CHAT Hospitalized with covid pneumonia - UPDATE, post 67

Dennis Olson

Chief Curmudgeon
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I got pneumonia for the first time when I was 13. I spent a week in the hospital in an oxygen tent. Breathing was incredibly painful. I got it again in 2012 or so. I went in to urgent care, where they gave me the z-pac treatment and a steroid shot, and sent me home. I was fine the next day.

Sometimes medical science actually progresses.
 

ShadowMan

Crusty ol' Codger
Sometimes medical science actually progresses.
It's too bad that a lot of med schools don't teach some of the old examination techniques.

Egophony (E to A):
Egophony occurs when there is an accumulation of fluid or fibrosis in lung tissue enhances the transmission of high-frequency sounds while filtering out lower-frequency sounds leading to the high-pitched nasal/bleating sound characteristic of egophony (E to A change on exam).
Vocal Fremitus (99) and Tactial Fremitus (Blue Moon):
Fremitus is a vibration transmitted through the body. In common medical usage, it usually refers to assessment of the lungs by either the vibration intensity felt on the chest wall (tactile fremitus) and/or heard by a stethoscope on the chest wall with certain spoken words (vocal fremitus)
The navy's Independent Duty Corpsman (back in my day) were taught this basic examination tool because we very often operated far from any facilities that had Xray capabilities. With these three simple exam tools you could accurately diagnose pneumonia 3-5 days BEFORE anything would show up on Xrays.....and you could pin point exactly where the consolidation (fluid) was in the lungs. Which helped when looking at the Xrays.

I actually worked with new navy fresh out of school young physicians that had never been taught these methods...."Because they had Xrays and labs they could order." I'm pretty sure old school physicians and those Doc's operating in third world situations still use these antiquated, but effective exam methods.

High tech is great....when it works and when you have it, but old school is tried and true...and has stood the test of time.
 

poppy

Veteran Member
Vital signs at 9 pm were temp 98.3 ( first time in 7 days, no fever) and 02 @ 100% on room air. Vitals at 11 pm were virtualy the same. 7:30 this am.........98.7 and 98% on room air.
Were you also dehydrated? You said you hadn't been eating and that usually means you had not been drinking enough either. That lands a lot of people in the hospital. A couple hours of IV liquids makes you feel like a new man.
 

ShadowMan

Crusty ol' Codger
The OP's situation reminds me of why we finally had to get my father into an assisted living situation. It was after the third time we had to hospitalize him because we found him unconscious on the floor at home. He wasn't taking his insulin correctly, not eating, not bathing and reusing his insulin needles....his dementia had gotten to the point that there was no other choice. Physically he's much better now and safer, he's 91, but his dementia is ultimately killing him slowly. Very sad.
 

#1 oldskool

"You finally really did it. You maniacs!
The OP's situation reminds me of why we finally had to get my father into an assisted living situation. It was after the third time we had to hospitalize him because we found him unconscious on the floor at home. He wasn't taking his insulin correctly, not eating, not bathing and reusing his insulin needles....his dementia had gotten to the point that there was no other choice. Physically he's much better now and safer, he's 91, but his dementia is ultimately killing him slowly. Very sad.
Please tell me how my OP of me going to the ER, at 58 years old, after consulting with my wife and Doctor, reminds you of your dealing with your demented 91 year old father ?!
 
Please tell me how my OP of me going to the ER, at 58 years old, after consulting with my wife and Doctor, reminds you of your dealing with your demented 91 year old father ?!
I understood ShadowMan's comment in the context that he meant it, presumably.

However, you do raise a valid point - and a quality chuckle.

Good that you are on the mend (clearly).

Grins.


intothegoodnight
 
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