Originally Posted by Bwana:
Once again, don't come in this thread with some kind of political agenda, or you will be shown the door. If you want to go that route, there is a thread about this in DC.
Originally Posted by Dartgod:
People, there is a lot of good information in this thread, let's try to keep the petty bickering to a minimum.
We all have varying opinions about the impact of this, the numbers, etc. We will all never agree with each other. But we can all keep it civil.
Thanks!
Click here for the original OP:
Spoiler!
Apparently the CoronaVirus can survive on a inanimate objects, such as door knobs, for 9 days.
California coronavirus case could be first spread within U.S. community, CDC says
By SOUMYA KARLAMANGLA, JACLYN COSGROVE
FEB. 26, 2020 8:04 PM
The Centers for Disease Control and Prevention is investigating what could be the first case of novel coronavirus in the United States involving a patient in California who neither recently traveled out of the country nor was in contact with someone who did.
“At this time, the patient’s exposure is unknown. It’s possible this could be an instance of community spread of COVID-19, which would be the first time this has happened in the United States,” the CDC said in a statement. “Community spread means spread of an illness for which the source of infection is unknown. It’s also possible, however, that the patient may have been exposed to a returned traveler who was infected.”
The individual is a resident of Solano County and is receiving medical care in Sacramento County, according to the state Department of Public Health.
The CDC said the “case was detected through the U.S. public health system — picked up by astute clinicians.”
Officials at UC Davis Medical Center expanded on what the federal agency might have meant by that in an email sent Wednesday, as reported by the Davis Enterprise newspaper.
The patient arrived at UC Davis Medical Center from another hospital Feb. 19 and “had already been intubated, was on a ventilator, and given droplet protection orders because of an undiagnosed and suspected viral condition,” according to an email sent by UC Davis officials that was obtained by the Davis Enterprise.
The staff at UC Davis requested COVID-19 testing by the CDC, but because the patient didn’t fit the CDC’s existing criteria for the virus, a test wasn’t immediately administered, according to the email. The CDC then ordered the test Sunday, and results were announced Wednesday. Hospital administrators reportedly said in the email that despite these issues, there has been minimal exposure at the hospital because of safety protocols they have in place.
A UC Davis Health spokesperson declined Wednesday evening to share the email with The Times.
Since Feb. 2, more than 8,400 returning travelers from China have entered California, according to the state health department. They have been advised to self-quarantine for 14 days and limit interactions with others as much as possible, officials said.
“This is a new virus, and while we are still learning about it, there is a lot we already know,” Dr. Sonia Angell, director of the California Department of Public Health, said in a statement. “We have been anticipating the potential for such a case in the U.S., and given our close familial, social and business relationships with China, it is not unexpected that the first case in the U.S. would be in California.”
It is not clear how the person became infected, but public health workers could not identify any contacts with people who had traveled to China or other areas where the virus is widespread. That raises concern that the virus is spreading in the United States, creating a challenge for public health officials, experts say.
“It’s the first signal that we could be having silent transmission in the community,” said Lawrence Gostin, director of the World Health Organization Collaborating Center on National and Global Health Law. “It probably means there are many more cases out there, and it probably means this individual has infected others, and now it’s a race to try to find out who that person has infected.”
On Tuesday, the CDC offered its most serious warning to date that the United States should expect and prepare for the coronavirus to become a more widespread health issue.
“Ultimately, we expect we will see coronavirus spread in this country,” said Nancy Messonnier, director of the CDC’s National Center for Immunization and Respiratory Diseases. “It’s not so much a question of if, but a question of when.”
According to the CDC’s latest count Wednesday morning, 59 U.S. residents have tested positive for the new strain of coronavirus — 42 of whom are repatriated citizens from a Diamond Princess cruise. That number has grown by two since Messonnier’s last count Tuesday, although the CDC was not immediately available to offer details on the additional cases.
More than 82,000 cases of coronavirus have been reported globally, and more than 2,700 people have died, with the majority in mainland China, the epicenter of the outbreak.
But public health leaders have repeatedly reminded residents that the health risk from the novel coronavirus to the general public remains low.
“While COVID-19 has a high transmission rate, it has a low mortality rate,” the state Department of Public Health said in a statement Wednesday. “From the international data we have, of those who have tested positive for COVID-19, approximately 80% do not exhibit symptoms that would require hospitalization. There have been no confirmed deaths related to COVID-19 in the United States to date.”
CDC officials have also warned that although the virus is likely to spread in U.S. communities, the flu still poses a greater risk.
Gostin said the news of potential silent transmission does not eliminate the possibility of containing the virus in the U.S. and preventing an outbreak.
“There are few enough cases that we should at least try,” he said. “Most of us are not optimistic that that will be successful, but we’re still in the position to try.”
Originally Posted by petegz28:
WTF do you think is so funny? The fact this doctor and his staff have saved lives? Or perhaps you can tell us what the doctor said that was wrong?
I watched the video. He doesn't say anything novel, nor does he mention a protocol. He says he treats each patient individually. Okay, that's not earth-shattering. We all learn to treat the patient and not just the lab values fairly early in our clinical education. He mentions cytokine storm, which has been known for months. I do think what he says about intervening earlier is worth listening to, but that will also increase hospitalization substantially, because you'll need to watch that subset closer to see who develops additional inflammatory markers.
Physicians have had protocols for identifying and treating cytokine storm for weeks and weeks. The easiest way is to test serum ferritin levels. There are also treatments for cytokine storm, including tocilizumab, but they are not perfect. I do find his claim that no patients under his care have died to be dubious, especially given the number of patients he claims to take care of. I don't really understand the purpose of a clinician coming on a show to talk about how their treatment saves lives without outlining plans of treatments or where other clinicians could access them.
And regarding those two physicians in California--they are quacks. Claiming that their sample was representative requires either stupidity or mendacity that are both disqualifying of a medical license. [Reply]
Originally Posted by jaa1025:
Today I learned that one of the retirement centers outside of JOCO is being forced to take positive COVID-19 patients. The hospitals have room but this apparently has something to do with Medicare funding. My coworker's wife works at the retirement center. This is asinine considering the elderly are the highest risks. Has anyone else heard of this happening at other similar places?
Yes, it is happening all over the country. I dont' think it's especially wise in this case, but it's pretty much standard protocol for elderly patients.
In a multidisciplinary rounds setting, once a patient stabilizes and is turning the corner social work begins working on placement. Once PT and OT sign off that the patient has a certain baseline level of function, they turf them to an outside facility, whether a rehab center, skilled nursing facility (called a "sniff"), or even home. Placement can be a pain in the ass. I'm glad I never had to deal with it. [Reply]
Originally Posted by 'Hamas' Jenkins:
I watched the video. He doesn't say anything novel, nor does he mention a protocol. He says he treats each patient individually. Okay, that's not earth-shattering. We all learn to treat the patient and not just the lab values fairly early in our clinical education. He mentions cytokine storm, which has been known for months. I do think what he says about intervening earlier is worth listening to, but that will also increase hospitalization substantially, because you'll need to watch that subset closer to see who develops additional inflammatory markers.
Physicians have had protocols for identifying and treating cytokine storm for weeks and weeks. The easiest way is to test serum ferritin levels. There are also treatments for cytokine storm, including tocilizumab, but they are not perfect. I do find his claim that no patients under his care have died to be dubious, especially given the number of patients he claims to take care of. I don't really understand the purpose of a clinician coming on a show to talk about how their treatment saves lives without outlining plans of treatments or where other clinicians could access them.
And regarding those two physicians in California--they are quacks. Claiming that their sample was representative requires either stupidity or mendacity that are both disqualifying of a medical license.
Originally Posted by OnTheWarpath15:
1.) Glenn Beck's show
2.) You felt the need to follow up saying "but it's not political".
3.) 30 seconds in Beck says "thanks for having the courage to come on and say what some people don't want to hear."
Sounds political to me.
The host does try to lead him a little but he kinda of brushes it a trying to be polite, I didn't see where he talks about this other guys.
But the part about suppressing the immune system to fight off the storm is similar to how they treat lupus and RA (autoimmune disease)and why HCQ was being tried maybe I am wrong Hamas will correct me lol. [Reply]
Originally Posted by 'Hamas' Jenkins:
I watched the video. He doesn't say anything novel, nor does he mention a protocol. He says he treats each patient individually. Okay, that's not earth-shattering. We all learn to treat the patient and not just the lab values fairly early in our clinical education. He mentions cytokine storm, which has been known for months. I do think what he says about intervening earlier is worth listening to, but that will also increase hospitalization substantially, because you'll need to watch that subset closer to see who develops additional inflammatory markers.
Physicians have had protocols for identifying and treating cytokine storm for weeks and weeks. The easiest way is to test serum ferritin levels. There are also treatments for cytokine storm, including tocilizumab, but they are not perfect. I do find his claim that no patients under his care have died to be dubious, especially given the number of patients he claims to take care of. I don't really understand the purpose of a clinician coming on a show to talk about how their treatment saves lives without outlining plans of treatments or where other clinicians could access them.
And regarding those two physicians in California--they are quacks. Claiming that their sample was representative requires either stupidity or mendacity that are both disqualifying of a medical license.
Word for word nailed it. That entire segment was a zero on the Richter scale. [Reply]
Originally Posted by Monticore:
The host does try to lead him a little but he kinda of brushes it a trying to be polite, I didn't see where he talks about this other guys.
But the part about suppressing the immune system to fight off the storm is similar to how they treat lupus and RA (autoimmune disease)and why HCQ was being tried maybe I am wrong Hamas will correct me lol.
You're an A student, bro.
HCQ was also tried because it raises the pH of certain organelles, which in theory can make viral entry more difficult, but it does have immunomodulatory effects too. [Reply]
Originally Posted by 'Hamas' Jenkins:
You're an A student, bro.
HCQ was also tried because it raises the pH of certain organelles, which in theory can make viral entry more difficult, but it does have immunomodulatory effects too.
Maybe my wife sexually transmitted me some her knowledge , I am pretty sure that's how it works. shit I think I just lost my A. [Reply]
Originally Posted by 'Hamas' Jenkins:
You're an A student, bro.
HCQ was also tried because it raises the pH of certain organelles, which in theory can make viral entry more difficult, but it does have immunomodulatory effects too.
ya knew there was more to it than that but was trying to dumb it down for myself. [Reply]
Originally Posted by petegz28:
Did you actually listen to it? There was nothing political. The words Democrats nor Republicans ever got mentioned let alone anything else.
Perhaps you should have listened to it instead of thinking you knew something about it?