Coronavirus COVID-19 - Global Health Pandemic #48

[cass523]

My main concern is making sure we have enough hospital beds. And ventilators. But I feel like ventilators are basically a death sentence, we need more and earlier interventions. I'll check indiana stats, but we are nowhere near overwhelmed.

Dr's are starting to use nasal cannulas, CPAP and BIPAP machines.

Virus victims develop a mucousy-yellow gunk in their lungs that prevents oxygen from transferring to the blood. Forcing more air into their lungs with a ventilator, doesn’t help that process, it just damages the lungs.

The branches are your bronchi and at the end of each small branch are leaves — clusters of 600 million tiny microscopic sacs, called alveoli. That’s where oxygen and carbon dioxide are exchanged.

During the immune overreaction, called a “cytokine storm,” the alveoli drown in a gummy yellow fluid.

When those air sacs become clogged, the lungs stiffen up. Oxygen levels in the patient dramatically fall, and the heart struggles to function properly. A ventilator can help, but only so much. Said one doctor who’s treating COVID-19 patients on ventilators:

He says these patients with more normal-looking lungs, but low blood oxygen, may also be especially vulnerable to ventilator-associated lung injury, where pressure from the air that’s being forced into the lungs damages the thin air sacs that exchange oxygen with the blood.

“Because U.S. data on treating Covid-19 patients are nearly nonexistent, health care workers are flying blind when it comes to caring for such confounding patients.

"Doctors are making their decisions based on “blood oxygen levels”, but blood oxygen levels might signal the need for a different treatment for coronavirus patients than they do for pneumonia and acute respiratory distress syndrome (ARDS) patients. In other words, one size does not fit all. The problem is that too many people are ending up on ventilators when ventilators are undermining their chances for survival.

But in a subset of patients, for reasons unknown, things go horribly awry during the second week of illness. Even though levels of virus fall, the immune system goes into dangerous overdrive, flooding the lungs with inflammatory cells. In these people, it’s their body’s response, rather than the virus, that’s lethal.

This is often when people will deteriorate and become much more ill and end up in the ICU,” said infectious disease expert Dr. Annie Luetkemeyer, associate professor of medicine at UC San Francisco.
Patients struggle for air. Oxygen levels plummet. Blood pressure drops. Kidneys fail. The heart stops.

But anecdotally, Weingart said,We’ve had a number of people who improved and got off CPAP or high flow [nasal cannulas] who would have been tubed 100 out of 100 times in the past.” What he calls “this knee-jerk response” of putting people on ventilators if their blood oxygen levels remain low with noninvasive devices “is really bad. … I think these patients do much, much worse on the ventilator.”

Even as hospitals and governors raise the alarm about a shortage of ventilators, some critical care physicians are questioning the widespread use of the breathing machines for Covid-19 patients, saying that large numbers of patients could instead be treated with less intensive respiratory support.

Ventilators are overused for Covid-19 patients, doctors say - STAT

Doctors Puzzle Over COVID-19 Lung Problems

Are Ventilators Killing More People Than They're Saving?? - Global Research

Mortality rate of COVID-19 patients on ventilators | Physician's Weekly

 

[Trino]

Coronavirus: Pastor urges people to donate stimulus cheques to churches

Pastor Tony Spell, of the Life Tabernacle Church, in Baton Rouge, Louisiana, posted a video to his YouTube channel, where he asked his subscribers to donate their cheques to churches and evangelists.

Member of Life Tabernacle Church dies of COVID-19, records say

An elderly member of Life Tabernacle Church in Central, La. has died of the novel coronavirus, according to a coroner’s report.

Tony Spell, the controversial pastor of that church, disputes the coroner’s findings, saying the man died of another medical condition.

“That is a lie,” Spell said of the coroner’s findings when reached by phone Thursday.

I'll go with the records, Tony.

 

[nhmemorymaker]

According to yesterday’s (Pritzker) press conference, Kentucky, Illinois, Indiana, Ohio, Michigan, Wisconsin, and Minnesota now have a formal partnership to reflect their regional collaboration regarding reopening our states. I expected a regional coalition, but not one this large. We will each have our own plan but with the same priorities.

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Yes.... I thought that was a pretty amazingly large group. Sortof like too many sisters in the kitchen, or brothers in the workshop.

 

[Bravo]

Yet I read Canada is flattening the curve
https://www.msn.com/en-ca/news/cana...e-thats-good-news-expert-explains/ar-BB12Mvtx

 

[NuttMegg]

Chile to issue coronavirus ‘immunity’ cards for those who recovered from disease

 

[LadyL]

Since Chinese milk formula was found with Melomide, the Chinese have been buying babies formula and selling it to China for big dollars. It's such a big business that Australian mothers can't buy formula for their babies here so there has been a restriction of two containers.
Now the same that has been happening with toilet paper, women's hygene products and disposable diapers being sold online back to China. We haven't been hoarding these items, the Chinese have been going to the supermarkets by the bus load and wiping out these products for sale overseas.
Before we were aware of the dangers of this virus the toilet paper was being purchased on mass, we didn't have any idea why, in fact we were laughing at the stupidity. Now inhindsight, IMO the Chinese knew very well what we were all in for. It just makes you wonder.

[bbm]

link?

 

[pocketaccent]

Live | The White House

 

[Tricia]

Tonight 10:00 PM EASTERN join Websleuths YouTube LIVE we welcome former medical examiner and author of the book:

Blood Beneath My Feet: The Journey of a Southern Death Investigator

"Joseph Scott Morgan became a death investigator with the Jefferson Parish Coroner's Office in suburban New Orleans in 1987, the youngest medicolegal death investigator in the country. During the day, Morgan worked in the morgue, and at night investigated for the coroner. In 1992 Morgan became senior investigator with the Fulton County Medical Examiner's Office in Atlanta. Morgan is now a college professor at North Georgia College and State University, where he teaches a death investigation course based on the national standards which he helped develop. He and his family reside in the Blue Ridge Mountains of north Georgia."


CLICK HERE AT 10:00 PM EASTERN TONIGHT FOR WEBSLEUTHS YOUTUBE LIVE

 

[NuttMegg]

Why coronavirus could be catastrophic for Venezuela

Truth in numbers
With millions of people now quarantined, Mr Maduro can exert more control over the population. But there is disquiet about the government's ability to cope and its willingness to report the true number of cases.

At the end of last month, journalist Darvinson Rojas was arrested after reporting on coronavirus. He was charged with "advocacy of hatred".

Doctors have also faced pressure when talking openly about the virus. "Several doctors have been directly or indirectly silenced, intimidated, threatened," Dr Pachano says.

He himself got into trouble for reporting suspected cases and for exposing the fact there was not enough PPE for medical staff. "This all makes medical and health personnel afraid to demand basic clothing to be able to deal with suspicious cases."

 

[NuttMegg]

Raspberry Pi ventilator to be tested in Colombia

The design and computer code were posted online in March by a man in California, who had no prior experience at creating medical equipment.

Marco Mascorro, a robotics engineer, said he built the ventilator because knew the machines were in high demand to treat Covid-19.

His post prompted a flood of feedback from healthcare workers.

He has used the advice to make improvements.

"I am a true believer that technology can solve a lot of the problems we have right now specifically in this pandemic," he told the BBC.

The Colombian team said the design was important for their South American country because parts for traditional models could be hard to obtain.

By contrast, Mr Mascorro's design uses only easy-to-find parts - for example, the valves it employs can commonly be found at car and plumbing supply stores.

 

[Seattle1]

Dr's are starting to use nasal cannulas, CPAP and BIPAP machines.

Virus victims develop a mucousy-yellow gunk in their lungs that prevents oxygen from transferring to the blood. Forcing more air into their lungs with a ventilator, doesn’t help that process, it just damages the lungs.

The branches are your bronchi and at the end of each small branch are leaves — clusters of 600 million tiny microscopic sacs, called alveoli. That’s where oxygen and carbon dioxide are exchanged.

During the immune overreaction, called a “cytokine storm,” the alveoli drown in a gummy yellow fluid.

When those air sacs become clogged, the lungs stiffen up. Oxygen levels in the patient dramatically fall, and the heart struggles to function properly. A ventilator can help, but only so much. Said one doctor who’s treating COVID-19 patients on ventilators:

He says these patients with more normal-looking lungs, but low blood oxygen, may also be especially vulnerable to ventilator-associated lung injury, where pressure from the air that’s being forced into the lungs damages the thin air sacs that exchange oxygen with the blood.

“Because U.S. data on treating Covid-19 patients are nearly nonexistent, health care workers are flying blind when it comes to caring for such confounding patients.

"Doctors are making their decisions based on “blood oxygen levels”, but blood oxygen levels might signal the need for a different treatment for coronavirus patients than they do for pneumonia and acute respiratory distress syndrome (ARDS) patients. In other words, one size does not fit all. The problem is that too many people are ending up on ventilators when ventilators are undermining their chances for survival.

But in a subset of patients, for reasons unknown, things go horribly awry during the second week of illness. Even though levels of virus fall, the immune system goes into dangerous overdrive, flooding the lungs with inflammatory cells. In these people, it’s their body’s response, rather than the virus, that’s lethal.

This is often when people will deteriorate and become much more ill and end up in the ICU,” said infectious disease expert Dr. Annie Luetkemeyer, associate professor of medicine at UC San Francisco.
Patients struggle for air. Oxygen levels plummet. Blood pressure drops. Kidneys fail. The heart stops.

But anecdotally, Weingart said,We’ve had a number of people who improved and got off CPAP or high flow [nasal cannulas] who would have been tubed 100 out of 100 times in the past.” What he calls “this knee-jerk response” of putting people on ventilators if their blood oxygen levels remain low with noninvasive devices “is really bad. … I think these patients do much, much worse on the ventilator.”

Even as hospitals and governors raise the alarm about a shortage of ventilators, some critical care physicians are questioning the widespread use of the breathing machines for Covid-19 patients, saying that large numbers of patients could instead be treated with less intensive respiratory support.

Ventilators are overused for Covid-19 patients, doctors say - STAT

Doctors Puzzle Over COVID-19 Lung Problems

Are Ventilators Killing More People Than They're Saving?? - Global Research

Mortality rate of COVID-19 patients on ventilators | Physician's Weekly

I think the problem here is that the lungs are compromised as described but it seems to happen somewhat overnight. Patients are arriving hospital at a critical stage or after the gunk and cells can be successfully treated. I think early testing (and pre-emptive lung care) is going to be the new mandate to replace shelter in place (or should be). MOO

 

[MajorHoople]

Most NYC kids ‘probably’ already have coronavirus, doc says

"Most New York children “probably” already have coronavirus and are serving as vectors to spread the disease, according to one New York pediatrician.

Dr. Dyan Hes at New York City’s Gramercy Pediatrics advised parents to assume their children have the virus if they contract even mild symptoms consistent with the disease.

“I think that probably 80 percent of the children have coronavirus. We are not testing children. I’m in New York City. I can’t get my patients tested,” Hes said during an interview at CBS News.

“And we have to assume, if they are sick, they have coronavirus. Most of them, probably 80 to 90 percent of them, are asymptomatic.”

But the number of infected children is unknown because so many children don’t display any symptoms, she said — and that could alter COVID-19’s mortality rate.

The bigger risk lies in those infected children passing the virus to much more vulnerable populations, like the elderly or those with pre-existing health conditions.

“The problem with children is that they are so asymptomatic that they are spreading it. And our biggest mistake was that we didn’t close the public schools when we should have,” said Hes.

“So the children were the vectors to the teachers, who might be elderly or immunocompromised.”

 

[Herat]

I think the problem here is that the lungs are compromised as described but it seems to happen somewhat overnight. Patients are arriving hospital at a critical stage or after the gunk and cells can be successfully treated. I think early testing (and pre-lung care is going to be the new mandate to replace shelter in place (or should be). MOO

I think you are going to have to find someone to figure out how to pay for all that screening testing of patients that are not clinically ill.

Who is going to pay those bills? Especially in those people who never had healthcare, or lost their employer healthcare when they lost their jobs or their employer closed it's business?

And how are you going to convince Health Insurance Companies to many $$$ millions of dollars for screening tests?

 

[Tillicum]

With all my heart I hope that every country will be able to become independent of China. We all need to be able to manufacture our own products so we can get through something like this if it ever happens again. Almost all of us have had to turn to China for our medical needs after China turned this loose on us. My heart goes out to the citizens of China but I blame the government for what this world is suffering now.

 

[Seattle1]

I cant even express how livid I am with China, and this includes WHO which fell for all their lies.

These honorable whistleblowers have probably been murdered.

I dont put anything past China, and what they are capable of doing including to their own people.

My heart breaks for all of countless good citizens of China who are also victims of this ruthless regime.

But no matter how much they deny or suppress the TRUTH the TRUTH will still become known for the world to see.

Imo, the truth of what happened, and what is still happening in China will come from the many honorable Chinese citizens who live there. More will be willing to risk their own lives to expose the truth.

There isn't enough sanctions on this earth to fairly punish China for what has happened to 180 countries, and the leadership's lies, and coverups.

Jmho

Coronavirus US: Anthony Fauci doubts China infection figures | Daily Mail Online

50% is not an error! That's intent. MOO

 

[CSIDreamer]

With all my heart I hope that every country will be able to become independent of China. We all need to be able to manufacture our own products so we can get through something like this if it ever happens again. Almost all of us have had to turn to China for our medical needs after China turned this loose on us. My heart goes out to the citizens of China but I blame the government for what this world is suffering now.

Amen to that. We have to start looking at everything we buy as well and hope for an alternative that, for me at least, doesn't have the word "China" on it. I demanded my husband stop ordering from WISH. We'll see how that goes. Lol.

 

[Trino]

Most NYC kids ‘probably’ already have coronavirus, doc says

"Most New York children “probably” already have coronavirus and are serving as vectors to spread the disease, according to one New York pediatrician.

Dr. Dyan Hes at New York City’s Gramercy Pediatrics advised parents to assume their children have the virus if they contract even mild symptoms consistent with the disease.

“I think that probably 80 percent of the children have coronavirus. We are not testing children. I’m in New York City. I can’t get my patients tested,” Hes said during an interview at CBS News.

“And we have to assume, if they are sick, they have coronavirus. Most of them, probably 80 to 90 percent of them, are asymptomatic.”

But the number of infected children is unknown because so many children don’t display any symptoms, she said — and that could alter COVID-19’s mortality rate.

The bigger risk lies in those infected children passing the virus to much more vulnerable populations, like the elderly or those with pre-existing health conditions.

“The problem with children is that they are so asymptomatic that they are spreading it. And our biggest mistake was that we didn’t close the public schools when we should have,” said Hes.

“So the children were the vectors to the teachers, who might be elderly or immunocompromised.”

Oh, well, then, let's just open the schools to continue the spread (sarcasm, of course).

 

[cass523]

In case this has not been posted

The Rolling Stones 'Honored' To Join 'One World: Together At Home' Lineup

The Rolling Stones are among the superstar musical guests who have signed on for the most ambitious COVID-19 relief event yet.

"We are honored to be invited to be part of the One World: Together at Home broadcast — from our homes in isolation," The Stones said in a joint statement, adding that the broadcast/live stream special is a "fantastic event with Global Citizen in the fight against COVID-19."

The iconic rock band was scheduled to launch a 15-date U.S. tour this summer, but the jaunt has been postponed indefinitely due to the pandemic.

Performers on the primetime portion of the broadcast include, Paul McCartney, Elton John, Taylor Swift, Billie Eilish, Lizzo, Alanis Morissette, Andrea Bocelli, Celine Dion, Shawn Mendes, Camila Cabello, Jennifer Lopez, Kacey Musgraves, J Balvin, Chris Martin, Sam Smith, Lang Lang, Burna Boy, Stevie Wonder, Billie Joe Armstrong and Eddie Vedder.

A streaming-only pre-show begins at 2 p.m., featuring Adam Lambert, Annie Lennox, Jennifer Hudson, The Killers and many more.

The Rolling Stones 'Honored' To Join 'One World: Together At Home' Lineup | iHeartRadio

 

[rogue ant]

the virus could transfer from person to person via the bench
and contact tracing would be impossible

Just make certain you don't touch your face until you can wash your hands or use sanitizer and you're good.

 

[cody22]

Idle musing - I think the POTUS question and answer part of the Virus Press Conference today is probably gonna be very interesting......moo