January 22, 20214 yr 30 minutes ago, sameaglesfan said: Sadly, the reason COVID is doing so well is because just won't follow simple precautions.
January 22, 20214 yr 1 hour ago, Toastrel said: Covid-19 Has Nearly Wiped Out the Flu—How Do We Keep It From Coming Back? Mask-wearing and higher vaccination rates have contributed to historically low levels of seasonal influenza https://www.wsj.com/articles/covid-19-has-nearly-wiped-out-the-fluhow-do-we-keep-it-from-coming-back-11611230410 Weird. It's almost like masks work after all. I guess we'll just never know how though, must be magic.
January 22, 20214 yr 1/17/21 Update from the Doc https://www.nothingbutthetruthmd.com/2021/01/11721-covid-19-update.html It is unfair to criticize now, decisions made by various scientists and medical leadership eight and ten months ago when little was known about this virus. In many of the interviews that I had watched, the more cautious would preface their answers and statements by asking to be questioned in two weeks so that they could correct their mistakes. I don't think that getting the Federal government more involved at the state level in distribution of the vaccine is going to help. I doubt that any of the leadership at the Ford motor company would be of much assistance on the production line. We are witnessing state public health departments which have rarely, if ever, had to function in crisis mode, flounder. The peace time navy was ill prepared for the challenges of World War II. There was just a piece in JAMA this week lamenting the deterioration of skills of the Army medical corps that is likely to occur now that there are few conflicts. The author points to lack of skills that were evident at the beginning of each conflict in the past, which probably cost lives. As things improve, and they are improving, I would like to point out that twice in the last week, we have given over one million doses of the vaccine in a day. I would hope that someone in Washington is smart enough to pick up the phone and call the people with boots on the ground to ask how they can assist, instead of assuming that the fed knows best. COVID LONG HAULERS - CHRONIC COMPLICATIONS Anthony Komaroff Professor of Medicine, Harvard Medical School 1-7-21 As we are all well aware, there is a wide variation in clinical expression to Covid-19 disease, from totally asymptomatic to severe disability and death. The virus is known to attack the kidney, lungs, brain and heart. Of 128 patients requiring hospitalization, at 10 weeks post symptom onset, 52% were were reporting persistent fatigue. Myalgic Encephalitis/Chronic Fatigue Syndrome is known to develop after other acute infections, Lymes disease, Epstein-barr disease, Ebola, and West Nile virus. This syndrome is associated with decreased energy, social withdrawal, loss of libido, depression and decreased cognitive function. This may result from a failure to "turn off" an acute protective response of the brain to such infections. Currently this a concern without much in the way of diagnostics or treatments. 6 MONTH CONSEQUENCES OF COVID-19 IN PATIENTS DISCHARGED FROM HOSPITAL: A COHORT STUDY C. Huang, MD Lancet 1-8-21 This was a cohort study of patients from Jin Yin-ton Hospital in Wuhan, China of patients with diagnosed Covid-19 from 1-7-20 to 5-29 20 who were ambulatory and had no pre-Covid-19 cognitive difficulties. Patients were interviewed with a series of questionnaires and 6-minute walking test. Of 2469 patients discharged with Covid-19, approximately 1000 met inclusion criteria and completed the follow up protocol. Median age was 57, 53% male, median follow up time after symptom onset was 186 days. 63% had fatigue and muscle weakness 23% had sleeping difficulties 24% fell below the lower limit of the median 6 minute walking distance 22-55% had pulmonary diffusion abnormalities, the severity of which were directly correlated with the severity of their Covid-19 disease 13% developed renal insufficiency. There have been 23,253,252 cases of Covid-19 in the US as of 1-14-21. About 5% of the cases require hospitalization, which in the case of the US would represent 1,162,662 patients. If the US cases parallel those from China, this will represent a tremendous disease burden going forward, which little is being written about, and appears to be under appreciated. MITIGATION POLICIES AND COVID-19 - ASSOCIATED MORTALITY - 37 EUROPEAN COUNTRIES: January 23 - June 30 Weekly Morbidity and Mortality Report J.A. Fuller, PhD 1-15-21 Most European countries implemented strict mitigation policies, including closure of of non-essential business and mandating stay at home orders. These came with significant social and economic costs. At the time, it appeared that mostly the old and infirm were dying or seriously affected. Now that follow up studies are bringing to light the toll of long term health problems in survivors of moderate and even mild disease the risk benefit ratio of these policies takes on a new light. The impact of timing of the institution of mitigation policies has been studied. Data was obtained from the CDC Covid-19 International task force global mitigation database and the University of Oxford Covid Government Response tracker, specifically the Oxford stringency Index which grades the strictness of mitigation. The data showed that countries that instituted stricter mitigation policies and also earlier implementation (as little as two weeks) effected morbidity and mortality on a long term basis beyond relaxation of mitigation. This parallels the response of mitigation to the Spanish Flu of 1918. SARS-CoV-2 TRANSMISSION FROM PEOPLE WITHOUT COVID-19 SYMPTOMS Michael A. Johansson, PhD JAMA 1-7-21 This author used a decision analytic model to assess the relationship of transmission from pre-symptomatic and never symptomatic individuals. All estimates were derived from meta-analysis of eight studies from China, The infectious period was estimated to be 10 days. 35% of transmission was estimated to come from pre-symptomatic cases, 24% from never symptomatic cases. EVALUATION FOR MYOCARDITIS IN COMPETITIVE STUDENT ATHLETES RECOVERING FRO CORONAVIRUS 2019 WITH CARDIAC MRI J. Starekova, MD JAMA Cardiology 1-14-21 145 student athletes were examined. 77% with mild to moderate disease, 17 % asymptomatic, 0% severe. (not sure what happened to 6%) 1.4% had findings consistent with myocarditis. 27.5% had a high burden of abnormal findings on MRI, the significance of which are unknown at this time. 1.4% doesn't seem to be much in this group of young healthy students, unless one of them is yours. NUMBERS Immunizations - We have now given 13.7 million injections. 2.04 million people have received two injections. In the past week we have averaged 849,387 injections per day. A goal of one million injections per day is underwhelming, especially as we open distribution to larger segments of the population. Leadership at CVS has stated that they alone have the capacity to perform a million injections a day. The new administrations, as if they have an "invisible hand", talks of "ramping" up production. Both Moderna and Pfizer, have stated, on more than one occasion, their production capabilities for 2021. Any talk of "ramping" this up is a chimera. We will soon be limited in daily injections by supply. The Oxford vaccine, which also requires two shots, but further apart, may be approved in the latter part of February, but at a reported 70% efficiency, will leave many unprotected. Thirty million people receiving this vaccine will leave nine million unprotected, who do not know that they are unprotected. Case Fatality Rate - has ticked up to 1.1% Our case fatality rate in the US is most certainly influenced by the fact that we have many living longer with comorbidities than in other countries. We have a higher percentage of long term care residents than most other countries and they represented and continue to represent a majority of our deaths. Weekly new cases - up 7% but down from 8.3% a week ago Deaths - 395,851 (23,241 in the last seven days) This upcoming week, we will eclipse the number of US military deaths of World War II (405,389) Hospital bed utilization - 126,399 (down from 130,777 from last week) Have a good day Live safer Be Well
January 22, 20214 yr 17 minutes ago, Phillyterp85 said: 1/17/21 Update from the Doc As always, a very useful summary from the Doc. Thank you (and him) for providing this info regularly.
January 22, 20214 yr my mother, mil, fil, & wife are all scheduled for the vaccine. i've been pounding some cookies this morning to get into the "obese" range so i'll also be eligible.
January 22, 20214 yr 12 hours ago, vikas83 said: Mom and dad got their first dose this week. No underlying conditions, but both over 70 and PA residents. Make sure your parents get an appointment. Trying to get my inheritance before they spend it all. They'll get nothing and like it!
January 22, 20214 yr 6 minutes ago, mr_hunt said: my mother, mil, fil, & wife are all scheduled for the vaccine. i've been pounding some cookies this morning to get into the "obese" range so i'll also be eligible. Just send them a pic from the chest up - if they see your big stupid head and man tiddies you'll be moved straight to the front of the line!
January 22, 20214 yr 9 minutes ago, mikemack8 said: Just send them a pic from the chest up - if they see your big stupid head and man tiddies you'll be moved straight to the front of the line! whoa! where did you see a real pic of me?
January 22, 20214 yr Got my vaccine last Saturday and then my whole family tested positive for COVID yesterday except for me. Draw your own conclusions...
January 22, 20214 yr 4 minutes ago, Kz! said: Noticing a trend here... Can you feel the momentum? Biden's gonna bring our economy back! You gotta love it. I'm starting to think you might even have an assistant manager position in your future. Fingers crossed!
January 22, 20214 yr 8 minutes ago, Kz! said: Noticing a trend here... The only trend is you being an ignorant dumb F as usual. Dining restrictions were put in place on Nov 18 (hint: that's after Biden was elected since we know how adept you trumpbots are with calendars), and they were set to expire on Jan 15. She actually extended them to Feb 1.
January 22, 20214 yr 10 minutes ago, VanHammersly said: Can you feel the momentum? Biden's gonna bring our economy back! You gotta love it. I'm starting to think you might even have an assistant manager position in your future. Fingers crossed! I actually am impressed at how brazen they are about it. They're just like, yeah, we'll slowly allow normalcy to return now that Biden has been sworn in even though numbers are at an all-time high. Just ruthless and cutthroat.
January 22, 20214 yr 2 minutes ago, Kz! said: I actually am impressed at how brazen they are about it. They're just like, yeah, we'll slowly allow normalcy to return now that Biden has been sworn in even though numbers are at an all-time high. Just ruthless and cutthroat. Yes, they're brazenly trying to save the US economy from the dark days of the Trump administration! I love it!
January 22, 20214 yr 6 minutes ago, Kz! said: I actually am impressed at how brazen they are about it. They're just like, yeah, we'll slowly allow normalcy to return now that Biden has been sworn in even though numbers are at an all-time high. Just ruthless and cutthroat. Our all-time high was back in mid November, oddly enough, right before the restrictions were put in place. I know, seems weird and arbitrary even in hindsight, right? But it's shockingly true! Our cases have now dropped to 20% of what they were during the peak, but yeah, it's very ruthless and cutthroat to extend and then lift restrictions based on science and data.
January 22, 20214 yr I've got to stop watching the news. I mean there is no end in sight with this is there! This is going to be how we live the rest of our lives in lockdown.
January 22, 20214 yr Wow, hundreds of the National Guard troops deployed to DC and later forced into parking garages have caught coronavirus while there. https://www.politico.com/news/2021/01/22/national-guard-coronavirus-461340 And worse, our leaders in DC have absolutely no plan for testing them: Quote The National Guard has struggled to implement a plan to test troops flowing into and out of Washington, D.C., for Covid-19, with some Guard members being forced to find their own tests and others pressured to leave their quarantine early to report to duty. Pathetic.
January 22, 20214 yr 8 minutes ago, UK_EaglesFan89 said: I've got to stop watching the news. I mean there is no end in sight with this is there! This is going to be how we live the rest of our lives in lockdown. Not sure if you're being sarcastic here, but the UK strain is neutralized by the vaccine. Whatever lockdown restrictions you guys have in place over there are likely to be lifted by spring as the vaccine rolls out to everyone. Unless, somehow, your population is dumber than ours and refuses to get it because they think it has microchips in it or gives everyone balls deep palsy.
January 22, 20214 yr https://www.msn.com/en-us/news/world/boris-johnson-says-u-k-coronavirus-variant-may-be-more-deadly/ar-BB1d0aMw?ocid=msedgntp 23 minutes ago, Kz! said: Pathetic. Pathetic is that they had to be there in the 1st place.
January 22, 20214 yr 6 minutes ago, DiPros said: https://www.msn.com/en-us/news/world/boris-johnson-says-u-k-coronavirus-variant-may-be-more-deadly/ar-BB1d0aMw?ocid=msedgntp Pathetic is that they had to be there in the 1st place. You cannot bark up that tree. It isn't really a tree. It is a brick shaped into a tree.
January 22, 20214 yr 48 minutes ago, mr_hunt said: f bombs in this one. Reveal hidden contents That's old as dirt.
January 22, 20214 yr 6 minutes ago, DiPros said: https://www.msn.com/en-us/news/world/boris-johnson-says-u-k-coronavirus-variant-may-be-more-deadly/ar-BB1d0aMw?ocid=msedgntp Pathetic is that they had to be there in the 1st place. Agreed, that was a pathetic call as well. But it's even more pathetic that the planning was so outrageously bad that they were forced to pile on top of each other in parking garages. Just disgusting leadership from the top. To subject our troops to that while a global pandemic is raging is ridiculous. Utter disregard for the lives of our troops by DC elite. But what else is new, am I right?
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