DC: First COVID-19 Case Confirmed

[Anonymous]

They said this DC person who had no known travel or exposure was tested due to his symptoms and underlying disease criteria

[Anonymous]

If there are truly enough tests now this hoarding is bizarre. Clearly patients will be anxious and many would want an unwarranted test but if the treating physician wants one it makes no sense to withhold (unless the shortage is ongoing.)

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:They are sticking strictly to CDC criteria it seems. Sounds like the District's Health Department is keeping an iron grip on who can get tested in DC, meaning they can override a physician's request.

Clinical picture, travel to certain countries or contact with a confirmed case, people in LTCs, or someone really, really sick.

But that isn’t the criteria anymore is it? The criteria is supposed to be that anyone with a dr order gets a test, but 1) either there aren’t actually enough test kits even though CDC says they’ve been distributed, or 2) the tests have been distributed (or at least a sizable amount) but lab capacity doesn’t exist to process more than a few tests a day.

I’d like to see that more clearly explained by the press. This administration has obviously totally screwed up, a combo of incompetence and perhaps malfeasance, but I’m curious about the lab capacity piece.

The idea of a coronavirus pandemic has been anticipated for years, so I would have thought lab capacity for testing would have been addressed in various plans that must exist.

It's the criteria they are using.

They pretty much said DC Department of Health had to agree on whether someone could be tested. They explicitly said being in an airport in an affected area was not considered travel to an affected area.

It's really bizarre. This person would have been refused a test based on their criteria until he was hospitalized although he would have been openly symptomatic for at least a week before that.

Did they say why they are not using the supposed CDC criteria? Is it because despite the broadened CDC criteria they don’t have the tests, or, like the administration, is DC worried about the economic impact if the case count goes up? I honestly have no idea.

I wonder if this DC guy could have crossed paths with any of the AIPAC attendees. There seems to have been transmission at the conference and I’m sure attendees went to restaurants, stores, outside of the conference hotel.

[Anonymous]

WaPo breaking news is that DC now has 2 cases.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Anyone on here going to do anything differently now?

Yes. Leaving DC to go to the lake house. Next week will be hell once the testing really starts.

I would leave right now for our beach house if I was tethered here due to the dog's cancer treatment and my husband refusing to take ANY time off. His work better close.

I feel like I've spent my life giving and giving and giving and now I'm just sitting here waiting to get this and get sick.

Are you the beach house person with a kid in college?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Anyone on here going to do anything differently now?

Yes. Leaving DC to go to the lake house. Next week will be hell once the testing really starts.

I would leave right now for our beach house if I was tethered here due to the dog's cancer treatment and my husband refusing to take ANY time off. His work better close.

I feel like I've spent my life giving and giving and giving and now I'm just sitting here waiting to get this and get sick.

Are you the beach house person with a kid in college?

Yes. Every instinct is telling me pack up and bug out and hunker down there

[Anonymous]

Anonymous wrote:WaPo breaking news is that DC now has 2 cases.

Who is the second case?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:They are sticking strictly to CDC criteria it seems. Sounds like the District's Health Department is keeping an iron grip on who can get tested in DC, meaning they can override a physician's request.

Clinical picture, travel to certain countries or contact with a confirmed case, people in LTCs, or someone really, really sick.

But that isn’t the criteria anymore is it? The criteria is supposed to be that anyone with a dr order gets a test, but 1) either there aren’t actually enough test kits even though CDC says they’ve been distributed, or 2) the tests have been distributed (or at least a sizable amount) but lab capacity doesn’t exist to process more than a few tests a day.

I’d like to see that more clearly explained by the press. This administration has obviously totally screwed up, a combo of incompetence and perhaps malfeasance, but I’m curious about the lab capacity piece.

The idea of a coronavirus pandemic has been anticipated for years, so I would have thought lab capacity for testing would have been addressed in various plans that must exist.

It's the criteria they are using.

They pretty much said DC Department of Health had to agree on whether someone could be tested. They explicitly said being in an airport in an affected area was not considered travel to an affected area.

It's really bizarre. This person would have been refused a test based on their criteria until he was hospitalized although he would have been openly symptomatic for at least a week before that.

Did they say why they are not using the supposed CDC criteria? Is it because despite the broadened CDC criteria they don’t have the tests, or, like the administration, is DC worried about the economic impact if the case count goes up? I honestly have no idea.

I wonder if this DC guy could have crossed paths with any of the AIPAC attendees. There seems to have been transmission at the conference and I’m sure attendees went to restaurants, stores, outside of the conference hotel.

I refused to go to either conference and believe they should have been cancelled

[Anonymous]

Anonymous wrote:If there are truly enough tests now this hoarding is bizarre. Clearly patients will be anxious and many would want an unwarranted test but if the treating physician wants one it makes no sense to withhold (unless the shortage is ongoing.)

Labcorp and Quest are doing the tests. DC doctors don't have to relay on the DC Department of Health to do the test, or at least I hope so.

[Anonymous]

That press conference wasn’t very reassuring.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:They are sticking strictly to CDC criteria it seems. Sounds like the District's Health Department is keeping an iron grip on who can get tested in DC, meaning they can override a physician's request.

Clinical picture, travel to certain countries or contact with a confirmed case, people in LTCs, or someone really, really sick.

But that isn’t the criteria anymore is it? The criteria is supposed to be that anyone with a dr order gets a test, but 1) either there aren’t actually enough test kits even though CDC says they’ve been distributed, or 2) the tests have been distributed (or at least a sizable amount) but lab capacity doesn’t exist to process more than a few tests a day.

I’d like to see that more clearly explained by the press. This administration has obviously totally screwed up, a combo of incompetence and perhaps malfeasance, but I’m curious about the lab capacity piece.

The idea of a coronavirus pandemic has been anticipated for years, so I would have thought lab capacity for testing would have been addressed in various plans that must exist.

It's the criteria they are using.

They pretty much said DC Department of Health had to agree on whether someone could be tested. They explicitly said being in an airport in an affected area was not considered travel to an affected area.

It's really bizarre. This person would have been refused a test based on their criteria until he was hospitalized although he would have been openly symptomatic for at least a week before that.

Did they say why they are not using the supposed CDC criteria? Is it because despite the broadened CDC criteria they don’t have the tests, or, like the administration, is DC worried about the economic impact if the case count goes up? I honestly have no idea.

I wonder if this DC guy could have crossed paths with any of the AIPAC attendees. There seems to have been transmission at the conference and I’m sure attendees went to restaurants, stores, outside of the conference hotel.

I refused to go to either conference and believe they should have been cancelled

They said they were following CDC criteria. Also said those criteria had been expanded to include people in LTCs.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Some infectious disease experts believe that the virus probably has been circulating to some degree in the United States since early February or even January.

This is actually VERY good news!

Right, I’m a bit in a state about the virus but the longer it’s been circulating prob the better if hospitals aren’t reporting being inundated with atypical pneumonia cases. That would mean not that many people are getting terribly ill. However, I think it’s prob too soon to tell and I’d like more reporting “on the ground” from area hospitals (as well as in other areas) about what they’ve been seeing.

Consider that this has been a higher than normal respiratory virus season. I think this is what we've been seeing.

Stats on this? Don’t doubt it, just interested

[Anonymous]

Anonymous wrote:

Anonymous wrote:WaPo breaking news is that DC now has 2 cases.

Who is the second case?

WAPO just says someone traveling in DC

[Anonymous]

Most common symptoms (based on the data out of China)

Fever, fatigue, dry cough, loss of appetite, muscle aches, shortness of breath starting around day 5 and respiratory symptoms progressing fairly rapidly with presentation to hospital with respiratory concerns typically about day 7.

Least common symptoms (less than 10% of cases):
Dizziness, nausea, vomiting, headaches, diarrhea, abdominal pain, runny nose, sore throat, coughing up sputum / blood.

Sources: Wang et al ( n = 138), Chen et al ( n = 99), and Huang et al ( n = 41). All found similar symptom profiles.

[Anonymous]

Anonymous wrote:That press conference wasn’t very reassuring.

It disgusted me. It makes no logical sense to bother with tracing on the hospitalized male who tested positive, yet refuse to test segments of the population that likely would test positive. No, we will just send them home and pretend they are negative and not worry about their tracing.

And not one of those officials seem sympathetic to the patients at all. The one doctor was just smirking.