Jim Wright
speaker
217 appearances
1 recordings
1 series
first heard Apr 2020
last heard Apr 2020
Jim Wright’s voice in public audio — every appearance, attributed to the second.
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Appearances
to monitor, perhaps check another chest x-ray at five to seven days.
But that's been our experience for the majority of our patients with symptomatic COVID infection.
So we call that indolent convalescent, but then there's been the indolent fatal.
which is a same beginning, one to two days of fever and moderate respiratory symptoms with stabilization for four to five days.
And then around day five to seven, a sudden decline.
So worsening of all of the above.
Fever usually does
not return, but respiratory symptoms certainly worsen.
And within 24 to 48 hours, the resident will pass away from that.
So that's our indolent fatal.
And as far as the fatal cases, that would be the most common.
And those are our patients that are in their 70s and 80s, maybe multiple comorbidities or severe COPD.
And then for us, the most challenging presentation is the acute respiratory distress.
So you'll have onset of severe hypoxia, and we've seen oxygen sats in the 60s.
So acute onset of hypoxia, acute respiratory distress with wheezing, shortness of breath, and coughing, and then death within 6 to 12 hours of the onset of symptoms.
Now, that's been a small subset of our patients.
Those are usually folks that are superannuated in their 90s, for example.
But we have seen those, and that can be a terrifying presentation.
And then there's a question as to whether there's also a sepsis picture.
We've had people sent to the hospital for sepsis and have tested positive for COVID there.
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