Coronavirus COVID-19 - Global Health Pandemic #46

[SleuthBee]

I watched this video yesterday discussing underlying conditions, complications and blood clots that can occur while being on a ventilator. Also, how ventilator pressure being too strong causing lung injuries.

Dr. Cameron Kyle Seidel ER physician, Maimonides Medical Center, NY

"COVID positive patients need oxygen, they do not need pressure. They will need ventilators, but they must be programmed differently. I've talked to doctors all around the country and it is becoming increasingly clear, that the pressure we are providing may be hurting their lungs"

Pulmonologist Dr. Sam Parnia, MD, PhD at NYU Langone Health

"Dr. Parnia, what is your response to to the theory that the typical ways we use ventilators for pneumonia are doing more harm than good for COVID patients?"

" I think what we are realizing now, having taken care of hundreds of patients, this is really a unique disease, something we have never seen before. It's not the same as the the usual pneumonia, or other lung diseases we've taken care of. Therefore the ventilator and in fact all of their management has to be adjusted on a per patient basis, rather than just using traditional protocols that were developed for other conditions so-called ARDS, or other situations.

"Is this a lung disease causing blood problems, or is it a blood disease causing lung problems? How different is COVID-19 from what we have seen before?"

"COVID is affecting multiple organs, it's a really bizarre disease, systematic disease that happens to involve the lungs and other organs, particularly the kidneys. The blood is becoming thick and blood clotting is happening." (it continues in video. )

Discussed in video: dialysis machines, carbon monoxide poisoning, organ complications, Governor Cuomo and mortality rates

The video is 8 minutes. Dr. Sam Parnia is at the 2:40 mark

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Ventilators are managed to deliver a volume of oxygenated air for optimal gas exchange. The amount of pressure required is dependent upon the elasticity of the lung tissue. All ventilators are set with a high pressure pop-off to avoid injury to the lung.

In most cases, a patient is put on a ventilator to allow them to rest when the work of breathing exceeds their ability. Initially, a patient is sedated and unaware. However, long term use results in ventilator dependency and requires patient weaning.

Like most things in medicine, the benefits must outweigh side effects. Not being able to breath results in death.

There are several disease processes that stiffen lung tissue making it difficult to impossible for a patient to breath. COVID-19 can create the toughest circumstances to ventilate a patient that I've ever seen (and I've seen it all).

 

[Deleted member 39678]

Lol! Pancakes on me when this is over!!! I’m going to go to IHOP first thing (after the bar and local family pizza joint) and they can carry me out in a wheelbarrow!

IHOP is Now a Breakfast Restaurant That Delivers

https://www.ihop.com/en/delivery

 

[Kensie]

I saw an ad this morning for an auto company that was saying they would pick up your car, tune it up or whatever, and drive it back to your house. It showed a lady sitting on her doorstep when the car arrived back at her house. I guess that meant social distancing from the repair person, but geez I was thinking I'd rather go to the dentist than get back inside my car after some guy has driven it around and worked on it for a couple of hours with his co-workers at the shop.

I was also thinking that the virus has really impacted the car selling business. I need a new car but will wait. I would be afraid to test drive a new car or even order a new car. Poor salesman.

 

[MsMarple]

I really do not understand Sweden's decision-making. Not that I am in any position to criticize, but I would think they would have seen other countries' experiences and chosen a different path. Again, not a criticism on this Easter morning, but would like to know the reasoning.

ETA - found some answer to my query. Why Sweden isn't forcing its citizens to stay home due to the coronavirus

Interesting read, thanks! Sweden's approach is similar to what Japan was doing until last week when it declared a state of emergency and "requested" (polite Japanese for demanded) people to begin self-isolating.

MOO. If Covid-19 replicates in the throat per @ilovewings link upthread and is more likely to infect through coughing than touching surfaces then IMO Sweden will soon see hot spots of infection stemming from places where people gather.

OTOH they seem to be adhering to most of the same guidelines that other countries are following except for allowing gatherings of up to 50 people. I guess we'll see what develops.

 

[Tillicum]

248 deaths, 6,518 cases of coronavirus confirmed by Ohio Department of Health

The Ohio Department of Health has confirmed 6,518 cases of coronavirus and 248 deaths attributed to COVID-19.


Under the new guidelines from the Center for Disease Control, there are an additional 86 cases and five deaths.

 

[jjenny]

IHOP is Now a Breakfast Restaurant That Delivers

https://www.ihop.com/en/delivery

Nice. You can get those pancakes right now.

 

[margarita25]

I’m feeling quite uplifted after Andre Bocelli’s concert. Rewatching with hymn list. Thanks again @NuttMegg

I think I’m going to take the afternoon off from reading and talking about illness and death. Whatcha say? Sounds like a good plan.

I can dust the ceiling fans. Already organized my closet and freezer.

Oh!!! Guess what!! I fiiiiiinally got my home yoga space set up. Why I didn’t do this before I don’t know (had the same thought about “why didn’t I do this before” with some other things too I’ve noticed actually, wrt to grocery shopping and saving $, more on that later).

My fridge can use a good scrubbing.

Imagine if we all did all the things we’ve been wanting to get around to at home.

How can we GROW? Who will we be after this?

Yeah I’m done with sitting around. Just got up high and changed a ceiling bulb, skylights next. Seems it takes a pandemic to do some things around here, I’m embarrassed to say.

 

[anneg]

We're having ham, green beans, deviled eggs, homemade yeast rolls and blackberries with whipped cream.

Sounds like the perfect Easter dinner to me! But ours will do: we are having salmon, red potatoes, asparagus, and strawberries and ice cream for dessert.

 

[jjenny]

No, You Don't Need To Disinfect Your Groceries. But Here's How To Shop Safely
....

Rasmussen explains that the probability of getting infected from a contaminated surface is not zero, but it is fairly low. That's because respiratory droplets would have to have landed on the exact spot on, say, a box of cereal that you are touching. And even then, you'd have to get enough residual virus on your hand to start an infection — and you'd have to transfer that virus to your face."

No, You Don't Need To Disinfect Your Groceries. But Here's How To Shop Safely

Sounds like they now think that main mode of transmission is from an infected person either coughing, sneezing, or even just breathing or talking close enough to you. So we should have been told to cover our faces from the start rather than washing our darn hands non-stop.

 

[margarita25]

No, You Don't Need To Disinfect Your Groceries. But Here's How To Shop Safely
(good article, IMO, on npr.org)

Excerpts:
"Many of us are still venturing out to stock up on food and toiletries. But what's the safest way to shop during this pandemic? And what should you do once you've brought your haul home?

We asked infectious disease, virology and food safety experts to share their tips about safe grocery shopping — and what you can stop worrying about.

Many people worry about the possibility of picking up the coronavirus from things like grocery store conveyor belts or cereal boxes. But every expert NPR spoke with agrees that the biggest risk when it comes to groceries is being inside the store itself with other people who may be infected."

"...Many shoppers are now following elaborate routines to disinfect their groceries, thanks to a viral video put out by a Michigan family doctor. But all of the experts we spoke with say that disinfecting and hand-washing every last item in your grocery haul is really not necessary. You might find it comforting to know that none of these experts are doing this themselves.

Rasmussen explains that the probability of getting infected from a contaminated surface is not zero, but it is fairly low. That's because respiratory droplets would have to have landed on the exact spot on, say, a box of cereal that you are touching. And even then, you'd have to get enough residual virus on your hand to start an infection — and you'd have to transfer that virus to your face."

No, You Don't Need To Disinfect Your Groceries. But Here's How To Shop Safely

Thank you marking.

ETA; I haven’t read it yet but I’m cleaning everything anyway for my own peace of mind.

A lot of this is about that, “peace of mind”. More on that later but it resolves around going to the store. No way I’m risking this CV stuff if I can help it. I’d rather eat nuts than go to the store and the last week(s) did prove that. Jmo

I know risk of surface transmission is low (or is it really?). I’m not chancing it.
No way.

ETA: plus I’d like to enjoy preparing and eating my food without thinking about CV.

 

[anneg]

I’m feeling quite uplifted after Andre Bocelli’s concert. Rewatching with hymn list. Thanks again @NuttMegg

I think I’m going to take the afternoon off from reading and talking about illness and death. Whatcha say? Sounds like a good plan.

I can dust the ceiling fans. Already organized my closet and freezer.

Oh!!! Guess what!! I fiiiiiinally got my home yoga space set up. Why I didn’t do this before I don’t know (had the same thought about “why didn’t I do this before” with some other things too I’ve noticed actually, wrt to grocery shopping and saving $, more on that later).

My fridge can use a good scrubbing.

Imagine if we all did all the things we’ve been wanted to get around to at home.

How can we GROW? Who will we be after this?

Yeah I’m done with sitting around. Just got up high and changed a ceiling bulb, skylights next. Seems it takes a pandemic to do some things around here, I’m embarrassed to say.

Yikes, please be careful climbing on ladders! You don't want a bad fall or a trip to the ER right now!

 

[ilovewings]

my husband and i are here in Fort Myers Fl for the winter---we will stay here until things settle
down a bit--we are in a gated community with
lots of old folks like ourselves--so i look out
at the pool--i see several chi!dren and about
15 peop!e and i want to scream--what is wrong with you????? i know the prez of our association
wont do anything about it

 

[margarita25]

Yikes, please be careful climbing on ladders! You don't want a bad fall or a trip to the ER right now!

Omg you’re right!!!! I was just preaching about not taking risks... holy smokes. I usually ask my friends to help with those things, hold the ladder, etc. That was dumb of me.

Thank youuu.

Yeah I better not do the skylights.

Glad I saw this!

WS saves the day!

ETA: Gosh what was I thinking?! I got a little overinspired there.

It seems Andre Brocelli created and fulfilled that important need for “inspiration”.

 

[mickey2942]

Las Vegas drive-thru liquor store draws big business downtown

When life hands you lemons....

This bar owner now offers "drive up liquor" service. He also gives a complimentary hot dog with each order, to provide food with the alcohol. He also offers groceries, including toilet paper, gloves, and masks.

Now, this guy has really turned around a negative into a positive.

 

[Diddian]

Sounds like they now think that main mode of transmission is from an infected person either coughing, sneezing, or even just breathing or talking close enough to you. So we should have been told to cover our faces from the start rather than washing our darn hands non-stop.

I mean no disrespect, but this is a novel virus and our greatest experts have traveled a learning curve in gaining information about it.

It seems pointless to be angry we did not have perfect information at such an imperfectly informed time as the early stages of this.

 

[bmacmillan1]

Smoking may reduce the likelihood of being hospitalised with coronavirus, claim researchers at the University of West Attica and NYU.
Not so sure about this...
Study: Smokers Appear Less Likely to Be Hospitalised with COVID-19

 

[pocketaccent]

Thanks for the tip.

I did learn not to try layering myself with an electric dog trimmer. LOL Those things will make chunks of hair disappear before you know it. LOL

I bought a electric hair clipper when my son was a little boy. One fine day, I sat my trusting boy on a chair in the garage, started to buzz at the back of his little head until the blade guard suddenly fell off. To my husband and my horror, we saw a long freeway on our little boy's head. They never ever trust me to cut their hair ever again.

 

[jjenny]

I mean no disrespect, but this is a novel virus and our greatest experts have traveled a learning curve in gaining information about it.

It seems pointless to be angry we did not have perfect information at such an imperfectly informed time as the early stages of this.

While it might be novel, we had SARS and we and MERS. It was known that this was a respiratory virus from the very start. It wasn't exactly very early stages when it got to US either. As far as I am concerned, we were given bad information because there was not enough PPE. Not because nobody knew how it spreads.

 

[LadyL]

They are covered by publicly funded health care if they are given temporary immigrant status, otherwise Canada doesn't cover people. And I assume they will pay into the system from their pay checks, as most Canadians do? I am only asking this because there are some people who think that Canadian health care is free, and I know that when I lived in Canada about 35 years ago that health care was deducted from my pay check to pay into the health care system.

[bbm]

that's not true at all
I don't know what you were paying unless it was benefits through your employer
we pay for health care through our taxes and always have

 

[Trino]

my husband and i are here in Fort Myers Fl for the winter---we will stay here until things settle
down a bit--we are in a gated community with
lots of old folks like ourselves--so i look out
at the pool--i see several chi!dren and about
15 peop!e and i want to scream--what is wrong with you????? i know the prez of our association
wont do anything about it

Doesn't seem like anyone wants to confront those who aren't paying attention. The bigger question is WHY won't they?