COVID-19

[Brawndo]

39 minutes ago, North Buffalo said:

interesting if true: 

 

It’s more for mild to moderate cases. They haven’t had the same success in patients requiring ventilation as of yet. 

[bunomatic]

[Cascade Youth]

1 hour ago, North Buffalo said:

interesting if true: 

 

Trump agrees

[Stoner]

There was talk of immunity after contracting Covid 19. I found this:

The benefits (of antibody testing) do not stop there: if we know that a person has had the virus and recovered from it, there is good reason to believe that they will be immune, and no longer infectious. Colbourn said: “There is no reason to think they would not be (immune) as their immune systems will have successfully fought off the virus in order for them to recover.” Although, he hastens to add, immunity to coronavirus is still being researched by the experts.

(Tim Colbourn, Associate Professor of Global Health Epidemiology and Evaluation at UCL Institute for Global Health)

[Brawndo]

In WNY St Joseph’s Hospital will be converted to a Covid Hospital. 
 

They are increasing the ICU from 7 to 50 beds and will be shifting a large portion of their critical care capacity there. 
 

They will also be expanding the number of inpatient beds available at the site. 
 

There are medical offices on the campus that will be asked to be moved. 

[North Buffalo]

47 minutes ago, Cascade Youth said:

Trump agrees

Scary sounds like more testing needed but promising... Trump agrees with French socialists... the world is truly coming to an end... sarcasm

2 minutes ago, Brawndo said:

In WNY St Joseph’s Hospital will be converted to a Covid Hospital. 
 

They are increasing the ICU from 7 to 50 beds and will be shifting a large portion of their critical care capacity there. 
 

They will also be expanding the number of inpatient beds available at the site. 
 

There are medical offices on the campus that will be asked to be moved. 

Hey I work at St Joseph's Hospital in Yonkers... just saying and we are doing something similar.

[Brawndo]

8 minutes ago, North Buffalo said:

Scary sounds like more testing needed but promising... Trump agrees with French socialists... the world is truly coming to an end... sarcasm

It’s showing some promise, 400mg po BID (twice a day) as a loading dose followed by 200mg BID for three days. 
 

They combined it will an antibiotic Zithromax and it’s a total of six days, which limits the chances of side effects of Plaquenil particularly uveitis. 

[Cascade Youth]

2 minutes ago, Brawndo said:

It’s showing some promise, 400mg po BID (twice a day) as a loading dose followed by 200mg BID for three days. 
 

They combined it will an antibiotic Zithromax and it’s a total of six days, which limits the chances of side effects of Plaquenil particularly uveitis. 

Good writeup here:

https://www.newsweek.com/hydroxychloroquine-malaria-drug-coronavirus-fda-1493293

[Stoner]

Couple of things confuse me (more than a couple, come to think of it):

1. Surgical masks are not recommended for the public because "they don't work," but healthcare workers use them. Was that a BS story to discourage hoarding of masks?

2. Why are they doing drive-up testing? The worried well are loving that. How do people behave once they get a negative test? Right back to licking the grocery cart handle, I'm guessing.

[Indabuff]

3 minutes ago, PASabreFan said:

Right back to licking the grocery cart handle, I'm guessing.

Don't knock it til you try it.

[North Buffalo]

11 minutes ago, PASabreFan said:

Couple of things confuse me (more than a couple, come to think of it):

1. Surgical masks are not recommended for the public because "they don't work," but healthcare workers use them. Was that a BS story to discourage hoarding of masks?

2. Why are they doing drive-up testing? The worried well are loving that. How do people behave once they get a negative test? Right back to licking the grocery cart handle, I'm guessing.

1. True, but only if used properly, most people dont know how to properly decontaminate themselves and mask.

Rule of thumb wash hand before... don mask hold in palm of hand, pinch nose piece and on n95 make sure tight seal around nose and mouth.  Wash hands upon entering house dont take mask off first.  Its not full protocol but a start.

https://www.cdc.gov/vhf/ebola/hcp/ppe-training/n95respirator_gown/donning_09.html

2. The test nose swab is fast.  They can keep people out of overloaded ERs, plan on how to deal with pts showing symptoms and those positive but not showing symptoms to stay at home.

Edited March 19, 2020 by North Buffalo

[Stoner]

Just now, Indabuff said:

Don't knock it til you try it.

I just looked up "licking the grocery cart handle" on urbandictionary. No bueno.

[spndnchz]

Necessary procedure on Wednesday for me, at the hospital, outpatient. I’m very scared. 

[Wyldnwoody44]

As @Brawndo stated the quinine and azithromycin route appears to have some good findings as of now. Quinine has historically been used in the family of Corona viruses for quite some time now. Also Brawn, I sent ya a PM

@darksabreindeed the virus spreads more from respiratory droplets in the air and less than fomites, and direct droplet exposure increases inoculation and therefore symptoms, but it can live on surfaces for some time. The virus is very susceptible to many over the counter cleaners.

@Claude_Verretas far as I know, we have no other plans for testing except to suspend influenza testing until we come up with a plan B.

Lastly, I'm off today, I'm going to go on a cycle, get some fresh air. The 6ft rule is a good one, that's a safe distance for the respiratory droplets to not really reach if an inadvertent cough was heading in your direction, it's not 100% but it's a decent rule. The amount of people out and about here in the southern tier is saddening, stores full, a ton of traffic, it's like they are ignoring it all. 

4 minutes ago, spndnchz said:

Necessary procedure on Wednesday for me, at the hospital, outpatient. I’m very scared. 

I promise you they will have everything as quarantined as possible, and that OR will be the cleanest it's ever been, ever. 

[Stoner]

23 minutes ago, North Buffalo said:

1. True

2. The test nose swab is fast.  They can keep people out of overloaded ERs, plan on how to deal with pts showing symptoms and those positive but not showing symptoms to stay at home.

You are wise! I'm suspicious that many of the tests weren't necessary and the negative report will be counterproductive.

[Stoner]

11 minutes ago, spndnchz said:

Necessary procedure on Wednesday for me, at the hospital, outpatient. I’m very scared. 

I wish I could take my own advice, but take control of the situation as much as you can. If they go to put a finger probe on you to check your pulse ox, ask them to clean it. Same with blood pressure cuff, stethoscope etc. You might feel like you're hassling them when they don't need the extra stress, but you'll feel better later and won't have to wonder if you picked something up from medical equipment. And you can ask healthcare workers, even docs, to wash their hands. Again, not easy to do in practice.

chz will be fine.

[triumph_communes]

3 hours ago, North Buffalo said:

interesting if true: 

 

Didn't they take everyone who was dying off the drugs and exlcuded them from the statistics because they 'didn't continue the dosage' when they were on the table?  I'd love to be positive.. but data scrubbing like that and not outright mentioning it is a bit unfair..

[shrader]

18 minutes ago, triumph_communes said:

Didn't they take everyone who was dying off the drugs and exlcuded them from the statistics because they 'didn't continue the dosage' when they were on the table?  I'd love to be positive.. but data scrubbing like that and not outright mentioning it is a bit unfair..

So are you suggesting that the site at that link didn't provide all of the information?  That's how all news sites work, picking and choosing and then slapping an attention grabbing headline on top.

I didn't read it, don't have the time right now, but I'd suspect that the actual article linked there does get into that stuff.

[triumph_communes]

35 minutes ago, shrader said:

So are you suggesting that the site at that link didn't provide all of the information?  That's how all news sites work, picking and choosing and then slapping an attention grabbing headline on top.

I didn't read it, don't have the time right now, but I'd suspect that the actual article linked there does get into that stuff.

The researcher himself who was all over the nightly news last night was ignoring those deets

[Curt]

1 hour ago, PASabreFan said:

Couple of things confuse me (more than a couple, come to think of it):

1. Surgical masks are not recommended for the public because "they don't work," but healthcare workers use them. Was that a BS story to discourage hoarding of masks?

2. Why are they doing drive-up testing? The worried well are loving that. How do people behave once they get a negative test? Right back to licking the grocery cart handle, I'm guessing.

1) basic surgical masks are different from the n95 masks that the health care professionals are using, and they need them more.  There is already a shortage of them pretty much everywhere.  Hospitals are truly not prepared for this.

2) because the drive-up testing keeps people out of already over crowded ERs.  I’m sure that even at the drive thru testing centers they are only testing people who have suspicious symptoms.  Testing as many people as possible is good.

Edited March 19, 2020 by Curt

[Stoner]

First cases in Cattaraugus (NY) and/or McKean (PA) counties appear imminent per comments made by a health system official and reported in a local newspaper.

“My personal opinion is we probably have it here now, but I can’t guarantee that because of the delay in testing,” Mills said. “What we do in the interim, if we have people we are suspicious of, we treat them as if they are COVID-19 positive. We have none yet because we don’t have that confirmation, but we have people who most likely do have it.”

[dudacek]

6 hours ago, nfreeman said:

Serious question:  obviously going to a big, crowded party is against the new social distancing rules, but what about having another family over for dinner?  What about your kid having another kid over to hang out for a few hours in the afternoon?  What about having a friend over for a drink and a cigar?  Or walking the dog with a friend and his dog?

Public health official a co-worker spoke to directly recommended against any activity that involves going within 6 feet of anyone not a member of your household family.

My wife and I have been walking the dog regularly but not stopping to chat with anyone. Visited with my dad today for a bit, but didn’t go inside or touch doors and railings and kept my distance. 

[kas23]

N95 masks need to be fit-tested. This is why they are not likely to be effective for the general public. For example, I failed it with a particular 3M mask, but the 3M 1860 fit me perfectly. And I’m not just saying it felt comfortable, but the test pokes a hole in one and connects a tube to the hole. This tube connects to a machine and can tell if you have the proper seal. 
 

There’s multiple reasons for the drive thru testing sites. They are efficient, keep people out of the ER, and maybe most importantly, they are outside. This virus can stay aerosolized for 3 hours in a poorly-ventilated room. This goes down exponentially with every liter of air. It doesn’t stand a chance of infecting someone outside. 

Edited March 20, 2020 by kas23

[Wyldnwoody44]

Confirmed cases at my main hospital, I have had some symptoms this week, but no fever, my inhaler seems to be helping. 

I had to intubate a patient with B/L pneumonia that went to the ICU, was low risk but then we found out he had visitors from New Rochelle recently, my guess is that his patient had it, I had the right mask on, but still suspicious. 

I liked what Cuomo said this morning about keeping calm and how we've already had it most likely, he's not my favorite but I appreciated his speech.... Until he compared this to 9/11, then I stopped listening (please don't make this political) it was just a good speech about not panicking and that many people probably have already healed from it. I realize it's not a scientific speech, but one I think we all may need to hear at this time. 

[North Buffalo]

12 minutes ago, Wyldnwoody44 said:

Confirmed cases at my main hospital, I have had some symptoms this week, but no fever, my inhaler seems to be helping. 

I had to intubate a patient with B/L pneumonia that went to the ICU, was low risk but then we found out he had visitors from New Rochelle recently, my guess is that his patient had it, I had the right mask on, but still suspicious. 

I liked what Cuomo said this morning about keeping calm and how we've already had it most likely, he's not my favorite but I appreciated his speech.... Until he compared this to 9/11, then I stopped listening (please don't make this political) it was just a good speech about not panicking and that many people probably have already healed from it. I realize it's not a scientific speech, but one I think we all may need to hear at this time. 

which is why anyone with any of pneumonia sore throat, cough, fever treating as if positive and protecting ourselves.  Too hard to tell if no test and we have had too many walkins that turn out to be positive.  I am hoping previous deal in January into February was it and that I am immune at this point but until I get tested this is what I am doing...