Wuhan, nCV, germs....

Sigequinox220 said:
If all states do 30 day stuff....we will enter the apocalypse. Just Nevada alone for ALL business is guaranteeing recession. If any major GDP state (TX, NY, CA, FL, NJ, NC, GA...) we will likely enter a full blown depression. California is something like 20 TRILLION GDP. Our economy would shrink to the size of Eastern Europe if a few of them followed suit.

if I wanted to live in Ukraine I’d ducking move there. I’d rather catch a god damn cold or breath through a respirator for a week than watch the fall of the American empire
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Well it was never intended to be an Empire. And if we only end up in a recession we’d being doing very well at this point. Buckle up, things are likely to be rocky for a while. Maybe a long while.
 
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Sanders says he want every household to get a $2K check a month unit the national emergency is over.
 
They want it to all crash and burn. Orange Man Bad.
 
Button Pusher said:
Sanders says he want every household to get a $2K check a month unit the national emergency is over.
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borrowed from China of course so their economy can grow as we cut off our own heads. There might even be a chance we come out of this as no longer the global super power the rate things are going down
 
CA Gov. Useless now saying schools my stay closed for the rest of the academic year.
 
Lots if deaths in Italy and China, high numbers are smokers along with other health issues contributing factors.
 
The Great Toilet Paper Panic of 2020...

Anyone else notice that Secretary Munchin speaking yesterday w/POTUS sounded like a J.G. Wentworth commercial..."its your money and you need it now and we will get it to you now, he wants you to have it now..."
 
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DrScaryGuy said:
Don't leave us hanging.

We're doing "prescreening" where we ask people a few quick questions before they come into our building, for real temp/appearance screening and then on to business. We had a lady cuss us out because we wouldn't just let her thunder in through everything and find her friend to find out how long she was going to take. And by policy we don't give information about people to other people without first verifying that they came with each other and the person in our building is okay with us telling them things like "yes/no they are here/not here".
I hate people too, and with us all on edge i'm certainly not getting any more friendly.
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We are going to start doing that as well. Will be scanning for temps curbside so to speak once we get the equipment in.
 
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Sigequinox220 said:
I’d rather catch a god damn cold or breath through a respirator for a week than watch the fall of the American empire
Click to expand...

Good chance that we will get to do both at the same time.

All empires fall and the bigger they are, the harder the fall. We have been on the edge for 15-20 years. We have put a band-aid on our problems for so long that we have weekend the body of old USA to the point that this might just do us in.

The Roman called it panem et circenses- bread and games. We had Amazon/ Walmart and internet/sports/movies. As long as we could look away from the sickness, we could ignore it.

Can't ignore the shit that's going to hit us now.
 
charliesgrave said:
Flu season on steroids. Can't wait.

This is what I don't think even a third of the people in this thread understand. It doesn't have to kill everyone, just infect a large number of at risk patients and the whole healthcare system is going to be under water. And maybe that's ok with the majority of you, because people posting in this thread are young and healthy, (doubt that) but what happens if you are in a car wreck? Have a CVA? What happens when you're pregnant girlfriend has a difficult birth?
Sorry, all the ventilators are in use. We have no PPE or sterile garb to kit out our OR's. People are laying on beds in hallways. Coming to the hospital is pretty much a guarantee you'll be infected. RN's, RRT's, PA's and Docs are overworked, fatigued, and short on staffing because they're getting sick too. Some are getting reinfected after getting over it.

As things are, most years we're struggling to stay afloat with bipaps and ventilators, running out of common breathing meds like albuterol and budesonide, and running around like chickens with our heads cut off trying to give everyone the best care.

Double the load. Double the pt's who need vents. Double the number who need bipaps. Double med consumption- antibiotics, breathing meds, simple painkillers and paralytics for intubation.

You're in for a bad time. You're in for triage. Grandma sick? Sorry, she's 82 and has diabetes. No care for her, we need the vent for someone with less comorbidities and a better chance at surviving. She's going to have to go home and struggle to breath until she dies or lay on a makeshift bed in the hospital.

I hope this is not what we're in for, but there's a chance it is. Italy is a good indication of what could happen here.

https://www.reuters.com/article/us-...age-and-lies-for-virus-patients-idUSKBN2133KG
Click to expand...


And all that stuff they are running out of ??? It's the same things we use in the vet field. So there will be no human meds for pets. There are a few meds that are animal only but not many. So if you think that you can just run to a vet when your best 4 legged friend gets hurt or sick- not going to happen.

Best thing I can say about the animal field is we can euthanize pets when we can't help them. Human doctors don't get to give that mercy.
 
charliesgrave said:
Flu season on steroids. Can't wait.

This is what I don't think even a third of the people in this thread understand. It doesn't have to kill everyone, just infect a large number of at risk patients and the whole healthcare system is going to be under water. And maybe that's ok with the majority of you, because people posting in this thread are young and healthy, (doubt that) but what happens if you are in a car wreck? Have a CVA? What happens when you're pregnant girlfriend has a difficult birth?
Sorry, all the ventilators are in use. We have no PPE or sterile garb to kit out our OR's. People are laying on beds in hallways. Coming to the hospital is pretty much a guarantee you'll be infected. RN's, RRT's, PA's and Docs are overworked, fatigued, and short on staffing because they're getting sick too. Some are getting reinfected after getting over it.

As things are, most years we're struggling to stay afloat with bipaps and ventilators, running out of common breathing meds like albuterol and budesonide, and running around like chickens with our heads cut off trying to give everyone the best care.

Double the load. Double the pt's who need vents. Double the number who need bipaps. Double med consumption- antibiotics, breathing meds, simple painkillers and paralytics for intubation.

You're in for a bad time. You're in for triage. Grandma sick? Sorry, she's 82 and has diabetes. No care for her, we need the vent for someone with less comorbidities and a better chance at surviving. She's going to have to go home and struggle to breath until she dies or lay on a makeshift bed in the hospital.

I hope this is not what we're in for, but there's a chance it is. Italy is a good indication of what could happen here.

https://www.reuters.com/article/us-...age-and-lies-for-virus-patients-idUSKBN2133KG
Click to expand...

Utterly destroying the economy ain't going to do much to improve anybody's health either.

It's easy to speculate, point fingers, and play "I told you so", but we're royally screwed no matter who is right. Especially when the options are to let all the old folks die while hospitals are underwater, or simply destroying our economy for who knows how long.
 
TrBNvp8.png
 
Button Pusher said:
Sanders says he want every household to get a $2K check a month unit the national emergency is over.
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Doesn’t Trump and Mnunchin want to send everybody $1k now? If you can justify the $1k why not 2? Or 20? We’re just pulling paper out our ass anyway. There is very little logic or economic sense to any of it in the long run. Let’s all take tons of greenbacks now and we can watch it all burn when we are in our rocking chairs while our kids and grandkids suffer the consequences. It appears to be the new American way.
 
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CZfool68 said:
Doesn’t Trump and Mnunchin want to send everybody $1k now? If you can justify the $1k why not 2? Or 20? We’re just pulling paper out our ass anyway. There is very little logic or economic sense to any of it in the long run. Let’s all take tons of greenbacks now and we can watch it all burn when we are in our rocking chairs while our kids and grandkids suffer the consequences. It appears to be the new American way.
Click to expand...

That's assuming 1. You and your kids and grandkids survive 2. You can afford a rocking chair 3. you have a platform on which to rock it
 
Ikarus1 said:
That's assuming 1. You and your kids and grandkids survive 2. You can afford a rocking chair 3. you have a platform on which to rock it
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Now you are just being pessimistic. I have a few rocking chairs and what I would call drinking chairs. And a deck.

326A1547-BBF3-482F-9CFB-CBD37C530613.jpeg
 
CZfool68 said:
Now you are just being pessimistic. I have a few rocking chairs and what I would call drinking chairs. And a deck.

View attachment 197333
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Chairs are to close must remain 6 ft apart and no more than 10 people:) . Do beleave it looks like a good spot to ride out the storm though.
 
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National lockdown coming within days.

Either we do that or we say "screw it, let the virus burn through", try to save under 60 with no pre-existing conditions (and drop that age to 50 when it gets to that stage), and let everyone else try to fend off infection at home.

The China model worked. Limping along will not work.
 
drypowder said:
National lockdown coming within days.

Either we do that or we say "screw it, let the virus burn through", try to save under 60 with no pre-existing conditions (and drop that age to 50 when it gets to that stage), and let everyone else try to fend off infection at home.

The China model worked. Limping along will not work.
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The Logan's Run model?
 
drypowder said:
National lockdown coming within days.

Either we do that or we say "screw it, let the virus burn through", try to save under 60 with no pre-existing conditions (and drop that age to 50 when it gets to that stage), and let everyone else try to fend off infection at home.

The China model worked. Limping along will not work.
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WTF, I hope you are being sarcastic about that. If not we need to have a 'conversation'.
 
Brian K said:
I've suspected it will come to this, although I thought it would have already happened by now.
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with the increase in testing there will be an increase in positive cases. A shutdown would be to prevent panic.
 
Is ARCGIS working for anybody? Mine has looked like this for a couple of days ...

Coronavirus COVID-19 2019-nCoV .png
 
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JT said:
Is ARCGIS working for anybody? Mine has looked like this for a couple of days ...
Click to expand...
I just pulled it up on my iPad and it is working fine. 7,323 cases in the US right now. Sixty six of them are in NC.

Try copying the base URL and opening in a new browser session. I had the same thing happen a few days ago.
 
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premise said:
Utterly destroying the economy ain't going to do much to improve anybody's health either.

It's easy to speculate, point fingers, and play "I told you so", but we're royally screwed no matter who is right. Especially when the options are to let all the old folks die while hospitals are underwater, or simply destroying our economy for who knows how long.
Click to expand...

Not just older folks. Numbers coming out of France and Italy show that 20-40 year olds are getting hit hard and going on ventilators. And no telling of those that survive how much lung function they will lose.
 
noway2 said:
I just pulled it up on my iPad and it is working fine. 7,323 cases in the US right now. Sixty six of them are in NC.

Try copying the base URL and opening in a new browser session. I had the same thing happen a few days ago.
Click to expand...


What's the url?
 
Jointdoc said:
https://threadreaderapp.com/thread/1239975682643357696.html

The more we understand - the scarier it is. I will be dusting off skills from intern year (14 years ago)

Take care
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Okay, so these kinds of occasional posts from folks in the medical field are what are the most alarming to me.

But what I am having a hard time reconciling is the data from the Diamond Princess cruise ship. It seems like a worst case scenario for transmission... Super dense population, shared HVAC system, shared meal facilities, limited medical services.

If the data online (wiki, several news sites) can be trusted, all on board were tested and in the end 696 of 3618 tested positive (<20%, with over 400 noted as asymptomatic) and 7 died (<0.2%, all over 70 years old).

So what gives with the doomsday scenarios of 80% infection rates and 1% average fatality rate? Is the assumption that given more time another 60% of those on board would test positive? If it is so contagious, why wouldn't that have happened faster in such an environment?

I did not see info on how many required respiratory support and how that was handled, so any data on that would be welcome.

There is major risk of harm from our reaction at this point. I am hoping the treatment isn't worse than the disease and that cures/vaccines are on the way soon either way.

Is there any medical basis to the rumors that antimalarial chloroquine is effective against nCOV SARS-2?
 
This just came out from the office of Rep Jackson....


New COVID Testing Problem

The first shortage was test kits.

The second shortage was extraction kits, which are needed to extract the RNA that gets tested.

The new shortage is masks, gloves, and gowns for medical personnel (PPE - personal protective equipment).

As it turns out, this *directly* impacts COVID testing. You can't do a COVID test without this protective equipment because we cannot risk our medical personnel getting sick and in North Carolina - as in other states - we're running low on the equipment they need to stay safe.

The shortage is so severe that it may result in a modification of the eligibility criteria for who qualifies for a COVID test in order to ensure that there's enough testing capacity for higher-risk populations. DHHS is currently reviewing guidance to ensure we have maximum testing coverage given our resource constraint.

Shelter in place

The Mecklenburg county health director has stated that it's possible that our county will soon be told to shelter in place. There was no timeline or probability offered - just a caution to our folks so that they can take that possibility seriously starting now.

Mecklenburg's public health director does have the independent legal authority to call for our county to shelter in place. The state's approval would not be necessary.

More test kits

Mecklenburg is now contracting directly with LabCorp because we were only getting a few test kits per day from the state (which, in turn, is only getting a small number from the CDC). We asked the state for more, they told us to try and buy some directly from LabCorp, so that's what we're doing.

Community spread

Still no documented community spread, although most believe it is likely occurring. Estimates on the rate of possible community spread vary wildly. We are forming policy based on the assumption it is occurring.

Day care

Guidance on day care and child care centers is coming from the state this week.

*********************************

NC COVID stats as of 3/18 at 10:00 a.m.

Y2blSVtDl8cm22KmZjk4ltElWBz-XsMuiR_J1QwMkNQkOZxBxyAYkznvqYA1Zg_q7PI-patp-e8y_ZcKyog3xcxo7-fC9Mr6qvyn_vzlfbtBfqbiJ92X1fVjcT0=s0-d-e1-ft


66 known cases - up from 40 yesterday, largely because of 15 Duke students who had just returned from Europe.

Counties: Wake: 17, Durham: 12, Mecklenburg: 14, Harnett: 4, Chatham: 3, Forsyth: 2, Johnston: 2, Brunswick: 1, Cabarrus: 1, Craven: 1, Guilford: 1, Iredell: 1, Lincoln: 1, Sampson: 1, Wayne: 1, Wilson: 1, Onslow: 1, Watauga: 1

430 tests have been completed at state lab, which currently has capacity for another 1,250 tests.

At least 1,420 tests have been completed by non-state labs (hospitals and commercial labs). Total capacity there is unknown, but reported to be much higher than state capacity.

*********************************

Talk soon,


HR8ggYmdQ1tuUlR7Jhc3ooJMpSI0AgMY-9xeudEMID76e61y6CCcK5Urc7PEnrFni-pAh8EOVN7RefhyJP82OQkLmB2g4V78_FZvYsY0ONG8GgpAi0oXQ_tDzWl83p0=s0-d-e1-ft


Jeff Jackson

N.C. Senate
District 37 - Mecklenburg
 
mj1angier said:
View attachment 197383

This is math...it look bad
Click to expand...
It does look awful, especially the exponential model we hear so much about, and yet that didn't happen (maybe just hasn't happened yet?) in China. Yes, they went full totalitarian in Wuhan but they also don't have a lot of our advantages in sanitary food and water systems, quality of medical care, etc.

This article tells the story of scientist Micheal Levitt, who recently explained why the exponential model isn't valid and is credited with accurately predicting the infection profile in Wuhan.

https://www.americanthinker.com/blo...er_talks_about_coronavirus_people_listen.html

Makes sense to me, but I will gladly admit that I'm inclined to see confirmation of my hope that we need to fear an economy-killing panic more than the medical impact of this virus.
 
DurhamDad said:
It does look awful, especially the exponential model we hear so much about, and yet that didn't happen (maybe just hasn't happened yet?) in China
Click to expand...
See the following. Watch the first three minutes. At about the three minute mark the date versus cases in China is shown and it is an exponential curve until suddenly they said, "nope, no more (or very few) new cases" which is not believable. The exponential growth curve, however, does fit.

 
DurhamDad said:
It does look awful, especially the exponential model we hear so much about, and yet that didn't happen (maybe just hasn't happened yet?) in China. Yes, they went full totalitarian in Wuhan but they also don't have a lot of our advantages in sanitary food and water systems, quality of medical care, etc.

This article tells the story of scientist Micheal Levitt, who recently explained why the exponential model isn't valid and is credited with accurately predicting the infection profile in Wuhan.

https://www.americanthinker.com/blo...er_talks_about_coronavirus_people_listen.html

Makes sense to me, but I will gladly admit that I'm inclined to see confirmation of my hope that we need to fear an economy-killing panic more than the medical impact of this virus.
Click to expand...

Yes the model only works to a certain time frame out.
Here is link to the interview with Micheal Levitt- https://www.calcalistech.com/ctech/articles/0,7340,L-3800632,00.html
Some of his thoughts don't hold out :
The explosion of cases in Italy is worrying, Levitt said, but he estimates it is a result of a higher percentage of elderly people than in China, France, or Spain. France and Spain are getting close to the same number of infection % now as Italy. Almost all the info out of China is doctored. If you believe China info, it has completely stopped. Also Italy and France are reporting that 20-40 year olds are being hit hard too.
China did great work and managed to gain complete control of the virus, Levitt said. “Currently, I am most worried about the U.S. It must isolate as many people as possible to buy time for preparations. Otherwise, it can end up in a situation where 20,000 infected people will descend on the nearest hospital at the same time and the healthcare system will collapse. If true its because they did full lock down. Never going to happen in the USA. Too many elections and too much money to lose.

I hope he is right, but just don't see it.
 
Brian K said:
This just came out from the office of Rep Jackson....


New COVID Testing Problem

The first shortage was test kits.

The second shortage was extraction kits, which are needed to extract the RNA that gets tested.

The new shortage is masks, gloves, and gowns for medical personnel (PPE - personal protective equipment).

As it turns out, this *directly* impacts COVID testing. You can't do a COVID test without this protective equipment because we cannot risk our medical personnel getting sick and in North Carolina - as in other states - we're running low on the equipment they need to stay safe.

The shortage is so severe that it may result in a modification of the eligibility criteria for who qualifies for a COVID test in order to ensure that there's enough testing capacity for higher-risk populations. DHHS is currently reviewing guidance to ensure we have maximum testing coverage given our resource constraint.

Shelter in place

The Mecklenburg county health director has stated that it's possible that our county will soon be told to shelter in place. There was no timeline or probability offered - just a caution to our folks so that they can take that possibility seriously starting now.

Mecklenburg's public health director does have the independent legal authority to call for our county to shelter in place. The state's approval would not be necessary.

More test kits

Mecklenburg is now contracting directly with LabCorp because we were only getting a few test kits per day from the state (which, in turn, is only getting a small number from the CDC). We asked the state for more, they told us to try and buy some directly from LabCorp, so that's what we're doing.

Community spread

Still no documented community spread, although most believe it is likely occurring. Estimates on the rate of possible community spread vary wildly. We are forming policy based on the assumption it is occurring.

Day care

Guidance on day care and child care centers is coming from the state this week.

*********************************

NC COVID stats as of 3/18 at 10:00 a.m.

Y2blSVtDl8cm22KmZjk4ltElWBz-XsMuiR_J1QwMkNQkOZxBxyAYkznvqYA1Zg_q7PI-patp-e8y_ZcKyog3xcxo7-fC9Mr6qvyn_vzlfbtBfqbiJ92X1fVjcT0=s0-d-e1-ft


66 known cases - up from 40 yesterday, largely because of 15 Duke students who had just returned from Europe.

Counties: Wake: 17, Durham: 12, Mecklenburg: 14, Harnett: 4, Chatham: 3, Forsyth: 2, Johnston: 2, Brunswick: 1, Cabarrus: 1, Craven: 1, Guilford: 1, Iredell: 1, Lincoln: 1, Sampson: 1, Wayne: 1, Wilson: 1, Onslow: 1, Watauga: 1

430 tests have been completed at state lab, which currently has capacity for another 1,250 tests.

At least 1,420 tests have been completed by non-state labs (hospitals and commercial labs). Total capacity there is unknown, but reported to be much higher than state capacity.

*********************************

Talk soon,


HR8ggYmdQ1tuUlR7Jhc3ooJMpSI0AgMY-9xeudEMID76e61y6CCcK5Urc7PEnrFni-pAh8EOVN7RefhyJP82OQkLmB2g4V78_FZvYsY0ONG8GgpAi0oXQ_tDzWl83p0=s0-d-e1-ft


Jeff Jackson

N.C. Senate
District 37 - Mecklenburg
Click to expand...


Yeah.... I am not a fan of politicians....

Literally, listening to the fiasco of the Governor's Daily Briefing with his Press Secretary 90 minutes ago...

Press Secretary: The State Labs are only processing 66 tests a day....

Journalist: You said that you could process 150 tests a day. Why are you half of what you said you could do?

Press Secretary: Well, to be honest, once all the Labs, Hospitals and Universities have ramped up, we just do not have a backlog. And we turn these tests around in 1 day. So we have room and we are expanding that just in case.

Journalist: So why are there not more tests requests?

Press Secretary: Well... we just have not had the requests... Medical Teams are following the CDC and Guidelines. I don't know.

I have a guess why... but I'll wait a few more weeks before I say it.
 
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