Stocks keep plummeting.
One of NZs major trading banks just said it was predicting NZ to be in recession as a result of covid19
COVID-19
Re: COVID-19
Situation in certain areas of northern Italy is terrible.
We already already at the point of choosing who to help with assisted respiration based on highest chance of survival.
Basically, they are leaving old people to die.
My dad is a doctor but because he’s past retirement age he’s only an external consultant at the hospital, going back to work now (hasn’t been there since Thursday).
Will report.
We already already at the point of choosing who to help with assisted respiration based on highest chance of survival.
Basically, they are leaving old people to die.
My dad is a doctor but because he’s past retirement age he’s only an external consultant at the hospital, going back to work now (hasn’t been there since Thursday).
Will report.
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bostonimproper
- Posts: 581
- Joined: Sun Jul 01, 2018 11:45 am
Re: COVID-19
This seems like one of the dumbest times to start an oil war, but there you go.
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Jason
Re: COVID-19
To future generations, this will be knowns as "The Great Great-Grandmother Purge" of 2020.George the original one wrote: ↑Sun Mar 08, 2020 9:35 pmCases by Age
- 27 80+
Cases by Sex at Birth
- 70 Female
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jacob
- Site Admin
- Posts: 15974
- Joined: Fri Jun 28, 2013 8:38 pm
- Location: USA, Zone 5b, Koppen Dfa, Elev. 620ft, Walkscore 77
- Contact:
Re: COVID-19
US Congress members are contemplating working from home. Meanwhile the Capitol remains open for tourists.
https://www.nbcnews.com/politics/congre ... s-n1152851
https://www.nbcnews.com/politics/congre ... s-n1152851
Re: COVID-19
Situation at my dad's hospital (inside Lombardy region, but not among the hottest areas) is bad, but under control.
They moved things around and put all specialists on altert in preparation for more patients, but so far all is still ok.
Of course this evolves very fast, but the article on today's "il corriere" (italy's number 1 newspaper) from the doctor in Bergamo describing a "war-zone situation" seems localized.
Re: COVID-19
@seppia
Glad to hear it is still manageable where you are. I hope you and your family - especially your dad- stay safe. This is such terrible news about the worst areas.
Glad to hear it is still manageable where you are. I hope you and your family - especially your dad- stay safe. This is such terrible news about the worst areas.
Last edited by CS on Mon Mar 09, 2020 11:35 am, edited 1 time in total.
Re: COVID-19
The falling stock market is the one way I see that we will get the attention of the president to move on this crisis. As someone more afraid of this virus (and yes, I am afraid) than a crashing market, this gives me hope.
Re: COVID-19
Q: will trump do mmt/strong fiscal to save his ass? Because that's the only thing that would save his ass now
Re: COVID-19
Widespread testing and calming the people will save his ass. Stopping the CDC from threatening private test companies would be a good start. Does he have anyone with a brain around him willing to tell him this?
Re: COVID-19
My somewhat uninformed strategy:
I do not intend to self-isolate, but will reduce contact with other people as possible. I will not travel by air, bus or train. I am already a semi-hermit, so no real change in lifestyle. I will meet with family and help friends if they need it.
I believe that within the next 3 to 6 months, all people will have been infected or have been in contact with the virus. I expect to have a severe flu at some time in that timeframe and have the medicine and easy to cook food necessary. I will only go to a doctor if symptoms become severe.
I have about a month's worth of food, but will continue to go to the store and buy fresh food. I think that there is a chance of disruption of food supply, but only a temporary (if any) disruption.
This strategy is based on the fatalistic belief that I will be exposed to the flu eventually. There might be an advantage to self-isolating until Summer weather begins and the flu virus diminishes, but then it will likely be back next fall.
Last fall I had a severe flu which I believe was EEE, a mosquito borne disease which several people died from in my area. It came on like a flu, then hung around as body aches and pains for several months. I am not sure I am over it yet. I don't think there was any way to stop it other than don't go outside where mosquitos are. Based on this experience, I do not wish to constrain my day to day life by taking extreme measures. I will take basic flu prevention measures such as washing hands and keeping distance from sick people.
If things change, I am prepared to alter my strategy based on new information.
Does this sound like a reasonable strategy?
I do not intend to self-isolate, but will reduce contact with other people as possible. I will not travel by air, bus or train. I am already a semi-hermit, so no real change in lifestyle. I will meet with family and help friends if they need it.
I believe that within the next 3 to 6 months, all people will have been infected or have been in contact with the virus. I expect to have a severe flu at some time in that timeframe and have the medicine and easy to cook food necessary. I will only go to a doctor if symptoms become severe.
I have about a month's worth of food, but will continue to go to the store and buy fresh food. I think that there is a chance of disruption of food supply, but only a temporary (if any) disruption.
This strategy is based on the fatalistic belief that I will be exposed to the flu eventually. There might be an advantage to self-isolating until Summer weather begins and the flu virus diminishes, but then it will likely be back next fall.
Last fall I had a severe flu which I believe was EEE, a mosquito borne disease which several people died from in my area. It came on like a flu, then hung around as body aches and pains for several months. I am not sure I am over it yet. I don't think there was any way to stop it other than don't go outside where mosquitos are. Based on this experience, I do not wish to constrain my day to day life by taking extreme measures. I will take basic flu prevention measures such as washing hands and keeping distance from sick people.
If things change, I am prepared to alter my strategy based on new information.
Does this sound like a reasonable strategy?
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AnalyticalEngine
- Posts: 956
- Joined: Sun Sep 02, 2018 11:57 am
Re: COVID-19
Sky - I am doing something similar except I do plan to self isolate when we have community spread and I've developed a daily sanitation routine.
Also, we may be witnessing one of the most impressive disinformation campaigns ever.
Amazing how past media panic and tweets from a certain world leader have caused people to have an inability to recognize the truth or realize the ways in which the world has shifted.
Also, we may be witnessing one of the most impressive disinformation campaigns ever.
Amazing how past media panic and tweets from a certain world leader have caused people to have an inability to recognize the truth or realize the ways in which the world has shifted.Re: COVID-19
Think that's the best route for now.
Although I'm seeing my nurse friend this evening who works at a hospital where they've had corona cases. I ask her if we should still meet, and her response was that's it's a 'piddling virus' and it's all being overblown and theres nothing to worry about. So I do know what to make of it all...
Although I'm seeing my nurse friend this evening who works at a hospital where they've had corona cases. I ask her if we should still meet, and her response was that's it's a 'piddling virus' and it's all being overblown and theres nothing to worry about. So I do know what to make of it all...
Re: COVID-19
Sharing from another group where we are discussing this:
"3/8/2020
Notes from the front lines:
I attended the Infectious Disease Association of California (IDAC) Northern California Winter Symposium on Saturday 3/7. In attendance were physicians from Santa Clara, San Francisco and Orange Counties who had all seen and cared for COVID-19 patients, both returning travelers and community-acquired cases. Also present was the Chief of ID for Providence hospitals, who has 2 affected Seattle hospitals under his jurisdiction. Erin Epson, CDPH director of Hospital Acquired Infections, was also there to give updates on how CDPH and CDC are handling exposed health care workers, among other things. Below are some of the key take-aways from their experiences.
1. The most common presentation was one week prodrome of myaglias, malaise, cough, low grade fevers gradually leading to more severe trouble breathing in the second week of illness. It is an average of 8 days to development of dyspnea and average 9 days to onset of pneumonia/pneumonitis. It is not like Influenza, which has a classically sudden onset. Fever was not very prominent in several cases. The most consistently present lab finding was lymphopenia (with either leukocytosis or leukopenia). The most consistent radiographic finding was bilateral interstitial/ground glass infiltrates. Aside from that, the other markers (CRP, PCT) were not as consistent.
2. Co-infection rate with other respiratory viruses like Influenza or RSV is <=2%, interpret that to mean if you have a positive test for another respiratory virus, then you do not test for COVID-19. This is based on large dataset from China.
3. So far, there have been very few concurrent or subsequent bacterial infections, unlike Influenza where secondary bacterial infections are common and a large source of additional morbidity and mortality.
4. Patients with underlying cardiopulmonary disease seem to progress with variable rates to ARDS and acute respiratory failure requiring BiPAP then intubation. There may be a component of cardiomyopathy from direct viral infection as well. Intubation is considered “source control” equal to patient wearing a mask, greatly diminishing transmission risk. BiPAP is the opposite, and is an aerosol generating procedure and would require all going into the room to wear PAPRs.
5. To date, patients with severe disease are most all (excepting those whose families didn’t sign consent) getting Remdesivir from Gilead through compassionate use. However, the expectation is that avenue for getting the drug will likely close shortly. It will be expected that patients would have to enroll in either Gilead’s RCT (5 vs 10 days of Remdesivir) or the NIH’s “Adaptive” RCT (Remdesivir vs. Placebo). Others have tried Kaletra, but didn’t seem to be much benefit.
6. If our local MCHD lab ran out of test kits we could use Quest labs to test. Their test is 24-48 hour turn-around-time. Both Quest and ordering physician would be required to notify Public Health immediately with any positive results. Ordering physician would be responsible for coordinating with the Health Department regarding isolation. Presumably, this would only affect inpatients though since we have decided not to collect specimens ordered by outpatient physicians.
7. At facilities that had significant numbers of exposed healthcare workers they did allow those with low and moderate risk exposures to return to work well before 14 days. Only HCW with highest risk exposures were excluded for almost the full 14 days (I think 9 days). After return to work, all wore surgical masks while at work until the 14 days period expired. All had temperature check and interview with employee health prior to start of work, also only until the end of the 14 days. Obviously, only asymptomatic individuals were allowed back.
8. Symptom onset is between 2-9 days post-exposure with median of 5 days. This is from a very large Chinese cohort.
9. Patients can shed RNA from 1-4 weeks after symptom resolution, but it is unknown if the presence of RNA equals presence of infectious virus. For now, COVID-19 patients are “cleared” of isolation once they have 2 consecutive negative RNA tests collected >24 hours apart.
10. All suggested ramping up alternatives to face-to-face visits, tetemedicine, “car visits”, telephone consultation hotlines.
11. Sutter and other larger hospital systems are using a variety of alternative respiratory triage at the Emergency Departments.
12. Health Departments (CDPH and OCHD) state the Airborne Infection Isolation Room (AIIR) is the least important of all the suggested measures to reduce exposure. Contact and droplet isolation in a regular room is likely to be just as effective. One heavily affected hospital in San Jose area is placing all “undifferentiated pneumonia” patients not meeting criteria for COVID testing in contact+droplet isolation for 2-3 days while seeing how they respond to empiric treatment and awaiting additional results.
Feel free to share. All PUIs in *** so far have been negative.
Martha L. Blum, MD, PhD"
"3/8/2020
Notes from the front lines:
I attended the Infectious Disease Association of California (IDAC) Northern California Winter Symposium on Saturday 3/7. In attendance were physicians from Santa Clara, San Francisco and Orange Counties who had all seen and cared for COVID-19 patients, both returning travelers and community-acquired cases. Also present was the Chief of ID for Providence hospitals, who has 2 affected Seattle hospitals under his jurisdiction. Erin Epson, CDPH director of Hospital Acquired Infections, was also there to give updates on how CDPH and CDC are handling exposed health care workers, among other things. Below are some of the key take-aways from their experiences.
1. The most common presentation was one week prodrome of myaglias, malaise, cough, low grade fevers gradually leading to more severe trouble breathing in the second week of illness. It is an average of 8 days to development of dyspnea and average 9 days to onset of pneumonia/pneumonitis. It is not like Influenza, which has a classically sudden onset. Fever was not very prominent in several cases. The most consistently present lab finding was lymphopenia (with either leukocytosis or leukopenia). The most consistent radiographic finding was bilateral interstitial/ground glass infiltrates. Aside from that, the other markers (CRP, PCT) were not as consistent.
2. Co-infection rate with other respiratory viruses like Influenza or RSV is <=2%, interpret that to mean if you have a positive test for another respiratory virus, then you do not test for COVID-19. This is based on large dataset from China.
3. So far, there have been very few concurrent or subsequent bacterial infections, unlike Influenza where secondary bacterial infections are common and a large source of additional morbidity and mortality.
4. Patients with underlying cardiopulmonary disease seem to progress with variable rates to ARDS and acute respiratory failure requiring BiPAP then intubation. There may be a component of cardiomyopathy from direct viral infection as well. Intubation is considered “source control” equal to patient wearing a mask, greatly diminishing transmission risk. BiPAP is the opposite, and is an aerosol generating procedure and would require all going into the room to wear PAPRs.
5. To date, patients with severe disease are most all (excepting those whose families didn’t sign consent) getting Remdesivir from Gilead through compassionate use. However, the expectation is that avenue for getting the drug will likely close shortly. It will be expected that patients would have to enroll in either Gilead’s RCT (5 vs 10 days of Remdesivir) or the NIH’s “Adaptive” RCT (Remdesivir vs. Placebo). Others have tried Kaletra, but didn’t seem to be much benefit.
6. If our local MCHD lab ran out of test kits we could use Quest labs to test. Their test is 24-48 hour turn-around-time. Both Quest and ordering physician would be required to notify Public Health immediately with any positive results. Ordering physician would be responsible for coordinating with the Health Department regarding isolation. Presumably, this would only affect inpatients though since we have decided not to collect specimens ordered by outpatient physicians.
7. At facilities that had significant numbers of exposed healthcare workers they did allow those with low and moderate risk exposures to return to work well before 14 days. Only HCW with highest risk exposures were excluded for almost the full 14 days (I think 9 days). After return to work, all wore surgical masks while at work until the 14 days period expired. All had temperature check and interview with employee health prior to start of work, also only until the end of the 14 days. Obviously, only asymptomatic individuals were allowed back.
8. Symptom onset is between 2-9 days post-exposure with median of 5 days. This is from a very large Chinese cohort.
9. Patients can shed RNA from 1-4 weeks after symptom resolution, but it is unknown if the presence of RNA equals presence of infectious virus. For now, COVID-19 patients are “cleared” of isolation once they have 2 consecutive negative RNA tests collected >24 hours apart.
10. All suggested ramping up alternatives to face-to-face visits, tetemedicine, “car visits”, telephone consultation hotlines.
11. Sutter and other larger hospital systems are using a variety of alternative respiratory triage at the Emergency Departments.
12. Health Departments (CDPH and OCHD) state the Airborne Infection Isolation Room (AIIR) is the least important of all the suggested measures to reduce exposure. Contact and droplet isolation in a regular room is likely to be just as effective. One heavily affected hospital in San Jose area is placing all “undifferentiated pneumonia” patients not meeting criteria for COVID testing in contact+droplet isolation for 2-3 days while seeing how they respond to empiric treatment and awaiting additional results.
Feel free to share. All PUIs in *** so far have been negative.
Martha L. Blum, MD, PhD"
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Jason
Re: COVID-19
Head of NY Port Authority, Rick Cotton, fresh from his rounds of visiting local airports, has Coronavirus.
Am I missing something here or have HIPAA laws been suspended? Why do we know names? I wouldn't like that known about me if I got it.
First, this shit steals your life savings and then makes you sick. It's like Bernie Madoff and AIDS rolled into one.
Am I missing something here or have HIPAA laws been suspended? Why do we know names? I wouldn't like that known about me if I got it.
First, this shit steals your life savings and then makes you sick. It's like Bernie Madoff and AIDS rolled into one.
Re: COVID-19
Great post den!
Interesting, they are skipping non-invasive ventilation and moving directly to intubation to control infection of staff.den18 wrote: ↑Mon Mar 09, 2020 11:58 am4. Patients with underlying cardiopulmonary disease seem to progress with variable rates to ARDS and acute respiratory failure requiring BiPAP then intubation. There may be a component of cardiomyopathy from direct viral infection as well. Intubation is considered “source control” equal to patient wearing a mask, greatly diminishing transmission risk. BiPAP is the opposite, and is an aerosol generating procedure and would require all going into the room to wear PAPRs.
Re: COVID-19
@sky: nothing about (special) nutrition? I know that you are in micronutritions, are you extra in vitamin C?
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naturelover
- Posts: 32
- Joined: Wed Feb 12, 2020 10:39 am
Re: COVID-19
My insane new manager, against recent company guidelines, is still holding a non-essential team building conference for a cross country team.
I think he is flexing. I can't believe he would still schedule it even this. I actually refused to go. Hopefully it won't paint a target on my back, but I have to protect a family member who is considered higher risk.
*Note that he doesn't have to travel - he is making people come to him.
I think he is flexing. I can't believe he would still schedule it even this. I actually refused to go. Hopefully it won't paint a target on my back, but I have to protect a family member who is considered higher risk.
*Note that he doesn't have to travel - he is making people come to him.
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naturelover
- Posts: 32
- Joined: Wed Feb 12, 2020 10:39 am
Re: COVID-19
Hopefully it is what kills his campaign this fall as well.AnalyticalEngine wrote: ↑Mon Mar 09, 2020 11:30 amSky - I am doing something similar except I do plan to self isolate when we have community spread and I've developed a daily sanitation routine.
Also, we may be witnessing one of the most impressive disinformation campaigns ever.