post Options Post Options   Thanks (0) Thanks(0)   Quote Johnray1 Quote  Post ReplyReply Direct Link To This Post Posted: August 05 2009 at 10:08am
hope4bestprep4wrst,I did not know that drd was a women.But that had nothing to do with my response.Johnray1
Back to Top
dr d View Drop Down
Valued Member
Valued Member
Avatar

Joined: November 30 2006
Location: United States
Status: Offline
Points: 360
Post Options Post Options   Thanks (0) Thanks(0)   Quote dr d Quote  Post ReplyReply Direct Link To This Post Posted: August 05 2009 at 12:30pm
RC no duh OF COURSE I exhausted all other avenues. Including getting the Medical head of the epi section involved. She was able to get a fire lit and the two ladies have been taken care of. HOWEVER..there are NO rapids readily available at the health dept or at any other MDs office at the present time. Even Quest and Labcorp reported that they were out of them.
 
Dr d
Back to Top
TipKat View Drop Down
V.I.P. Member
V.I.P. Member
Avatar

Joined: April 15 2008
Location: Evanston, IL
Status: Offline
Points: 316
Post Options Post Options   Thanks (0) Thanks(0)   Quote TipKat Quote  Post ReplyReply Direct Link To This Post Posted: August 05 2009 at 8:00pm
Girl or Boy doctors.....doesn't matter glad to see them on board with us here.  Really is great to have such good caring and committed souls.   A big THANK YOU to all of you medical and clinical professionals who offer some good ideas and posts.  Tip ;-)
 
Here is a little riddle attachment. Tongue
 
One night there was a father and son in auto accident both were rushed to the ER.  They wheeled in the boy to surgery...the surgeon took one look at the boy and said: "Wait I can't operate on this boy he is my son".  Who is the surgeon?  any takers?  Tip.
Back to Top
Technologist View Drop Down
Admin Group
Admin Group
Avatar

Joined: May 05 2009
Location: California
Status: Offline
Points: 1192
Post Options Post Options   Thanks (0) Thanks(0)   Quote Technologist Quote  Post ReplyReply Direct Link To This Post Posted: August 05 2009 at 8:28pm
The boys Mother.
Back to Top
TipKat View Drop Down
V.I.P. Member
V.I.P. Member
Avatar

Joined: April 15 2008
Location: Evanston, IL
Status: Offline
Points: 316
Post Options Post Options   Thanks (0) Thanks(0)   Quote TipKat Quote  Post ReplyReply Direct Link To This Post Posted: August 05 2009 at 9:29pm
Yup! Wink
Back to Top
Medclinician View Drop Down
V.I.P. Member
V.I.P. Member
Avatar
Valued Member Since 2006

Joined: July 08 2009
Status: Offline
Points: 23322
Post Options Post Options   Thanks (0) Thanks(0)   Quote Medclinician Quote  Post ReplyReply Direct Link To This Post Posted: August 06 2009 at 10:00am
Originally posted by dr d dr d wrote:

RC no duh OF COURSE I exhausted all other avenues. Including getting the Medical head of the epi section involved. She was able to get a fire lit and the two ladies have been taken care of. HOWEVER..there are NO rapids readily available at the health dept or at any other MDs office at the present time. Even Quest and Labcorp reported that they were out of them.
 


Dr. John got it. Skye running a fever. Isn't this summer?
Labcorp ...  We may be seeing second wave. Yea, me too.. always surrounded by kids- we live in a small mini mansion.. and summertime this is playground central. Downstairs - I am at home is an afternoon at where to go when people are bored.  I have ceased trying to avoid it.

So half the family on side we are urging to SIP- as in - do not come over.. okay. Are you in peds Dr. D. What's the deal here? What is this August bug? A fair share of GI stuff- temps-
I am stressed about Skye...As his dad does, could go up to 105- and then we will have to swab him down with alcohol.

Anything happening in your neck of the woods?

Medclinician
Back to Top
Guests View Drop Down
Guest Group
Guest Group
Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: August 06 2009 at 2:11pm
Med...alcohol is not what you need to do you need to wipe the child down with tepid wash cloths or put into a tepid bathtub. Never alcohol it could shock the child at least this is what my pediatrician told me to do.
Back to Top
Mary008 View Drop Down
V.I.P. Member
V.I.P. Member
Avatar

Joined: June 22 2009
Status: Offline
Points: 5769
Post Options Post Options   Thanks (0) Thanks(0)   Quote Mary008 Quote  Post ReplyReply Direct Link To This Post Posted: August 06 2009 at 9:33pm

mine said the SAME thing :)    and not to immerse them either as it is too much...just parts of the body....like keep the upper part coverd and one leg while using the tepid washcloth (soft) on one leg... put the sheet over that leg... do the next.

Back to Top
abcdefg View Drop Down
Valued Member
Valued Member


Joined: September 19 2008
Status: Offline
Points: 578
Post Options Post Options   Thanks (0) Thanks(0)   Quote abcdefg Quote  Post ReplyReply Direct Link To This Post Posted: August 06 2009 at 11:37pm
Mary and Flumom,
 
It is nice to get such good advise from you ladies. I had also heard that a long time ago about the tepid bath with partial cover, I had forgotten it somewhere along the line raising the five kids. I have the one child left and he will hopefully not need that, but if he does I at least have been reminded by you what the correct thing to do is. Debbie
Back to Top
 Post Reply Post Reply Page  <12
  Share Topic   

Forum Jump Forum Permissions View Drop Down