Coronavirus COVID-19 - Global Health Pandemic #38

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‘We Take the Dead From Morning Till Night’

So sad. N Italy
"For much of the prior month, Italian officials had sent mixed messages about the virus.

On Feb. 19, some 40,000 people from Bergamo, a province of about a million people in the region of Lombardy, traveled 30 miles to Milan to watch a Champions League soccer game between Atalanta and the Spanish team Valencia. (The mayor of Bergamo, Giorgio Gori, this week called the match “a strong accelerator of contagion.”) Mr. Travelli and his wife didn’t take the threat of the virus seriously back then, their daughter said, “because it wasn’t sold as a grave thing.”

But Mr. Travelli could not shake his fever, and he got sicker.

On Friday, March 13, he felt unbearable pressure on his chest and suffered dry heaves. His temperature spiked and his family called an ambulance. An ambulance crew found her father with low levels of oxygen in his blood but, following the advice of Bergamo’s hospitals, recommended he stay home. “They said, ‘We have seen worse, and the hospitals are like the trenches of a war,’” Ms. Travelli said."
 
  • #344
Michigan
A letter from the Detroit hospital network circulating online states “patients who have the best chance of getting better” will be first in line to access the breathing equipment. Henry Ford spokesperson Vicky Lorencen said a finalized policy, which is not currently in use, provides guidance to healthcare workers who may make difficult patient care decisions in a “worst-case scenario.”

“We’re working very closely with our hospital CEOs, and our Regional Health Care Coalition to understand their needs and to start having those conversations. But as of right now, we are not telling front-line doctors how to care for their patients,” Khaldun said.
Michigan hospitals weigh which patients could get ventilators in coronavirus policy

I was thinking about this very complicated and emotionally-charged topic of the "pandemic triage" situation and found myself conducting a thought experiment.
If I get the virus and am hospitalized, (taking up needed space and equipment, thereby taking those resources away from another), I might be "okay" with trading my ICU bed and ventilator to a younger patient with kids and a family to take care of. I'm only in my 50s and in good health. My parents are deceased, I have zero kids and no one but me is relying on me as the breadwinner.
I would require lots and lots of morphine (or similar) in trade for the bed and vent.
Am I crazy to be thinking this way?
Is there a need for a new type of consent form, similar to "DNR" but specifically for a pandemic?
IMO
 
  • #345
I'm not sure why people think fast food outlets are exempt from having infections.

Actually, there was a report waaay upstream which listed a ton of affected fast food establishments, moo. I’ll see if I can find it.
 
  • #346
TDP-L-tiltdenver031820-cha-006.jpg

Hyoung Chang, The Denver Post
An electric sign displays “Save Lives” in the River North Art District in Denver, Colorado on Wednesday, March 18, 2020. Amid a patchwork of stay-at-home orders across the state and after previously ordering various business closures, Gov. Jared Polis on March 25 ordered the majority of ColoradoÕs 5.8 million residents to stay home in order to counter the spread of the novel coronavirus
.

“Officials in Colorado on Thursday said 27 people have died in connection to the novel coronavirus and more than 1,400 have tested positive for the highly contagious respiratory illness.

With the entire state now under a stay-at-home order, there are many questions about who this applies to and what is — and isn’t — allowed. We have the answers to those questions here.

And with so many residents now homebound, The Denver Post explored some of the far-reaching impacts — from lagging internet speeds, to challenges for truck drivers in the supply chain, to the pressures on hospitals serving large rural areas.”


Coronavirus in Colorado, March 27: A look at the latest updates on COVID-19

_____

“”Truck drivers are keeping us going,” Fulton added. “They’re the thin line keeping us together right now in terms of goods and services.””

Colorado trucking association works to keep supply chain intact during coronavirus crisis
 
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HOWARD FORMAN

"Some states testing a lot - finding a lot of cases (NY)
Some states testing a lot- finding fewer cases (NM)
California is NOT testing enough.
Some states finding too many cases without even looking/testing (MD, AZ, MO).
If you don't look, you won't find until too late." (((Howard Forman))) on Twitter
(((Howard Forman))) on Twitter
 

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IRAN

"After President Rouhani's said "people of Iran must know that 70 percent of them will contract #coronavirus," the Immunology and Allergy Association of #Iran called his comments against public health and medical ethics and dangerous to the lives of at least two million Iranians."
Iran International English on Twitter

"Looks like the Iranian government has given up.
2 million dead Iranians assumes a 2.5% CFR (with overloaded hospitals it may be worse than that)."
Dr Kevin Purcell on Twitter
 
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The peak in ICU need in Wuhan came four weeks after the peak in #covid19 cases, so it will take weeks to see the full cost of that inaction. And it feels like that simple fact STILL has not quite sunk in.

Kai Kupferschmidt on Twitter

This is interesting. I wonder why the peak in ICU came four weeks after the peak in Covid cases. Have you seen any theories on that. At first glance, I would expect that the peak in ICUs would follow the peak more closely. But I realize that even after the peak, new cases continue to come in at the highest rate until the curve starts to go down significantly. New serious cases are added to those people who have been very sick for a while, possibly as long ago as the first days of the epidemic. jmo

It would be nice to read an explanation for the four week delay in peak ICU needs.
 
  • #353
Random reflection:

I’m noticing myself having some anxious thoughts re: food and supplies, like “I don’t have any milk, I don’t have this or that...”

Well I’m countering these thoughts to immediately focus on what I DO have.
Same here. I am being as proactive as possible because now I know the drill. Ordering takes longer, some things are hit or miss, and I can get just about everything I need right from my comfy sofa, as long as I can be patient. I even scored a bottle of hand sanitizer this morning. Not coming til Christmas, but hey... JK. It’s coming next week. From Targé.
 
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SOUTH CAROLINA

So not only will our governor not issue a statewide stay-at-home order, our state's Attorney General Alan Wilson says that South Carolina cities do not have the authority to issue their own. Both Charleston and Columbia have enacted their own stay-at-home ordinances. AG Wilson says "local governments could face legal action if they enact and enforce such stay-at-home orders."

S.C. attorney general says local governments cannot issue stay-at-home orders

It must have something to do with the way their State Constitution is written. When the City of Oak Park, IL issued its shelter-in-place order, I remember seeing it was because that city also had its own health director. The City of Chicago didn't issue a shelter in place order and the Governor became upset after seeing all the St. Pat's Day parties in all the bars so he issued a state wide order. To me, it's just common sense that the Governor issue a state-wide order. All of them should have done it after Cali implemented it.

JMO
 
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A friend in NC posted a sign from Walmart...“Bread is located in layaway behind electronics.” Sure enough, she had to go to layaway and get one measly random loaf. They had three loaves left!

Is Eating Takeout Food Safe During The Coronavirus Pandemic?

I plan to order take out- i think one can get carried away with fear --- you just have to be reasonable. For example, you take the food out of the bag and remove the food from the wrapping and
wash your hands. There is so little chance, if any of getting the virus thru food, that i am not going to worry about.

I saw an item on line the other day that talked about bringing the virus into your home on your shoes so you should remove
your shoes at the door. So i read a few other articles which stated that there is no record of foot to person transmission for the virus. One can go a little mad with all of this stuff--- it is so scary and frightening. I am not taking my shoes off at the door.

From what I can understand about transmission of this nasty virus it is person to person through coughing and sneezing with droplets being breathed in by someone within a certain distance or from the viruses staying on surfaces and a person touching that surface and then touching their face, nose or eyes.

I am not particularly worried about getting the virus from delivered packages: by the time you get the package it has been in transit so long the virus is most likely dead. However, since a human had to deliver the package, i do take precautions by trying not to bring the box in my home or if i bring in a small box, i take out the items from the box, sanitize the counter top and wash my hands.
 
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Too delicious to not share:
Just as I got ready to cross the road on horseback, a cowboy friend pulls in, he asks if I need any food, he’s going to the “grocery” and happy to pick up stuff for me. Yeah, a loaf of wheat bread, please. 13 minutes later he’s back, so I ride up to his truck, thought you were going to the grocery? He looks at me like I just fell off the turnip truck, I did, here’s your bread.
Lol he went thru the drive in convenient, beer, milk, cigs, bread & buns. The man you never want to get stuck behind at a drive in. How I wish I could grocery shop at the Marathon window.
stay safe everyone.
 
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