125k new cases yesterday.  thank God we have some real leadership on the way who will listen to medical professionals. 

24 minutes ago, mikemack8 said:

Did Biden cure coronavirus yet?

He's gonna let those nerdy scientist push us around. When's the last time you saw a scientist with their name on a casino and their own line of steaks? Losers, all of them 

Dems are legit murderers. Look at this. Disgusting science deniers who care about no one but themselves.

17 hours ago, mr_hunt said:

125k new cases yesterday.  thank God we have some real leadership on the way who will listen to medical professionals. 

There are many medical professionals that claim what you're hearing on mainstream media is an impossible lie, the problem is mainstream media wants to put a muzzle on them and a mask on you.

 

Number are probably gonna skyrocket after all the nonsense yesterday

1 hour ago, EagleVA said:

There are many medical professionals that claim what you're hearing on mainstream media is an impossible lie, the problem is mainstream media wants to put a muzzle on them and a mask on you.

 

You think the earth is flat though. Nothing you say has any value.

9 minutes ago, Boogyman said:

You think the earth is flat though. Nothing you say has any value.

Same thing with the FE, they want to put a muzzle on those facts, that should make you wonder why, aka think, I know that's an impossibility but......

5 minutes ago, EagleVA said:

Same thing with the FE, they want to put a muzzle on those facts, that should make you wonder why, aka think, I know that's an impossibility but......

Yeah but you think the earth is flat though.

2 hours ago, Boogyman said:

Yeah but you think the earth is flat though.

That's not exactly true, I know the Earth is flat.

If you would just open your eyes and believe what you see you'd know it too.

11 minutes ago, EagleVA said:

That's not exactly true, I know the Earth is flat.

If you would just open your eyes and believe what you see you'd know it too.

But its really not though.

RI is ramping things back up with the cases spiking again. Curfew, gathering limits and mask requirements. Blah. 

41 minutes ago, EagleVA said:

That's not exactly true, I know the Earth is flat.

If you would just open your eyes and believe what you see you'd know it too.

I got a lot of friends around here teaching me about this theory. Maybe  I'll add to the Flat Earth thread to help the discussion

44 minutes ago, DEagle7 said:

RI is ramping things back up with the cases spiking again. Curfew, gathering limits and mask requirements. Blah. 

I think your uncle Joe is going to be bad concerning this plandemic, his mental decline will have him going along with the entire masterplan, he's already promised a federal mandate on mask wearing.

28 minutes ago, Bear Grylls said:

I got a lot of friends around here teaching me about this theory. Maybe  I'll add to the Flat Earth thread to help the discussion

You globers never fail to show your intelligence, freaking cartoon brain fools you guys are.

5 minutes ago, EagleVA said:

I think your uncle Joe is going to be bad concerning this plandemic, his mental decline will have him going along with the entire masterplan, he's already promised a federal mandate on mask wearing.

1 hour ago, DEagle7 said:

Oh boy, another cartoon brain.

On 11/4/2020 at 3:51 PM, rambo said:

Undetected pulmonary embolism that existed before corona.  She was going to die regardless, unfortunately.  The coroner even ruled it natural cause.  Sucks but can happen to anybody.

If I'm not mistaken her death certificate reads COVID-19.

On 11/4/2020 at 3:51 PM, rambo said:

Undetected pulmonary embolism that existed before corona.  She was going to die regardless, unfortunately.  The coroner even ruled it natural cause.  Sucks but can happen to anybody.

If I'm not mistaken her death certificate reads COVID-19.

5 hours ago, EagleVA said:

Oh boy, another cartoon brain.

 Bugs bunny is one of the smartest minds ever.  His creator actually born in philly to boot

COVID risk: small family funerals, fireworks in your driveway, Thanksgiving with family, going to the beach, surfing or kayaking by yourself.

No COVID risk: protesting, looting, celebrating Biden's win with thousands of people on top of each other.

 

5 minutes ago, NOTW said:

COVID risk: small family funerals, fireworks in your driveway, Thanksgiving with family, going to the beach, surfing or kayaking by yourself.

No COVID risk: protesting, looting, celebrating Biden's win with thousands of people on top of each other.

 

Superspreader event - disgusting

We learn from history that we do not learn from history. Buckle up for a horrific winter.

Will these celebrations lead to 30,000 cases and 700 deaths?  Was it worth it?

1 hour ago, xzmattzx said:

Will these celebrations lead to 30,000 cases and 700 deaths?  Was it worth it?

No. Media will report that your Thanksgiving dinner with 8 people caused a spike, not thousands of Biden celebrations or racial justice protests.

Behind with this one:  COVID-19 Update from 11/1/20

https://www.nothingbutthetruthmd.com/2020/11/11120-covid-19-update.html

PREVENTING THE SPREAD OF SARS-CoV-2 WITH MASKS AND OTHER  "LOW TECH" INTERVENTIONS

A. Lerner, MD, G. Folkers MPH, A. Fauci, MD

JAMA

10-26-20

 

Modalities in the combination prevention "toolbox" against the spread of SARS-CoV-2 include;

1.  Wearing masks

2.  Physical distancing

3.  Hand Hygiene

4.  Prompt testing (along with isolation and tracking)

5.  Limits on crowds and gathering

 

I do not understand why JAMA would waste the space publishing an article like this.  There is absolutely nothing new that this article brings to light.  The fact that this article is still attempting to rationalize the use of NPI and referencing articles that are months old speaks volumes about the problems we have in this country.

 

After reading about this virus on a daily basis, working with this virus, and writing about this virus since February I have come to the firm conclusion that even if Moses (or any  religious deity)  came down from the sky with 5 commandments etched in stone, the people of  western civilizations would not listen or comply.

 

They will not wear masks and distance with sufficient compliance.  They will not wash their hands more than usual.  Testing will slow down the virus only if people isolate and quarantine, AND THEY WILL NOT.  "I am just going to the Wawa for a pack of cigarettes" Tuesday night, the third baseman for the Dodgers was removed from the World Series game in the seventh inning because his Covid-test had just come back positive.. Knowing that he has tested positive, he is not wearing a mask while running out to join the after game celebration.  He refuses the request of security sent out by MLB, to leave the field.  A UK study concluded that 75% of folks in quarantine are non-compliant.  The debacle of NCAA football is further evidence. Hundreds of student athletes have tested positive and there are tens of thousands of fans in the stands weekly without masks, does anyone care?  Not the parent, the coaches, or the administrators!

 

You cannot track and trace when you have 60,000+ new cases a day, especially when advanced technology is not a consideration  because many of the folks in this country have the secrets of life on their phones. Pennsylvania has a population of 13 million.  The state offers a free Covid Alert for phones to help track close contacts with those infected.  Only 393,250 have signed up for the free app.  Most people I tell about the app are worried about their privacy.  What do they do that is so secret??  

 

Anybody that has viewed the pictures or read of summertime celebrations, weddings, rallies, protests, and house parties knows that limiting crowds or celebrations is just out of the question.

 

We will be rid of this virus when it tires of us and not before.

 

CONVERSATIONS WITH DR. HOWARD BAUCHNER

Michele Walensky, MD. MpH

Head of Infectious Disease, Massachusetts General Hospital

10-22-20

 

Young people are dying at a 50% increased rate due to Covid

 

Bars are open Schools are closed! 

 

NPI likely to be needed through 2021

 

THE CHALLENGE OF EXPANDING RAPID TESTING TO CURB COVID-19

R. Rubin

JAMA

10-28-20

 

"The test would cost around a dollar."  Wrong, the tests cost around $20.

"A negative test would mean it was safe to go to work or to school, as long as other mitigation measures - wearing masks, social distancing and had washing were practiced."  If we practiced mitigation measures we wouldn't need the tests because we wouldn't have the virus!  The author does not touch upon the problem of false negative tests, which are significant.

"A positive test result, seconded by a second test (the more reliable RT-PCR) would necessitate self-isolation."  There is no evidence to suggest that people are self-isolating compliantly, in fact it is just the opposite.

 

We cannot test our way out of this problem.  The problem is not with testing or the lack thereof, but with the people.  No amount of testing is going to fix that problem.  Academicians, from Fauci on down, should stop talking about increased testing,  get out of their ivory towers and see what is going on at street level.

 

Faint hearted politicians, and leadership at all levels need to mandate ENFORCEABLE MITIGATION MEASURES AND STOP TALKING ABOUT TESTING WHICH IS NOT GOING TO BRING THE VIRUS TO A HALT.  Not today or tomorrow or next week.

 

 

NURSING HOMES' NEXT TOOL - VACCINATING WORKERS AGAINST COVID-19

M. Jaklevic

JAMA 10-28-20

 

Long Term Care Facilities account for 8% of the cases but account for 40% of the deaths as of 10/8/20.

 

In mid October the current administration announced the new Pharmacy Partnership for Long Term Care Programs with CVS and Walgreens agreeing to vaccinate Long Term Care  residents and staff on site at no cost.  CVS and Walgreens have agreed to maintain the cold chain storage of the vaccine.

It remains for workers to be willing to vaccinate and for facilities to opt into this program.

Many organizations have made Long Term Care Facilities, residents and their staff a top priority for vaccination.

 

SARS-CoV-2 NEUTRALIZING ANTIBODY LY-Co-555 IN OUTPATIENTS WITH COVID-19

P. Chen

NEJM  10-31-20

 

In a randomized, double blinded, placebo controlled study the antibody was tested for safety and efficacy.

 

150 patients received placebo infusions on day four of their disease

317 patients received either 700 mg, 2800 mg, 7000 mg infusions on day four of their disease

 

70% of the patients had at least 1 risk factor for increased severity of Covid-19

 

By day 29, 6.3% of the patients who had received placebo and 1.6% of the patients who had received the antibody required hospitalization.  This is extremely encouraging.

 

In a related but separate study, not surprisingly, when started later in the disease the antibody had no beneficial effect.

 

I would assume that the earlier the antibody is given after inoculation the more effective it will be.

 

NUMBERS

 

Deaths -  230,566

 

Hospital bed utilization - every state that I track had an increase in bed utilization.  The overall increase for all states was 13.3% very similar to that of last week of 13.2%

 

Weekly new cases - all states that I track experienced an increase in weekly new cases except for Alabama, and Louisiana.  New Jersey was up for the tenth week in a row.  Illinois was up 32%, Michigan 32%, Pennsylvania 32% and Ohio 28%.

 

CASE FATALITY RATE:

 

For the time period 10/11 to 10/31 there were 1,358,679 new cases and 15,715 deaths.  One person in every 86 who tested positive died. (1.1%)

 

For the time period 5/11 to 5/31 there were 442,457 new cases and 22,987 deaths.  One person in every 19.2 who tested positive died. (5.1%)

 

This disease while becoming much more prevalent is much less lethal.  

 

Two likely explanations:

 

1.  The percentage of people infected is a MUCH less vulnerable, younger

 

2.  The virus has become much less lethal.

 

Enjoy the day

 

Live Safer

Be Well

 

And here's yesterday:  COVID-19 update for 11/8

https://www.nothingbutthetruthmd.com/2020/11/11820-covid-19-update.html

Household transmission, Cardiac Evaluation in athletes after Covid-19 Infection

The Covid-19 pandemic is raging with previously unrecorded new highs in infections on an almost daily basis.  At the street level, this does not surprise me in the least.  As a result of these postings, I get frequent, almost daily questions about the disease, and of late, many of them have been from households  (individuals) with a positive index patient.  The lack of understanding of what to do is certainly contributing to the spread of the disease along with non-compliance with what is supposed to be done.  The impetus for the first report.

 

I am personally involved with some indoor sporting events.  In the last 14 days, there have been 33,371 new infections in the state of Pennsylvania. One in every 389 citizens in the state, man, woman and child has been infected in just 14 days!  Seven percent of  new tests are reported as positive.  The state has recently given permission for fan presence at these events in a reduced number.   I was present at an event recently where at least 50% of the fans did not wear masks.  They cheer and scream (both high risk activities for the transmission of the disease) but they do it without masks.  Given the present circumstances, that the State permits this, is sheer lunacy, that I am present is even crazier!!  It does not appear that the Governor, or the  Department of Health or the Mayor of the city know or are concerned about the spread of virus in their citizens.  This is why I am not surprised with the rapid accelerating number of infections.

 

Little wonder that things are spiraling out of control. 

 

TRANSMISSION OF SARS-COV-2 INFECTIONS IN HOUSEHOLD - TENNESSEE AND WISCONSIN, APRIL - SEPTEMBER 2020

MMWR (CDC)

11/6/202

C. Grijalva, MD

 

Increased understanding of the transmission of SARS-CoV-2 within households could aid control measures.  A case study performed in Nashville, Tennessee and Marshfield, Wisconsin was conducted from April 2020 to September 2020 to improve this understanding.

 

Index patients were identified as the first household member with Covid 19 compatible symptoms who received a positive RT-PCR test and who lived with at least one other household member.  After enrollment index patients and household members were tested daily for 14 days.

 

A total of 191 enrolled household contacts of 101 index patients were symptom free at the index patient's illness onset. 

 

During follow up, 102 of these 191 tested positive in follow up, a secondary infection rate of 53%.

 

Among 14 households where the index patient was less than 18 years of age, the secondary infection rate from index patients less than 12 years old was 53%, and in index patients aged 12 - 17, the secondary infection rate was 38%.

 

Seventy five percent of the secondary infections were identified within five days of the index patient illness.

 

This information is certainly different from what was appreciated back in March or April of this year.  Something has changed.

 

RECOMMENDATIONS (CDC)

 

1.  Persons should self isolate immediately at the onset of Covid 19 like symptoms, at the time of testing, as a result of high risk exposure or at a time of a positive test.

 

2.  All members of the household should wear masks when in shared spaces in the household.

 

This is an ongoing prospective study.  In my experience there is very little compliance with these recommendations.

 

SCREENING OF POTENTIAL CARDIAC INVOLVEMENT IN COMPETITIVE ATHLETES RECOVERING FROM COVID-19 AN EXPERT CONSENSUS STATEMENT

JOURNAL PRE-PROOF

JACC

D. Phelan, MD

 

CORONAVIRUS DISEASE 2019 AND THE ATHLETIC HEART 

EMERGING PERSPECTIVES ON PATHOLOGY, RISKS AND RETURN TO PLAY (RTP)

JAMA

10-26-20

J KIm, MD

 

1.  Athlete defined - any individual who places a premium on training, competition and sports achievement.  For me, this assumes training that involves heart rate elevations into the aerobic range on a regular basis.  Using the five heart rate zones in defining this, would mean elevations into the 70% to 80% of maximum heart rate.  Maximum heart rate has traditionally been defined as 220 - age.  More recently the effect  of aging on heart rate has been appreciated and a newer calculation taking into consideration the effects of age on decreasing the heart rate is

207 - (0.67 X age) = MHR

 

2.  In May 2020 the American College of Cardiology Sports and Exercise section generated recommendations to promote the safe return to play (RTP) for athletes involved with competitive sports after Covid 19 infection.  I think that athletes as defined above, should fall into these recommendations. (these can be googled)

 

3.  Many/most athletes will remain totally asymptomatic with Covid 19 infections.

 

4.  What constitutes normal adaptive cardiac remodeling in an athlete?

 

5.  There are documented cases of myocardial injury in both athletes and non-athletes after asymptomatic or mildly symptomatic cases of covid 19.

 

6.  Reasonable assessment after Covid 19 in this population might include EKG, Bio-markers, echocardiography

 

7.  The prevalence and significance of cardiac abnormalities in this population are not well defined at this point in time.

 

8.  Certainly,  ANY athlete recovering from Covid 19 with or without symptoms at the time of infection, who experiences decreased performance, unusual fatigue or atypical/unusual shortness of breath, or heart rate irregularities after recovery and returning to play should cease exercise and seek consultation with a Sports Cardiologist for evaluation.

 

Professional athletes are being treated by these guidelines (along with very strict testing protocols), probably most of the big 5 NCAA conferences are following their athletes according to these guidelines, but the smaller colleges and high school athletes get very little in the way of testing and follow up.  (this post was primarily for the the coaches, athletes and parents of these athletes in the latter categories.)

 

NUMBERS

 

Deaths - 237,123

 

Hospital Bed Utilization - In the states that I track every state but South Carolina experienced an increase in bed utilization.  Michigan had the largest percentage increase at 40%, followed by Illinois at 32%.  Texas has the largest absolute number at 6068.

 

New Weekly Cases - Every state but Georgia experienced an increase in weekly new cases.  Illinois had both the largest absolute number of new cases at 19,767 for the week, and the greatest percentage increase at 40%..  New Jersey has the longest string of weekly increases at 11 weeks in a row and closely followed Illinois at a 39% increase for this week.

 

Enjoy the day

 

Live Safer

Be Well

 

Case fatality rate - from October 11 until today the rate is 1.0% down from 1.1%

10 hours ago, NOTW said:

COVID risk: small family funerals, fireworks in your driveway, Thanksgiving with family, going to the beach, surfing or kayaking by yourself.

No COVID risk: protesting, looting, celebrating Biden's win with thousands of people on top of each other.

 

you can’t make this sheet up