OT: Corona virus

[Lowpe]

Fauci warns of ‘suffering and death’ if US reopens too soon

https://apnews.com/a05c32d9a76a535238779c7eb1504613

[22sec]

ORIGINAL: Lowpe

ORIGINAL: Cap Mandrake

Yo...vaccine guys....Hurry up!

Gone to full face masks in the office too. No scribes. Takes forever to run a Zoom telehealth visit because it takes time to set up and you can't contemporaneously document. I takes at least 30 minutes of bullshit to see a suspected finger fracture and then you have to bring them in to X-ray and splint it. Sure, you could have an RN screen them but the RN's are busy doing COVID testing. Our main office LVN's are both out but thankfully are negative for COVID. I saw 18 patients yesterday and it felt like a 10 mile hike with a 40 lb pack and 4000 ft gain.

Hospital call this weekend and the night time triage nurse filling in from Northern Calif somewhere didn't know s*** about pediatrics and put every damn call through. You go to sleep at 8 because you are tired from the night before and then they deliberately time the calls to catch you when you have just reached REM sleep. I can't imagine what all those poor bastards in Italy went through.

I am so ready to go to Maui and stick my feet in the sand and drink G&T's all day

I went to the bank yesterday. Drive thru. One person in the bank, he was gloved and masked. We sent our paperwork into the tube and into the teller. The teller pulled out a disposable wipe, wiped the tube down, processed our paperwork, wiped the tube again, sent it back and then he gingerly changed his rubber gloves.

Not sure if that is the technique for every transaction....just for ours.

We were the only car at the drive thru teller for the entire process. In normal times, all lanes would have been filled.

I have yet to see any of that kind of thoroughness here. People are respectful of social distancing, about half of the population is wearing masks, but from my perspective there is a overall sense of resiliency. My 10 year old restarts baseball practice Thursday, with guidelines in place such as not using the dugout, parents can watch but must practice social distancing, try and keep the boys separated for drills, which is kind of silly since we will all be handling the same baseballs. Of course they asked everyone to bring hand sanitizer and said anyone wanting to mask up should do so. I am all for it. As the father/stepfather of five, four of whom are teenagers, I am extremely concerned what the lack of social interaction is doing to these kids.

[RangerJoe]

ORIGINAL: Lowpe

Anxiety From Reactions to Covid-19 Will Destroy At Least Seven Times More Years of Life Than Can Be Saved by Lockdowns

https://www.justfacts.com/news_covid-19 ... oyed_saved

I forsee a lot more prescriptions for Celexa! [>:]

[RangerJoe]

ORIGINAL: JohnDillworth

Minnesota, Texas and Arizona are big states trending up (bad). Can't figure out how Vermont is doing so well and New Hampshire isn't. Happy to say New York continues to be among the lowest R0 states in the Continental U.S. Some of the mid=state will have partial reopening Friday and most of the rest is getting close. These are partial reopening, not much at first, but the trends are excellent. Economy-wise tourism will be last, but much of the rest of the economic engine should come back on line over the summer. I think they are waiting for after the Memorial Day weekend to open some things like the beaches (that's me, beach rat, big, ocean waves and swim out until the life guard has to whistle for me to come in). Transit and schools are the big challenge but they have a plan for both. Germany and Korea had to relock some hot spots. In both cases the hotspots were centered around bars and clubs so that's a good data point. Can't figure out how they are going to open up much of the offices in NYC while PPE is still a bit difficult to find and employers are required to provide. Better, but if you figure 1 mask , per person , per day, that is millions of masks per day.
https://covid19-projections.com/infections-tracker/

The annual migration of the snowbirds heading north is probably part of the reason for the increase. Otherwise, look at crowded nursing homes, assisted living facilities, and the Navajo reservation for the increases.

[Lowpe]

Sitrep in PA:

A few facts on Pennsylvania, population 12 million. It takes 7 hours to traverse the state by car. PA is pretty much a republican/democrat divided state. Governor's office routinely switches, usually always have 1 senator from each party, usually leans democrat in Presidential elections. Large cities and large rural areas and large recreation areas. A real mix.

The Pennsylvania Governor refuses to let press ask follow up questions, and questions are submitted in writing to be read to the Governor by an aide.

Counties are opening back up on their own, and it is not a political divide. Democrats are leading the charge in Bucks and Northampton counties, Republicans in rural Franklin County, independent technocrats in Dauphin. They are doing this in conjunction with advice from their hospital systems. I posted a link to Dauphin county's letter, it quotes hospital occupancy, ventilator usage and supply, infection rates. Seems to me they have a pretty good handle on what is happening in their county.

I just heard the Democrats in Bucks can't even speak to the Sec of Health or the Governor. The best they could get was an aide on a Sunday and a promise they might hear back from then in a week or two. They felt that the Governor and Secretary was at best making decisions on a regional basis.

The State's decision making on which businesses can open, are considered essential, was secret. One building contractor could, another couldn't even though they did the same type of construction, etc.

They all question the numbers. What is the science behind the 50 new infections per 100,000 threshold level? How is increased testing factored in, or new hospitalizations factored in? For example. Bucks County (democrat) has a very sophisticated contact tracing program in force, how is that factored in? Exclude nursing home residents and they meet threshold, and the nursing homes are bad because the state failed to implement their mitigation policy while the county could't get their calls returned by the state.

Meanwhile, in Media they came down hard on a barber that opened up recently, while other communities refuse to prosecute anyone. The Governor is threatening businesses, counties, with punitive actions, describing local politicians decision making as whims.

It is interesting to note, in PA you are not eligible for Unemployment if you are considered an owner of the business. Almost every small business owner, basically. You do pay unemployment insurance though.

Also of note, is that Governor Wolfe cannot run for re-election.

This centralized vs less centralized decision making argument is a case study here in Pennsylvania, and it is only accelerating. I hear that town here near Philly is planning on opening up, perhaps making an announcement tomorrow. Then it will devolve into a town/county/state fracture.

[Lowpe]

How Becoming A Partisan Weapon Will Destroy Medicine

https://thefederalist.com/2020/05/12/ho ... -medicine/

Gregg Schmedes, MD, serves in the New Mexico House of Representatives, representing District 22.

[witpqs]

ORIGINAL: Lowpe

Sitrep in PA:

...

The State's decision making on which businesses can open, are considered essential, was secret. One building contractor could, another couldn't even though they did the same type of construction, etc.

...

This is exactly how the worst of the worst political abuses occur. Hopefully they are only being capricious because they are not up to the overwhelming task and are 'just screwing up'.

[MakeeLearn]

ORIGINAL: Cap Mandrake

ORIGINAL: MakeeLearn

Yesterday I had my first experience of being with someone as they slowly died. He was mentally disabled, and had very little verbal communication. In the past few weeks our bond had became stronger. In the past month The only time he wanted to get out of bed and sit in his chair was when I was there.

Yesterday he kept wanting me to get him out of bed. I could not do it. It was too painful for him for me to move him and I did not want to put neither one of us through it.


I was alone with him for hours yesterday morning. Three times he told me "It's Sunday". Sunday was a special day for him. No one had heard that in months.


Then he told me "They're coming". A minute later "No...No."



It had nothing to do with Coronavirus.

Man, that is hard. Hope he wasn't truly fearful in the end [:(]

He did seem scared. By noon I had given him 3 doses of Morphine and some Lorazepam. I comforted him the best I could with my hands and my words. By the time the Nurses arrived he was nonresponsive, then a while later he was gone. During the morning he used words I had never heard him use before. At times he was talking to me and other times it really seemed as if he was talking to someone else. I have undergone a quantum leap.

[witpqs]

ORIGINAL: JohnDillworth

Minnesota, Texas and Arizona are big states trending up (bad). Can't figure out how Vermont is doing so well and New Hampshire isn't. Happy to say New York continues to be among the lowest R0 states in the Continental U.S. Some of the mid=state will have partial reopening Friday and most of the rest is getting close. These are partial reopening, not much at first, but the trends are excellent. Economy-wise tourism will be last, but much of the rest of the economic engine should come back on line over the summer. I think they are waiting for after the Memorial Day weekend to open some things like the beaches (that's me, beach rat, big, ocean waves and swim out until the life guard has to whistle for me to come in). Transit and schools are the big challenge but they have a plan for both. Germany and Korea had to relock some hot spots. In both cases the hotspots were centered around bars and clubs so that's a good data point. Can't figure out how they are going to open up much of the offices in NYC while PPE is still a bit difficult to find and employers are required to provide. Better, but if you figure 1 mask , per person , per day, that is millions of masks per day.
https://covid19-projections.com/infections-tracker/

Arizona.

[MakeeLearn]

The HUMANITARIAN Bill Gates wants us to be in good health and WELL fed!


Bill Gates and Richard Branson are betting lab-grown meat might be the food of the future
Mar 23 2018
https://www.cnbc.com/2018/03/23/bill-ga ... artup.html

"Bill Gates has invested in lab-grown meat companies, as has Richard Branson. “Raising meat takes a great deal of land and water and has a substantial environmental impact,” Gates wrote on his personal blog, Gatesnotes.com, a few years ago"

[MakeeLearn]

"Bill Gates is one of the notable celebrities (along with actress Jessica Chastain, Jay Z and others) backing the burgeoning plant-based meat industry. Besides Beyond Meat, the billionaire is also an early investor in Impossible Foods, which is reportedly mulling an IPO soon."

[MakeeLearn]

Richard Branson Says Killing Animals for Food Will Be a Thing of the Past
March 13, 2019
https://www.livekindly.co/richard-brans ... hing-past/

"In the blog post from last year, Branson wrote, “I believe we will look back and be shocked at what was the accepted way we killed animals en masse for food.”

He continued, “I think that in the future clean and plant-based meat will become the norm, and in 30 years it is unlikely animals will need to be killed for food anymore.”"

[JohnDillworth]

The problem with the masks and gloves (I work in spaces where other people touch stuff, I think gloves are as important as masks) is that is easy to get complacent. I’m super careful at work and don’t need the ppe at home so if I go out for a walk or errand I catch myself being a little sloppy. It is strange using cash. Went out for a rare does of fast food and handed the person at the drive in cash. I didn’t think anything of it until he handed me my change in cash. Money is a dirty thing. I always use cash but I suppose that is a habit that many of us will have to change. Not a big thing wearing a mask now but it gets hot and humid in the summer. Not going to be happy about this going forward

[MakeeLearn]

Bill Gates True Face Part4 – Gates & Memphis Meat
May 2, 2020


http://www.tamilpokkisham.com/bill-gate ... phis-meat/


"Bill gates have said that Meat markets across the world are open and it should be closed. Because the Virus spread from Wuhan Fishmarket. He says people not to consume meat. Meat should be banned. He wanted to create an issue so he placed a request. All Shops must be closed.
Who among you are vegetarians and Non-veg?"


"A farmer with his chickens, Sheep and cows. If needed the farmer may sell these animals to survive. Now there will be advt saying that the artificial meat is available and we don’t need to raise them. We are now consuming Bottled Water. The water which was available as free through Tap Water was said not hygienic water and we believed them. They created an illusion that Bottle water is hygienic.

So the same way they will say the meat produced from these animals will be unhygienic meat. But the meat from produced from the companies will have some levels of Oxygen, Amino Acid, Glucose. So if you consume this meat you will stay healthy. So if you consume meat which is raised by farmers that meat may contain some type of virus. They will surely say this in the future.

Now we have to decide our future at this particular time. "

[Canoerebel]

I enjoyed reading this alot. Some of it tied in with my own experiences. In the early 1990s, the American Bar Association and the Georgia Bar began abandoning neutrality over politically divisive issues and first took strong stands in favor of one side of the abortion issue.

ORIGINAL: Lowpe

How Becoming A Partisan Weapon Will Destroy Medicine

https://thefederalist.com/2020/05/12/ho ... -medicine/

Gregg Schmedes, MD, serves in the New Mexico House of Representatives, representing District 22.

[Canoerebel]

MakeeLearn, are you a nurse or PA or similar? I didn't know you administered morphine and things like that.

ORIGINAL: MakeeLearn

ORIGINAL: Cap Mandrake

ORIGINAL: MakeeLearn

Yesterday I had my first experience of being with someone as they slowly died. He was mentally disabled, and had very little verbal communication. In the past few weeks our bond had became stronger. In the past month The only time he wanted to get out of bed and sit in his chair was when I was there.

Yesterday he kept wanting me to get him out of bed. I could not do it. It was too painful for him for me to move him and I did not want to put neither one of us through it.


I was alone with him for hours yesterday morning. Three times he told me "It's Sunday". Sunday was a special day for him. No one had heard that in months.


Then he told me "They're coming". A minute later "No...No."



It had nothing to do with Coronavirus.

Man, that is hard. Hope he wasn't truly fearful in the end [:(]

He did seem scared. By noon I had given him 3 doses of Morphine and some Lorazepam. I comforted him the best I could with my hands and my words. By the time the Nurses arrived he was nonresponsive, then a while later he was gone. During the morning he used words I had never heard him use before. At times he was talking to me and other times it really seemed as if he was talking to someone else. I have undergone a quantum leap.

[MakeeLearn]

ORIGINAL: Canoerebel

I enjoyed reading this alot. Some of it tied in with my own experiences. In the early 1990s, the American Bar Association and the Georgia Bar began abandoning neutrality over politically divisive issues and first took strong stands in favor of one side of the abortion issue.

ORIGINAL: Lowpe

How Becoming A Partisan Weapon Will Destroy Medicine

https://thefederalist.com/2020/05/12/ho ... -medicine/

Gregg Schmedes, MD, serves in the New Mexico House of Representatives, representing District 22.

[s]CONTROLVIRUS[/s] CORONAVIRUS

It is all about CONTROL.

[MakeeLearn]

ORIGINAL: Canoerebel

MakeeLearn, are you a nurse or PA or similar? I didn't know you administered morphine and things like that.

ORIGINAL: MakeeLearn

ORIGINAL: Cap Mandrake




Man, that is hard. Hope he wasn't truly fearful in the end [:(]

He did seem scared. By noon I had given him 3 doses of Morphine and some Lorazepam. I comforted him the best I could with my hands and my words. By the time the Nurses arrived he was nonresponsive, then a while later he was gone. During the morning he used words I had never heard him use before. At times he was talking to me and other times it really seemed as if he was talking to someone else. I have undergone a quantum leap.

I work in what would be called a Mental Health Home. We have people of all ages. I do have a Degree in Biology, as far as "Medical" I can administer Meds. And things above my training I can bring in a Nurse or Doctor or get permission to do things from them over the phone or fax. Iam in a Supervisor role but do I do many things myself... Meds, cleaning, cooking, paperwork, finding movies everyone wants to watch, just talking, etc. We run things like a "Home."

Iam like a "Little Corporal" I can lead and I can get off my horse and lend a hand [;)]

I really like what I do.

[RangerJoe]

ORIGINAL: MakeeLearn

ORIGINAL: Canoerebel

MakeeLearn, are you a nurse or PA or similar? I didn't know you administered morphine and things like that.

ORIGINAL: MakeeLearn




He did seem scared. By noon I had given him 3 doses of Morphine and some Lorazepam. I comforted him the best I could with my hands and my words. By the time the Nurses arrived he was nonresponsive, then a while later he was gone. During the morning he used words I had never heard him use before. At times he was talking to me and other times it really seemed as if he was talking to someone else. I have undergone a quantum leap.

I work in what would be called a Mental Health Home. We have people of all ages. I do have a Degree in Biology, as far as "Medical" I can administer Meds. And things above my training I can bring in a Nurse or Doctor or get permission to do things from them over the phone or fax. Iam in a Supervisor role but do I do many things myself... Meds, cleaning, cooking, paperwork, finding movies everyone wants to watch, just talking, etc. We run things like a "Home."

Iam like a "Little Corporal" I can lead and I can get off my horse and lend a hand [;)]

I really like what I do.

I had a job like that for awhile but I was not the supervisor.

[Chickenboy]

ORIGINAL: JohnDillworth

Minnesota, Texas and Arizona are big states trending up (bad). Can't figure out how Vermont is doing so well and New Hampshire isn't. Happy to say New York continues to be among the lowest R0 states in the Continental U.S. Some of the mid=state will have partial reopening Friday and most of the rest is getting close. These are partial reopening, not much at first, but the trends are excellent. Economy-wise tourism will be last, but much of the rest of the economic engine should come back on line over the summer. I think they are waiting for after the Memorial Day weekend to open some things like the beaches (that's me, beach rat, big, ocean waves and swim out until the life guard has to whistle for me to come in). Transit and schools are the big challenge but they have a plan for both. Germany and Korea had to relock some hot spots. In both cases the hotspots were centered around bars and clubs so that's a good data point. Can't figure out how they are going to open up much of the offices in NYC while PPE is still a bit difficult to find and employers are required to provide. Better, but if you figure 1 mask , per person , per day, that is millions of masks per day.
https://covid19-projections.com/infections-tracker/

If by "trending up" you mean "more cases" in Texas, that's to be expected based upon the testing expansion. The raw numbers, taken out of context can disguise the big picture. Testing in Texas is 'lumpy'. Some days we're testing 9,000/day, other days 28,000/day. Overall attack rate (number of positives/number tested) is currently between 5-7%.

For a while in mid-April, about 8-10% of samples tested were positive. When we were only averaging about 4,000-6,000 tests/day.

Urgent care clinics are offering testing services, provided that individuals meet the (clinical) criteria for testing. Public Health departments are doing more testing of prisons, nursing homes and other confined or at risk local populations. We tend to get 'lumps' of cases when one of those testing blasts comes through. I think there's also a modest area of focal concentration of positives in and around the Dallas area identified recently.

But nothing that I'm seeing is 'troubling' or 'bad' in terms of trends. Mortality and case count in Texas has continued to be substantially below average. ICU beds are plentiful and underpopulated. We have a 1:11 ratio of ventilators in use: ventilators available, should it come to that measure of success.

Governor Abbot's done a good job of partial reopening state-wide. Balanced, judicious and timely. Later this week, more things will be getting the green light to reopen. The state has handled the outbreak very well and the proof is in the pudding.