I thought you guys may like this. This is a 40 year old male with a history of diabetes and hypertension, I saw two nights ago, he came in with a fever 101 and a cough, flu was negative. He was tachycardic (HR 120s) and his oxygen saturation was 96% on room air. I told him coronavirus is a possibility and to home quarantine. He has a wife and multiple children all with the sniffles. I also advised him to return if he feels much worse and short of breath.
He returned tonight while I was on shift, and states he feels much worse. His oxygen level is now in the mid to high 80s, his labs are all completely suspicious of coronavirus with a normal white blood count, lymphopenia, elevated LDH, elevated ferritin, and elevated D-dimer. CTA of his chest shows severe bilateral ground glass opacities that are consistent with coronavirus.
Upon admission, if this patient is one of the ones that don't crash, they are trying to get them home oxygen so he can sit at home with oxygen until he gets better, so that he's not taking up a bed. We can get the patients finger pulse oximeters they can use at home to monitor their sats to see if they are improving or worsening. We can also get them setup with a clinic that will call them twice a week to check on them.
The CT scans linked here should be pretty obvious what these patchy opacities look like. This is the virus attacking your lungs. So at this point he's one of the ~14% of corona patients that get admitted needing supplemental oxygen. Hopefully he doesn't crash over night and end up intubated. It can happen! We are working on sending his swab off to the state for testing, so it likely won't show up in the state for 2-4 days or so, and likely that his entire family has coronavirus and will not be able to be tested in any timely fashion.