COVID-19 Insights: Cases, Test Accuracy

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. COVID-19 cases, Antibody Tests Less Accurate
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Medical Doctor 24 y old, assigned to COVID-19 patients. Gets flu like symptoms after a few weeks.
Develops shortness of breath to the point that she walks with small steps. Palpitations. Dry cough mild.
Cough subsided.
Develops intermittent fever.
Dry cough resumed after 10 days.
I prescribe the treatment that I use for outpatient. Recovers in four days.
Sister 19 y old, develops flu like symptoms, fever, and then becomes OK in two days.
Still have dry cough.
Three brothers. All young 22, 20, 18. No symptoms. One brother complained of slight scratchy throat.
Mother 50 years old, diabetic, hypertensive, taking anxiolytics. Develops dry throat, tachycardia, tachypnea, clear chest. Upset stomach and diarrhea.
Labs show: IgM and IgG for typhoid positive.
CRP 14.9 normal more than 5 mg/L
ESR 73 mm/hour - normal 0-15 mm/hour
HbA1C 5.8% - good index 4.0-5.6%
Chest clear
Chest X-Ray
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Working in a small clinic
One of the nurses decided to visit NY during the early days.
Came back and developed flu like symptoms
Tested positive in a few days.
During this time, he interacted with other staff members as usual.
One more staff member became ill with similar symptoms. Tested positive in a few days.
One NP developed the symptoms. Was given an off to isolate. Tested negative.
Recovered in a few days and went back to the work.
-
One more case
Father 67 y old. Develops fever and flu like symptoms for four days. Intermittent fever low grade. Diabetic, hypertensive …
All children up to age of 24 are fine.
Mother age 47 is fine.
---
Male 47 y of age. Diabetic. Develops flu like symptoms. Start using hot water and steam. Develops shortness of breath. Calls for help, on ventilator for 50 days.
Sedated, unable to resume breathing - either too exhausted or neurological issues.
--
Sensitivity and Specificity
en.wikipedia.org/wiki/Sensiti...
We will discuss the CDC’s message tomorrow
CDC about the COVID-19 testing and the issues with the testing.
Interim Guidelines for COVID-19 Antibody Testing | CDC
Medical calculator
www.medcalc.org/calc/diagnost... ...
Disclaimer:
This video is not intended to provide assessment, diagnosis, treatment, or medical advice; it also does not constitute provision of healthcare services. The content provided in this video is for informational and educational purposes only.
Please consult with a physician or healthcare professional regarding any medical or mental health related diagnosis or treatment. No information in this video should ever be considered as a substitute for advice from a healthcare professional. ...
Disclaimer:
This video is not intended to provide assessment, diagnosis, treatment, or medical advice; it also does not constitute provision of healthcare services. The content provided in this video is for informational and educational purposes only.
Please consult with a physician or healthcare professional regarding any medical or mental health related diagnosis or treatment. No information in this video should ever be considered as a substitute for advice from a healthcare professional.

Пікірлер: 52

  • @raghadalsuhail9464
    @raghadalsuhail94643 жыл бұрын

    Thank you Dr, now I can never forget the formula, I used to forget the calculations of sensitivity and specificity... 💐🙏🙏

  • @lehulutube9063
    @lehulutube90634 жыл бұрын

    Thanks so much Dr Been, quite useful and full of valuable contents as usual, can't wait to see the next video

  • @DrBeenMedicalLectures

    @DrBeenMedicalLectures

    4 жыл бұрын

    You are very welcome. Glad you like the content.

  • @Ahmed-zp2tb
    @Ahmed-zp2tb4 жыл бұрын

    thank you for your explanation and information

  • @adnanm.2840
    @adnanm.28404 жыл бұрын

    I was watching this with a cup of coffee and later realized that may coffee became cold and i could not drink it. Then immediately subscribed. Dr. Been, your lectures are truly great.

  • @DrBeenMedicalLectures

    @DrBeenMedicalLectures

    4 жыл бұрын

    Thank you so much for becoming a #koolbeen. Sorry the coffee got cold 😀

  • @atlet1
    @atlet14 жыл бұрын

    Very good explanation of an important topic today. A little lengty though.

  • @afsheenilyas7532
    @afsheenilyas75324 жыл бұрын

    Sir ur explanation is outstanding for this topic.and i also want to thank u for this series at a time when there are so much information everywhere without any authentic source.but u are providing us with reference as well as in easy manner.may Allah give u health and success( ammeen)

  • @AdelaideBen1

    @AdelaideBen1

    3 жыл бұрын

    So I'm curious - what exactly do you think he was saying?

  • @danieltooth5054
    @danieltooth50544 жыл бұрын

    Dr Been, can we get some insight on the innate vs adaptive immune response to the virus and development of antibodies?

  • @kevingormley9161

    @kevingormley9161

    4 жыл бұрын

    Most important question to answer!

  • @DrBeenMedicalLectures

    @DrBeenMedicalLectures

    4 жыл бұрын

    Definitely. Let's do that tomorrow.

  • @txartchick5594
    @txartchick55944 жыл бұрын

    Good evening Dr.Been.Explanation why in China ,Redesivier darkening of skin.Yes I would like the Dr to join next Wed. Thank you for tonight's discussion. Sincerly ,Rachelle.😷📖my notes 🚸No 6ft please🥺🙄

  • @DrBeenMedicalLectures

    @DrBeenMedicalLectures

    4 жыл бұрын

    I will review the studies about the Remdesivir and skin darkening.

  • @kumargaurav3786
    @kumargaurav37864 жыл бұрын

    Can Fluconazole increase ACE2 receptor increase.????? Medicine taken about 3-4 month daily ..

  • @rickcaras3229
    @rickcaras32294 жыл бұрын

    What do those numbers by the characters reflect?

  • @DrBeenMedicalLectures

    @DrBeenMedicalLectures

    4 жыл бұрын

    Their ages.

  • @denisejones4527
    @denisejones45274 жыл бұрын

    Please review. I'm a Stanford ALUM & am headed down this coming week

  • @DrBeenMedicalLectures

    @DrBeenMedicalLectures

    4 жыл бұрын

    Review what?

  • @denisejones4527

    @denisejones4527

    4 жыл бұрын

    See My Chat re; sympthomology. Also 20hrs ago. I heard M.D. from Yale pushing for CDC to relinquish grasp of Rx Hydroxychloroquine in a Hospital Setting. Patients Prefer Clinical or Videoconferencing vs an E.D. to ICU setting. 3 months of CV-19 Zovirax 400, Z-pak, Currently Prednisone 50mg to pak, Protonix 40mg qd. Had been taking Vit D 2000, up to 5000; Vit C scorched what the every 10-11 day projectile, bile tarnished vomiting. And Zinc Added NAC only yesterday

  • @seachangeau

    @seachangeau

    3 жыл бұрын

    Wtf hot water and steam? seriously Stanford???

  • @conquerer2410
    @conquerer24104 жыл бұрын

    Plz Dr been give me the right answer You are the only one that I can trust What is the most common acid base status for corona patients specially those who are in the ICU?!!

  • @AdelaideBen1

    @AdelaideBen1

    3 жыл бұрын

    Seriously - I hope you are being sarcastic....

  • @indridcold4210
    @indridcold42104 жыл бұрын

    What country are you practicing in that has MD's who are 24 and also Typhus in the households of doctors?

  • @AdelaideBen1

    @AdelaideBen1

    3 жыл бұрын

    Apparently one that thinks that you just need to look at symptoms to understand cause - or that you take a chest xray to determine viral load.... is this person for real? If so.. perhaps they should spend more time learning medicine and less time making videos. If not - perhaps they should spend less time making videos.

  • @abdulbasit1571
    @abdulbasit15714 жыл бұрын

    Viral load at the time of infection matters or not??

  • @DrBeenMedicalLectures

    @DrBeenMedicalLectures

    4 жыл бұрын

    I don't think so

  • @lowcc7602
    @lowcc76024 жыл бұрын

    Which vaccines are the most promising ones?

  • @DrBeenMedicalLectures

    @DrBeenMedicalLectures

    4 жыл бұрын

    I have discussed these a few days ago.

  • @jordanmercier3616
    @jordanmercier36163 жыл бұрын

    I don't understand (I definitely could have missed something) how you know they're positive if they tested negative, just because they have the symptoms? Did I miss something here?

  • @AdelaideBen1

    @AdelaideBen1

    3 жыл бұрын

    No - you didn't... there's something inherently wrong with this video.... and to be honest, I have no idea WHAT he wants to say.

  • @hkrtrivedi
    @hkrtrivedi4 жыл бұрын

    Covid 19 seems to be Much Ado About Nothing. Just tell me percentage of death versus Population in total. Something seems to tell me that all knowledge that is spewed around seems to be helping Interested Companies, states and countries to make billions and trillions since the last 40 years.

  • @hkrtrivedi

    @hkrtrivedi

    4 жыл бұрын

    @jake marlow HaHaHa...You are not even 10 intelligent as myself.

  • @tyrawinona1814
    @tyrawinona18144 жыл бұрын

    Doctor, do you think the virus is weakening already? and how can we check on that?

  • @Pedgo1986

    @Pedgo1986

    4 жыл бұрын

    You need to watch pozitivity rate and hospitalization rate.

  • @tyrawinona1814

    @tyrawinona1814

    4 жыл бұрын

    Pedgo1986 but as you know even broken pieces of the virus can be detected by the test so I think that will not be relevant to question..

  • @Pedgo1986

    @Pedgo1986

    4 жыл бұрын

    @@tyrawinona1814 i know but probably not in all cases nevertheless its practically impossible deploy blood test to verify if virus is dead or not its too costly and take too much time and resources, this approximation is best what we have at this time therefore i write you need watch also hospitalization if this is going down despide infections up its possible that virus is weakening next question will be why

  • @purnimarawat237
    @purnimarawat2373 жыл бұрын

    Sir my mom came Corona negative while my dad was Corona positive died with that disease his oxygen was not increasing due to oxygen level

  • @purnimarawat237

    @purnimarawat237

    3 жыл бұрын

    How it can be possible that her report was negative

  • @eddystar9816
    @eddystar98164 жыл бұрын

    Runny nose is not a symptom to covid-19 from what is officially stated. She could have had allergies. I have chronic sinus problems (had so for years got worse the past two years and do not know why I do) where I cough and have a runny nose (some days are better than others) no fever or shortness of breath. Yeah I agree 100 percent that testing accuracy is a BIG PROBLEM here, especially if it quarantines the healthy and lets the covid-19 sick think they are negative and therefore, spread it around.

  • @Pedgo1986

    @Pedgo1986

    4 жыл бұрын

    Issue is people are in heightened state of self observation and are picking things they would normalny even notice, every itch, every cough, every throat scratch also rate of symptoms was shuffled again and fever or cough drop pretty low now i thing number one symptom is loos of smell, fatigue and body aches.

  • @mrali3601
    @mrali36014 жыл бұрын

    Margin of error

  • @AdelaideBen1
    @AdelaideBen13 жыл бұрын

    Seriously - is this meant to be scientific - or even medical? What was the point of this? Suspected case doesn't mean positive - increased risk doesn't equal infection. This really doesn't say anything. It's not that we should fear infection, but we should be aware that public health system can't manage all eventualities, but make simple rules for populations to follow. I don't think you understand probability... how many cases aren't you showing? Seems like confirmation bias to me... which is natural when you are looking at sub-sets. I accept now that the tests for covid are not good enough, but lack of symptoms do not mean lack of infection, as the same as symptoms do not equal infection. The risk is that if you base testing on likelihood, then the testing becomes too widespread, and extenuates false positives. The challenge is to understand the 'actual' prevalence is challenging... I really think your format is just adding confusion to this debate - because you're trying to 'generate views'... if you have something to say, say it. Don't put up a question that can be misconstrued, just to stretch out your views. There's too many people that will bias their views based on what they want to believe. The issue here is on how to determine the TRUE specificity / sensitivity... You're explanation is too simplistic. All you're doing is promoting ignorance dressed up as 'science'. Perhaps you'll provide a more grounded explanation in a later video, but the tone here is unrealistic, and just adding to the mis-information. There are real challenges in testing - how do you tell the real number of positive cases. That's a valid discussion - but also it's not necessarily in the interest of public health. Your point is that the testing over-estimates actual infection... but you say nothing about what happens if NO ONE tests? This is a fundamentally dangerous thing...