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@winetarelli posted:

For the record, for anyone else… I tested negative on a rapid at home-antigen test. But I just had a gut feeling, even though the symptoms weren’t too bad, so I went and got the official PCR test, which was positive. My point is, if you think you might have it, don’t rely on at-home testing as definitive.

Only partly agree.  More specifically, the home rapid spike protein Antigen test is less sensitive- ie needs higher titers to read positive.  You could run out and get an expensive gene amplification PCR and  waste time, money and resources, or wait 24-48 hrs and repeat the home test, which inevitably is positive after 2 day incubation. As stated in the NEJM, both choices are effective, and unless clearly immunocompromised and unvaccinated where there is large risk in waiting, or have a vital work or other obligation that can't wait that time,  the latter is wiser and less resource costly.  Remember, if you think you have it and are not dying, diagnosis is safely presumed, behavior is quarantine at home, and treatment is supportive stay at home.  If you have influenza, adenovirus or rhinovirus, behavior and treatment is the same.  I've posted NEJM AMA recommendations below

Rapid Diagnostic Testing for SARS-CoV-2

List of authors.

  • Paul K. Drain, M.D., M.P.H.
  • January 20, 2022
    N Engl J Med 2022; 386:264-272
    DOI: 10.1056/NEJMcp2117115

KEY CLINICAL POINTS

Rapid Diagnostic Testing for SARS-CoV-2

  • Rapid diagnostic tests (RDTs) that are authorized by the Food and Drug Administration to diagnose severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection are either nucleic acid amplification tests to detect genes or antigen-based immunoassays to detect proteins of SARS-CoV-2.

  • RDTs are approved for use in persons with symptoms of coronavirus disease 2019 (Covid-19) and in asymptomatic persons who are close contacts of a person with Covid-19 or who have been in a potential high-risk transmission setting.

  • Symptomatic persons should undergo testing as soon as possible, quarantine while awaiting test results, and consider retesting if they have a negative RDT, particularly if they have a high pretest probability of infection.

  • Asymptomatic persons with a known exposure to SARS-CoV-2 should undergo testing 5 to 7 days after exposure, and if the RDT is negative, they should undergo testing again 2 days later.

  • Persons with a known exposure to SARS-CoV-2 who are not fully vaccinated should quarantine while awaiting test results, and persons who test positive should isolate, contact a health care provider or public health department, and inform close contacts about the infection.

@napacat posted:

Why are we even testing anymore at this point?  If it is going to be endemic...then what is the point?  And it seems to be getting milder with each variant.

I’ll answer for myself. If I suspect or know I’ve been exposed to someone who has tested positive, I want to ensure I don’t pass it along to my 86 year old mother, who I bring groceries to and visit every week and a half. She still prefers living in her house despite failing eyesight and not being able to drive herself. It’s an hour and a half each way, or I’d see her more often. While there are other people who can help out occasionally, she’s my mother. While vaccinated  and boosted, she is elderly with some other moderate health conditions. I’d be quite upset if I infected her with Covid, or even the flu.

There are multiple cancer survivors at my job. I sometimes come in close contact with them. That should be enough explanation there. Also some front-office coworkers have elderly parents they help care for, and some have children with asthma and other health conditions. If I think I’m sick or contagious, I’ll avoid contact with them as much as possible. An outbreak at work could lead to skilled machinists missing work, which negatively affects our business and that of our customers.

I have access to convenient testing. I care about the collective health and we’ll-being of my friends, family and community. A “milder variant” doesn’t affect everyone the same. So while I’m not always completely vigilant, I’m doing my best to live “normally” while expending a minuscule amount of extra effort to not infect people who may not be as healthy as I am. I’ve had at least four known close exposures to infected persons, some of whom had moderate symptoms including difficulty breathing. One was bedridden for a week. Our CEO, who is athletic and otherwise quite healthy, is still having some lung issues from his bout a year and a half ago. I’m very comfortable with my actions and decisions, no matter what anyone else thinks.

Last edited by billhike
@napacat posted:

Why are we even testing anymore at this point?  If it is going to be endemic...then what is the point?  And it seems to be getting milder with each variant.

I don’t know the science, and would defer to dr. Tannin.  But, the past is not always prologue.

The “mildness” may relate to the vaccinations and boosters. I have a friend who just had a 10 day trial postponed because 3 or the 4 lawyers have tested positive.  One has shortness of breath and other symptoms.  One is a cancer patient with suppressed immunity and one takes care of her elderly parents.

Last edited by irwin
@billhike posted:

I’ll answer for myself. If I suspect or know I’ve been exposed to someone who has tested positive, I want to ensure I don’t pass it along to my 86 year old mother, who I bring groceries to and visit every week and a half. She still prefers living in her house despite failing eyesight and not being able to drive herself. It’s an hour and a half each way, or I’d see her more often. While there are other people who can help out occasionally, she’s my mother. While vaccinated  and boosted, she is elderly with some other moderate health conditions. I’d be quite upset if I infected her with Covid, or even the flu.

There are multiple cancer survivors at my job. I sometimes come in close contact with them. That should be enough explanation there. Also some front-office coworkers have elderly parents they help care for, and some have children with asthma and other health conditions. If I think I’m sick or contagious, I’ll avoid contact with them as much as possible. An outbreak at work could lead to skilled machinists missing work, which negatively affects our business and that of our customers.

I have access to convenient testing. I care about the collective health and we’ll-being of my friends, family and community. A “milder variant” doesn’t affect everyone the same. So while I’m not always completely vigilant, I’m doing my best to live “normally” while expending a minuscule amount of extra effort to not infect people who may not be as healthy as I am. I’ve had at least four known close exposures to infected persons, some of whom had moderate symptoms including difficulty breathing. One was bedridden for a week. Our CEO, who is athletic and otherwise quite healthy, is still having some lung issues from his bout a year and a half ago. I’m very comfortable with my actions and decisions, no matter what anyone else thinks.

+1 on this, I just found out this morning someone I am supposed to golf with tonight was in close contact with another that tested positive yesterday.  I am traveling through 4 states for work in the next 4 days, and by removing contact with this person, as remote as the chances may be, I'm trying to keep from infecting myself and spreading to others. 

My Trump-supporting, anti-vax brother-in-law is now paying the price for his beliefs. He's been sicker than a dog for the past week or so, but is now too embarrassed to go to a doctor & admit it. He attended some function where nearly all of them came down with it. Unfortunately, no one else in his family got the shot, either. He also can't continue his weekly visits to his ailing mother (my mother-in-law), as she has so many preconditions, that even though vaxed, she'd more than likely not survive.  My wife (his sister) is so pissed at him.

@mneeley490 posted:

My Trump-supporting, anti-vax brother-in-law is now paying the price for his beliefs. He's been sicker than a dog for the past week or so, but is now too embarrassed to go to a doctor & admit it. He attended some function where nearly all of them came down with it. Unfortunately, no one else in his family got the shot, either. He also can't continue his weekly visits to his ailing mother (my mother-in-law), as she has so many preconditions, that even though vaxed, she'd more than likely not survive.  My wife (his sister) is so pissed at him.

Can't count the number of times people have told a story like this:  friend or relative is a Trumpanzee who was proud and loud about not getting the shot, then got sick.  Most others though then got treated at least.

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