很详细的一个新冠病例

n
nowayitsover
楼主 (文学城)

https://*****/showtopic.html?topicid=2635367&fid=398

 

我觉得病人做错了两点: 1是VC开始太晚,2 是退烧药从Tylenol换成了ibuprofen (Motrin).

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注定无眠的十二月--领导被确诊新冠的十八天

领导12/4和朋友喝咖啡,脱口罩讲话四十分钟,12/5朋友出现症状,12/7领导出现症状,12/8朋友被确诊,12/11领导被确诊,从此开始乌云密布的十二月,一直被误导的我以为就是个大号流感,每天信心满满的告诉他明天会更好,但是一天比一天糟糕,直到领导去急诊,我才开始手足无措......,以下是领导今天下午刚刚写的,为了纪念这十八天的无眠夜,也是我华人的处女贴,希望大家不要轻视新冠。祝大家圣诞快乐!

 

Please note I am piecing this from memory, chats, messages, etc.  I have tried to be as factual as possible while noting how I felt.  The earlier days (until the hospital stay) were pretty hazy.  I tried to indicate my state of mind as well since the psychological factor of the disease was particularly prominent.

 

Day 1, Monday, December 7, 2020 [Symptoms start] Over-weekend contact establishes positive Covid test result Symptoms begin Light cough Fluctuating fever between 100 and 101 Headaches Chills Still worked for remainder of day Received antigen + PCR test for self and family Spirits: OK, anticipating a week of “coldlike symptoms” based on anecdotes from colleagues and online. Day 2, Tuesday, December 8, 2020 Antigen test comes back negative Work stops Fever climbs to 101-102, controlled by Tylenol Night sweats Oxymeter readings fluctuate between 90% and 96% Spirits: Still OK although fatigue setting in and making work difficult. Day 3, Wednesday, December 9, 2020 Fever continues to be 101-103, controlled by Tylenol Began to take Vitamin C, Vitamin D, Quercetin, Zinc, and Chinese-medicine supplements

 

Day 4, Thursday, December 10, 2020 Fever continues to be 101-103, controlled by Tylenol

 

Day 5, Friday, December 11, 2020 PCR test confirms positive Covid-19, family tests negative and remains without symptoms SpO2 reading reaches 93% during night Fever reaches 103.2 I call the hospital for some advice, and the nurse was very considerate and asked me to control with Tylenol Spirits down since fever seems uncontrollable with initial forays into lower oxygen.  The inability to sleep due to cough increases the fear that one feels that things may not get better (or quickly). Day 6, Saturday, December 12, 2020 Second oximeter arrives SpO2 reading reaches 93% during night I tried calling the hospital again, but there was no nurse advisor or doctor available to talk. Instead, I tried calling my PCP’s on-call; I left a message, but no reply came back Day 7, Sunday, December 13, 2020 Cough getting much worse Fever reaches 103, drops to 99.7 Oximeter reading drops to 92% overnight, fever at 101.6. Spirits down as there seemed to be no way that this was going to last only for a week.  Reading online, it seems days 5-10 were very crucial as complications tend to happen during this time if they happen at all. Day 8, Monday, December 14, 2020 Decided to stop Chinese medicine Began to switch to Advil (Ibuprofen) for longer-lasting fever reduction I asked a friend to drop off another oximeter as the two I had were very similar.  As you can see, the readings are all the same.

 

 

PCP prescribes codeine to help with cough and sleep. Spirits still down as no drug seems to be able to quell the feelings and fears at night; constant coughing, sweating, and chills make one subjectively feel things are not improving.

 

Day 9, Tuesday, December 15, 2020 Fever, 101.4 - 102.1. Oxygen readings fall to 90-91%. Spirits down as it’s difficult to know when one should visit the hospital.  It’s possible there is nothing wrong and going will make it worse since I may catch something there or spread Covid to others.  On the other hand, the readings keep falling. Day 10, Wednesday, December 16, 2020 [First ER Visit] 16th year anniversary Fever, 101.8. Drove to ER at night, fever drops to 98.4. They quarantine me in a small room to avoid spreading Covid-19.  I am in the room waiting for ~2 hours waiting for a room to see the doctor. I finally see the doctor, and they take a chest x-ray.  The notes indicates minor atelectasis (lung collapse) but no pneumonia I asked for water 6 times throughout my visit but was never given water once. They gave me a steroid shot, which caused instant chills and let me drive home with 98.1 and 92% on the SpO2. I was initially glad since they told me my vitals were looking OK, but the experience overall was poor since I didn’t get any water and I waited for a very long time to be seen.  I had to call the ER (while I was in the ER) to let them know I was still in the initial quarantine room.  I had resolved to not go to the ER again unless I absolutely had to. Day 11, Thursday, December 17, 2020 Oxymeter readings continue to fall to 91/92%. Fever rises to 100.5. Before sleep, temperature is 98.6 and SpO2 is 93%; the former rises so 101.7 and oxygen drops to 90-91. Day 12, Friday, December 18, 2020 Oxymeter readings continue to fall to 90/91% in the morning. Fever rises to 102.7. Begin trying prone position to improve SpO2. Night SpO2 drops to 88%. I felt considerable alarm since the reading would consistently land on 88% without moving.  I made the decision to go to the ER despite my prior experience.   Day 13, Saturday, December 19, 2020 [Second ER Visit, Admitted] All supplements, medicine, etc. stopped. Drove to ER at 3am.  I picked the closest spot to the front ER door and was barely able to walk to the entrance due to shortness of breath.  I showed them low SpO2 reading, get put into ER room immediately with 2L of supplemental oxygen. 6AM, I am admitted but there are no available nurses and/or room capacity, so I remain in the ER ward.  The room I am in does not have a bathroom, so I had to use a hand urinal multiple times and a “bedside commode.”  This isn’t an exact picture, but it’s close enough.  I wonder what options females have. Day 14, Sunday, December 20, 2020 [Hospital Day 2] Fever remains at 99 throughout night; I took a Tylenol. I am still on 2L oxygen and am using the hand urinal since I did not want to leave the oxygen. A routine that would happen for the next several days: Morning: A shot of steroids through my IV A blood thinner injected into my stomach fat Breakfast around 8 Blood draw Noon: Daily dose of Remdesivir (total 5) Lunch around 1 A doctor’s visit Evening: Dinner around 6 Every 4-8 hours: Measure blood pressure, pulse, SpO2, temperature My oxygen requirements do not go up, and I am stable at 96% SpO2.

 

Day 15, Monday, December 21, 2020 [Hospital Day 3] In the morning, they wean me to 1L oxygen, SpO2 stabilizes at 95%.

 

Day 16, Tuesday, December 22, 2020 [Hospital Day 4] They later wean me off the oxygen entirely.  I begin to take walks back and forth to exercise my legs, and I am able to go to the bathroom by myself. They introduce me to incentive spirometry, which is a lot less fun than it sounds.  Basically, one needs to inhale at a constant rate and try to hit certain numbers.  With a lot of pain, I was able to hit 1000 mL Inspired Volume, which is the minimum.  During healthy times, I should be able to hit 3000-3500, so this goes to show how much the disease has affected my breathing ability.

 

My last elevated temperature was 99.0 at 7:06PM. Day 4 in the hospital is when I began to have some hope.  I began to take walks back and forth inside the room, and I could see that my oxygen levels were not dropping despite having gone off the oxygen.

 

Day 17, Wednesday, December 23, 2020 [Hospital Day 5] I received my last dose of Remdesivir, but it’s not clear if I’ll be discharged today. I settle in for another night when the doctor decides to discharge me, so I am excited to get dressed in my old clothing and gather my belongings.  I was given the option to stay for one more night for observation, but I hadn’t showered for 5 days, my body was responding to treatment, and I had already begun to do better on the spirometer (hitting 2400 mL).  I opted to go home. It took about another hour to get all the paperwork ready, after which they wheeled me back to my car under the crispy Fremont night air.  I had a lot of cleaning to do at home since I left in a hurry and had knocked over my cough medicine, leaving a sticky mess everywhere, plus I desperately wanted to shower. I arrived home at 8PM, cleaned, showered, and took my measurements.  I still had insomnia, but at least I was home. Day 18, Thursday, December 24, 2020 The sleep during the night was poor, but fever remained nonexistent (in fact, temperatures were depressed in the 96-97 range) while SpO2 levels remained fine at around 97%. The night sweats and chills are still happening.  The cough is still there although less pronounced. Appetite remains good throughout the day.  Spirometer maxed out at 2700 mL today. I was able to walk twice outside today, once with a 100-ft descent/ascent and without losing breath. Spirits are improving.  Mental health is as big a part of this disease as is the physical part.  It is so easy to pinpoint in the past “if I hadn’t done this or that” and feel immense amount of regret.  It’s easy to let the scary Internet anecdotes get to you and let your mind wander into the horrors of this disease.  I have also discovered there is only so much on-demand video one can watch:

 

 

d
dudaan
谢谢分享,信息很重要
难得糊涂一次
希望能读到以后几天的过程,祝他完全康复
青松站
注意安全,锻炼身体,今见封省再即,有人雪地里锻练身体
白镜天
大谢!在病中仍然不忘分享病历,现身说法,帮助他人。祝楼主领导早日完全恢复健康。请多保重,防止反复,恶化。
j
jessicachan
我就是楼主,,因为申请账号耽误了两天,谢谢有心人帮我转发,我想说明的是退烧药换成advil(ibuprofen)是家庭医生建议的
欲千北
帖子中说病人服用了中药,请问是什么中药?
j
jessicachan
莲花清瘟
t
touchlife
发烧的第一天就应该找医生开hcq

或者吃一些early treatment的supplement。网上有很多信息,但是很多人都被MSM蒙蔽了而不知道。 https://www.americasfrontlinedoctors.com/hcq-protocols/early-treatment/
欲千北
多谢。
e
estar
祝你老公早日康复!谢谢分享

我11月初做了同样的事情和朋友在星巴克喝咖啡聊天一个小时。但是我们不是重灾区。我也是有点后怕。以后还得注意。

圆萝卜
谢谢楼主分享,祝你领导早日康复!
k
keke168
谢谢分享!祝你老公早日康复!