5 ms·

I don't understand. How are doctors this stupid? We have obvious communal transmission in France (and other countries). And if nobody is fucking testing for it,

I don't understand. How are doctors this stupid? We have obvious communal transmission in France (and other countries). And if nobody is fucking testing for it, the doctor can't fucking say that you can't have it. What happened to evidence-based medicine?

hatenberg 7y ago
France is playing the not testing game. Singapore had 4 imported cases in the last 2 days from there.
mcv 7y ago
I guess the test shortage is not limited to the US? When my son got a cold, I also preferred to get him tested, but couldn't. Soon it became pretty obvious it was just a cold, but still, without a negative test for him, I'm not allowed to come to the office. It's pretty clear that it's spreading faster than they can keep track of by merely tracking who you had contact with. I can understand they don't want to waste time or resources on people who obviously have a simple cold, but I'd rather they did test people who report flu cases.
kryogen1c 7y ago
> How are doctors this stupid? ... the doctor can't fucking say that you can't have it. What happened to evidence-based medicine? You clearly have no idea what youre talking about. When something 100x less severe than the coronavirus happens, there is an ABSOLUTE AVALANCHE of people calling in on the full spectrum of sickness, from psychosomatic, to actually sick but with the wrong thing, to actually sick with the right thing but minor cases, to people that will actually die if not seen but cant make their case clear. The reality of the situation is that without instant, free, over-the-phone test results, this is a reasonable response from oversaturated medical systems.
- jplayer01 7y ago
  Test, test, test. South Korea has tested 100.000 people. In Europe? Nobody is doing anything. You can't respond to something when you have zero idea what the scale is. We're literally seeing Europe stick its head in the sand.somebody comes in with flu-like symptoms, you fucking test. Psychosomatic doesn't matter, either you have the symptoms or you don't. And if you do, you test, test, fucking test. Not tell people to go home, you obviously can't have coronavirus. The diagnostic is dead simple. Look at any health ministry of any country. It doesn't take a medical degree to understand that if you have flu-like symptoms, you need to be tested for the flu. And if you don't have any of the flu strains making the rounds, test for Coronavirus. You know, exactly what SK is able to do but somehow Europe isn't.
  - kryogen1c 7y ago
    Tests are not free, not 100% accurate, and not 100% available. The doctor you called stupid is in control of exactly 0 of those factors, and has no effect on europes policy.
    - jplayer01 7y ago
      And Europe's policy needs to change. Nobody is saying dealing with this epidemic is going to be free. Yet the doctor is one of many who are dismissing the likelihood of somebody having coronavirus just because they haven't been to Italy. So yes, stupid.
      - gus_massa 7y ago
        There are false positives and false negatives. Now the infected population is very small, so if too many non infected people is testes, the false positives would be much bigger than the true positives. So you would get a lot of people unnecessary in the hospital while they have a normal cold or flu. Anyway, if the symptoms of a normal cold or flu are so bad that deserve hospitalization, the doctor will send you to the hospital even if it is not covid19. [If you are in a risk group, get the flu vaccine. It will not protect you from covid19, but you definitively don't want to catch a bad flu while the hospital if full of covid19 patients.]
      - kryogen1c 7y ago
        > dismissing the likelihood of somebody having coronavirus just because they haven't been to Italy. So yes, stupid. The amount of infected people calling in who havent traveled is _infinitecimal_. The doctor saying you're not infected is correct an OVERWHELMING amount of the time, probably >99% accuracy. Eventually, this wont be true, but then the doctor wont be telling everyone to go away because theyre not stupid. Now, if you want to argue the merits of extreme overcaution and attempting things like 100% testing for a global pandemic mitigation plan, good for you. You have a lot of hurdles to overcome, some of which you named yourself, but none of them are the doctors fault. You are simply wrong.
    - mumblemumble 7y ago

hatenberg 7y ago

France is playing the not testing game. Singapore had 4 imported cases in the last 2 days from there.

mcv 7y ago

I guess the test shortage is not limited to the US? When my son got a cold, I also preferred to get him tested, but couldn't. Soon it became pretty obvious it was just a cold, but still, without a negative test for him, I'm not allowed to come to the office. It's pretty clear that it's spreading faster than they can keep track of by merely tracking who you had contact with. I can understand they don't want to waste time or resources on people who obviously have a simple cold, but I'd rather they did test people who report flu cases.

kryogen1c 7y ago

> How are doctors this stupid? ... the doctor can't fucking say that you can't have it. What happened to evidence-based medicine? You clearly have no idea what youre talking about. When something 100x less severe than the coronavirus happens, there is an ABSOLUTE AVALANCHE of people calling in on the full spectrum of sickness, from psychosomatic, to actually sick but with the wrong thing, to actually sick with the right thing but minor cases, to people that will actually die if not seen but cant make their case clear. The reality of the situation is that without instant, free, over-the-phone test results, this is a reasonable response from oversaturated medical systems.

jplayer01 7y ago
Test, test, test. South Korea has tested 100.000 people. In Europe? Nobody is doing anything. You can't respond to something when you have zero idea what the scale is. We're literally seeing Europe stick its head in the sand.somebody comes in with flu-like symptoms, you fucking test. Psychosomatic doesn't matter, either you have the symptoms or you don't. And if you do, you test, test, fucking test. Not tell people to go home, you obviously can't have coronavirus. The diagnostic is dead simple. Look at any health ministry of any country. It doesn't take a medical degree to understand that if you have flu-like symptoms, you need to be tested for the flu. And if you don't have any of the flu strains making the rounds, test for Coronavirus. You know, exactly what SK is able to do but somehow Europe isn't.
- kryogen1c 7y ago
  Tests are not free, not 100% accurate, and not 100% available. The doctor you called stupid is in control of exactly 0 of those factors, and has no effect on europes policy.
  - jplayer01 7y ago
    And Europe's policy needs to change. Nobody is saying dealing with this epidemic is going to be free. Yet the doctor is one of many who are dismissing the likelihood of somebody having coronavirus just because they haven't been to Italy. So yes, stupid.
    - gus_massa 7y ago
      There are false positives and false negatives. Now the infected population is very small, so if too many non infected people is testes, the false positives would be much bigger than the true positives. So you would get a lot of people unnecessary in the hospital while they have a normal cold or flu. Anyway, if the symptoms of a normal cold or flu are so bad that deserve hospitalization, the doctor will send you to the hospital even if it is not covid19. [If you are in a risk group, get the flu vaccine. It will not protect you from covid19, but you definitively don't want to catch a bad flu while the hospital if full of covid19 patients.]
    - kryogen1c 7y ago
      > dismissing the likelihood of somebody having coronavirus just because they haven't been to Italy. So yes, stupid. The amount of infected people calling in who havent traveled is _infinitecimal_. The doctor saying you're not infected is correct an OVERWHELMING amount of the time, probably >99% accuracy. Eventually, this wont be true, but then the doctor wont be telling everyone to go away because theyre not stupid. Now, if you want to argue the merits of extreme overcaution and attempting things like 100% testing for a global pandemic mitigation plan, good for you. You have a lot of hurdles to overcome, some of which you named yourself, but none of them are the doctors fault. You are simply wrong.
  - mumblemumble 7y ago