the Coronavirus outbreak thread

[Boothroyd]

The time between March 11th and today seems like months. What difference 9 days make (US perspective).

[tadbart]

Originally Posted by Boothroyd

The time between March 11th and today seems like months. What difference 9 days make (US perspective).

Agreed. Our process in my ER has changed/evolved half a dozen times since way back then, and will evolve more so in the next week, as an isolation tent is erected outside the hospital.

I picked the worst time in all of my lifetime, to become a Nurse Practitioner. Ya got the regular ER NP stuff (which is FAR different from being an ER Nurse), and now the added complexity of COVID. Man, I wanna go back to a simpler time when a viral URI was just that, and was sent home with supportive care. Nowadays, it's slightly more complex.

[Chaching]

1 in 5 now filing for Unemployment..... System is becoming overloaded.

[dkg1616]

Originally Posted by Carry The Interest

Yup. I have heard similar things. Just last week a CEO of a lab business that we keep in regular dialogue with told us his labs were going to start running the test. His labs normally focus on NIPT and carrier screening/genetic counseling testing.

Aside from all the misery this is causing our planet, I will say it's nice to see so many companies stepping up and finding ways to assist however they can right now (GM with ventilators, LVMH with hand sanitizer).

Hmm I wonder who this is - btw thanks for the text back bro!!!

[Carry The Interest]

Originally Posted by dkg1616

Hmm I wonder who this is - btw thanks for the text back bro!!!

Ha! Was very glad to see that email from him. Just got back to you. Been putting out fires all day over here... Time for a drink!

[tadbart]

Originally Posted by joeychitwood

There are discussions in the region about calling retired nurses, doctors and medical therapists to volunteer their expertise if the crush in hospitals becomes too great to manage, the idea being that even diminished knowledge and skills are better than none. If someone had brought this up in a discussion two months ago, we all would have laughed.

PLEASE don't let the gynecologist intubate me. Just let me go.

[LandWatch]

Interesting BBC article. How many of the projected deaths would occur naturally anyway?

Coronavirus: Have UK experts over-egged deaths? https://www.bbc.co.uk/news/health-51979654

[Moggo]

What has gone so wrong in Italy? I’m not having a go, pointing fingers or anything like that, it’s tragic.

I’m also not saying the same won’t happen here in the U.K. but it’s just rampant and the theories are all different


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[Moggo]

Just read a warning from police about scammers offering to get supplies for people and taking their money!

Also ‘fake’ testers praying on vulnerable people!

Some people are beyond help!


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[Zakalwe]

[mountainjogger]

Originally Posted by tadbart

PLEASE don't let the gynecologist intubate me. Just let me go.

Could not disagree more. And my gratitude for those in the medical profession who are stepping up is beyond words.

[Zakalwe]

He was just kidding; the kind of gentle intra-medical mockery that many in the game engage in from time to time. There are some memes doing the rounds...

[mountainjogger]

Originally Posted by Zakalwe

He was just kidding; the kind of gentle intra-medical mockery that many in the game engage in from time to time. There are some memes doing the rounds...

Sorry. And thanks Sal.

Stay safe.

[fmc000]

Originally Posted by Zakalwe

Impressive...

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[fmc000]

Originally Posted by Moggo

What has gone so wrong in Italy? I’m not having a go, pointing fingers or anything like that, it’s tragic.

I’m also not saying the same won’t happen here in the U.K. but it’s just rampant and the theories are all different


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I see that my previous oust was deleted... Anyways, looking at the picture I quoted in my previous post it seems that it is the normal progression of the infection.

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[Zakalwe]

Originally Posted by fmc000

I see that my previous oust was deleted... Anyways, looking at the picture I quoted in my previous post it seems that it is the normal progression of the infection.

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It may be the “normal” progression if you fail to act quickly. However these numbers are not reflected everywhere that has significant numbers of cases. It’s a warning against complacency.

As there’s a built in latency between mitigating actions like social distancing and their effects, if no further action were taken I’d expect our numbers to track those of Italy’s for the next two weeks. Fortunately, action is being taken to dramatically ramp up ITU resources so I remain hopeful that we may not see the same level of casualties and that we can keep a lid on things until the new lockdown measures start to slow the spread of the virus.

[fmc000]

Originally Posted by Zakalwe

It may be the “normal” progression if you fail to act quickly. However these numbers are not reflected everywhere that has significant numbers of cases. It’s a warning against complacency.

As there’s a built in latency between mitigating actions like social distancing and their effects, if no further action were taken I’d expect our numbers to track those of Italy’s for the next two weeks. Fortunately, action is being taken to dramatically ramp up ITU resources so I remain hopeful that we may not see the same level of casualties and that we can keep a lid on things until the new lockdown measures start to slow the spread of the virus.

That's what I hope for you too.

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[gmh1013]

A women i know in Minneapolis who is 62 retired last Sept as a Hospice and once ER nurse....she told me her phone never stop ringing the past 5 days....wants her to come back to U of M medical center where she worked several years ago as ER nurse
she said the pay is fantastic what they are offering.....and they are making her feel guilty if she dont/wont come back.

[77T]

Originally Posted by gmh1013

A women i know in Minneapolis who is 62 retired last Sept as a Hospice and once ER nurse....she told me her phone never stop ringing the past 5 days....wants her to come back to U of M medical center where she worked several years ago as ER nurse
she said the pay is fantastic what they are offering.....and they are making her feel guilty if she dont/wont come back.

What has she decided to do?


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[mountainjogger]

Not a traditional vaccine but perhaps a good start.

Here is an immediate partial step using plasma from recovered patients being started by John Hopkins. Of course pending regulatory approval.

Doctors and those with medical background, I would love to hear your thoughts.

https://www.globalhealthnow.org/2020...rals-are-ready

Stay safe.

[mountainjogger]

And it is already being used in China.

[Moggo]

Originally Posted by fmc000

That's what I hope for you too.

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What’s it like in your region of Italy?

Stay safe


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[Jim Smyth]

Looks like Bills words fell on deaf ears back in 2015 and may be coming true. Hopefully we get another shot to prepare correctly.

https://www.youtube.com/watch?v=6Af6b_wyiwI

[uscmatt99]

Originally Posted by mountainjogger

Not a traditional vaccine but perhaps a good start.

Here is an immediate partial step using plasma from recovered patients being started by John Hopkins. Of course pending regulatory approval.

Doctors and those with medical background, I would love to hear your thoughts.

https://www.globalhealthnow.org/2020...rals-are-ready

Stay safe.

This is the most hopeful news yet. There will be a lot of people who survive this disease who would be able to help those who are struggling. This can be tested and scaled rapidly as opposed to novel meds or a vaccine, it's easy to test a donor, and (hopefully) easy to match to recipients. I look forward to the results of ongoing trials!

[Moggo]

Just seen loads of pictures of people in bars and clubs in the U.K. last night, partying prior to them shutting!

How much spread did that cause


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[gmh1013]

Originally Posted by 77T

What has she decided to do?


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She said all the money in the world wont help her if she is dead.....she has to many health issues herself ....diabetic type 1 and MS

[Star Ferry]

Freshly still delivered my food on time this morning. 12 meals for $110, they last 5-6 days in the fridge. I've been getting these since September, but could be a good option for older members.

[uscmatt99]

Originally Posted by Moggo

Just seen loads of pictures of people in bars and clubs in the U.K. last night, partying prior to them shutting!

How much spread did that cause


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Well if you perfuse the widely circulated and continually updated article published by Tomas Pueyo then every day we don't enact social distancing can increase the final total case number by 40%. See Chart 23.

https://medium.com/@tomaspueyo/coron...e-f4d3d9cd99ca

[Johny]

Originally Posted by Moggo

Dave, I don’t think they are going to run out and I never said that anywhere.

I believe from what I have read, seen and been told that the service is slower as present as GPs are not immune to COVID-19 and neither are pharmacists so lack of staff/reduced capacity is causing delays.

I sincerely hope you get your prescriptions without problem.

I at no point tried to invoke panic buying or hoarding but being realistic there are bound to be delays (not shortages).

Most chemists have one pharmacist and they are party to the same isolation rules if symptomatic like the rest of us due to our lack of testing key workers.


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Hi

Our local chemist is only allowing two people in the shop at a time. Waiting outside the shop everyone else is spaced/spread out and maintaining social distancing. This makes it look like a big long/giant queue.

[joeychitwood]

Originally Posted by tadbart

PLEASE don't let the gynecologist intubate me. Just let me go.

Better than an orthopedic surgeon! Radiologists are going to have to do their own clinical correlations now.