How do you approach the decision of whether and when to initiate therapy in patients who remain COVID-19 positive >2 weeks after infection but are asymptomatic from the virus?

If the patient is asymptomatic or minimally symptomatic, we have elected to initiate therapy for the patient. We have treated the patient in full PPE at the end of the day with no other patients in the clinic. Efforts should be made to minimize patient contact throughout the clinic.

We have the pat...

This is a very difficult situation in that even these asymptomatic individuals may have lasting ground glass opacities and pulmonary damage with abnormal PFTs but still asymptomatic.

This is a rapidly changing situation. However, the last report published by the Singapore's National Centre for Infectious Diseases on May 23, 2020 is here (accessed June 24, 2020).

According to this study, after 11 days or so, the patient is no longer infectious. A positive test “does not equate to...

While I generally agree with @Dr. First Last for the circumstance of an asymptomatic and otherwise healthy patient who is being treated for curative intent and for whom there are not good alternatives, eg, endocrine, targeted therapies, IO for the disease, and setting, I also have second thoughts if...

I agree with @Dr. First Last and others opinions and advice. Just a note: VAULT is a place where banks store money and our "precious documents" or where the undertakers get us when we leave this world (No joking!).