May 27, 20205 yr https://reason.com/2020/05/27/a-middle-course-between-covid-19-hopes-and-fears/ Quote Control measures should be based on emerging evidence about the danger posed by the virus.
May 27, 20205 yr https://reason.com/2020/05/27/make-temporary-regulatory-relief-permanent-after-the-pandemic-passes/
May 28, 20205 yr 22 hours ago, The_Omega said: Wasn’t that long ago that Democrat hacks in the media, and in CVON, were fantasizing about this hitting Trump supporters harder. Probably too early for your victory dance. But we all do need a little exercise.
May 28, 20205 yr So the Pennsylvania GOP, pushing to reopen and telling everyone how safe it is, knowingly spread COVID through the capitol. They intentionally did not tell House Democrats there members were infected and in fact, used the House as an example as why it is safe to reopen. Brian Simms, rep video is disturbing as hell. Heads better roll.
May 28, 20205 yr Daily update from the doc. https://www.nothingbutthetruthmd.com/2020/05/52720-covid-19-update.html A DIFFERENT KIND OF RESPONSE On March 28, 2020 two patients of a long term Skilled Nursing Facility (SNF) at the Veterans Affairs Greater Los Angeles Healthcare System had positive tests results for SARS-CoV-2 virus. From March 29, 2020 until April 23, 2020 all SNF residents regardless of symptoms underwent weekly RT-PCR testing and positive results were communicated to the County Health Department. In addition all Covid-19 positive patients were transferred to local acute care hospitals for isolation and clinical management. All SNF staff (clinical and non-clinical) were also screened for SARS=CoV-2 during the period from March 29, 2020 to April 10, 2020. 19 off 99 residents tested positive (19%) 8 of 136 staff tested positive (6%) After April 10, 2020 no further positive resident cases were identified on testing on April 13, 22 and 23, 2020. At the time of testing 14 of the 19 residents (73.6%) were asymptomatic. Eight of these residents subsequently developed symptoms during the next one to five days, leaving 31% asymptomatic during the observation period. As there was a Pandemic affecting the Country, on March 6, 2020, a decision was made to screen all staff and visitors for symptoms of Covid-19, close contacts of a known Covid-19 positive patient were also screened. Anyone screening positive was denied access to the facility. On March 11, 2020 all SNF admissions were suspended. Daily temperature checks and symptoms screening was also begun for all residents. Residents who were suspected of being infected with Covid-19 were placed on droplet and contact precautions. This means that residents were isolated in their rooms and anyone entering must put on cap, gown, goggles and face mask to enter, (PPE) which then must be discarded prior to leaving the room. On March 17, visitors were no longer permitted in the facility. On March 26, 2020 the index patient developed a fever. A second patient developed symptoms on March 27, 2020. Both patients tested positive on March 28, 2020. In response to the two positive cases, between March 29, 2020 and March 31, 2020 all patients were tested for Covid-19 regardless of symptoms. On March 29,2020 a third resident became symptomatic and tested positive on March 30, 2020. All three Covid-19 positive patients were transferred to an Acute Care Facility for isolation and clinical management. Prior to March 28, 2020, staff could work in any one of three wings randomly assigned. After March 28,2020 staff were assigned to the same clinical unit for the duration of the problem and an infection control nurse reviewed and monitored proper use of PPE with all staff. During the March 29, 2020 to March 31, 2020 testing, all positive tests were transferred to an Acute Care Facility for isolation and clinical management. By April 3, 2020 all residents tested negative. On April 6, 2020, two more residents tested positive and were transferred to a Covid-19 unit that was created at the SNF for asymptomatic or mildly ill Covid-19 patients. On April 13, 2020 and April 22, 2020 repeat testing was performed on all residents and all tests were negative. One resident died. COMMENTS This was a very impressive performance by the management team directing this SNF. Decision making is challenging in critical situations and there is a maxim that I depend on when things are getting tight. "Assume that what you see is malignant and prove that it is benign" The directors of this unit, before they had their first case, acted decisively to protect their residents and staff. They saved lives by taking the threat very seriously, as it turned out, it was not benign. 1. On March 6, 2020 they began screening all visitors and staff. Individuals who were positive were not permitted to enter the facility. 2. On March 11, 2020, new admission were suspended. In the prison system, new arrivals were frequently the carriers of Covid-19. 3. On March 11, 2020 they also began daily symptom screening of all residents and those with symptoms were placed on droplet and contact isolation. Someone was listening to the early reports of community spread which is frequently from asymptomatic carriers. 4. After their first positive patients were discovered, they began testing all patients regardless of symptoms. Again someone in administration was very tuned into the idea of community spread. 5. They had experts in infection control teach and monitor their staff for the appropriate use of PPE. That 98 out of 99 elderly residents survived is living proof that the process they instituted saved lives. Numbers: 1800 from the Hopkins Website Tests - 302,089 over the last 48 hours USA - 1,694,579 (up 1.13%, up from 1.09%) New York - 364,965 (up 0.31%, up from 0.29%) New Jersey - 156,682 (up 0.58%, up from 0.43%) Pennsylvania - 73,557 (up 1.07%, down from 1.18%, 74 fewer new cases than the day before) Maryland - 48,423 (up 1.54%, up from 1.13%) California - 100,146 (up 3.04%, up from 2.79%) South Carolina - 10,623, up 4.37% over the last 48 hours Texas - 57,292 (up 1.55%, up from 0.92%) World - 5,651, 806 (up 1.66%, up from 1.58%) Hospital bed utilization was up in New Jersey, Maryland , California, Texas and Georgia Have a good night Live Safely Be Well
May 28, 20205 yr A guy I work with drove form PA to Florida to watch the launch. The state troopers are stopping everyone at the Florida border and not letting any Georgia residents cross. So there must be a big outbreak there.
May 28, 20205 yr 3 minutes ago, Gannan said: A guy I work with drove form PA to Florida to watch the launch. The state troopers are stopping everyone at the Florida border and not letting any Georgia residents cross. So there must be a big outbreak there. Maybe in one county in FL, but that's not a statewide thing and hasn't been the case for anyone I know. Have lots of friends that have been back and forth the last month. I'll be down there in a week and then back and forth for most of the summer.
May 29, 20205 yr Daily update from the doc https://www.nothingbutthetruthmd.com/2020/05/52820-covid-19-update.html CAN THE LAY PRESS EVER GET IT CORRECTLY? Today, the highlighted story on Yahoo, at least in my region of the Country has been about the brilliant Jurists of the State Supreme Court of Wisconsin. Apparently they played politics and struck down the states "stay at home orders". Personally, I thought it was a bone headed move that would have bad consequences. The story on Yahoo, "Reopened state sets new records in Covid19-deaths." They emphasize also the record number of cases in the last week. Pretty sensational! On closer observation however, maybe not so sensational (still a boneheaded move). Between May 18, (the order was struck down May 13, so give the virus five days to do its thing) and May 27, there were 80 deaths in the State of Wisconsin linked to Covid-19. Between May 4 and May 13 there were 81 deaths in the state of Wisconsin linked to Covid-19. No sensational story there! There were 3775 new cases of Covid-19 reported between May 18 and May 27. Between May 4 and May 13 there were 2666 new cases of Covid-19, 1109 more new cases, might still get a story out of this. Between May 18 and May 27 there were 86,725 Covid-19 tests performed in Wisconsin. Between May 4 and May 13 there were 45,339 Covid-19 tests performed in Wisconsin. Unless we have counts of asymptomatic carriers in both time periods we don't know if these are truly more symptomatic cases or more asymptomatic cases picked up because of increased testing. Too bad Ms. Silva did not do her homework. TESTING We cannot test our way of this Pandemic. Testing is important, testing without a plan is pointless. Just doing more tests is not the answer. There are necessary elements to a successful testing program that will improve the health of the public. There must be a reliable test with very high specificity and sensitivity, which we now have. There is a need to quickly test contacts of all Covid-19 positive patients, symptomatic and asymptomatic, to contain the disease. We have sufficient testing ability to do this. We do not however have the logistical organization at this very moment to accomplish this, but there are efforts being made. Lastly, we must have a populace willing to comply with a 14 day isolation period when carriers are found that do not need hospitalization. Finding carriers who then roam the streets with citizens without masks is worthless, may as well not even look. It is this last element that will styme well thought out testing plans. OPENING HOSPITALS TO MORE PATIENTS DURING THE COVID-19 PANDEMIC - MAKING IT SAFE AND MAKING IT FEEL SAFE JAMA Internal Medicine, May 27 The issues of "reopening" are germaine not just to hospitals but to all public consumer centered businesses. Hospitals are anxious to restart services that were curtailed to meet the needs of their communities during the height of the Covid-19 Pandemic. Many of these services were responsible for generating the revenues that provider Hospitals with their slim profit margins. The world famous Mayo Clinic recently announced furloughs and hour reductions for 30,000 employees to stem a projected $3 Billion loss. Discussion centering around reopening the economy focus on how to return to work. However, it is the consumers of the work product who are the true economic engines of the economy. Data from clinical practices, hospitals and public enterprises not connected with healthcare suggest, that in many instances, the consumers do not feel that it is safe to return. This isn't baseball, where if you build it they will come. Stating that it is 'OK" doesn't necessarily mean that mentally it is "OK". What leadership failed to do in preparing the public mind to combat the virus, the virus has done to strike fear in the minds of many. The need to make all these services safe is matched to the equally critical need of making them feel safe. For many who witnessed the festivities at the "Lake of the Ozarks" in Missouri, the pictures did not emanate a feeling of security. They did not derive a sense of safety and security by what they watched. The same can be said for many other videos of public vacationing spots. Successful enterprises in the community thrive on customer satisfaction. Not only meeting the needs and expectations of the consumer but exceeding them. Many healthcare facilities and systems utilize satisfaction surveys, but are they getting the answers to questions that really matter to consumers, their patients? Some healthcare services that were in demand prior to the pandemic may not be in demand for some time to come. Old marketing tactics for attracting patients will need to change. Practitioners not only need to be experts, they need to have practice settings that exude an aura of safety. Who were the experts in battling the viral pandemic? Who knows more about making a viral free environment, Domino's Pizza (had soaring earnings) or your local Pediatrician or Orthopedist? Healthcare providers will need to take a different approach to marketing. I hear from many who were potential patients but are unsure of how their safety will be ensured and have put out the "do not disturb sign" As a healthcare worker in the beginning of the criis, performing procedures that were risky, it was never the procedure that caused me anxiety, it was the unknown that made me question myself and kept me up some nights. We need to eliminate the unknowns for our patients the best we can. Our processes must be perfect 100% of the time. There can never be a time when a staff person or practitioner is seen without proper PPE, a crowded waiting room or the air of nonchalance. I make sure that I am sanitizing my hands as I come up to each new patient and I make sure they see me sanitizing my hands at the end of my brief visit. And if they ask me if I know what I am doing, I assure them I read about it last night! Numbers: 1800 from the Hopkins website Tests - there were 739,000 tests performed in the last 24 hours USA - 1,717,756 (up 1.36%, up from 1.13%) New York - 366,783 (up 0.48%, up from 0.31%) New Jersey - 157,185 (up 0.32%, down from 0.58% 415 fewer new cases than the day before) Pennsylvania - 74,220 (up 0.90%, down from 1.07%, 116 fewer new cases than the day before) Maryland 49,709 (up 2.65%, up from 1.54%) California - 101,946 (1.79%, down from 3.04%, 1163 fewer new cases than the day before) South Carolina - 10,789 (up 1.56%, down from 4.37%, 116 fewer new cases than the day before) Texas - 58,587 - (up 2.26% up from 1.55%) World 5,763,122 (up 1.96%, up from 1.66%) New Jersey and Texas were up again in bed utilization. Have a good night Live Safely Be Well
May 29, 20205 yr 13 hours ago, Gannan said: A guy I work with drove form PA to Florida to watch the launch. The state troopers are stopping everyone at the Florida border and not letting any Georgia residents cross. So there must be a big outbreak there. Delaware is lifting its restriction on June 1 for non-residents to quarantine for 14 days. I think they are just keeping huge crowds from gathering, especially from other states where local police and health officials in Florida don't know where they are coming from. Delaware state troopers set up a roadblock WITHIN the state to prevent out-of-staters from going to the beach this past weekend.
May 29, 20205 yr 18 hours ago, Gannan said: A guy I work with drove form PA to Florida to watch the launch. The state troopers are stopping everyone at the Florida border and not letting any Georgia residents cross. So there must be a big outbreak there. Yeah I live in Florida and that's not happening. Also it would be highly unconstitutional.
May 29, 20205 yr 5 hours ago, lynched1 said: I'm already in and out of stores without a mask. This is so over. Clearly, hardly any sick people around at all. Good thing this was a hoax.
May 29, 20205 yr Dad went into the hospital on Sunday due to difficulty breathing and being very swollen/filled with fluids. They tested him for Corona Virus last night and immediately moved him to the COVID floor. Test results came back negative this morning, but they said the hospital was full so he was going to have to stay on that floor. Several calls by my mom later he was supposed to be transferred to a different floor an hour or two ago. No word whether he's actually been moved yet. Totally makes sense to keep a man with Stage 4 cancer that has metastasized into his lungs and difficulty breathing/weakened immune system and possible pneumonia on the COVID floor of the hospital out of convenience... 😠
May 29, 20205 yr The WHO said you dont have to wear a mask now unless you are taking care of someone with the virus. Both the CDC and WHO look completely Fing clueless during this outbreak. https://www.fox29.com/news/who-guidance-healthy-people-should-wear-masks-only-when-taking-care-of-coronavirus-patients
May 29, 20205 yr 6 minutes ago, Imp81318 said: Dad went into the hospital on Sunday due to difficulty breathing and being very swollen/filled with fluids. They tested him for Corona Virus last night and immediately moved him to the COVID floor. Test results came back negative this morning, but they said the hospital was full so he was going to have to stay on that floor. Several calls by my mom later he was supposed to be transferred to a different floor an hour or two ago. No word whether he's actually been moved yet. Totally makes sense to keep a man with Stage 4 cancer that has metastasized into his lungs and difficulty breathing/weakened immune system and possible pneumonia on the COVID floor of the hospital out of convenience... 😠 that's insane man. good luck to your pops.
May 29, 20205 yr 8 minutes ago, c_u_in_tampa said: The WHO said you dont have to wear a mask now unless you are taking care of someone with the virus. Both the CDC and WHO look completely Fing clueless during this outbreak. https://www.fox29.com/news/who-guidance-healthy-people-should-wear-masks-only-when-taking-care-of-coronavirus-patients That's why we should just wear the mask for now. I seriously don't understand the tantrums from people who don't want to wear a mask
May 29, 20205 yr 1 minute ago, Mike030270 said: That's why we should just wear the mask for now. I seriously don't understand the tantrums from people who don't want to wear a mask I don't know about you, but I didn't inject a bunch of fillers into my lips just to hide them behind a mask!!!
May 29, 20205 yr 19 minutes ago, c_u_in_tampa said: The WHO said you dont have to wear a mask now unless you are taking care of someone with the virus. Both the CDC and WHO look completely Fing clueless during this outbreak. https://www.fox29.com/news/who-guidance-healthy-people-should-wear-masks-only-when-taking-care-of-coronavirus-patients Yeah, the basic problem with that statement is one of the most important parts of this stupid situation. It is why there are spikes in the places that opened two weeks ago and why there will be a really huge spike in Florida in two weeks. You can have COVID and seem healthy as F. No symptoms at all. My sister and her roommate in Rochester both got it (he works in a University hospital in records) and they both lost their sense of taste/smell. It is slowly coming back (a month plus later) - that was the only symptoms they had. And it was a gradual loss.
May 29, 20205 yr 10 hours ago, lynched1 said: I'm already in and out of stores without a mask. This is so over. Duly noted. Lynched says its so over, May 29.
May 29, 20205 yr 18 minutes ago, dawkins4prez said: Duly noted. Lynched says its so over, May 29. I feel better already.
May 29, 20205 yr Trump is terminating relations with the WHO and I for one don't blame him, they're in Bill Gates back pocket and promoting Gates' agenda. .
May 29, 20205 yr 4 minutes ago, EagleVA said: Trump is terminating relations with the WHO and I for one don't blame him, they're in Bill Gates back pocket and promoting Gates' agenda. .
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