Health Care providers have learned nothing about Covid

TL;DR - I got Covid and every doctor I interacted with had fundamental misconceptions about treatment and when to stop isolation.

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I somehow got Covid out in the woods. I was the only one, including my close contacts. I'm not dwelling on it, aside from increasing my vigilance outdoors.

The crappy part was dealing with the health care system after.

My symptoms started early Sunday morning, and I got into urgent care less than 12 hours later. The only guidance the doctor gave me was "these days Covid is mild, but it could stick around for 7-10 days." Nothing about isolation, testing to exit, etc. No consideration of long Covid.

I asked for Paxlovid. She was initially reluctant but eventually agreed. She didn't seem to think Paxlovid does anything, which obviously flies in the face of numerous studies. Even if you're not focused on alleviating symptoms, it cuts the length of time you're sick and reduces your viral load. It reduces household attack rate. They give wealthy people 10 days of it.

I sent the prescription to a 24-hour Walgreens that stocks lots of antivirals. They were out, along with 95% of other locations. No surprise given the government stopped mandating it be covered. Moved it to CVS and was able to use the $1000 off coupon, which made it $131 with my work insurance. I started taking it that night.

The next day, I reached out to my doctor's office to get Metformin. My doctor was on vacation, so I did a video visit with a different doctor I had seen one before. He said literature supports Metformin for overweight people, and though I am not, he was willing to try it. Then he said "as soon as you're feeling better, you can go back to your normal life." Again nobody seems to understand the concept of testing out of isolation.

I had lots of time on my hands, so in between world cup games, I started reading papers on Paxlovid. Turns out the optimal time to start Paxlovid was day 3, and I had a very high likelihood of symptoms returning.

So I started trying to get a second Paxlovid prescription. My doctor's office was closed for the holiday. Urgent care refused to do it because it's not indicated. I asked a friend of a friend who's a doctor if she would prescribe; she admitted to not knowing much about it (she's a pediatrician) but checked with a friend she called her Covid expert. That person also came back saying it was not indicated, but was ok with me taking it for "placebo effect."

It took a while to get an answer, so I ended up using Dr B to get a prescription. AI bots in medicine will prescribe you anything.

I am also on my wife's insurance, and the 2nd Paxlovid was free. (My work health insurance sucks.)

So on day 7 after the first symptoms, I finally tested negative on a rapid test. I always do a throat + cheeks + under tongue + nasal swab. Tomorrow morning when I test negative again, I can at least be confident it's ok to be around people while wearing an N95. The last Paxlovid dose is Wednesday morning, so I'll start testing again then and hopefully still be negative.

It really sucks that everyone seems to be indifferent to Covid. I can understand doctors not having information when it was a relatively new phenomenon. But we are approaching 7 years now.

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u/Typical-Car2782 — 1 day ago

My wife and I keep running into the Sklar brothers

I was in New York in 2007 and I ended up sitting across from them on the subway. "No towncar to your show tonight?" "Not during the writers strike."

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My wife has a similar story from before we met.

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Then we ran into them on the street in San Francisco in 2014.

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And then we ran into one of them (I forget which one) at the University of Michigan in 2023.

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I don't think I've ever seen any other celebrities (stretching the word a bit with the Sklars) in my life, bizarre that I keep seeing these guys.

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u/Typical-Car2782 — 17 days ago

What is USA Hockey's goal with coaching certification classes?

I just took level 4 and it was pointless. The previous three levels haven't exactly been great, but this one was somehow worse.

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No agenda, watch a bunch of clips of breakouts, go off into small groups to talk about how to set up a breakout drill, then some lengthy incoherent segment that I think was supposed to be about how to communicate with players. Then we did breakouts talking about the most memorable thing a coach has said, then a large group discussion mainly about the importance of preseason team meetings. Then we got a survey about "brain plasticity", and a movie with a bike that turns the wrong way so nobody can ride it.

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The only funny thing was when the presenter said "so many people think USA Hockey only approves of small area games. [Paraphrasing] No, we want 8Us learning breakouts."

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Nobody really spoke other than the presenters, all participant responses over chat. One person got called out for not paying attention, but it seemed like that was pretty much everyone.

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The good news is we shaved 45 minutes off the sessions.

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I know this has been asked 1000x, but what is their goal here?

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u/Typical-Car2782 — 19 days ago

Canadian airport security (CATSA) denies you liquids allowance if you can't carry a bag

Had a ridiculous experience at YYC yesterday. I was traveling with my wife, who is disabled, and our 9yo.

My wife cannot carry a bag, so she shared a roller bag with our 9yo (who can now push the bag.)

CATSA pulled her bag out and said she had too many liquids and gels. Nothing over 100 mL. Just too many of them. Canada still arbitrarily enforces the rule about all liquids needing to fit in a 1L Ziploc.

We said ok, give us two 1L ziplocs. Oh no, there's a rule that says only one person may place their liquids in a single carry on bag. This rule is not listed on their accessibility webpage, nor is it on "what can I bring?" or anywhere else on their site.

So CATSA made her stand in security for 15 minutes (thankfully they gave her back her crutches) and made her try to stuff as much as possible in one Ziploc. She ended up throwing out a few items.

We pointed out that this means disabled people who can't carry their own bags are not afforded the same allocation as others. They did not care. Requested a supervisor, who was just as indifferent.

The screener then said "the guys upstairs who are looking at the x-rays can't tell two people are sharing a bag."

This rule clearly needs to be changed to allow for disability accomodations. It clearly violates the ACA.

What would be the best way to get this message to CATSA? My MP? Accessibility commissioner? Canadian transportation agency?

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u/Typical-Car2782 — 28 days ago

Adults have to ruin things for kids volume 34553478334

My daughter is 9, Sept birthday. Initially her club was going to keep this year's team together (half older, half on the birthday cusp.)

In the end, they kept her and her friends at U10 (all 5 younger kids on the same team.) So far so good.

The team doesn't officially meet until mid-August, but somebody logged into our scheduling app today and found her daughter was on a different team. The kids were split up, and nobody said anything to us.

The two teams afaict are going to play in the same division, so I can't see any rationale for splitting the kids up. I doubt they tried to make two equal teams; presumably they are looking at infinitesimal skill differences and trying to stack one team.

As usual, adults had to take the fun out of the team.

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u/Typical-Car2782 — 1 month ago

"Why are you focused on AIPAC and not the much larger CUFI?"

I've seen this a few times now, usually to push a claim that it's antisemitic to attack AIPAC.

But of course no mainstream Jewish organization criticized the March for Israel for having John Hagee speak as an "ally". Ultimately, they tacitly support CUFI, and I suspect that if people started going after CUFI, we'd hear "why are you singling out an advocate for Israel but not other countries?"

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u/Typical-Car2782 — 2 months ago

Scott has "represented" me for 16 years and wants to be my congressman. He mostly gets money from tech donors, including (at least) one who has made numerous antisemitic statements. Scott has never said anything because the statements were directed at his Jewish political opponents.

He has a lengthy relationship with AIPAC (trips, dinners, joint PR, endorsing AIPAC staffers, etc...), so it's no surprise that he's downplaying right-wing antisemitism.

And the comment about the Civic Joy Fund is completely made up. It's funded by right-wing crypto billionaire Chris Larsen.

Scott recently made the news because he refused to admit Israel was committing a genocide, then came back a few days later blaming Holocaust trauma for preventing him from acknowledging it. My grandmother was in Majdanek for five years and I have no problem acknowledging it, but somehow a 56-year-old guy from New Jersey whose family came to the US in the early 20th century can't.

I don't really even have words to describe how disgusted I am by his behavior.

u/Typical-Car2782 — 2 months ago
▲ 1 r/BAbike

I've been riding here for decades, commuting through the city, bike on Caltrain, tons of miles on South Bay paved paths. I've had enough near misses and aggro drivers over the years that I'm as cautious as you'd expect when I'm driving.

So how the hell did I hit somebody?

I was driving up a back street in SoMa and I got to 5th St, which has separated bike lanes on both sides of the street. I stopped at a stop sign and prepared to turn right. There was zero traffic on the street and zero traffic in the bike lane.

As I started to creep out (moving maybe 3 mph), a guy on a Lime scooter came from my right and crashed into the driver's side of my front grill. He was riding the wrong way in the bike lane, and that intersection is absolutely not designed to give you visibility for people going the wrong direction.

The good news is that even though the guy wasn't wearing a helmet, I was moving so slowly that he wasn't injured. He got up immediately, had some road rash on his ankle, and was completely coherent. I gave him all my info and filed an insurance claim. (He did leave me a message 24 hours later telling me he's going to the ER because of lower back pain and wanted insurance details. Not really an ER situation but perhaps doesn't have a doctor or understand how to use urgent care.)

Anyways, I'll be adding a long look in the wrong direction to my safety repertoire while driving.

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u/Typical-Car2782 — 2 months ago

Waiting to turn from northbound Clementina onto eastbound 5th. A car went before me. 5th was completely empty, as was the bike lane. I started to inch out, and was moving at most 3 mph.

And then a dude on a lime scooter going the wrong way in the bike lane crashed into the front driver's side corner of my car. He presumably had to go around the car that went before me.

He got up immediately and was ok. Car, not quite as ok.

I cannot fathom why someone would ride a scooter with no helmet the wrong way down 5th Street in SoMa.

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u/Typical-Car2782 — 2 months ago
▲ 1 r/flu

My daughter (9F/4'4/67 lbs) started symptoms on April 3. Tested positive for flu b, and started Tamiflu the next day, major symptoms gone by day four, though fatigue persisted until day 10.

Then on day 15, she had flu symptoms again. Tested positive for flu b again. Started Tamiflu, and symptoms were gone in ~2 days.

The original Tamiflu dose was half what's recommended for her weight. The 2nd one was the correct dose.

Her pediatrician thinks it's a rebound and not two different infections.

I assumed flu rebound would be like Covid, ie 12 hours after the last dose on day 5.

What's most likely here?

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u/Typical-Car2782 — 2 months ago