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Re:A Movement to Stop the Covid-19 Pandemic by ldeangelis on Wednesday March 11, 2020 @08:51AM (#22545342)
> Limited access to testing to know if you have Covid-19

This is a huge one, at least in France. A friend recently tried to get tested because he was coughing heavily and had a fever. His doctor asked if he went to Italy or China recently, he said no, his doctor replied "Well then you don't have it." and that was the end of it.

Re:A Movement to Stop the Covid-19 Pandemic by jplayer01 on Wednesday March 11, 2020 @08:55AM (#22545378)
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?
Re:A Movement to Stop the Covid-19 Pandemic by kryogen1c on Wednesday March 11, 2020 @09:13AM (#22545519)
> 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.

Re:A Movement to Stop the Covid-19 Pandemic by jplayer01 on Wednesday March 11, 2020 @09:25AM (#22545598)
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.

Re:A Movement to Stop the Covid-19 Pandemic by kryogen1c on Wednesday March 11, 2020 @09:30AM (#22545632)
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.
Re:A Movement to Stop the Covid-19 Pandemic by mumblemumble on Wednesday March 11, 2020 @09:48AM (#22545789)
What I'd like to see doctors do differently is encourage people to treat their illness as if it were covid-19 regardless of the test result.

If my health care provider can try to sell me antibiotics despite a negative strep test, "just to be sure, because sometimes you get a false negative", then they're surely not ignorant of the phenomenon where tests are less than 100% accurate. (Perhaps they're just variably aware of it, depending on what the bean counters from the health care network's corporate office are telling them to do. But still.) And, if you take a "better safe than sorry" attitude regarding false negatives, then you're not too far off from realizing that not having the test is not that big of a deal, because you'd be telling people to stay home when they're sick in either case.

Re:A Movement to Stop the Covid-19 Pandemic by kilburn on Wednesday March 11, 2020 @10:32AM (#22546128)
What do you think "treating their illness as if it were covid-19" means?

This is a viral illness. There is simply no treatment. You go home, rest and eventually get through it in most cases. If you have annoying symptoms, you try to alleviate those in the usual ways (as if it was any other cold/flu). If you get life-threatening symptomps, you call for help and they'll take you to the hospital (at least while they aren't completely collapsed).

What would you like the doctor to say or do here?

Re:A Movement to Stop the Covid-19 Pandemic by mumblemumble on Wednesday March 11, 2020 @10:47AM (#22546260)
Sorry, ambiguous language. "treat" in the general sense, not specifically in the sense of medical treatment.

Specifically, I would like the doctor to say, "Stay the eff home and keep your germs to yourself, sickie."

More doctors doing this would also help put pressure on employers to change their policies. Maybe (dare I dream?) we can even get restaurants to start giving their employees sick leave, and encouraging them to use it, instead of requiring them to show up and germ up all the food on pain of losing their jobs.

Re:A Movement to Stop the Covid-19 Pandemic by mumblemumble on Wednesday March 11, 2020 @10:14AM (#22546001)
(And keep doing so even after covid-19 blows over, so that we can maybe start reducing the influenza body count, too.)
Re:A Movement to Stop the Covid-19 Pandemic by jplayer01 on Wednesday March 11, 2020 @09:33AM (#22545649)
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.

Re:A Movement to Stop the Covid-19 Pandemic by kryogen1c on Wednesday March 11, 2020 @10:52AM (#22546292)
> 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.

Re:A Movement to Stop the Covid-19 Pandemic by gus_massa on Wednesday March 11, 2020 @09:48AM (#22545784)
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.]

Re:A Movement to Stop the Covid-19 Pandemic by pqs on Wednesday March 11, 2020 @10:11AM (#22545975)
Last week I had the flu. Me and my whole family. We are fine now, but coughing like crazy. Nobody tested us. We all went to see our respective doctors and they all said, its the avian flu (H1N1), with no testing whatsoever.

I'm in Catalonia, Spain.

Re:A Movement to Stop the Covid-19 Pandemic by hatenberg on Wednesday March 11, 2020 @08:57AM (#22545394)
France is playing the not testing game. Singapore had 4 imported cases in the last 2 days from there.
Re:A Movement to Stop the Covid-19 Pandemic by mcv on Wednesday March 11, 2020 @09:13AM (#22545517)
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.

Re:A Movement to Stop the Covid-19 Pandemic by cabraca on Wednesday March 11, 2020 @09:12AM (#22545510)
Same in Germany. An aquaintance of mine had a fever after a trip to Singapore. He called the hotline, the local health department, the local clinic. nobody helped him, always directed him to call someone else. After 5 hours a doctor called and told him "its just the flu, get a bath and rest". No testing, no quarantine, nothing. He's in self-quarantine now...
Re:A Movement to Stop the Covid-19 Pandemic by huseyinkeles on Wednesday March 11, 2020 @12:31PM (#22547118)
Same in the Netherlands. When one of my colleagues asked to get a test her GP asked if she’s been to one of those countries, when she said no, she didn’t get any tests :(