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gowlerk

covid-19

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1 minute ago, wmw999 said:

I have a relative who works as a patient nurse coordinator for a kidney transplant program. Dialysis is hellish.

Wendy P.

When I was going through EMT training a few years ago, I did some time riding along in ambulances. Calls to Denver-area dialysis centers were common. I hope to hell I'm never in need of that!!! 

How many people realize there is one organ in the body for which the US has had a single-payer system since 1972?

https://en.wikipedia.org/wiki/End_Stage_Renal_Disease_Program

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I am starting to have a little more hope based on more and more reports of something near 50% of people who test positive don’t get sick. On one hand that will spread it quicker, but somewhat more importantly if it is true it will mean far fewer serious illnesses.

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2 hours ago, gowlerk said:

I am starting to have a little more hope based on more and more reports of something near 50% of people who test positive don’t get sick. On one hand that will spread it quicker, but somewhat more importantly if it is true it will mean far fewer serious illnesses.

I don't see your reasoning. It's been known from the start that a lot of people will be infected and asymptomatic, but we're still in the position we're in regarding the sheer quantity of people requiring critical care.

 

You also don't know the demographic breakdown of the asymptomatic positives. Are they proprotionately dominated by people who aren't in 'at risk' categories, and would therefore be unlikely to require hospitalisation if they were ill? If that was the case it'd be better overall if they were all ill because they'd be easier to identify and quarantine.

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5 hours ago, ryoder said:

This is the second story I've seen today about Covid-19 causing blood-clotting:

https://www.cnn.com/2020/04/19/entertainment/nick-cordero-coronavirus-leg-amputation-trnd/index.html

The article said he was sedated and in intensive care for 18 days.  If he was just laying there without moving very much, then it's the hospitals responsibility to provide an IPC device to prevent blood clotting. 

I wonder if the hospital was just overwhelmed or ran out.

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2 hours ago, Coreece said:

The article said he was sedated and in intensive care for 18 days.  If he was just laying there without moving very much, then it's the hospitals responsibility to provide an IPC device to prevent blood clotting. 

I wonder if the hospital was just overwhelmed or ran out.

There is a third option. 
negligence. 

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4 hours ago, turtlespeed said:
7 hours ago, Coreece said:

The article said he was sedated and in intensive care for 18 days.  If he was just laying there without moving very much, then it's the hospitals responsibility to provide an IPC device to prevent blood clotting. 

I wonder if the hospital was just overwhelmed or ran out.

There is a third option. 
negligence. 

Perhaps.  I believe it's standard to treat these types of patients with anticoagulant injections just as a precaution.  If they did, then they might be off the hook. 

Spain reported that some covid patients still developed blood clots even after the injections.

 

Anyway, this place is pretty dead today.  Did Trump reopen the country and nobdy told me?

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Negligence is always a possibility. However, blood clots are one of the known complications of ECMO (which is what he was attached to). It involves passing his blood through an external membrane to simulate some of the organs' and lungs' functions. However, the ports and tubing lend themselves to bubbles forming, which has to be watched for extra carefully, and which can lead to clots, as well as embolisms.

And maybe being critically ill during a time when hospital workers are the most overworked they've been in 100+ years (well, in some hospitals at least) has something to do with it. I know that I was told early in my jumping career that a DZ always closes for the rest of the day after a fatality, because it's not set up to deal with two crises at once, and there could always be an injury, or God forbid, another fatality.

Wendy P.

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9 minutes ago, kallend said:

Interesting article on interpretation of incomplete testing data.  And, no, it doesn't mention Trump, Pelosi, Cuomo, Dems or the GOP anywhere. 

https://www.theatlantic.com/technology/archive/2020/04/us-coronavirus-outbreak-out-control-test-positivity-rate/610132/

A very sad statement on the status of US healthcare. Together with the job done by the federal government and states.

I have not yet seen a record as to what percentage of US tests are retests of the same health care workers and frontline staff. Obviously they would be getting several tests because of the enhanced risk to patients who are especially vulnerable to C-19.

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3 hours ago, Phil1111 said:

A very sad statement on the status of US healthcare. Together with the job done by the federal government and states.

I have not yet seen a record as to what percentage of US tests are retests of the same health care workers and frontline staff. Obviously they would be getting several tests because of the enhanced risk to patients who are especially vulnerable to C-19.

You say "obviously" like the human animal is logical.

I don't have as much faith. 

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3 hours ago, kallend said:

Interesting article on interpretation of incomplete testing data.  And, no, it doesn't mention Trump, Pelosi, Cuomo, Dems or the GOP anywhere. 

https://www.theatlantic.com/technology/archive/2020/04/us-coronavirus-outbreak-out-control-test-positivity-rate/610132/

Thanks for posting that article, very informative.

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21 minutes ago, kallend said:

I hope he sets the example:

https://thehill.com/homenews/state-watch/493879-texas-lt-governor-on-reopening-state-there-are-more-important-things

Texas Lt. Governor on reopening state: 'There are more important things than living'

There ARE some more important things than living.

In Skydiving, Fun and challenge is more important than the chance that you may die.

That's why there is an expression like, "I would die for <Blank>"

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On 4/16/2020 at 9:52 AM, Coreece said:

So you expect the U.S to test 328 million people just as fast as Iceland could test 360 thousand?  Ya that would be nice. 

The fallacy with that way of putting it is that there shouldn't be 328 million people standing in a single line, but various groups of 360 thousand people, all of whom should have exactly the same ability to obtain testing.  For some reason we're waiting for permission to go through a very small number of people and don't grant regions the autonomy to deal with pandemics.  If we could respond to these threats in a more decentralized manner with the support of the federal government we'd be in much better shape.

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1 hour ago, kallend said:

I hope he sets the example:

https://thehill.com/homenews/state-watch/493879-texas-lt-governor-on-reopening-state-there-are-more-important-things

Texas Lt. Governor on reopening state: 'There are more important things than living'

 

40 minutes ago, turtlespeed said:

There ARE some more important things than living.

In Skydiving, Fun and challenge is more important than the chance that you may die.

That's why there is an expression like, "I would die for <Blank>"

I hate to be the one to tell you but thats a rhetorical statement. Its like "i would kill for_______.

Germany and Austria are both in the process of opening up their countries after significant shutdowns. Opening business, commerce and recreation. They are both trying to do so in a scientific, rational way. Japan and Singapore are both having to backtrack on the opening of their economies. Because they went too fast. Germany just announced that...heaven forbid...Oktoberfest has been cancelled. At the same time they want to reopen the national economy.

In the US, there is trump and his base. For which there is distraction, a daily public conference of lies and self serving B.S.

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49 minutes ago, turtlespeed said:

There ARE some more important things than living.

In Skydiving, Fun and challenge is more important than the chance that you may die.

That's why there is an expression like, "I would die for <Blank>"

 Going skydiving is voluntary, you accept  the risk for yourself.  THAT is the big difference.

Our society frowns on putting others at risk for our own gratification.  That's why we have traffic laws, FARs, etc. 

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10 minutes ago, DJL said:

The fallacy with that way of putting it is that there shouldn't be 328 million people standing in a single line, but various groups of 360 thousand people, all of whom should have exactly the same ability to obtain testing.  For some reason we're waiting for permission to go through a very small number of people and don't grant regions the autonomy to deal with pandemics.  If we could respond to these threats in a more decentralized manner with the support of the federal government we'd be in much better shape.

But President trump is right on top of that. If it wasn't for the States losing them.Good thing there are governors with brains.

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57 minutes ago, turtlespeed said:

There ARE some more important things than living.

In Skydiving, Fun and challenge is more important than the chance that you may die.

That's why there is an expression like, "I would die for <Blank>"

More Turtle soup.

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1 hour ago, turtlespeed said:

That's why there is an expression like, "I would die for <Blank>"

(psst - Turtle - that's called a "rhetorical expression."  That guy who just said that really wouldn't die for a beer. It's like "I could eat a cow."  Don't worry, he really can't.)

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30 minutes ago, kallend said:

 Going skydiving is voluntary, you accept  the risk for yourself.  THAT is the big difference.

Our society frowns on putting others at risk for our own gratification.  That's why we have traffic laws, FARs, etc. 

So, the solution is self isolation.  Self imposed social distancing.

No one is forcing you to go anywhere.  No one is forcing you to have contact with anyone.

 

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11 minutes ago, billvon said:

(psst - Turtle - that's called a "rhetorical expression."  That guy who just said that really wouldn't die for a beer. It's like "I could eat a cow."  Don't worry, he really can't.)

Actually not always.  

When I say I would die for my county and my beliefs - That is what I mean.  I would put my life in danger of ending, if the situation called for it. 

Here is the most prevalent example at the moment: First responders and medical professionals know the risks, but their sense of duty, (or perhaps some other reason ***), leads them to make the decision that doing their work is more important than living.  

***Phrase it any way you like - Saving people, or Helping the innocent, following their calling, doing their duty, whatever.  No one is forcing them to do the work they are doing.  

Now you can throw the argument in that you could die from crossing the street.  True - but the street isn't a pandemic. 

Or, perhaps the argument should be that the Covid really isn't all that bad, or life threatening, so the decision to be a working first responder in this crisis really isn't all that much of a gamble.

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22 minutes ago, turtlespeed said:

So, the solution is self isolation.  Self imposed social distancing.

No one is forcing you to go anywhere.  No one is forcing you to have contact with anyone.

Unless you grow all your food yourself that is simply not possible. Eventually your stomach forces you to have contact with others.

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