german-docter
Well-known member
Re: Argentina: unusual serious cases in young people
Dutchy ! That really makes me scared either.
But, as for the young Canadian girl, there is another fact that is worrisome. This young Canadian girl had been seen by medical personell in the beginning of her influenza-illness. And there obviously had been more than one chance, to act in another way. Who knows what would have happend, if she had been hospitalised before or if she had been treated with antivirals at an earlier state ? And I remember that this was not the only case of the fatal influenza-cases, in which the patient first was send home by doctors or other medical personell, who sometimes even were playing down the symptoms as well as the possible threat.
Credits to: theforeigner
http://www.flutrackers.com/forum/showthread.php?t=112153
http://www.thestar.com/article/655062
H1N1 flu victim collapsed on way to hospital
Within minutes, six-year-old Rubjit Thindal went from happily chatting in the back seat of the car to collapsing and dying in her father's arms.(?) Rubjit was pronounced dead at hospital barely 24 hours after showing signs of a fever. Later, doctors told her parents she had the H1N1 influenza virus. She is believed to be the youngest person in Canada with the virus to have died. On the evening of June 14, Rubjit had a bit of a fever and complained that her legs and arms hurt. The next morning, Kuldip took her to a walk-in clinic and the doctor prescribed the pain reliever Advil. By the afternoon, the little girl's fever was gone but she was complaining of astomach ache. Kuldip again took her to the clinic at about 2 p.m. The doctor gave her pills and told the Grade 1 student at Roberta Bondar School in Brampton to take it easy. (?) In the evening, when Rubjit said her stomach was still hurting, Kuldip and her husband, Gurmukh, decided to take her immediately to the Georgetown Hospital.Kuldip was driving. It was about 8 p.m. and they were five minutes from the hospital. (?) A minute later, Rubjit suddenly put her hand on her chest and said it was hurting. The next minute, her body went limp and she stopped breathing. (?) It was about 8:05 p.m. when they arrived, Kuldip remembers. Two hours later, doctors confirmed their little girl was dead.(?) Rubjit's parents say they don't know where the little girl contracted the virus. The entire family has been tested and Kuldip said doctors have told them no one else has it. (?) "She was so lively, never sat still for a minute and was always laughing,'' said Kuldip, who admits she keeps wondering if Rubjit would still have been alive had she taken her directly to the hospital instead of the walk-in clinic.
Niman, that's for shure.
I wanted to point out some reasons that possibly worsened outcome (e.g. time delay in testing, searching for and finding the right diagnosis, and start treating without having definite test results).
Thanks, zimagail. :iagree:
comment: Why not treat before complications occur ?
tropical ! Yes, that is the question to be answered. Physicians have to make the decision for antiviral treatment or prophylaxis at a time, they don't know exactly, what they are doing. But given a relatively low rate of adverse drug reactions, an early intervention with antivirals might be the action of choice.
I started a thread, how to make decisions and change guidelines on these matter of uncertainty (WHY.. and WHY NOT ?):
http://www.flutrackers.com/forum/showthread.php?t=112187
And I must confess, these answers are difficult. Many countries are struggling with the costs of their health care services or they do not have enough Tamiflu to supply an "overall" use in these situations.
I want to add another quote that fits to the discussion:
Credits to: thebes
http://www.flutrackers.com/forum/showthread.php?t=113014
http://www.wkbw.com/news/local/49390677.html
Third Buffalo student hospitalized with swine flu
________________________________________
By Jenny Rizzo
Story Published: Jun 28, 2009 at 7:47 PM EDT
Story Updated: Jun 28, 2009 at 7:47 PM EDT
The family of the Buffalo girl that died of swine flu speaks to Eyewitness News about her final days. And another Buffalo parent is worried about her son who is in the hospital fighting this deadly flu strain.
(?)
That's something Yvonne Cloud-Parker knows all too well. Her 15-year-old son Xavier is also in the hospital, battling the swine flu. "Very very deadly disease, quick. It eats you up really quick," she said.
And its especially scary for Parker because Xavier has battled asthma all his life and this week he developed pnemonia from his swine flu infection.
"If we can just get him to breathe without that oxygen, he'll be ok. And long as the antibiotics work for his pnemonia, he'll be ok. Until then, we're going to keep there, better safe than sorry, I don't want to lose my baby," said Parker.
Parker met Harden in the hospital corridor this week and she feels for the pain he's going through now. And both parents, separately agonizing over their children, share the same message.
"Don't second guess yourself, don't say you're going to give them Tylenol, some cold medicine. No, that don't work. Take your children and get them checked," said Harden.
(...)
There is one thing that makes me scared, when I think of my 2 children: the illness can develop so fast sometimes.
For example the young girl in Canada .
(...)
Dutchy ! That really makes me scared either.
But, as for the young Canadian girl, there is another fact that is worrisome. This young Canadian girl had been seen by medical personell in the beginning of her influenza-illness. And there obviously had been more than one chance, to act in another way. Who knows what would have happend, if she had been hospitalised before or if she had been treated with antivirals at an earlier state ? And I remember that this was not the only case of the fatal influenza-cases, in which the patient first was send home by doctors or other medical personell, who sometimes even were playing down the symptoms as well as the possible threat.
Credits to: theforeigner
http://www.flutrackers.com/forum/showthread.php?t=112153
http://www.thestar.com/article/655062
H1N1 flu victim collapsed on way to hospital
Within minutes, six-year-old Rubjit Thindal went from happily chatting in the back seat of the car to collapsing and dying in her father's arms.(?) Rubjit was pronounced dead at hospital barely 24 hours after showing signs of a fever. Later, doctors told her parents she had the H1N1 influenza virus. She is believed to be the youngest person in Canada with the virus to have died. On the evening of June 14, Rubjit had a bit of a fever and complained that her legs and arms hurt. The next morning, Kuldip took her to a walk-in clinic and the doctor prescribed the pain reliever Advil. By the afternoon, the little girl's fever was gone but she was complaining of astomach ache. Kuldip again took her to the clinic at about 2 p.m. The doctor gave her pills and told the Grade 1 student at Roberta Bondar School in Brampton to take it easy. (?) In the evening, when Rubjit said her stomach was still hurting, Kuldip and her husband, Gurmukh, decided to take her immediately to the Georgetown Hospital.Kuldip was driving. It was about 8 p.m. and they were five minutes from the hospital. (?) A minute later, Rubjit suddenly put her hand on her chest and said it was hurting. The next minute, her body went limp and she stopped breathing. (?) It was about 8:05 p.m. when they arrived, Kuldip remembers. Two hours later, doctors confirmed their little girl was dead.(?) Rubjit's parents say they don't know where the little girl contracted the virus. The entire family has been tested and Kuldip said doctors have told them no one else has it. (?) "She was so lively, never sat still for a minute and was always laughing,'' said Kuldip, who admits she keeps wondering if Rubjit would still have been alive had she taken her directly to the hospital instead of the walk-in clinic.
When I saw the jump in cases in Argentina I also thought it was a re-run of Mexico, but Australia has also seen a jump (7 deaths in the past week) and in both countries the flu season is just beginning, so I think it may be more than just late treatment/diagnosis.
Niman, that's for shure.
I wanted to point out some reasons that possibly worsened outcome (e.g. time delay in testing, searching for and finding the right diagnosis, and start treating without having definite test results).
Lab results are notoriously slow here in Argentina. With the certain increase in testing wouldn't it seem likely that the doctors had tested and were waiting for results before making the diagnosis? To give a personal example, I am still waiting for results of a routine biopsy that was performed 3 weeks ago.
Thanks, zimagail. :iagree:
Again..the use of the word unusual without much detail...
(...) A high rate of infection and possible serious cases in previously healthy young patients remain on alert to public health authorities. Right now it is necessary to agree on strategies to reduce medical morbidity and mortality of the epidemic. Consultation with health care in the first days of the onset of fever and the early diagnosis of potential respiratory complications is critical in this phase of the epidemic, "says Dr. Carlos Zala, infectologists Hospital Medical Center San Isidro" Dr. Angel Melchor Posse. "[/B]
Since the direction of hospital, Dr. Roberto Gonzalez with the Department of Infectious Diseases implemented a protocol of care to avoid these complications.
The protocol aims to identify and treat early respiratory events that might go unnoticed in a conventional examination. Once the patient with signs of complications, a treatment that includes antibiotics, antivirals and possibly a high dose anti-inflammatory, it started in immediately.
comment: Why not treat before complications occur ?
#55: " If you miss your chance in diagnosis and treatment at an early stage of the disease, then there will be a point of no return, no matter what you'll do on your ICU (ventilators, ECMO etc.).
So, isn't the answer an antiviral blanket to all in the infected areas an early answer - who got it last 2 days will be treated automaticaly in time.
(...)
tropical ! Yes, that is the question to be answered. Physicians have to make the decision for antiviral treatment or prophylaxis at a time, they don't know exactly, what they are doing. But given a relatively low rate of adverse drug reactions, an early intervention with antivirals might be the action of choice.
I started a thread, how to make decisions and change guidelines on these matter of uncertainty (WHY.. and WHY NOT ?):
http://www.flutrackers.com/forum/showthread.php?t=112187
And I must confess, these answers are difficult. Many countries are struggling with the costs of their health care services or they do not have enough Tamiflu to supply an "overall" use in these situations.
I want to add another quote that fits to the discussion:
Credits to: thebes
http://www.flutrackers.com/forum/showthread.php?t=113014
http://www.wkbw.com/news/local/49390677.html
Third Buffalo student hospitalized with swine flu
________________________________________
By Jenny Rizzo
Story Published: Jun 28, 2009 at 7:47 PM EDT
Story Updated: Jun 28, 2009 at 7:47 PM EDT
The family of the Buffalo girl that died of swine flu speaks to Eyewitness News about her final days. And another Buffalo parent is worried about her son who is in the hospital fighting this deadly flu strain.
(?)
That's something Yvonne Cloud-Parker knows all too well. Her 15-year-old son Xavier is also in the hospital, battling the swine flu. "Very very deadly disease, quick. It eats you up really quick," she said.
And its especially scary for Parker because Xavier has battled asthma all his life and this week he developed pnemonia from his swine flu infection.
"If we can just get him to breathe without that oxygen, he'll be ok. And long as the antibiotics work for his pnemonia, he'll be ok. Until then, we're going to keep there, better safe than sorry, I don't want to lose my baby," said Parker.
Parker met Harden in the hospital corridor this week and she feels for the pain he's going through now. And both parents, separately agonizing over their children, share the same message.
"Don't second guess yourself, don't say you're going to give them Tylenol, some cold medicine. No, that don't work. Take your children and get them checked," said Harden.