Coronavirus COVID-19 - Global Health Pandemic #81

[musicaljoke]

People receive care in their private home daily. Private nursing agencies and physicians, home health, hospice all give IVs in the home.

You don't need to be licensed as a hospital for home care or medical equipment home IV pumps are a plenty in the DC area, infusion pharmacies and licensed infusion nurses.

Back when Clinton hurt his knee, the company I worked for delivered a wheelchair to the WH.

Yes, that's true, but the constant monitoring of symptoms and the treatment for CoVid can be much more serious than what can be offered with home care.

 

[CSIDreamer]

Yes, that's true, but the constant monitoring of symptoms and the treatment for CoVid can be much more serious than what can be offered with home care.

I haven't seen it with my own eyes, but I think the in house clinic might be a step above a home health setting. Jmo

 

[Yesiamapirate]

People receive care in their private home daily. Private nursing agencies and physicians, home health, hospice all give IVs in the home.

You don't need to be licensed as a hospital for home care or medical equipment home IV pumps are a plenty in the DC area, infusion pharmacies and licensed infusion nurses.

Back when Clinton hurt his knee, the company I worked for delivered a wheelchair to the WH.

I worked for a Durable Medical goods company through a major hospital. We even did home ventilators! MOO as it is my personal experience.

 

[Yesiamapirate]

I haven't seen it with my own eyes, but I think the in house clinic might be a step above a home health setting. Jmo

I suspect you are right. Complete with round the clock private doctor and nurses. Maybe even a step above some basic hospital rooms in the inpatient setting. MOO

 

[Simply Southern]

I worked for a Durable Medical goods company through a major hospital. We even did home ventilators! MOO as it is my personal experience.

Yeah!!! Home IVs, oxygen, ventilators, all have been around since the early 70s I can confirm.

 

[10ofRods]

Here are a series of articles (mostly MSM) about how kids can be spreaders of CoVid.

From Mass Gen:

Massachusetts General Hospital researchers show children are silent spreaders of virus that causes COVID-19

From CDC:

Transmission Dynamics of COVID-19 Outbreaks Associated ...

Coronavirus Disease 2019 (COVID-19)

From Harvard:

Looking at children as the silent spreaders of SARS-CoV-2

From Medical MSM (recent):

https://www.medpagetoday.com/infectiousdisease/covid19/88319

Largest COVID-19 Tracing Study to Date Finds Children Are Key Spreaders

Children as silent spreaders:

Breakthrough finding shows children are silent spreaders of COVID-19

The new study from India, published in Science (children as super-spreaders):

Kids And Superspreaders Are Driving COVID-19 Cases In India, Huge Study Finds

Various studies cited in article in MSM (Boston):

Kids Are Efficient Spreaders of COVID-19, Researchers Say

Summary:

Children spread CoVid very readily among themselves, almost always asymptomatically. If you want the scientific reasons for that, that'll take another post.

Children spread CoVid to adults. This includes all "children" under the age of 20. It's mostly kids 12 and over who spread to adults. Children can easily spread to each other, as noted above, so school children of any age readily transmit to each other.

Big studies from places where families were locked down together show that if people wear masks and try to socially distance, even in small apartments, only about 20% of adults will get CoVid from the kids in their household. That's still a huge number, if everyone who had children ended up with one child with CoVid, obviously.

Can children therefore be super-spreaders? Yes, older children can be. But the real problem is that if a vast number of children get CoVid and are asymptomatic, they will spread it to other (and older) children, who will then spread to adults.

Here's a short and sweet summary (with citations):

Largest COVID-19 contact-tracing finds children key to spread, evidence of superspreaders - Medical Xpress | Arizona Foundation

 

[Simply Southern]

White House Medical Unit - Wikipedia

The White House Medical Unit includes emergency medical and trauma capability at both the White House and the residence of the Vice President of the United States at the United States Naval Observatory.[4] One former Physician to the President described the White House unit as an urgent care center with a crash cart.[5] A medical examination room is also maintained at the Eisenhower Executive Office Building.[4]

snipped
The WHMU also oversees the mobile medical suite aboard Air Force One and Air Force Two. Air Force One contains a full surgical suite with operating table, two beds, resuscitation equipment, various medical monitors, and a full pharmacy.[4][5] Air Force Two contains a first aid unit as well as an automated external defibrillator, oxygen tanks, and limited pharmaceuticals. The WHMU also establishes temporary emergency medical facilities as needed to support presidential or vice presidential trips. These usually consist of an eight-member intensive care and surgical team, and a temporary operating room at each stop. WHMU staff may also carry operating room equipment in backpacks to provide emergency medical care as needed on-site when the temporary operating room is too distant.[4] When the President travels overseas, an advance medical team travel ahead of Air Force One to set up its medical facilities days in advance. This way, a fully rested medical team is available to assist the President upon arrival and take over from the team which traveled aboard the presidential aircraft.[6]

 

[nhmemorymaker]

After the ceremony in the garden, there were two receptions in smallish rooms in the White House (not a big ballroom). I can't remember the names of the rooms - but it can be found in early reporting. There are pictures. Lots of people without masks (I believe that's where Kelly Conway kissed Barr/whispered in his ear.

As to the children, presumably they were near adults at all times, as they are too young to be unsupervised. Unless you simply mean "not near the adults who got CoVid."

Fact is, we don't know how many people got CoVid at that event. The distance that Chris Christie maintained from the other known infectees was a good long distance.

Doug Mills of the New York Times took the indoor pictures. They started out socially distanced more or less (4 feet apart maybe?) but without masks. One kid is sitting immediately next to Tillis, with their faces 1 foot apart, chatting.

Many pictures show adults with their faces 1-2 feet apart, chatting. These events went on for at least an hour, maybe more.

I just wanted to add these observations because while many people think the transmission happened in the actual Rose Garden, I believe strongly that it occurred at the two indoor receptions afterward.

Our chances of getting CoVid in a setting like the Rose Garden are about 10-20X less than indoors (usually 20X if socially distanced - but they were fairly close to each other). Hard to know who spread to whom, but the VIP's were apparently all in one room for the after-party.

I believe it was before the Rose Garden activities.

So Hicks has probably been all around the Pres and oval office???

Hicks, the former White House communications director and top press aide to Trump's 2016 presidential campaign, returned to the White House in February to work closely with Kushner.

Trump says he and first lady will self-quarantine after aide Hope Hicks tests positive for Covid-19

 

[nhmemorymaker]

Also, we know that Stephen Miller's wife tested positive earlier, but did Stephen Miller ever become positive?

He was all over the events, and Hicks.

Who Came in Contact With Donald Trump When He Was Potentially Contagious?

 

[musicaljoke]

I haven't seen it with my own eyes, but I think the in house clinic might be a step above a home health setting. Jmo

Yes, no doubt it is. But it might not be set up to monitor for ground glass on the lungs, or blood clotting issues, or kidney function levels, or who knows what else they may be monitoring.

People with associated risks can crash very quickly. But, maybe you are right and this is just a mild case. Even so, just for abundance of caution, it may be wise to stay a bit longer in the health care facility

 

[nhmemorymaker]

crazy indeed... and the "attempt to be upbeat" is coming off as misleading JMO. As a citizen I would prefer no attempts to be upbeat, downbeat etc. Just give me the facts and let me decide the emotion I wish to attach to those facts. (Just me.. not speaking for anyone else)

Well said, and agree. It is not a doctor's job to make sure we are smiling. To me, it is grossly unprofessional.

I am starting to think that the REAL doctors would not go do the happy-go-round,. so they sent a group of spin doctors with one spokesperson.

 

[Trino]

The White House medical unit is taking the lead on contact tracing the high-dollar donors who attended President Donald Trump's Thursday fundraiser in Bedminster, while New Jersey health officials are reaching out to golf club employees that may be at risk for the coronavirus, according to a Murphy administration source.

The Republican National Committee provided New Jersey officials with a list of the names and email addresses of guests. The list "was not sufficient" for contact tracing as tracers need phone numbers to reach people more quickly and addresses to understand what communities are impacted, the source said. The list also did not include workers at the Bedminster club, the source said.

"From a quick scan of the list, many of these folks were from out of state," the source said, so the White House medical unit said it would take the lead on reaching out to attendees. New Jersey officials emailed all the guests, providing them with steps to take and health resources if they are in New Jersey.

The state Department of Health, in partnership with the Somerset County Department of Health, received a list of around 20 names of staff who worked during the fundraiser, and are calling these workers to make sure they take the necessary precautions, the source said.

"Not that one group of people is more or less important than others, but those folks by definition will typically be low income or middle income workers, who will go back to dense and diverse communities, which is our worst coefficient for spreading the virus," the administration source said.

Somerset County has 70 tracers, according to the state COVID-19 dashboard, and the administration predicts New Jersey should have enough resources to do the tracing. Somerset County declined to answer additional questions, referring to statements that say tracing efforts are underway.

NJ contact tracing Bedminster NJ fundraiser staff at risk for COVID-19

Wow. This is going to be an extensive trace.

 

[LadyL]

I'm scared.

Canada ‘desperately’ needs people to dig in, stay home in coronavirus fight: Qualtrough

 

[nhmemorymaker]

I don't think the president will go home tomorrow, I think he'll complete his course of remdesivir. He really should complete it. I don't think that young doctor is entirely in charge of the president's care (he's only 7 years out of residency, surely others are consulting on this).

But I do know that doctors sometimes try to manage patients, keep them calm and give them hope by saying, "We'll talk about when you'll go home...tomorrow."

That buys them another day, especially if the patient is cranky (like my dad was when in hospital). In fact, extreme irritability is a common thing in hospital patients (my dad really was not an irritable man, but he did lose it a couple of times after he broke his hip).

Here's a list of side effects of dexamethasone:

Thanks for the list. Greater than 30% is significant clinically.

 

[Trino]

Amazing... Maybe if they all get it things might change.

The Trump administration has no plans to mandate that staff and visitors wear face masks on the grounds of the White House, even after President Trump, the First Lady and senior adviser Hope Hicks tested positive for coronavirus, officials said Friday.
White House has no plans to mandate masks

 

[nhmemorymaker]

I provided links upthread that he can complete his treatment at the WH. I'm betting they're set up pretty well there as far as medical availability. Jmo

i dunno...... hard to set up ICU ready, if there is not a lot of extra staff available or on call for any emergency.

 

[sds71]

Claudia Conway announces coronavirus diagnosis on TikTok

 

[LadyL]

We're a freaking mess here in Canada.

'What about Thanksgiving?': COVID confusion reigns amid mixed public health messaging

“I think I understand the confusion: We shouldn’t visit each other but it’s OK for us to attend a party with everyone we know at a banquet hall then head to a spin class where the instructor yells at us (and) finally head to a bar where thankfully we can only order drinks before 11,” Toronto physician and professor Dr. Andrew Boozary tweeted.

 

[CSIDreamer]

i dunno...... hard to set up ICU ready, if there is not a lot of extra staff available or on call for any emergency.

I didn't say they have an ICU at the White House.

 

[CSIDreamer]

We're a freaking mess here in Canada.

'What about Thanksgiving?': COVID confusion reigns amid mixed public health messaging

“I think I understand the confusion: We shouldn’t visit each other but it’s OK for us to attend a party with everyone we know at a banquet hall then head to a spin class where the instructor yells at us (and) finally head to a bar where thankfully we can only order drinks before 11,” Toronto physician and professor Dr. Andrew Boozary tweeted.

When is your Thanksgiving? I can't remember.