Ibuprofen, China, Fever discussed on Dunc'd On Basketball Podcast


Ninety five mask and reuse it and so that I thought that was encouraging at least hopefully. We're GONNA continue to find these ways where you know in quote unquote peacetime yet. Don't even bother throw throw away the mask get another one. These things are seventy five cents. It's better not to have to worry about whether you decontaminated up under these circumstances. It's good to see that there are at least ways where you can reuse some of this stuff Although it is a sad that we are in that situation so the hope here Assuming that you know that that's actually. The study has demonstrated. That is the hope here. Is that if you are a healthcare professional And you start to have a shortage of an ninety five that instead of discarding I mean the other thing is it's practical considerations here if you're in a if you're on a shift for a huge number of hours but in theory the idea nate right. Is that in that position? You could then Go home and the the issue with the masks they get all contaminated and Gung DOPP. But if you could if you could take these steps in in I guess you're baking them. Basically Right Then you could reuse them in that situation to more things we want to talk about here. Getting in more to just the the nature of this virus not not as much news. The issue of asymmetric carriers. We talked to them. The last episode of just how. This virus is just such a motherfucker because you have so many people who are able to walk around and spread it around and it seems like there are a significant number of asymmetric carriers between ten and forty percent of those testing positive. Either don't have symptoms or are pre-symptomatic That is now. The question is whether they transmit the virus or not a little bit of evidence to support that between ten and forty percent number the south China Morning Post which is out of Hong Kong. They obtained classified Chinese documents. Indicating that about forty three thousand people that were tested had no symptoms but tested positive. And the way that China was classifying cases. They weren't releasing that data. They had to obtain from classified documents. But there are about eighty nine thousand officially classified as cases. Those are the ones who actually shows symptoms and then forty-three thousand. Additionally who were kind of not reported were without symptoms and so that's that's about thirty percent right there. Yeah it's it's about a third The short answer on this my understanding from speaking to epidemiologists The the the short answer is that you just won't really know until you can actually get blood draws and the the serological data to see who had antibodies later on. This is common practice. They they go do this Later on in the season and try to estimate the total number of Asia is a symptomatic but it does seem to be from all the different data points. We can get in this range. I don't know if it's forty percent or twenty percent. I've seen a lot of studies. There's one mathematical study out there. That tries to Ballpark it at thirty percent. Whatever it is either way I think probably the most practical takeaway for us at home is that a you can be symptomatic. And carrying and be you can transmit when you're a symptomatic as well and that's part of what makes this thing so dangerous so difficult to to handle. Yeah is there varying estimates on how much you can be transmitting when your AC dramatic but The W Joe's that's not a trend significant transmission vehicle one to three percent of cases of asymmetric. They estimate actually transfer right. I think that's old I. It does seem that way because Ut Austin study estimated that ten percent of cases are transmitted by those asymmetric not that ten percent of e symptomatic people transmit but that ten percent of cases of result from transmission by people who are asymptomatic which. That's a pretty big number. Yeah Yeah and I just think in general. There's there's going to be uncertainty early on but there there does seem to be a pretty hefty amount of evidence that that is part of the story. And then the the other wrinkle their that I should mention Is that the way we define a symptomatic? Sometimes it's even funky right because because think about it If you're listening right now dow maybe you know because of Copeland nineteen but you know you might have a sneeze or cough or something during the week clearing your throat. Dry Throat. Something that you may chop to allergies and temperatures exactly that you don't take your temperature. Is that a symptom or not. For a lot of people they don't even notice But then medical. You could classify that as a symptom. So it's just sort of it's a gray area It's something that is going to impact your numbers your projections your estimates but the goal is it's going on for my understanding is to Try to not be too dogmatic about it but understand the ranges and then take defensive measures based on what those ranges could be when you project things or as individuals when we go out Trying not to get close to people and things like that also wanted to share a Taiwan Taiwanese study that indicates that more transmission of the disease occurs near Symptom onset. So the conclusion was that right around the time that you become symptomatic. That is when you are transmitting. The virus the most to others and so that again goes in with ASEM. Dramatic starting to become symptomatic. That apparently is when you are transmitting. The virus the most and so the scary part about that is well finding isolating symptomatic patients. That alone may not be enough to contain things because if it's getting transmitted so rapidly before people start showing symptoms or you know. I mean obviously aren't I just coughed once? I'm not going to immediately go get tested right as you've probably going to be a day that like okay. I might really be sick here. I got but you're transmitting. The virus during that period apparently But the good news from that is at least mild cases. Don't require prolonged hospitalization because there is a reduction of transmissibility overtime. So once your body kind of gets the virus under control. Now you're transmitting a lot less. Not that you can't transmit it but that it happens less so that's that's at least the one decent thing about that. I WANNA I wanna add something there. That was pretty comforting for me and I've talked to a lot of friends who have been in this weird psychological place. Where you you cough and you think like. Oh my God is this. Why do I have to do? I need to get tested. What you're my level of panic be And it was a physician and apologies. I can't I can't remember the physician anymore Or even where I heard the interview but basically the advice was this. As if you're if you're a young healthy person young could be. I mean under fifty under sixty. Just if you're in general you're not walking around with underlying conditions and you're not in the older age range You should really do yourself the service of treating your health based on how you feel versus what you fear. That was the big that was. That was the message. What you feel versus what you fear so As we've been talking about most of us will cough clearer throat sneeze all these other little subtle things and that's not something that We need to think immediately. There's actually happened at the beginning. And I heard some from some friends who worked in Ers when they started to put measures in or publicized this in the United States or declare state of emergency. They got slammed with everyone calling or wanting to come in saying like you know my fever might be ninety nine point one. Do I have cove in nineteen? I need a test And so the advice for me hopefully for you comforting as well like if you're in that situation how you feel not what you fear yet that's That's pretty good advice than obviously there. There's a concern that the Hell Systems. We overwhelmed to some degree with people with mild symptoms and to the extent we can save that for the people who are really in trouble. That's something we should all be trying to do. Some of this is proof thing open. Yeah I do you WanNa just kinda summarize where we're at with that so so there's this idea that was circling around the web with Ibuprofen That basically not just circling around the web and the French Health Minister. Basically said that you Ibuprofen could worsen Could Worsen Cove in nineteen. Yeah and so so there's some theoretical underpinning here where basically they noticed okay The Way Cope in nineteen enters. Your body I guess it binds to this quote unquote aced two receptor. And then if you take Ibuprofen. Ibuprofen actually Leads to the production of more of these receptors. And so it could in theory make it easier or more likely for cove in nineteen to bind to your lungs in one of the things they're saying is like it. It sort of travels from and this is totally nonscientific here. I'm just sort of regurgitating. The high level it goes from higher up in your system like near your throat ear nose but will travel down into your lungs when he gets into your lower lungs. That's when things are really bad. And so the theory was okay. If IBUPROFEN increases these these receptors. Then basically what happens is you could be making the case worse. You could be making the patient worse when they have Cova. They're taking this to reduce their temperature and there were a few anecdotal stories. Coming out of early places like China related to this and so I mean there is at least one video that I saw that was viral. That had like millions of us on instagram talking about this and basically what we're finding out and wired article Today or yesterday basically summarises is very well just because there's a theoretical underpinning that doesn't mean there's any causation that doesn't mean it actually is related to how well the virus spreads or any of the other factors that we don't know about that allows for reproduction of the virus in your body. And so you know it's there's no evidence per se. Ibuprofen is actually a problem. Yeah there's a there's a theory behind it. I mean so you just kind of make your own decision on that one at this point. I mean I think from what I understand. Not taking ibuprofen isn't going to hurt you with this You could take Acetaminophen seat Dominican still and try to reduce your fever that way. If that's what you feel like you need to do but I mean for my standpoint if there is a theoretical reason not to. I don't need to take. Are you pro fun? I guess I will decide not to take it out of an abundance of caution but that's acknowledging that we don't actually know that that's that you and to to be like all right you're gonNA YOU'RE GONNA kill yourself by taking Ibuprofen you know. That's probably going a little bit too far right and I and I I would say that's what The science author of this Mary McMahon McKenna at wired. That's kind of conclusion as well. I mean nate. You're saying better safe than sorry that that probably makes sense to a lot of us Because there isn't really a cost if you I guess in theory if you had a really bad fever you you might want to move to try to get treatment anyway but if you have a mild fever One of the things she notes correctly of course is that the increase in temperature in your body is a thing designed to kill and fight off invaders so You know I guess you could go either way.

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