Airline Pilot Central Forums - It's just the flu!

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- - It's just the flu! (https://www.airlinepilotforums.com/covid19/129019-its-just-flu.html)

Quote:

Originally Posted by Tom Bradys Cat (Post 3087559)

I missed you. You're going to have to start a new one for the plague....

What I need to do is pace myself and save room on the meme for the second wave come autumn! Can’t fill the meme up entirely with these rookie sub-500k numbers.

Spent an hour with a buddy yesterday that's a PICU doc. Interesting things...

Different virus than March/April (mutation).
He's seeing more kids than March/April. And mostly MIS-C issues.
Totally different treatment protocol than earlier. Remdesivir + Dexamethasone
ICUs at capacity and patients are being shipped around the state and out of state now.

Quote:

Originally Posted by Excargodog (Post 3087739)

Case numbers still going up and deaths still going down, although today we had somewhat of a spike in the latter...

Look at the hotspots and how their daily deaths have started to climb.

Quote:

Originally Posted by emersonbiguns (Post 3087876)

it has been my experience with statistical averages that some numbers are ABOVE the average and some numbers are BELOW the average. That’s sort of why you DO an average. But if you look at DEATHS per million, only Arizona is even above the US average. Now I’d agree this COULD be the start of these states having a huge wave of deaths - although I doubt they will come anywhere near catching up to the death rates of the leaders - or it could merely be regression toward the mean. Certainly compared to other states it woukd sort of be these states turn..

But as for shipping cases around the state - most hospitals don’t build ICUs with a whole lot of surge capacity like military hospitals do. I would suspect shipping patients isn’t real uncommon.

the quite possible mutation of the virus is another issue though. A lot of people take comfort in the fact that “the mutation rate is much lower than the flu” and hope that will make a vaccine - shoukd one ever be developed - more effective for coronavirus than it is for the flu, and while corona does seem to be more genetically stable, it’s only an order of magnitude more stable than influenza and it has taken us 100 years of trying to get influenza vaccinations to the somewhat effective (59% on a good year) range. If indeed there has been a mutation in corona sufficient to be clinically evident, that may not bode well for chances for an effective vaccine any time soon.

Sorry this is a news quote, but there are several studies related to this topic out there. This is something to be of concern to the pilot group.

https://mobile.reuters.com/article/amp/idUSKBN24837S

Quote:

Originally Posted by OpMidClimax (Post 3087916)

Sorry this is a news quote, but there are several studies related to this topic out there. This is something to be of concern to the pilot group.

https://mobile.reuters.com/article/amp/idUSKBN24837S

Quote:

A study by researchers at University College London (UCL)described 43 cases of patients with COVID-19 who suffered either temporary brain dysfunction, strokes, nerve damage or other serious brain effects.

It’s certainly something to be researched, but it happens with a lot of illnesses if they are severe enough - including the flu:

https://bmcinfectdis.biomedcentral.c...879-019-4636-5

an excerpt:

Quote:

Fifteen children (13.1% of those discharged with a diagnosis of influenza infection in the study period), had influenza-associated central nervous system (CNS) manifestations. Eight patients (53.3%) were diagnosed as influenza encephalitis, 7 (46.7%) as influenza encephalopathy. Median age was 27 months. In children under 2 years of age (40% of all cases) altered consciousness was the most frequent neurological manifestation while respiratory symptoms were present at admission in all cases. Younger children also required intensive care support more frequently. Five subjects (33.3%) presented comorbidity.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5343125/

an excerpt:

Quote:

Go to:

Introduction

Neurological complications of influenza virus infection are a rare but well-known cause of morbidity and mortality in children and adults worldwide, and their incidence appears to have increased after the 2009 H1N1 influenza A virus pandemic (Glaser et al., 2012; Gu et al., 2013; Hjalmarsson et al., 2009). Influenza-associated encephalopathy/encephalitis (IAE) is a neurological condition associated with influenza virus infection. The diagnosis is difficult because there is no uniform clinical presentation, influenza virus is rarely detected in cerebrospinal fluid (CSF) and may no longer be detectable in respiratory samples when the patient presents with neurological symptoms. Furthermore, validated diagnostic criteria for this condition in adults are lacking. Thus, extensive clinical tests are needed to exclude other causes of encephalopathy, before the presumptive diagnosis of IAE is made.

Quote:

Originally Posted by Excargodog (Post 3087942)

It’s certainly something to be researched, but it happens with a lot of illnesses if they are severe enough - including the flu:

https://bmcinfectdis.biomedcentral.c...879-019-4636-5

an excerpt:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5343125/

an excerpt:

The concern with this virus in particular is residual cognative impairment. Yes the influenza virus can cause various cerebral complications, not what were talking about here.

The concern is recovered pilots from covid and jumping hoops with a FAA cog screen. Especially with data coming through is certain recovered populations.

Sooo. Just a quick thought/question. Is there anything stopping someone getting tested in a drive through testing centre, testing positive then wheeling around to another testing centre to get a second opinion?

Not being a conspiracist.....just thinking about all these positive cases adding up.

How about testing positive and then coming through every day of the week to get retested.....sorta adds up.

Quote:

Originally Posted by OpMidClimax (Post 3088285)

The concern with this virus in particular is residual cognative(sic) impairment. Yes the influenza virus can cause various cerebral complications, not what were talking about here.

The concern is recovered pilots from covid and jumping hoops with a FAA cog screen. Especially with data coming through is certain recovered populations.

Any SEVERE viral illness causing encephalitis can cause cognitive impairment. Including influenza. While Herpes Simplex encephalitis more commonly leads to cognitive impairment, it certainly isn’t unheard of with influenza as well.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1074045/

https://www.microbiologyresearch.org/docserver/fulltext/jmmcr/3/6/jmmcr005076.pdf?expires=1594257318&id=id&accname=g uest&checksum=A4A02C913E9E50E0A3A9AC57926025A3

https://www.mayoclinic.org/diseases-conditions/encephalitis/symptoms-causes/syc-20356136

Which is far from saying this is a common occurrence, although infectious Venezuelan Equine Encephalitis is common in Central America while Eastern and Western Equine Encephalitis occur in the US as well.

https://i.ibb.co/VVkHZ4n/129-A23-CB-...DCFC99-AE2.jpg
https://i.ibb.co/V9cW6DJ/22-A37-C58-...6-DAB38-D2.jpg

And of course Chikungunya is endemic through much of the Caribbean and has now spread to the US.

Quote:

In 2014, a Florida manbecame the first person to become infected with the virus in the U.S. (previously, other people had been diagnosed with chikungunya in the U.S., but they had contracted the virus while traveling elsewhere).

This year, 571 cases of chikungunya virus disease have been reported so far in 42 U.S. states, including cases contracted both here and elsewhere. And 196 cases have so far been reported in Puerto Rico and the U.S. Virgin Islands in 2015, according to the CDC.

When the researchers followed up with the people in the new study, three years after the outbreak, they found that an estimated 30 to 45 percent of the 24 people who had developed encephalitis went on to develop persisting disabilities. (The researchers were not able to calculate the exact percentage as some people were lost to follow up.

https://www.livescience.com/52921-ch...tis-death.html

So yeah, It’s rather PRECISELY what we are talking about here. It’s the encephalitis itself that does the damage. Not the specific agent that does the damage. If you get a bad enough case of ANYTHING it leaves a residual.

https://www.hopkinsguides.com/hopkin...l/Encephalitis

Quote:

Originally Posted by Excargodog (Post 3088335)

The problem here is you can have a mild case m term of respiratory disease and be suffering from cog damage. Will it be super common most likely no. That said again how many articles need to be written about this stuff before people put on a mask and take it seriously.

Quote:

Originally Posted by Downtime (Post 3088567)

You can have a mild case in terms of respiratory disease in ANY of these viruses and have it “not super common”ly cause encephalitis with cognitive impairment. There is nothing special about Coronavirus in that regard. The problem is if the encephalitis “not super common”ly happens, not the agent.

if you take a bullet in the brain damage to the brain is likely, irrespective of what BRAND of ammo the bullet was.

singling out coronavirus as something special in that regard is at best Ill -informed.