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RE: 2019–2022 CORONAVIRUS PANDEMIC POSTINGS
CDC MMWR
Risk for Newly Diagnosed Diabetes >30 Days After SARS-CoV-2 Infection Among Persons Aged <18 Years — United States, March 1, 2020–June 28, 2021
Sorry, didn't realize the CDC was going to release this in their weekly MMWR report dated tomorrow.
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dturm
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01/13/22 07:20pm |
Around the Campfire
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RE: 2019–2022 CORONAVIRUS PANDEMIC POSTINGS
...... I'm no Doctor, but I can't help wondering if Covid had affected her sugar levels, resulting in her ultimate death... there's no way this lady's blood sugar could have gone this high, IMO
Frightening anecdotal "news" coming out now is that children who have recovered from COVID have a higher incidence of diabetes. Much more needs to be studied before comfirming the association, but long-term issues related to COVID are going to showing up for a long time.
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dturm
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01/13/22 03:00pm |
Around the Campfire
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RE: 2019–2022 CORONAVIRUS PANDEMIC POSTINGS
I can't wait for an attorney to try that argument - My client didn't shoot and kill him, he had cancer and was a dead man walking, the bullet fired was irrelevant.
Jack Kevorkian spent time in jail when he assisted suicide in people who were imminently terminal regardless of comorbidities.
These arguments about COVID death comorbidities have no validity medically speaking.
Dr. Doug
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dturm
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01/13/22 01:56pm |
Around the Campfire
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RE: A very old stray {The Old Fella Story}
I agree during the winter, late spring, summer and early fall not so much.
Spring and fall around here are about as good as it gets, and many summer days are tolerable. Winter used to be OK, but as I aged everything hurts more and it's just plain hard to accomplish necessary tasks (like walking the dogs!!).
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dturm
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01/13/22 08:22am |
RV Pet Stop
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RE: A very old stray {The Old Fella Story}
Dan and Patty, we feel your pain :B
This is our second year staying in the cold - it was 8 here this morning.
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dturm
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01/11/22 07:55am |
RV Pet Stop
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RE: 2019–2022 CORONAVIRUS PANDEMIC POSTINGS
We have a friend who had to go to the ER not COVID related and waited 24 hrs in the ER for a bed. Our son needs to have an angioplasty, fortunately not an emergency situation and has it scheduled for later in the month.
As Mark said, people may go to ER scared, but they don't get admitted because of scare.
While generally omicron symptoms appear less severe and less lethal, it can still be a serious disease in many individuals (NON-VACCINATED, and those with co-morbidities).
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dturm
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01/06/22 02:33pm |
Around the Campfire
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RE: A very old stray {The Old Fella Story}
Happy New Year from snowy, cold Indiana. Dale you are not missing anything!! Temp at 3 pm is 12 with wind chill at -4.
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dturm
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01/06/22 02:18pm |
RV Pet Stop
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RE: Time for cat euthanasia
This is totally unreasonable. Search for an "in home" option either online or through a local vet. If there is an emergency clinic/hospital, they may have different protocols.
There are situations where waiting an hour to make that decision is not in the best interest of the animal.
Don't do the .22 unless you know what you are doing. I know of multiple situations where police officers while trying to do a good thing didn't know anatomy an ended up having to do multiple shots to achieve their goal.
Doug, DVM
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dturm
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01/05/22 01:21pm |
RV Pet Stop
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Kidney Disease
This is a hard one for me to post because Sasha has Chronic Kidney Disease (CKD) and is in stage 4 kidney failure.
The following is for information in case some of you may go through this in the future or have gone through it in the past.
Dogs and cats have kidney function and structure very similar to people. If we are normal at birth, we have about 75% excess kidney function capacity. That’s why people are able to donate a kidney and continue to have a healthy life.
The basic functioning unit of the kidney is the nephron, and we have millions of them between our two kidneys. Life provides insults that can damage the nephrons and “put them out of service.” The major insults are high blood pressure, diabetes, fever, and some infections.
We do fine until we get to the 25% left. At that point there are some medical steps that can be taken to help a little but reversing the damage can’t be done.
The problem is that diagnosing CKD is difficult because our kidney function tests appear normal until we reach that 25% level and waste products start building up in the blood. There are some new tests that show some promise in picking up CKD before that 25% level is reached and lifestyle modifications have a better chance of slowing progress.
Serial blood tests where the same tests are done annually can point to trend changes. Urine samples looking specifically for protein in the urine that shouldn’t be there are suggestive also.
Most dogs and cats don’t show problems until later in life and often other issues cause end of life issues, not kidney disease.
Getting to Sasha, she is just turning 5. CKD is extremely rare in a dog this young, but she had a serious rickettsial infection (Ehrlichiosis) in Turkey before we got her. She was also on the street for over a year and exposed to unknown toxins, infectious agents, etc.
She is gradually fading but is still a happy, albeit much less active, dog. She has no appetite and is losing weight. When she tells us she’s had enough and doesn’t want to go on, we’ll say goodbye. We've probably got days to weeks left with her.
As long as she wants to go for a walk and greets us at the door, we’re good. She’s given more love in her short 5 years than many do in a long lifetime.
Doug
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dturm
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12/29/21 09:40am |
RV Pet Stop
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RE: 2019–2022 CORONAVIRUS PANDEMIC POSTINGS
The PCR tests aren't quick result. The way the tests are run require "amplification" of the genetic material that is on the swab. This takes time.
The antigen tests are the quick result tests and just test for a section of the virus in question. The FDA reported that the antigen tests have reduced sensitivity to the omicron variant - more false negatives.
FDA
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dturm
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12/29/21 08:43am |
Around the Campfire
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RE: 2019–2022 CORONAVIRUS PANDEMIC POSTINGS
The production and distribution of Novavax will tremendously aid worldwide efforts in combatting this pandemic. Many places in the world where refrigeration is not available can utilize this vaccine just using an igloo cooler.
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dturm
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12/25/21 10:39am |
Around the Campfire
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RE: A very old stray {The Old Fella Story}
Merry Christmas to all.
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dturm
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12/25/21 06:04am |
RV Pet Stop
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RE: 2019–2022 CORONAVIRUS PANDEMIC POSTINGS
There appears to be widespread misunderstanding of the limits of testing and how to interpret results.
As Mark said: "It sounds like these on air personalities got a lesson in diagnostic sensitivity and specificity; and in the practicality of mask use even for those vaccinated and/or tested."
Basically, there are very few false positive tests in any of the approved tests either antigen or PCR - meaning that a positive test means you are positive.
All of these tests have some degree of false negative results. Sample retrieval errors (poor swabbing technique), early disease where there is very low viral load and errors in following the actual test steps can result in false negatives.
What this all means is that a positive test result should be considered positive. A negative test might be negative but it would be prudent to continue mitigating behavior - distancing and mask wearing. Serial testing is a way to confirm a negative - two or three consecutive negatives probably mean the negative results are real.
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dturm
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12/24/21 04:34am |
Around the Campfire
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RE: Homeless Cat -- Now Spotacus' Legacy
Your experience with the local band brought back great memories for me. My dad was a piano/percussion trained musician. After WWII his focus turned to education as shrapnel in his hands limited his time playing. We had a marimba and snare drums in our basement and dad gave private lessons to students.
While he didn't join our local community orchestra on a regular basis, he did perform with them when they needed "special" additional musicians. The one I remember most is him playing tympani when they performed the 1812 Overture.
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dturm
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12/21/21 06:23am |
RV Pet Stop
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RE: Reindeer Sighting!
Wow, he's gotten big. Very cute.
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dturm
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12/13/21 04:02pm |
RV Pet Stop
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RE: Animal care in times of Coronavirus
We're pretty much back to normal with all employees wearing masks. Clients are encouraged to wear them, but not required. As with many businesses, veterinarians are dealing with difficulties in finding employees.
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dturm
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12/13/21 03:42am |
RV Pet Stop
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RE: Dealing with the "Barfmeister"
Dogs can have reflux and acid problems. It's a little harder to diagnose because they don't tell us they have the burning sensation :).
I forgot to say that Kaylee is also on Pepcid once daily for her issues.
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dturm
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12/03/21 04:16pm |
RV Pet Stop
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RE: Dealing with the "Barfmeister"
With nasal and sinus issues you almost always see or hear breathing issues or "reverse sneeze."
The foamy phlegm is more likely excess saliva that was produced before vomiting where nausea was happening.
Regular vomiting could be nothing but also could be a sign of more serious problems (chronic pancreatitis for example). You might have a blood panel and urinalysis run just to rule out more serious issues. If everything is normal I usually recommend changing foods. There are some OTC anti-nausea meds and some more intensive prescription meds if necessary.
BTW, Kaylee has chronic pancreatitis and is on low fat diet, no table food and Ondansetron daily. It has controlled her vomiting to the point where it's unusual rather than frequent.
Doug, DVM
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dturm
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12/03/21 09:18am |
RV Pet Stop
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RE: COVID PERSONAL EXPERIENCES
We are having Thanksgiving at our house. We expect 9 people all vaccinated (most with boosters) except for a sister-in-law who has advanced ovarian cancer and can't be vaccinated due to ongoing chemo.
No sieves here :B
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dturm
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11/20/21 02:57am |
Around the Campfire
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RE: A very old stray {The Old Fella Story}
Dan became a friend to us over the last several years. He missed the last rally due to health issues and he has struggled the couple of years. I pray he finds peace. Our thoughts and prayers go to his family.
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dturm
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11/17/21 06:07am |
RV Pet Stop
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