pulmonarymd
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Post by pulmonarymd on Apr 27, 2020 11:21:48 GMT -5
1 Incubation period is long, about 2 weeks. 2 People not really practicing social distancing 3 Essential workers defined loosely, so there is still a significant amount of interaction And probably other reasons Do you know what a rhetorical question is? I can sometimes be dense, and given the level of political discourse lately, hard to know what is meant in jest anymore
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Post by The Walk of the Penguin Mich on Apr 27, 2020 11:28:53 GMT -5
Do you know what a rhetorical question is? I can sometimes be dense, and given the level of political discourse lately, hard to know what is meant in jest anymore Serious question here, no jest. Medicare has set a price on Covid diagnoses of $13k, $39k if the patient goes on a ventilator, regardless of whether or not they’ve been tested. My sister (who is convinced this is a hoax.....and believe me, I’ve tried talking to her) thinks this is a way to bulk up numbers. My gut feeling is that these are ‘discount negotiated rates’ in an effort to limit losses to Medicare, considering most cases are in the 65+ age group. Have you seen the 30% false negative rate that is bantered about the news accurate? Have you seen patients false negative, yet clearly have all the hallmarks of Covid?
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lurkyloo
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“Time means nothing now,” said Toad. “It is just the thing that happens between snacks.”
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Post by lurkyloo on Apr 27, 2020 11:29:37 GMT -5
Do you know what a rhetorical question is? I can sometimes be dense, and given the level of political discourse lately, hard to know what is meant in jest anymore Indeed. The hashtag was meant to indicate that I was mostly just whining Sorry if it wasn’t clear.
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wvugurl26
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Post by wvugurl26 on Apr 27, 2020 11:30:08 GMT -5
I think the MD numbers probably have a lot to do with ramped up testing. At least presumably anyway.
I do think people's tolerance for being locked down is getting slim. I understand it was to prevent NYC numbers from happening and that's been successful I think. If it drags on to June before they loosen anything, support for restrictions wanes by the day.
Since we can't even get a 1 day decrease in deaths and hospitalizations getting to even in phase 1 in May isn't looking good.
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Deleted
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Post by Deleted on Apr 27, 2020 11:43:33 GMT -5
SIP was never meant to do anything other than prevent a NYC like disaster happen in multiple areas. Medical resources are limited, and trying to avoid overwhelming them was the goal. Seems to have worked except in New York. Everyone sick at the same time would be too disruptive Makes sense. But are models normally that "off" I honestly don't know. Not a STEM person...
From what I understand, the models were based on Wuhan's reported numbers. There are many predictions of deaths upwards of a million people in the US by the time this is over, if it ends. Yesterday the WHO announced there may not be immunity to this and reinfection could happen. Then what? We all get our own space suits?
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Deleted
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Post by Deleted on Apr 27, 2020 11:48:24 GMT -5
Question. The economy has been very robust and unemployment at all time lows for over 4 years. Companies/employees were paying into the state UI system, yet states did not have to pay out to people as people had jobs. So the UI coffers should be full. SO what were states doing with all those funds? I know the answer, but states now can't deny unemployment nor force people back to work during a world wide health crisisThing is, in "opening back up" states, that's exactly what they are doing!!! If you own a hair salon and the government allows you to open, then you lose unemployment because you can technically work. It's complete bullshit, IMHO. Our governments are forcing people to work by seeing to it they have no income at all. It's so wrong.
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lurkyloo
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“Time means nothing now,” said Toad. “It is just the thing that happens between snacks.”
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Post by lurkyloo on Apr 27, 2020 11:52:41 GMT -5
Makes sense. But are models normally that "off" I honestly don't know. Not a STEM person...
From what I understand, the models were based on Wuhan's reported numbers. There are many predictions of deaths upwards of a million people in the US by the time this is over, if it ends. Yesterday the WHO announced there may not be immunity to this and reinfection could happen. Then what? We all get our own space suits? They walked back a bit on that...but it’s been reported that not all recovered patients have the sort of antibodies (neutralizing Ab) that would prevent reinfection, which has to give everyone pause in conjunction with reported reinfections. It‘s a big ole stew of „no one knows yet.“
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Deleted
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Post by Deleted on Apr 27, 2020 12:00:54 GMT -5
From what I understand, the models were based on Wuhan's reported numbers. There are many predictions of deaths upwards of a million people in the US by the time this is over, if it ends. Yesterday the WHO announced there may not be immunity to this and reinfection could happen. Then what? We all get our own space suits? They walked back a bit on that...but it’s been reported that not all recovered patients have the sort of antibodies (neutralizing Ab) that would prevent reinfection, which has to give everyone pause in conjunction with reported reinfections. It‘s a big ole stew of „no one knows yet.“I'm of two minds on the entire thing - stay home and not leave until there's some sort of treatment/cure or just say screw it and live life knowing I will get it at some point anyway. Personally, I think all this opening up and people on the beaches is going to cause large outbreaks and people are going to freak out because for some reason many people seem to believe the danger is over.
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pulmonarymd
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Post by pulmonarymd on Apr 27, 2020 12:06:54 GMT -5
I can sometimes be dense, and given the level of political discourse lately, hard to know what is meant in jest anymore Serious question here, no jest. Medicare has set a price on Covid diagnoses of $13k, $39k if the patient goes on a ventilator, regardless of whether or not they’ve been tested. My sister (who is convinced this is a hoax.....and believe me, I’ve tried talking to her) thinks this is a way to bulk up numbers. My gut feeling is that these are ‘discount negotiated rates’ in an effort to limit losses to Medicare, considering most cases are in the 65+ age group. Have you seen the 30% false negative rate that is bantered about the news accurate? Have you seen patients false negative, yet clearly have all the hallmarks of Covid? Hard to know, I suspect the false negative is more likely with mild disease. Almost every patient in ICU we thought had it did. We had one who tested negative twice, treated him differently, and he got better, so suspect he does not have it. X ray is not definitive for it, and the milder cases would have been diagnosed with pneumonia and put on antibiotics pre-covid. People do not want to believe things until it affects them. Unfortunately, we have to deal with them, and they can cause problems to the rest of us. If only humans were perfect.
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NomoreDramaQ1015
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Post by NomoreDramaQ1015 on Apr 27, 2020 12:47:09 GMT -5
349 NEW cases announced on Monday in Iowa. Let's reopen the state! Like the virus gives two shits about your county lines. Do you think the people in the counties that aren't allowed to open are going to all stay home when their neighboring county is open? You can stop them from exercising their God given right to go infect the next county over. JFC.
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Lizard Queen
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Post by Lizard Queen on Apr 27, 2020 12:57:14 GMT -5
Welp, the US has now exceeded 1,000,000 known cases.
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jelloshots4all
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Post by jelloshots4all on Apr 27, 2020 13:29:43 GMT -5
Question. The economy has been very robust and unemployment at all time lows for over 4 years. Companies/employees were paying into the state UI system, yet states did not have to pay out to people as people had jobs. So the UI coffers should be full. SO what were states doing with all those funds? I know the answer, but states now can't deny unemployment nor force people back to work during a world wide health crisisThing is, in "opening back up" states, that's exactly what they are doing!!! If you own a hair salon and the government allows you to open, then you lose unemployment because you can technically work. It's complete bullshit, IMHO. Our governments are forcing people to work by seeing to it they have no income at all. It's so wrong. I saw on my local news today that some counties are passing ordinances that allow businesses like hair salons to reopen despite the Governors directive stay at home. They interviewed a barber shop and hair salon owner. They aren't reopening because when they spoke to their insurance agents, they aren't covered and could lose their licenses. I wonder how many people actual think about those things?? They may make cash over the next month, but could lose their careers entirely, or worse their lives
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Deleted
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Post by Deleted on Apr 27, 2020 13:42:40 GMT -5
349 NEW cases announced on Monday in Iowa. Let's reopen the state! Like the virus gives two shits about your county lines. Do you think the people in the counties that aren't allowed to open are going to all stay home when their neighboring county is open? You can stop them from exercising their God given right to go infect the next county over. JFC. In my area the talk is of how many businesses survive on tourism. Yeah, we should all make that a goal. Not. Do they not teach basic biology in school anymore? But, since no one is getting any financial assistance, most prefer to open up and take their chances. Really smart in an area that claims 3 ICU beds for patients and all others will have to be FLOWN out of the area since there are only 2 EMTs locally to deal with other emergencies. Ideally, this country would have had a national plan for reopening things to avoid the borders/travel issues. But, that would be too complicated for the current administration to deal with and too much of a bother because it cuts into Trump's TV and rally time. Honestly, the way it's currently being handled will kill people who didn't have to die. Why we as Americans stand for this I don't understand. At some point the people need to come together and solve this problem or we are screwed.
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NomoreDramaQ1015
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Post by NomoreDramaQ1015 on Apr 27, 2020 13:42:51 GMT -5
They aren't reopening because when they spoke to their insurance agents, they aren't covered and could lose their licenses. I wonder how many people actual think about those things?
Resturants in Omaha are thinking about that. Several have come out on the news and said that they will work but aren't allowing employees back yet because they don't want to risk exposure. It's one thing to risk themselves for their business another to expect their employees to.
They are also considering the fact that say they can seat 200 people. Their still running and paying rent on a building designed for 200 people. They will have to bring back staff and pay them accordingly. Can they really make enough money to have the dining areas open at 50% capacity? The flip side is if they want to survive do they have a choice?
Quite a few have stated that they aren't planning on opening their dining areas till the very least the end of May no matter what Ricketts says. They've transformed themselves into take out/delivery only and can keep going along that way for a few more weeks.
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NomoreDramaQ1015
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Post by NomoreDramaQ1015 on Apr 27, 2020 14:18:35 GMT -5
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MN-Investor
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Post by MN-Investor on Apr 27, 2020 14:34:59 GMT -5
I saw that article yesterday about the heartburn medicine being tested as a treatment for COVID-19 and I find it so heartening that doctors on the front lines are constantly analyzing patient outcomes and looking for clues as to what may make a difference. There are so many smart, dedicated professionals at work! It's this dedication and curiosity which will develop effective treatments for this awful virus. And that, too, is why you do everything you can to avoid getting sick today. Give the doctors and scientists time to do their thing and then, if you do come down with the coronavirus, at that point there may be more effective treatments for you. Plus you won't be overwhelming the hospitals and their medical staff. A win for everyone.
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TheOtherMe
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Post by TheOtherMe on Apr 27, 2020 15:02:35 GMT -5
349 NEW cases announced on Monday in Iowa. Let's reopen the state! Like the virus gives two shits about your county lines. Do you think the people in the counties that aren't allowed to open are going to all stay home when their neighboring county is open? You can stop them from exercising their God given right to go infect the next county over. JFC. My county remains closed and all the surrounding counties are open. She is trying to kill us and she will succeed. The virus knows not to cross county lines or go in to churches.
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NomoreDramaQ1015
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Post by NomoreDramaQ1015 on Apr 27, 2020 15:04:55 GMT -5
Hoping the rest of Iowa will continue to ignore us as they always have. Casinos are still closed so no real reason to be coming to "Council-tucky" and we got enough to worry about with Omaha and Carter Lake thank you.
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TheOtherMe
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Post by TheOtherMe on Apr 27, 2020 15:09:43 GMT -5
The two casinos here will still be closed.
Race tracks, except those with dogs, can have races, but no spectators
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movingforward
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Post by movingforward on Apr 27, 2020 15:44:48 GMT -5
Restaurants and retail can open here on Friday but only at 25% capacity. Non-essential Healthcare can also fully open with certain guidelines.
No gyms, hair salons, etc. yet.
Actually not sure if our county will follow these state guidelines or not. It is up to the individual counties to decide.
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Lizard Queen
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Post by Lizard Queen on Apr 27, 2020 16:41:46 GMT -5
I so want to go back to the gym, but so don't want to be around any other people and any germs that might come out of them at the gym--yuck! Moot point, as they are still closed in my state.
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movingforward
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Post by movingforward on Apr 27, 2020 17:01:53 GMT -5
I so want to go back to the gym, but so don't want to be around any other people and any germs that might come out of them at the gym--yuck! Moot point, as they are still closed in my state. Still closed here for a bit too. It will be in the mid 90's by the end of the week here. I've been walking outside a lot since the stay home order but Temps will start to push 100 by the end of May. My gym is huge. They could easily space machines out. My problem is people sweating on them. I have always carried my own clorox wipes to the gym and wiped down the machines before using them. Not sure what I will do once they open back up. I might go check out the layout and cleanliness and then decide.
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Lizard Queen
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Post by Lizard Queen on Apr 27, 2020 17:09:20 GMT -5
I so want to go back to the gym, but so don't want to be around any other people and any germs that might come out of them at the gym--yuck! Moot point, as they are still closed in my state. Still closed here for a bit too. It will be in the mid 90's by the end of the week here. I've been walking outside a lot since the stay home order but Temps will start to push 100 by the end of May. My gym is huge. They could easily space machines out. My problem is people sweating on them. I have always carried my own clorox wipes to the gym and wiped down the machines before using them. Not sure what I will do once they open back up. I might go check out the layout and cleanliness and then decide. I was thinking about the people breathing hard because they're working out. Do they expect people to wear masks while they're on an elliptical or treadmill?
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movingforward
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Post by movingforward on Apr 27, 2020 17:15:36 GMT -5
Still closed here for a bit too. It will be in the mid 90's by the end of the week here. I've been walking outside a lot since the stay home order but Temps will start to push 100 by the end of May. My gym is huge. They could easily space machines out. My problem is people sweating on them. I have always carried my own clorox wipes to the gym and wiped down the machines before using them. Not sure what I will do once they open back up. I might go check out the layout and cleanliness and then decide. I was thinking about the people breathing hard because they're working out. Do they expect people to wear masks while they're on an elliptical or treadmill? I am wondering that too. I think it would be difficult to wear a mask while exercising but I have seen a few runners in my neighborhood wearing them. I'm not sure i could handle it though. I get kind of claustrophobic just wearing a mask in the store. I am hoping mine will space machines really far apart. 6 feet isn't going to do it for me. I agree with you, the breathing hard while working out is a big concern.
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lurkyloo
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“Time means nothing now,” said Toad. “It is just the thing that happens between snacks.”
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Post by lurkyloo on Apr 27, 2020 18:16:26 GMT -5
I so want to go back to the gym, but so don't want to be around any other people and any germs that might come out of them at the gym--yuck! Moot point, as they are still closed in my state. I’ll loan you my kid‘s PE workout. My legs are a tad sore from doing it with him already
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lurkyloo
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“Time means nothing now,” said Toad. “It is just the thing that happens between snacks.”
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Post by lurkyloo on Apr 27, 2020 18:21:31 GMT -5
New study out of Weinberger lab at Yale on medrxiv subtracts out excess total US deaths from average/expected. WaPo has a digest of the article, or doi is
medrxiv.org/content/10.1101/2020.04.15.20066431v1.full.pdf+html
Interesting stuff. Also partially broken down by state. Looks like they are just looking at pneumonia and influenza like deaths which misses out on other modalities like strokes from abnormal clotting. (Still digesting it...but not sure the wapo report lines up as well as one would like? Also, preprint that hasn’t yet been peer reviewed.)
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pulmonarymd
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Post by pulmonarymd on Apr 27, 2020 18:36:15 GMT -5
New study out of Weinberger lab at Yale on medrxiv subtracts out excess total US deaths from average/expected. WaPo has a digest of the article, or doi is medrxiv.org/content/10.1101/2020.04.15.20066431v1.full.pdf+html Interesting stuff. Also broken down by state. That ultimately will be the way to determine how many people died from this
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Deleted
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Post by Deleted on Apr 27, 2020 21:28:55 GMT -5
I give it two or three days before Pepcid becomes unavailable for all the people who have indigestion.
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NomoreDramaQ1015
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Post by NomoreDramaQ1015 on Apr 27, 2020 21:41:16 GMT -5
I give it two or three days before Pepcid becomes unavailable for all the people who have indigestion. Eh. There are dozens of indigestion products on the market. This isn't like the malaria drug where there is only one. People who have things like GERD tend to be on lansoprazole or omeprazole. There are a couple others but I worked on those two so I remember them. The study specifically states they did not work the same. So supplies of those are safe.
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Deleted
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Post by Deleted on Apr 28, 2020 10:08:17 GMT -5
Personally, I use baking soda because it's cheap and 100% effective.
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