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My recent experience of getting COVID after 2+ years working as a vaccinated+boosted 41yo ER doctor.
Later this week I'll discuss & analyze:
–Long COVID & health risks post-COVID
-Paxlovid hype
-Masking/why our stupid policies will just end with everyone getting COVID 🧵 1/x
Let's just say this first: I don't know how anyone can NOT have symptoms. All those prior times I "thought I might be coming down with something?" What a joke! I knew within a few hours: body aches, chills, sore throat, fever to 101.5F.
Luckily, these were all well-controlled with Tylenol/Motrin*, and the worst lasted about 48 hours. Felt like the flu; waking up in the middle of the night sweating/burning up, then shivering cold.
*This is definitely *not* me giving you medical advice; talk with your doctor
I used the tried-and-true method of meds every 3 hours (again, this is not medical advice for patients, just what *I* did):
6am Tylenol
9am Motrin
12pm Tylenol
3pm Motrin
etc
This keeps medicine working in my body pretty much at all times to fight off the fever and body aches.
(While these medicines are over the counter and in most people most of the time in standard doses are safe, again: talk with your doctor. They are medicines, and taking them for multiple days at a time can cause problems for /some/ people. And I see these people in my ER.)
By day 3, fevers ended and I was back on my feet. (Thanks, vaccines!) Still not feeling great, but usually the flu has knocked me down for longer, so I was thankful. Sore throat, cough kicked in pretty bad, as well as significant fatigue. Needing a nap at like, noon.
And those symptoms lasted quite awhile—maybe a week or so? Every day was a slight improvement, but the fatigue and loss of exercise-ability were the last to improve. I'd walk up a small hill (we have lots of those in SF) and my heart would be POUNDING. HARD.
Weeks later, I still have a "post-viral cough," which is a prolonged cough that many get after a viral illness; I also have mild asthma that tends to flare up when I get sick as well, so I've been using my albuterol "rescue" inhaler when I previously hadn't used it in years.
I re-tested on day 6ish (rapid antigen at home; on day 1 was VERY positive, and day 6 negative, never did a PCR as this is unnecessary) and was negative and feeling overall much better, about 90% or so. Back at work seeing patients again in the ER a few days later.
Am I surprised that I got COVID? Initially yes, but in retrospect, not really. BA.2 (the main variant right now in the US) is EXTREMELY contagious — more than Omicron — and with indoor venues open, and maskless, it's kind of... well, duh. I'm also sure I got it *outside* of work.
There's been a secret wave of COVID brewing for weeks in the US, missed (or honestly, ignored) by public health agencies, I think in part due to no reporting structure for at-home rapid tests. But look at Verily's wastewater dashboard for LA: BA.2's been here for weeks!
While my health system allows me to report a positive home test (which I think then gets my information filtered back to local and state agencies), I'm sure many systems don't — and most people don't really think to do so, either.
I think the lack of reporting of positive home tests — and few talking about wastewater data — is a real miss. When cases go up, more people do tend to mask and stay home, especially if they're on the fence about it, or they have an older parent, or compromised immune system.
Later this week I'll do an evidence-based analysis of several other topics: Paxlovid, long-COVID and post-COVID risks of heart attack, stroke, etc, and roll my eyes at our "public" "health" "policies" for COVID in the US right now.
Massive thank you to my support network of family, friends, and work colleagues who covered shifts for me, and for my job and the City of San Francisco that has paid sick leave policies to keep COVID+ people at home!
sfgov.org/olse/san-francisco-paid-sick-leave-coronavirus
And if you need any more reason to mask — if you think, "I've already had COVID, or I'm vaccinated, masking doesn't matter" — we're now seeing Influenza and other viruses causing fever and viral illness across the US. In MAY. You don't won't those viruses, either.