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.