Coronavirus COVID-19 - Global Health Pandemic #81

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  • #621
The message from today and the past few days, open up. Live a little. It’s just a virus.

IMO and MOO
 
  • #622
I don't think anyone was put at risk during that drive.

The folks the front have on N95s and it appears to me gowns. Looks like full PPE. Moo..

People who wear PPE have gotten sick. Secret Service personnel have gotten sick. They are essential employees who don't get a choice.

So why be cavalier about their safety, especially with the drama of the last 24 hours? This gentleman was reportedly mildly* sick (looks and sounds great, thank goodness). Why not wait a while and be a little more sure you aren't endangering others? The adoring crowds will still be there tomorrow.

Why not show just a little extra care for the working people?

And why not care about the example you are setting? Maybe there's a partition, maybe there isn't. If all your friends and your wife got the same infection as you, wouldn't you want the less-privileged people who adore you to be more careful with their own social circles?

*edited to correct incorrect info ("very, very")
 
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  • #623
  • #624
Indeed it is. Add to this that it would need to be an infectious disease ward with all the proper ventilation, waste management, etc., and staffed by health care workers who are specifically trained in communicable diseases in order to protect all others in the WH.

I just can't see any good thing resulting from going back to the WH at this point. Does anyone think Trump would self-quarantine?

Is that a rhetorical question?
 
  • #625
  • #626
It's going to be interesting to see how people react if President Trump recovers quickly and immediately jumps back on the campaign, traveling to multiple cities. JMO
Guidelines for quarantine are 10 days plus no fever for 24 hours. I think as long as the doctor confirms no fever, it should be ok. I imagine his travel schedule will be packed, to make up for lost time.
 
  • #627
The article states it is no longer in short supply.
Even my little hospital in "podinkville" had Remdesivir early on and continues to use it.

Its very sad the care your friend received.

I worked for a company that compounded a drug combo under an FDA EA, we never had a limit. We produced thousands of doses per week. Never heard of a limit, once the EA is issued.

Would you have a link for the limit of use for EAs issued by FDA?

But you live in the south. I live in California - where it was invented. We had NONE of it (and I'm thrilled that in theory we now will have it)

Even the local UCLA-affiliated hospital didn't have it. I will be emailing various people at those facilities tomorrow to see if they feel they can really get it (as, from my doctor friends, they are not aware of anyone getting remdesivir yet, except at Stanford and UCSF - as part of other protocols, not standard of care - SoC).

So I'm stoked by this (barely publicized) news.
 
  • #628
We're not having TG either. It's not worth it, imo. I'm gearing up, psychologically, for a big uptick in the numbers.

Today I went out and did a big shop again, because I think manufacturing and supply chain issues are going to be hit hard again. We've been lulled into a sense of false security with the relaxed requirements and the warm weather allowing us to socialize outside.

A manager in Costco told me today that paper products are again in short supply. The big boxes of kitty litter are all gone again. I really feel for all those feline shelters that rely on donations of litter. No sanitizing wipes, again. I stocked up on kitty litter, cat food, shampoo/rinse, laundry soap, dry pasta, rice, canned tomatoes, canned lentils and beans (all this over the last 3 weeks).

People are living in a dream world if they think this thing is going away. I think people are going to start weighing the risk/reward aspect of living their lives because without a vaccine, it'll be about quality of life.

It was a lot easier staying at home in late March and April because spring and summer were just around the corner and we could be outside. But now we're looking at maybe 6 months of winter with subzero temps and tons of snow. It's a la Nina winter this year.

I see nearly zero shortages at the two stores I shop at in Sacramento Ca.

In fact the Foods Co has a ton of hand sanitizer and the Food For Less has a big giant pallet in the main isle of large alcohol wipes. Some of the selection of cleaning supplies are limited and some paper products are Mexican but nothing to panic about. JMO
 
  • #629
Guidelines for quarantine are 10 days plus no fever for 24 hours. I think as long as the doctor confirms no fever, it should be ok. I imagine his travel schedule will be packed, to make up for lost time.
I think masks should be enforced for those attending.
 
  • #630
Okay. I still think there would be a partition in the Suburban too. Not sure how to find out though.
Isn't there always a partition in a limo? For one, so you can have private convos and driver isn't listening in.
 
  • #631
Isn't there always a partition in a limo? For one, so you can have private convos and driver isn't listening in.
But the Suburban isn't a limo.
 
  • #632
I stocked up on kitty litter, cat food, shampoo/rinse, laundry soap, dry pasta, rice, canned tomatoes, canned lentils and beans (all this over the last 3 weeks).

People are living in a dream world if they think this thing is going away. I think people are going to start weighing the risk/reward aspect of living their lives because without a vaccine, it'll be about quality of life.

Minus the kitty stuff, we are on the same track. That’s exactly what I have stocked up on and continue to get in moderation with every Instacart order.

I’ve been bracing myself for a long haul well into next year or beyond. Calculating the risk vs reward aspect of quality of life is certainly important. Since so many will choose the risk of Covid for the reward of being out and about even without a vaccine, I have to make a different choice. For me, calculating the risk/reward is that I will wait for a vaccine I can trust, because my quality of life if I get and survive Covid-19 could be awful at my age. I think my mental health will survive. :confused:o_O But no stinkin’ promises on that! :D
 
  • #633
"It is outrageous for the president to have left the hospital — even briefly — amid a health crisis without a protective pool present to ensure that the American people know where their president is and how he is doing," the White House Correspondents' Association said in a statement. "Now more than ever, the American public deserves independent coverage of the president so they can be reliably informed about his health."

In Brief Drive-By, Trump Waves To Supporters Outside Of Walter Reed

The president very rarely makes any movement in public without a press pool. In this case, the pool was not informed of the president leaving Walter Reed.
 
  • #634
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  • #635
People who wear PPE have gotten sick. Secret Service personnel have gotten sick. They are essential employees who don't get a choice.

So why be cavalier about their safety, especially with the drama of the last 24 hours? This gentleman was reportedly very, very sick (looks and sounds great, thank goodness). Why not wait a while and be a little more sure you aren't endangering others? The adoring crowds will still be there tomorrow.

Why not show just a little extra care for the working people?

And why not care about the example you are setting? Maybe there's a partition, maybe there isn't. If all your friends and your wife got the same infection as you, wouldn't you want the less-privileged people who adore you to be more careful with their own social circles?
IDK, people are who they are. Trump has never been that kind of person, he's never pretended to be that kind of person, he has other qualities that people support him for...MOO
 
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  • #636
But you live in the south. I live in California - where it was invented. We had NONE of it (and I'm thrilled that in theory we now will have it)

Even the local UCLA-affiliated hospital didn't have it. I will be emailing various people at those facilities tomorrow to see if they feel they can really get it (as, from my doctor friends, they are not aware of anyone getting remdesivir yet, except at Stanford and UCSF - as part of other protocols, not standard of care - SoC).

So I'm stoked by this (barely publicized) news.

I do know the hospital reported all information required directly to the task force. They were very forth coming. I was shocked we had the drug so early and it was received as needed. Our hospital does weekly updates.

Virginia and All other states received an initial supply to distribute, then it was shipped directly to the hospitals.

I'm not sure what you mean by...."But you live in the south." Living in a community of less than 50k with a 90 bed hospital , you would think we would be bottom of the list, especially competing with N VIrginia, Eastern Shore and Greater Richmond. They were having major outbreaks, when we only had a few cases.

Wonder happened to the initial shipment to CA? The article below states it was later shipped direct to hospitals per request. I think you are wise to question your state and hospitals. I would be.

Trump Administration Secures New Supplies of Remdesivir for the United States
snipped

HHS has secured more than 500,000 treatment courses of the drug for American hospitals through September. This represents 100 percent of Gilead’s projected production for July (94,200 treatment courses), 90 percent of production in August (174,900 treatment courses), and 90 percent of production in September (232,800 treatment courses), in addition to an allocation for clinical trials. A treatment course of remdesivir is, on average, 6.25 vials.

Hospitals will receive the product shipped by AmerisourceBergen and will pay no more than Gilead’s Wholesale Acquisition Price (WAC), which amounts to approximately $3,200 per treatment course. Generally, patients do not pay directly for hospital-administered drugs like remdesivir; rather, for Medicare and most private insurers, the drug’s cost is incorporated into payments made by the insurer, such as Medicare paying for the drug through a diagnostic-related group.

These supplies will be allocated in the same way that Gilead’s donation of approximately 120,000 treatment courses of remdesivir were allocated: HHS allocates product to state and territorial health departments based on COVID-19 hospital burden, and health departments allocate it to hospitals. The delivery of the purchased remdesivir will be streamlined, going directly to the hospital, per the state’s allocation decision, rather than going first to the state health departments for subsequent delivery to hospitals.

Shipments will likely occur every two weeks, as they have with the donated product. The final allocation of Gilead’s approximately 120,000 donated treatment courses is being shipped today, June 29.


 
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  • #637
Although the doctor was evidently hedging, it sounds as though the president's oxygen level may have dropped very low on Friday - before he went to the hospital. I do wonder what the status of his lungs is now.


When asked if the President's blood oxygen level had dropped below 90, he replied, "We don't have any recordings here of that." Pressed again on whether the level had dropped below 90, Conley said the President's blood oxygen levels didn't get down into "the low 80s."

He offered no detail about what X-rays or CT scans have shown about whether there has been any damage to the President's lungs.
"There's some expected findings, but nothing of any major clinical concern," Conley said, not explaining whether they were expected findings in the lungs of a normal patient or a Covid-19 patient.

Trump's photo op raises new questions about how seriously he takes the virus - CNNPolitics
 
  • #638
The discussion about stocking up because a worsening of the virus is interesting. Kitty litter? Not one mention of the most important thing for short term survival. Water.

If there's a total societal breakdown where the food supply chain is broken, will the water system that people rely on continue to function?

I read about people stocking up on three, six months or more of food. But what about water? It's kind of hard to stock up on six months of water. JMO
 
  • #639
This gentleman was reportedly very, very sick
* snipped for focus

He was? By whom?

Trump 'doing very well,' has started Remdesivir therapy, White House physician says


President Donald Trump was taken to Walter Reed Medical Center on Friday “out of an abundance of caution” following his coronavirus diagnosis, the White House said.

White House physician Sean Conley said in a statement late Friday that Trump is “doing very well,” has started Remdesivir therapy and does not require supplemental oxygen.

“President Trump remains in good spirts, has mild symptoms, and has been working throughout the day,” press secretary Kayleigh McEnany said in a statement to reporters at the White House.
 
  • #640
Minus the kitty stuff, we are on the same track. That’s exactly what I have stocked up on and continue to get in moderation with every Instacart order.

I’ve been bracing myself for a long haul well into next year or beyond. Calculating the risk vs reward aspect of quality of life is certainly important. Since so many will choose the risk of Covid for the reward of being out and about even without a vaccine, I have to make a different choice. For me, calculating the risk/reward is that I will wait for a vaccine I can trust, because my quality of life if I get and survive Covid-19 could be awful at my age. I think my mental health will survive. :confused:o_O But no stinkin’ promises on that! :D

Both my parents worked in munitions and airplane plants in Britain during WW2. Initially, bombing raids caused terror and swift movement to the shelters but after awhile some people ignored them and decided their own fate by demanding the projectionist continue the film if at the theatre or continued their late night walk during a beautiful spring night.

The difference between what those individuals did and what people who ignore the safety protocols now is that the decisions those who lived through bombing raids affected no one but themselves. To do it now during a pandemic can cause exponential risk and danger to others.
 
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