I’m an American ICU physician AMA

I'm a family physician in a clinic so our pay is lower than the ones in the hospitals.

Too many to count. I took care of a convicted terrorist you saw on the news once shortly after he was arrested.

For weird stuff? I had a convicted pedophile that injected mercury into himself to commit suicide. The stuff accumulated in his coronary arteries and we had to figure out what to do about this, if anything at all. I once used liver cancer cells to clean up the blood of a liver failure patient (experimental).

No, never. My wife is gorgeous and honestly people that need to go to the ICU are understandably not having their most attractive day. Finally, not worth destroying a career I worked decades to build

Guy is a pa or a med student. No self respecting medical doctor wastes his valuable free time seeking validation from a mongolian basketweaving forum

I mean, you think I have anywhere to hang out given recent events?

What size dildo does your ‘wife’ peg you with?

How many ventilator machines are there for every 100k population?

In the previous thread, you stated that you don't receive anything from uninsured patients. Would you support some system that assured a basic level of care and allowed supplementary policies, public and/or private, for more complete medication/services? Australia has a system like that, and it sounds like something that would plug the gaps in coverage here while satisfying people who want private insurance as well.

Should I score some meth in case I get infected?

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LARP

>you think I have anywhere to hang out
The ICU?

I’m no policy expert but I wouldn’t mind per se. the issue is the systems being floated in the US are trying to stealthily make a single player system. Medicaid and Medicare reimburse like garbage. Even terrible insurance pays at least 10% better and I don’t need to waste as much time arguing over ridiculous things they refuse to authorize (ie portable oxygen)

I spend nearly 100 hours there a week. Don’t be cruel now

If you're an actual ICU doc you don't deal with that shit anyways LARPer

Im applying and all my interviews got canned due to Corona. What do

The school I work at is going to close indefinitely starting this weekend. Is it a good idea for schools nationwide to begin closing and taking the classes online?

based

How many patients can the average american hospital realistically put on respiratory care (minimum pure O2) at a time?

How are triage priorities being set for when capacity is inevitably exceeded?

OP is LARPing

Pulmonary critical care and yes I do. I’m not a hospital employee per se

So you're not a doctor

If Remdesevir proves effective against COVID-19, how fast can your hospital get it?

That answer will vary widely with the size of the hospital and the staffing. A small country hospital may have a dozen vents and a large metro one could potentially have a hundred. As for triage, if it really came down to it you’d have to give priority to the most salvageable and the one with the most life ahead of them.’85 year old with metastic lung cancer will be a lower priority. I really, really hope it doesn’t come to this

If people die it becomes a matter of life insurance.

You're a male nurse bro

If they make it in China we could have problems

How should a middle aged adult treat themselves at home for corona if they are unable to get professional medical care? What are the essential medicines to have on hand?

You’re definitely not

Yes, Medicaid and Medicare reimbursement is terrible. We need to up it. How many of your patients are undocumented and have no insurance?

Is anyone you know using Chloroquine Diphosphate or Hydroxychloroquine to treat it?

It’s mostly supportive care. Stay hydrated. Some ibuprofen for fevers. Flu is at peak right now though so you really should get checked for it. If you catch flu in the first 48 hours tamiflu will cut your recovery time in half

Have you red-flagged (ERPO) anyone? Howd that go?

Not too terrible, I’d say less than 10%. The problem is they tend to be very ill

Years ago, Medicare wouldn't pay for oxygen for my Dad even though 3/5 evenings he ended up in the ER with low oxygen due to heart failure. Finally, it got bad enough that he got oxygen, and low and behold, it cut down dramatically on his trips to the ER. I had volunteered to pay for the oxygen, but Dad refused, BTW. The whole thing was penny wise and pound foolish.

I haven’t seen a case yet thankfully

I think that it's made here. If it works, I hope that the production can be greatly expanded.

Why do you say "thankfully"? These drugs are being used to good effect in South Korea according to an med journal article I read. Chloroquine allows zinc to disrupt RNA replication. Have you heard of this at all?

The red pill is that they make many decisions to cut down on their costs and not what is best for them. A Medicaid patient who is 32 that I know has sleep apnea won’t be able to get his test covered until he is 65 on Medicare. Nevermind he developed congestive heart failure due to decades of untreated sleep apnea. Nevermind Medicaid had to cover numerous hospitalizations in the interim because they didn’t want to cover my test

There was something here, some study, that suggested that Tamiflu reduced the viral load in the first couple of days for corona.

I mean I haven’t directly treated a confined coronavirus case yet. I predict I will in two weeks after folks come back from spring break

Du baseford

How do you make patients sicker so you can make more money?

At least if heaven exists you get in for helping out in the end of days, or whatever. Otherwise, the lack of oxygen worries me. Don't you have oxygen generators in most hospitals?

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*confirmed

That sounds like we should give them some sort of status for which they could sign up for Obamacare or Medicaid expansion if low income. I'm not happy about that, but we may have to face reality.

1. how fast can new ICUs be build?
2. can you DIY

What if you have cash to cover any costs, does that give you any priority?

It’s like drinking from a fire house. If I don’t fix the patients I’m consulted on people wont summon me. Doctors consult me because I’m the cavalry that comes in to fix their problems

Based. A bit random, but are you informed about racial differences in intelligence? If all Americans aren't taught about this, the country will fall apart from perceived discrimination, when IQ causes the systematically different outcomes.

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Do you look like your pic? Because if you do, you are probably gay.

Doc. Be straight with me. How fucked am I if I have active pulmonary sarcoidosis and I catch the wuflu on moderate dose corticosteroids?

hes prolly a physicians assitant stuck on ER night duty, lets not give him so much respect

That's insanely penny wise and pound foolish. I've read in so many places that treating something early reduces costs in the healthcare system and economic costs, let alone social costs, but we're geared only to treating disasterous situations when people show up at the point where they're near death. It's so stupid.

Derm here, why didn't you work harder in school bro? You're missing out

My gf is ICU doctor. There is no icu private practice here. And I heard american icu doctors have much less control over patients meds and adjustments. Is this true? My gf controls every single aspect of a pts blood and body chemistry the entire time they are in ICU. She IS that pts boss.

Most vents have a battery backup in case power goes down. Or are you referring to portable oxygen generators? That’s a thing too but that’s more outpatient medical equipment

given how many people might need intubation, just wondering about all sources to provide oxygen.

I'm a 4th year MD student consider pulm/cc. Any trouble having a family with that work/life balance?

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Cash is king. You wanna pay out of pocket you’re good. I personally try to give a cash discount for my services on my end for people doing this. Frankly cutting out insurance and pocketing the money same day is great for my practice too.

Also for those wondering, a typical icu fully qualified consultant salary in Australia is ~$300 000-350 000 per year plus benefits

im an ed nurse. how likely is it that im going to get the shit sued out of me when we start a true triage operation, writing off the old and severely comorbid? does tort law or emtala have some proviso for national emergencies like this?

PROOF that the corona-virus is FAKE: neckbeard.xyz/notice/9sv0pVZnfYLs4wJ8t6

You dont want one of those assurred paid systems like australia's. Medical advancement, research, and tech grinds to a halt.

Physician here too. It already has in Italy. In my hospital, the doctors are making fun of me for raising concerns, suggesting that maybe we should start limiting visitors, educating nurses about proper PPE donning and doffing procedures. It's beyond irresponsible. I'm going to telemedicine only starting Monday. I'm not going to stick by a hospital system and a population of healthcare workers who are fatally retarded.

Independent contractor granted privileges to diagnose and perform procedures at the hospital within your scope of practice.

the president will have to announce a legality waiver

No you aren't. If you were you would be working sleeping or fucking nurses.

This is astonishing. Are they paying any attention to the CDC and NIH? Dr. Fauci is no dummy, and he's sounding an alarm.

Is it true that people can get reinfected and if so does that mean this can be perpetually disruptive until a vaccine arrives?

Funeral Home employee here.

Business is about to get really, really good.

I have total autonomy on my icu patients. I couple of weeks ago an anesthesia intern made some unauthorized changes to one of my vented patients and I blew a gasket.

It’s no different than treating a mass casualty event. You literally can’t give everything to everyone. It’s awful and horrible but what choice do you have?

I've been sending admins links and warning the pulmonologists and hospitalists since early February to get ready. All I'm getting in response is people making fun of me for being dramatic. Not that I care. What I don't understand is that they're still letting Karen sell jewelry in the front lobby and there's a guy with interstitial pneumonia in the ICU on the vent with no definitive diagnosis, leukopenia and lymphopenia, profound hypoxemia and they're still trying to figure out if he has acute HIV... I'm not going to stand by these fucking clowns. I suggested perhaps maybe trying to test for COVID-19 but the hospitalist and ID doc said they entertained it but they don't think that's it. They're testing for dumb shit like parvo instead. I'm over it. Maybe they can call me when they get some goggles and tyvek suits in stock...

Why do you morons always try to suppress fevers when they're beneficial for immune response if not extreme