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deleted171991
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People on a cruise vessel are relatively healthy, even if older. Not the most representative sample.
Plus ISOLATION works miracles. There's the PROOF.
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Plus ISOLATION works miracles. There's the PROOF.
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deleted171991
Sorry, healthier. I meant compensated, as in ASA2- 3 vs the ASA 4, who will not go on a cruise (unless Royal-ly stupid, pun intended) and who will probably not survive Covid.
How many deaths did they have on those cruise ships?
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deleted126335
You are an amateur.
North Korean official reportedly executed for breaking coronavirus quarantine
A North Korean official who returned from China has reportedly been executed for going to a public bath in violation of his quarantine – while experts express doubts about Pyongyang’s claim that th…
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deleted171991
That vessel was grossly mismanaged. True Petri dish.
For some reason (probably being overrun), the Italians are now above 7% mortality.
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deleted171991
That's also why China got things under control relatively fast.You are an amateur.
North Korean official reportedly executed for breaking coronavirus quarantine
A North Korean official who returned from China has reportedly been executed for going to a public bath in violation of his quarantine – while experts express doubts about Pyongyang’s claim that th…nypost.com
We're being told to check our temp twice a day and everything above 100 we need to go home even if we feel fine.
They didn't really give us guidance on anything else, but if I were to start coughing and it's anything more than a tickle/clear my throat type cough then I'd stay home.
I've been sneezing 1-2x per day for the past couple of weeks so I think that's fine (not sure if it's allergies or what) as I feel completely normal and no fever.
6500 deaths worldwide is not very impressive to me...
I don't know enough about PCR (which is what I assume they're using to test?) But, what is the possibility and rate of false positives?
What is the relevance of a positive test in a situation like Donovan Mitchell who got tested because his teammate got diagnosed, he tested positive, and has subsequently had ZERO symptoms, 5 days after the test was performed (which I have seen longer incubation periods, so we'll see if this changes). Is this guy even shedding virus that can be passed to others?
When is this equivalent to the S. aureus on my skin?
Is it possible for the testing to be flawed and spit out a false positive?
What is the relevance of a positive test in a situation like Donovan Mitchell who got tested because his teammate got diagnosed, he tested positive, and has subsequently had ZERO symptoms, 5 days after the test was performed (which I have seen longer incubation periods, so we'll see if this changes). Is this guy even shedding virus that can be passed to others?
When is this equivalent to the S. aureus on my skin?
Is it possible for the testing to be flawed and spit out a false positive?
Back in mid 2ks PCR for SARS had almost 100% specificity and 90% sensitivity. I expect it’s much the same now..
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deleted162650
Are they able to check titers to evaluate for immunity or hx of infection?
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deleted697127
Smartest thing I’ve read all day.
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deleted171991
No. They look for viral RNA.
Everything You Need to Know About Coronavirus Testing
How it works, why we need it, and why it's taking so damn long for the US to get people diagnosed.
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deleted171991
That would explain why people occasionally go positive-negative-positive.
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deleted162650
No. They look for viral RNA.
Everything You Need to Know About Coronavirus Testing
How it works, why we need it, and why it's taking so damn long for the US to get people diagnosed.www.wired.com
Yes I know that’s how the test works. I’m wondering if we have capability to check titers yet. That would have significant utility and implications particularly for health care workers taking care of patients.
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deleted171991
I doubt they can, because I remember doctors being dumbfounded by patients who become positive again, after having been negative during convalescence.
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deleted87051
COVID-19 IgM/IgG Rapid Test – BioMedomics Inc.
BioMedomics is a point-of-care diagnostics company that aims to provide novel, rapid point-of-care tests to aid in the diagnosis of critical diseases.
www.biomedomics.com
I'd have to look up the source but specificity was 100% in a report I saw. Sensitivity was unclear.
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deleted87051
Role of ACE2 receptor
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deleted87051
I remember when Barry said if we like our doctor we can keep our doctor if you want to discuss dishonestyYou mean like this?
The Liar And The Sycophants, episode 1147. Don't miss it on Fox!
Fact check: A list of 28 ways Trump and his team have been dishonest about the coronavirus
President Donald Trump has been comprehensively misinforming the public about the coronavirus.www.cnn.com
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deleted87051
The beginning. It’s incredible how we repeated the Chinese errors just 2-3 months later. “It’s no big deal. We have things under control.”
www.nytimes.com
As New Coronavirus Spread, China’s Old Habits Delayed Fight (Published 2020)
At critical turning points, Chinese authorities put secrecy and order ahead of openly confronting the growing crisis and risking public alarm or political embarrassment.
Thanks for that!
Look at Holland, the most intelligent European country by a wide margin ( in terms of functioning society) they're not contemplating a shut down and are trying to let the virus run it's course while protecting groups at risk.The beginning. It’s incredible how we repeated the Chinese errors just 2-3 months later. “It’s no big deal. We have things under control.”
As New Coronavirus Spread, China’s Old Habits Delayed Fight (Published 2020)
At critical turning points, Chinese authorities put secrecy and order ahead of openly confronting the growing crisis and risking public alarm or political embarrassment.
Where are you getting that info?
As per a friend everything is shut down in the Netherlands.
News story confirms: The Netherlands closes schools, bars
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I knew you would ask.
They have the money to pay for all pensions (one of the only country with Norway), have a centralized health care system, some of the worlds greatest and innovative companies, open minded (legalized marijuana) free speach etc... (the USA didn't come from nowhere).
They are closing schools and taking preventive measures but they won't be locking down.
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deleted171991
I remember reading a recent study where ACEI/ARB had protective effects in sepsis in animals.
Here are some more goodies from the same source:
Coronavirus Pandemic (COVID-19) Updates Explained Clearly
Coronavirus transmission, pathophysiology, symptoms, treatment, and updates explained clearly by pulmonologist and critical care specialist Roger Seheult, MD
www.medcram.com
MedCram - Medical Lectures Explained CLEARLY
Clinicians and students deserve better medical education! We’ve sat through dense PowerPoint lectures with way too much info crammed into each slide and wond...
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The beginning. It’s incredible how we repeated the Chinese errors just 2-3 months later. “It’s no big deal. We have things under control.”
As New Coronavirus Spread, China’s Old Habits Delayed Fight (Published 2020)
At critical turning points, Chinese authorities put secrecy and order ahead of openly confronting the growing crisis and risking public alarm or political embarrassment.
I draw very different conclusions from that article.
China has a POS enemy government that deliberately hid from the world how disastrous this virus is.
I'd like to see their economy crippled when this is all over.
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deleted87051
I agree with your first sentiment. Disagree with the second. Their pain is our pain.
I won't be so condescending as to say that the Chinese deserve a better government than they have - governments often fit the character of the people they govern, and the Chinese appear to be more or less interested in fairly authoritarian govt.
But as things stand, China's ambitions and priorities are threats to the entire world. They just threatened to withhold delivery of abx to the US, for crying out loud, and their decision to keep Sars-CoV-2 under wraps for months has wreaked unimaginable global havoc.
Their power must be neutralized. I know that I'll be looking for "Made in China" and boycotting any products bearing that phrase.
Is Xi Jinping popular in China? If so, why?
Answer (1 of 26): This is a difficult question to answer in English, because mainlanders who speak Chinese think different when it comes to popularity. The west tend to think of popularity as personal relationship. The more famous an icon, the more connected a fan feels. That is why trump and T...
Not scientific or empirical, but there are legs to the claim that the current system doesn't exactly have the Chinese gritting their teeth in rage.
Is Xi Jinping popular in China? If so, why?
Answer (1 of 26): This is a difficult question to answer in English, because mainlanders who speak Chinese think different when it comes to popularity. The west tend to think of popularity as personal relationship. The more famous an icon, the more connected a fan feels. That is why trump and T...www.quora.com
Not scientific or empirical, but there are legs to the claim that the current system doesn't exactly have the Chinese gritting their teeth in rage.
That's a poor resource
Also can we get back to clinical discussions?
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We prefer sociopolitical bashing🙂
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deleted171991
On March 13th, 2020, Himalaya Capital's founder, Li Lu, organized and hosted a panel of experts leading the fight against COVID-19. Critical insights were shared from the front line of China's fight against COVID-19, such as ICU lessons, the protocols put in place and the treatment methodologies and practices used to stem the spread of the virus.
Panel speakers were, in order;
Dr. Peng, the director of ICU of Wuhan University Zhongnan Hospital in Wuhan
Dr. Cao, the vice-president of China-Japan Friendship Hospital, author of China’s Guideline of Diagnosis and Treatment of COVID-19
Dr. Zhang, head of infectious disease at Fudan University Huashan Hospital in Shanghai
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deleted171991
COVID-19 – Your one-stop resource!
Dr Matt Bigwood – Peer reviewer, moderator and research editor Dr Mia Van Manen – COVID Resource Pack Editor Welcome!! I hope this page will form a single resource, as up to date as pos…
criticalcarenorthampton.com
COVID-19 Clinical Discussions – Dr. Blair Schwartz. #FOAMed
Tonight I had a chance to chat with Dr. Blair Schwartz, intensivist at the Jewish General Hospital in Montreal, Canada, one of the ministry-designated COVID centers, in part due to their ICU which …
thinkingcriticalcare.com
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deleted171991
PulmCrit Wee- Could the best mode of noninvasive support for COVID-19 be… CPAP ??
The bleeding edge series examines the most controversial concepts - Caveat Emptor! COVID-19 patients seem to behave in a somewhat unique fashion, compared
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deleted171991
Features of lung ultrasound in COVID 19 infection - Critical Care Sonography
Text Genevieve Carbonatto Literature is coming out on the lung ultrasonography of novel coronavirus. This is a summary of the literature so far The features of lung ultrasound are not specific for COVID 19 pneumonitis or pneumonia but highly suggestive in patients presenting with a history...
www.criticalcare-sonography.com
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deleted643396
Is anyone here in NYC? How are things looking there? There is talk about a naval hospital ship being dispatched to New York Harbor.
So what the physio-path for the high compliance ARDS? Have any post-mortem analysis been done?PulmCrit Wee- Could the best mode of noninvasive support for COVID-19 be… CPAP ??
The bleeding edge series examines the most controversial concepts - Caveat Emptor! COVID-19 patients seem to behave in a somewhat unique fashion, comparedemcrit.org
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Wouldn't CPAP increase risk to staff?PulmCrit Wee- Could the best mode of noninvasive support for COVID-19 be… CPAP ??
The bleeding edge series examines the most controversial concepts - Caveat Emptor! COVID-19 patients seem to behave in a somewhat unique fashion, compared
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deleted59964
doesn't need to be NIV, can be mode of vent via ETT
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deleted171991
ETT is not non-invasive.
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deleted171991
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deleted87051
FWIW 3M has ramped up production to around the clock. To their credit, they have not raised prices unlike the dip**** who bought up 17000 bottles of hand sanitizer.
