Don’t rush to get tested. Testing negative for COVID-19 doesn’t mean you won’t pick it up and be positive next week – and the cost of repeatedly testing everybody for every symptom will be exorbitant
SHARED WITH PERMISSION ... from a musical friend of mine who is an ER
physician in Penticton
Do Not Rush to Get Tested for COVID-19!!
Hello folks. As one of your local emergency physicians, I am going to
take the role of devil's advocate and explain why I personally believe that
testing is a waste of time for the general population.
Although the test is good at telling you if you have COVID-19, its
sensitivity appears to be no higher than 75%.
In medical terms, this means that 25% of people who have COVID-19 would
actually test NEGATIVE. Whether you test positive or negative, still means that
you need to SELF-ISOLATE.
If you get a false sense of security from a negative swab, you may
loosen your isolation precautions and infect many people.
If you have symptoms and test negative (and actually are negative), then
you may have something else like Influenza A ... H1N1 ... H3N2 ... Influenza B
... Parainfluenza ... Rhinovirus ... Non-COVID coronavirus ... Human
Metapneumovirus (HMPV - there ACTUALLY is an outbreak of HMPV in one of our
Penticton LTC facilities at the moment!).
That means YOU STILL need to SELF-ISOLATE!!
Testing negative, and not having COVID-19, does not mean you will not pick
it up and be positive next week! The cost to society of repeatedly testing
everybody for every symptom would be exorbitant.
As a society, lets save this money for rebuilding society after the
pandemic passes. Save society money and SELF-ISOLATE.
Testing positive, early or not, WILL NOT ALTER the course of the
disease, nor does it change your management!
Some/most (80+ %) will have mild disease (even though they personally
feel like their illness is severe) ... about 20% will require hospitalization
for oxygen ... and a subset of these will become critical irrespective of test
results.
Stay at home and SELF-ISOLATE.
If you don't actually have COVID-19, going into a hot zone (where all the
COVID-19 positive patients are going to be tested), is needlessly putting yourself
at higher risk of contracting it!
Stay at home and SELF-ISOLATE!
If you actually have COVID-19 but are well enough to make it to a testing
center, then you more than likely are quite mild, and are then unnecessarily
exposing and putting health care personnel at risk of getting it, not to mention
the personal protective equipment that could be better used elsewhere.
Better to stay at home and SELF-ISOLATE.
Please do not show up to the ER because you feel like you want to be
tested, or if have mild symptoms ... stay at home and SELF-ISOLATE.
If you feel increasingly short of breath and have chest pain when you
breath in/out, then please, by any means, come into the ER.
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