Aesop, a healthcare professional dealing with Covid patients and a long time blogger of things both preparedness and liberty-related, over at Raconteur Report writes to remind people that, yes, COVID-19 is still a real thing that can kill you, and not some government conspiracy in Coronatardation Bad News: Still A Thing, By The Metric F**kton
…I told you all that to tell you this:
The tests for Kung Flu, because of the incompetent government @$$holes at the CDC (but I repeat myself again), Suck Balls. Bigly.
The swab tests report an inordinate number of false negatives, and the antibody tests (which AFAIK no one has reliably demonstrated yet are specific to COVID-19, as opposed to all coronaviruses, like the common cold) throw out false positives, like a drunk spilling pocket change staggering down the street.
This leads to undercounting those who do have it, and overcounting those who never had, both of which inexorably undersell how many people are infected who we think have it, and oversell how deeply it’s penetrated this society. The latter is a number less than 5%, and probably less than 2%, nationally, at least anywhere outside the Five Boroughs.
Which has inevitably led medical professionals, contrary to the jackassical suggestion above, to use y’know, a clinical medical approach to making a diagnosis of presumptive Kung Flu.
“Like what, Aesop?”
For laymen, esp. those who didn’t pay attention in middle school science class, here’s what an average normal chest X-ray looks like:
Bog-simple, no problems. Spiffy, right?
What does it look like when you have ordinary pneumonia?
Mini-anatomy lesson: you have two lungs, R and L. You have 5 lobes; 3 on the right, 2 on the left. Upper, middle, and lower on the right, upper and lower on the left. (Your heart is part of the reason there’s no Left Middle Lobe.) So, look at the pic above. The red arrows in the original stolen (Fair Use, btw) image came with it. See that area of schmutzy stuff all over the right middle lobe? That’s RML PNA: Right Middle Lobe PNeumoniA. The opacity (the blurry part) indicates fluid in the alveoli (little air sacs) in the lung, which is why you can’t breathe: your lungs filled with water don’t work well underwater, because they’re lungs, not gills. That’s what bacterial pneumonia, the kind that antibiotics will treat well, and that a shot will help prevent, looks like. In elderly people, pneumonias of the lower lobes, from less physical activity, prolonged immobility, etc. are the most common, and nota bene: as in this illustration, only on ONE side. (Gunny Hints:You will see this material again.)
So, let’s look at a typical CXR (Chest X-Ray) of a Kung Flu patient:
Not even typical pneumonia.
There’s schmutz EVERYWHERE.
Schmutz? = “Ground glass opacity”.
Bilateral multifocal pneumonia.
Like you won’t see in bacterial pneumonia.
Like you’d expect to see in pneumonia caused by a respiratory inhaled virus, and/or virus-induced coagulopathy, and/or both. (Pathologists, chime in anytime.)
Which fits only Kung Flu.
You have fluid ALL OVER your lungS, plural, (and pleural! See what I did there?) on BOTH SIDES, which is why people who have this symptomatically can’t effing breathe.
Their lungs, as in the whole contraption, is full of fluid.
And if you’re hypoxic (too little oxygen in your blood stream) on room air, or worse, even on supplemental oxygen, like a nasal canula, or a face mask, you’re pretty f**ked.
If you have that, and a fever from the infection, and a cough, and this CXR, and your blood tests fit the pattern, neither I, nor anyone witrh MD or D.O. after their name, needs a gorram broke-dick CDC-approved COVID test to tell you, me, Yellow Dog, or Medicare, that you have Kung Flu!
They can see it for themselves, with their own lying eyes, and they’re not going to falsify it for some pittance of chump change from Uncle Sugar.
Go back and read the AAR from the ER doc in Nawlins (like every one of the ER MDs I know and work with did, long since): clinical indications = Kung Flu. Period. A test, good, bad, or half-assed, is a nice confirmation, but the CXR and other clinical indications are diagnostic (that means a lead-pipe cinch sure thing). Testing, at that point, is a luxury, and if it comes back opposite the clinical indications, will be completely and rightfully ignored. Because the tests are all so much bullshit, courtesy of The Usual Gang Of Idiots at CDC, plus Typical Government Incompetence.
BTW, none of these are my actual patients’ X-rays, but #3 was what the CXR looked like on my guy from this past weekend. (One of six COVID-positives I cared for, BTW.) He’s in his early twenties, kids. Not 80+. Not 70-80. Not even over 40. Barely old enough to legally buy a beer. Full coronavirus bilateral multi-focal pneumonia.
What does this mean for you?
1) Temperature screenings are going to get everyone infected.
2) Getting everyone infected means you can expect orders of magnitude more sick and dead people (from Kung Flu, not with Kung Flu, if you’re that particular brand of Coronatarded) than you’ve seen so far.
3) Lockdowns largely stopped this, but
a) we cannot, and weren’t intending to, lock everyone down forever until the economy was in total flames, nor would we wish to continue the experiment
b) some of you were too smart to pay attention to what worked, because “muh paycheck!”
4) You (for any value of that term) have essentially decided to throw everyone who dies from this under the bus, in order to preserve the economy.
a) You did it, are doing it, and want to. Own it.
I’m not judging which is better, but don’t try and soft-soap and sugarcoat the decision you made, and the consequences as a direct result.
b) Don’t yap and yammer about your anti-abortion creds, if you’re willing to kill people at the end of life as casually as the Governor of Virginia is willing to kill them at the beginning.
Like Esau, you’ve sold your credibility there for a mess of pottage, and there are consequences to that sale. As noted in one tale, “we’ve already established what sort of person you are; now we’re simply discussing the price”.
c) There was a right way to do this, but most of the country couldn’t wait for that.
Suture self. And tell granny and gramps you loved them, and will miss them.
5) Get used to your masks, unless you like bilateral multifocal pneumonia.
a) Unless you’re Mary Mallon.
b) And deserve her fate.
6) You have no wild idea who’s sick, and who’s healthy, never did, and probably never will.
a) You DGAF, never did, and probably never will.
b) You have not hired Helen Keller as your crossing guard on the freeway.
c) EVERYONE is Helen Keller crossing the freeway.
d) Kung Flu is the 5000 busses upstream from you.
7) Good luck with your choices, and may the odds ever be in your favor.
8) I told you before, you’re not going to get what you like, and you’re not going to like what you’ll get.
9) This is a virus. It’s real. It kills people. There’s no recognized effective treatment, and no vaccine, and neither truth will change, probably this year, at least. There’s no evidence – none, nada, zip, niente, bupkus – that getting this confers any immunity to re-infection or that any such thing as “herd immunity” will ever be achieved. Not least of which because it’s been genetically altered with SARS, Ebola, and HIV sequences in the gene. (Thanks, Dr. Frankensteins!)
Luckily for you, it “only” kills about 1-3% of people who get it. That’s 1/30th-1/90th of Ebola. It’s 20-30 times worse than the flu. But it can’t be reasoned with, it can’t be bargained with, it’ll just keep coming.
Bonus: Getting it symptomatically creates permanent damage to the lungs and other organs, even if you survive.
And as you’re seeing now, (and 30-50% of those reading this will totally ignore, no matter how many times we tell it to you) the deaths from this virus are the least of your worries in the grand scheme of things, compared to the other 5000 consequences to life in society.
10) This virus doesn’t give a flaming bag of dogsh*t what your politics are, what whackdoodle conspiracy theories you espouse, who you voted for, or for the Constitution and Bill of Rights. People on both sides politically are so full of sh*t about this crisis their eyes are brown, and stupidity is no exclusive province for either side. (No, really. And I can show you their blogs and press releases.)
11) You ain’t seen nothing yet.
You’re not crawling out of this.
You’re not even close to the crawling-out-of-this stage.
You’re still in the crawling-into–it stage.
You have no idea how deep this swamp is, and while one can only ever walk halfway into such a swamp, you had no idea how big it was when you walked into it, thus when the halfway point was will only be determined after you come out the other side, retroactively.
Hurts, don’t it?