Anyone else seeing all negative results for COVID testing at their hospital? We have had several patients who are clinically positive with no other explanation and they test negative over and over. Could it be faulty tests or technique? Or that some people don’t test positive until a few weeks after their symptoms? All I know is I don’t trust these tests one bit. Scary thing is, if the patients test negative they are not isolating them and some nurses are only wearing surgical mask in room.

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We have had many pts who have all the clinical signs of infection (cxr and ct look like covid, labs look like covid, new and increasing o2 requirements) but keep testing negative. We started getting sputum for some of them and are getting + results for those tests even if the swabs had been negative. Also at my hospital only ID can remove the covid banner in epic to make someone officially "negative" and until they do that we treat all pui as + and use the relevant precautions and PPE. ID will keep someone as a presumptive + even with multiple - swabs if they feel the overall clinical picture is likely covid. Definitely looking forward to better testing as time goes on and they're able to refine the tests.

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https://jamanetwork.com/journals/jama/fullarticle/2765837

Nice article that summarizes covid testing. The pcr is 99% specific but nasal swab ability to capture an accurate sample is 63%. If in doubt a bronchoalveolar lavage or sputum may be better.

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Definitely suspecting some false negatives at times when patients have classic symptoms along with suspicious CT findings....and yes it’s scary.

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Yes. We have. We’ve even tested people 3 to 4 times - still negative.

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We absolutely see this. These tests still have so many false negatives - I believe many of them have accuracy of 70% (max sensitivity).

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I am one of these patients - or I was. Clinically diagnosed but 2 nasopharyngeal swab tests came back negative. It’s very frustrating but I plan on getting an antibody test to see if my “viral pneumonia” was caused by coronavirus which I completely suspect as it started as a GI type of illness then progressed to pneumonia. Anyway, just my $.02 worth.

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N95 mask are continued for high suspicion COVID patients in our Unit. Several have been tested 2-3 times and later positive. Team member protection is equally important.

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Yes so much so that we have added antibody testing to our COVID labs

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I was only wearing a surgical mask until I had that ah ha moment myself to realize that teating wasnt going as should and now I continue to wear a N95 mask everyday. It's crazy that we have to proactively protect ourselves because there is a corporate bottom line that is concerned about their margins and if waiting till the last minute to put protocols in place will help them save or make a few extra bucks you better believe they will do it.......until the next surge! Oh yes its coming!😔

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We still only get surgical masks for positive COVID pts unless they're on >6 L O2 or an aerosolized procedure, that's management's excuse for if a patient is lab negative but symptom positive 🤷🏼‍♀️ I'm with ya with these tests though, they seem all over the place. Testing them 3-4 times, then when they eventually decompensate and get vented, they check a bronch sample and it's positive (had that happen 3 times)

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How to handle potential backlash over mandatory mask wearing? We have an employee who refused based on having COPD. We had him fill out medical accommodation paperwork, and then put him on leave.

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Cross posting from the Creatives bowl: Got laid off while facing long Covid and feeling out of options. Any advice on how to get a decent severance package?

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How does everyone feel about their Health Coverage?

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Let's talk!

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My boyfriend who moved to NYC about a year ago is asking if our next apt can be cheaper. We have a $2.2k 1br in Chinatown b/c of a covid deal, that's totally impossible to beat now. He's a bartender, am I a huge dick if I tell him he needs to try to earn a bit more to help our rent? He pays $800 now and feels that's too high.

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Am close to making Partner at my firm (T2 Strategy shop) but worries because I see many peers stagnate at my level for 4-6 years (I’m in Yr 2) and COVID crashes the pipeline (con’t)....

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Hey, boosted here and got COVID last Wednesday soo it’s been 10ish days and my headache and congestion won’t go away. How long did other peoples last for?

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What are some factors that would justify moving to a low cost of living city?

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Additional Posts in COVID-19 Healthcare

I wish that half the offices in the hospital weren't windowless - such a downer

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Has this pandemic made you rethink your career in medicine or confirm it?

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No student loan payments for six months!! I wish they'd just forgive loans for frontline nurses. This definitely counts as front line service!

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concerned the fed gov is banking so highly on Moderna. Giving them $1B plus to bring a vaccine to market, but they've never done it in their decades existence

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My hospital is requiring us to be licensed in New Jersey as well as New York (we have locations in both states) for a potential resurgence. Anyone else seeing this type of requirements?

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I don't think this will be a vaccine and done kind of deal...we're going to be dealing with this like we deal with TB, as an endemic illness

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I've started waking up for a sunrise walk everyday, then working for two hours before my kids get up. Always hard not to hit snooze, but so glad once I do it

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Looking at some of these protestors, I think a lot of them probably have chronic health conditions...

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