帮一个老美邻居疑似求问医疗意见

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charminggarden
楼主 (北美华人网)
华人上力量大,上来帮一个极度惊吓的老美邻居问一下医疗意见。多谢各位。坐标:靠近斯坦福大学医院。病程第4周,发过烧,咳嗽,胸闷,腹泻,昨天都起不来床,呼吸气短,但是血氧正常,两周前测阴性,X-ray正常。目前只是和医生每周一次视频诊疗,医生觉得新冠的可能性很大。应该怎么办?
1. Age, gender, had contact with infected persons? --
I am 44 year old female. I did not have contact with a confirmed infected person (however there has been a severe lack of tests). My neighbor returned home from New Orleans and Mardi Gras - where there is a massive influx of positive patients. Her 14 year old daughter had the same early symptoms as me. Illness started on March 11th.
2. Cough: Light or severe dry cough? Cough frequency? Days?-- I had a cough the first two weeks of illness. It was a light dry cough that got worse in the second week. My doctor prescribed me Azithromycin on day 12, and my cough got significantly better. I was then prescribed an inhaler to help with shortness of breath.
3. Phlegm: With or without phlegm, what color? Toward the end of the second week, I had some phlegm but it was clear. I had my lungs checked at the ER in my second week with a chest Xray - they said my lungs were clear.
4. Fever: temperature, days.... I had a low fever for 10 days. It finally cleared with the antibiotics. (Azithromycin)
5. Diarrhoea: severe or mild? number of days. Yes I had diarahhia and stomach cramps the first 2-3 days of illness. It was medium severity not mild. Enough that I tried to take over the counter medicine for it.
6. Feeling chest tightness? Sore muscles? Level description - Yes. The night before I went to the ER I had rapid pulse and chest tightness and was up coughing all night.
7. Breathing: breath difficulty? I had shortness of breath....where I would get tired from walking across the room to get more water. And need to immediately sit down and rest.
8. what medicine had taken? I have taken Azithromycin, Cephalexin, albuterol (inhaler) and Tylenol and Advil for fever and pain remover. PLEASE NOTE: On my third week - I had a massive tooth infection and had to go to the emergency dentist to get my tooth extracted. Cephalexin was used for that infection.
9. What tests performed and results? At Stanford, I had an EKG and Chest Xray -during my second week of illness and the tests were normal. What I am most worried about now is that I wake from sleep with my fingers tingling (pins and needles) multiple times a night. My heart also races! spikes from resting rate of 62 - up to 110. I measured my oxygen when this happens and it is at 98%
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yshe
美国就不能照ct吗? 怎么都是xray.
君已陌路
为啥不去检测?不是都给测吗
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Cybercat
加州不是检测能力上来了吗?再去测一个呗。
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zenmebane
如果是新冠肺炎,发病4周之后要么好了,要么挂了。 但是现在看不到病理报告,就是丁香医生上的信息。
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EdwardVIII
7. Breathing: breath difficulty? I had shortness of breath....where I would get tired from walking across the room to get more water. And need to immediately sit down and rest.
charminggarden 发表于 4/9/2020 2:45:49 PM

感覺應該去吸氧了。要真是中了,可能會撲街。那個血氧98%看著不可靠。
我们仨
会不会是拔牙感染了?
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charminggarden
谢谢各位!今天她和primary care医生视频,医生说她如果有新冠症状就不能去诊所里面看医生;她要求再次检测,但是经过几道问询又被斯坦福医院拒绝了(两周前测过,现在血氧99)。已经第4周了,如果是新冠应该已经发展成重症了。或许她在康复中,心情很焦虑导致虚弱和心率加快。但愿她尽早康复。
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Viviennedd
4周了,是也是轻症,今天看了一个三十几岁的病人记录说四周之后不发烧了,但是多走一会就气短乏力了,也是不符合条件没有测,医生觉得是。
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MajiaX
我记得武汉爆发的时候新闻报过,在病情往重症进展的过程中,单纯用指尖血氧仪查出来的血氧饱和度是无法反映病情的严重性,这时候需要取动脉血做血气分析。 而且现在是第四周了,不应该再用第2周的胸片评价病情了
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hualihu
回复 2楼yshe的帖子 一样一样来, 都收钱。。 美国医院就是杀人的地方。。
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hualihu
回复 8楼charminggarden的帖子 血氧99查个屁啊。。 健康着呢。
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peterpdf
回复 2楼yshe的帖子 ct多贵啊....... 美国医疗不就是那样嘛