The USA has now surpassed Italy and China with the highest number of COVID-19 cases. Treating people has become a challenge with the increasing number of cases and varying degree of presentation of cases. A Doctor from New Orleans describes his time in the Emergency Department in his own words : A first hand experience : /Mar 25, 2020, 9:39 AM I am an ER MD in New Orleans. Class of 98. Every one of my colleagues have now seen several hundred Covid 19 patients and this is what I think I know.
Clinical course : is predictable. 2-11 days after exposure (day 5 on average) flu like symptoms start. Common are fever, headache, dry cough, myalgias (back pain), nausea without vomiting, abdominal discomfort with some diarrhea, loss of smell, anorexia, fatigue. Day 5 of symptoms- increased SOB, and bilateral viral pneumonia from direct viral damage to lung parenchyma. Day 10- Cytokine storm…