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The Gonzo Lounge>***NON-POLITICAL COVID-19 Discussion Thread***
JakeF 10:28 PM 02-26-2020
A couple of reminders...

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!

[Reply]
Sure-Oz 12:04 PM 09-14-2021
Originally Posted by suzzer99:
Hep B is 2nd shot at 1-2 months, then 3rd shot at 4-6 months, then you're good for 10 years.
Ahh...would be cool to have that for this. I wonder if the booster would help note with variants? I assume they are still trying to figure that out.
[Reply]
DaFace 03:27 PM 09-14-2021
Originally Posted by Pitt Gorilla:
The CDC has always been reasonable.
You believe that. I believe that. But there are plenty of people who don't. Them pushing back against "the man" a bit would potentially bring them some credibility.

I'm obviously not saying that they should do so for the sake of being combative, but if the data doesn't say we need boosters, we shouldn't be doing them, and that's about all there is to it.
[Reply]
dirk digler 03:59 PM 09-14-2021
Lots of data coming out today about boosters and waning immunity especially for those 65 and older. Since I got the Pfizer vaccine in late December\early January I am probably going to get one even though I am not that old. :-)

Key summary graphic
Israeli data for >1 million people, age ≥60 for unvaccinated, vaccinated 2-doses, and + booster: cases, severe disease, and deaths
from https://t.co/sHIdPmHZnD pic.twitter.com/iRI7YEaIuD

— Eric Topol (@EricTopol) September 14, 2021

[Reply]
dirk digler 04:01 PM 09-14-2021

2. Effectiveness (VE) vs symptomatic infection over time and, in age 80+, difference dose in spacing (<4 weeks vs 8+ weeks)
Note for AZ drop in VE is to < 50% at >5 months pic.twitter.com/fPERx8GmHT

— Eric Topol (@EricTopol) September 14, 2021

[Reply]
Chief Pagan 08:45 PM 09-14-2021
Originally Posted by carlos3652:
There is an article in the Atlantic stating that 50-58% of hospitalizations since January 2021 have been mild to asymptomatic cases, meaning only 1/2 of the numbers of hospitalizations were true issues (94 oxygen or lower) on admission.

Compare that to 38% pre delta, it looks like hospitalization numbers are not as bad this go around (even though there are more people getting checked in)

Makes sense considering they didnít allow elective surgeries or people who were not showing severe symptoms into hospitals in 2020.
I guess? If they aren't true issues I don't see why ICUs are overflowing in some areas.

:-)

Covid Hospitalizations Hit Crisis Levels in Southern I.C.U.s
By Charlie SmartSept. 14, 2021

Hospitals in the southern United States are running dangerously low on space in intensive care units, as the Delta variant has led to spikes in coronavirus cases not seen since last yearís deadly winter wave.

One in four hospitals now reports more than 95 percent of I.C.U. beds occupied ó up from one in five last month. Experts say it can become difficult to maintain standards of care for the sickest patients in hospitals where all or nearly all I.C.U. beds are occupied.

In June, when Covid-19 cases were at their lowest level, less than one in 10 hospitals had dangerously high occupancy rates.

In Alabama, all I.C.U. beds are currently occupied. In recent days, dozens of patients in the state have needed beds that were not available, according to data published by the Department of Health and Human Services.

ďIt means theyíre in the waiting room, some are in the back of ambulances, things of that nature,Ē said Jeannie Gaines, a spokesperson for the Alabama Hospital Association.

In Texas, 169 hospitals have I.C.U.s that are more than 95 percent full, up from 69 in June. There are only about 700 intensive care beds remaining across the entire state, according to recent data.

Hospitals in Houston constructed overflow tents last month to handle the influx of patients, and the rate of hospitalizations in the state is now 40 percent higher than when the tents were built.


https://www.nytimes.com/interactive/...icu-south.html
[Reply]
carlos3652 08:52 PM 09-14-2021
Originally Posted by Chief Pagan:
I guess? If they aren't true issues I don't see why ICUs are overflowing in some areas.

:-)

Covid Hospitalizations Hit Crisis Levels in Southern I.C.U.s
By Charlie SmartSept. 14, 2021

Hospitals in the southern United States are running dangerously low on space in intensive care units, as the Delta variant has led to spikes in coronavirus cases not seen since last yearís deadly winter wave.

One in four hospitals now reports more than 95 percent of I.C.U. beds occupied ó up from one in five last month. Experts say it can become difficult to maintain standards of care for the sickest patients in hospitals where all or nearly all I.C.U. beds are occupied.

In June, when Covid-19 cases were at their lowest level, less than one in 10 hospitals had dangerously high occupancy rates.

In Alabama, all I.C.U. beds are currently occupied. In recent days, dozens of patients in the state have needed beds that were not available, according to data published by the Department of Health and Human Services.

ďIt means theyíre in the waiting room, some are in the back of ambulances, things of that nature,Ē said Jeannie Gaines, a spokesperson for the Alabama Hospital Association.

In Texas, 169 hospitals have I.C.U.s that are more than 95 percent full, up from 69 in June. There are only about 700 intensive care beds remaining across the entire state, according to recent data.

Hospitals in Houston constructed overflow tents last month to handle the influx of patients, and the rate of hospitalizations in the state is now 40 percent higher than when the tents were built.


https://www.nytimes.com/interactive/...icu-south.html

You realize that ICUís at almost max capacity is exactly where hospitals want to be right? Thatís what they budget for and where they make max profits.

The problem is when they donít plan enough because they were told the vaccine would prevent transmission at a higher rate (because it did pre delta) and they didnít stop elective surgeries.

They are also taking in people into the ICU for issues non covid - but if they asymptomatic they still count towards their numbers.

In a wreck, but test positive with no symptoms - covid in icu.
Took a gunshot wound, but test positive with no symptoms - covid in icu

Almost 60% of the hospitalizations are mild to asymptomatic- think about it for a second
[Reply]
'Hamas' Jenkins 09:10 PM 09-14-2021
Originally Posted by carlos3652:
You realize that ICUís at almost max capacity is exactly where hospitals want to be right? Thatís what they budget for and where they make max profits.

The problem is when they donít plan enough because they were told the vaccine would prevent transmission at a higher rate (because it did pre delta) and they didnít stop elective surgeries.

They are also taking in people into the ICU for issues non covid - but if they asymptomatic they still count towards their numbers.

In a wreck, but test positive with no symptoms - covid in icu.
Took a gunshot wound, but test positive with no symptoms - covid in icu

Almost 60% of the hospitalizations are mild to asymptomatic- think about it for a second
Hospitals don't budget for max capacity because they don't have the staff to handle that kind of patient volume for very long at all. Nursing shortages are at critical levels. I know for a fact of hospital systems that have falsely reported the acuteness of their patients so that they can run with staffing levels that their regulations do not allow them to do. Also, ICU cases are not necessarily profitable in-and-of themselves. If you have people that are self pay or have catastrophic coverage they are still going to be given treatment in line with the severity of their illness. The biggest place where I've seen discussions regarding coverage come into play is placement for people after their acute illness is over--whether insurance will pay for inpatient rehab vs. a nursing home, for example.

COVID isn't necessarily a boon for the budget, either. As a quick example, CMS only reimburses a hospital $500 for a monoclonal infusion.
[Reply]
carlos3652 10:05 PM 09-14-2021
Originally Posted by 'Hamas' Jenkins:
Hospitals don't budget for max capacity because they don't have the staff to handle that kind of patient volume for very long at all. Nursing shortages are at critical levels. I know for a fact of hospital systems that have falsely reported the acuteness of their patients so that they can run with staffing levels that their regulations do not allow them to do. Also, ICU cases are not necessarily profitable in-and-of themselves. If you have people that are self pay or have catastrophic coverage they are still going to be given treatment in line with the severity of their illness. The biggest place where I've seen discussions regarding coverage come into play is placement for people after their acute illness is over--whether insurance will pay for inpatient rehab vs. a nursing home, for example.

COVID isn't necessarily a boon for the budget, either. As a quick example, CMS only reimburses a hospital $500 for a monoclonal infusion.
I agree staffing is a bitch right now. Burnout and Layoffs because of shor mandates donít help.

Iím not a health care expert. I just posted an Atlantic article that stated almost 60% of hospitalizations are mild to asymptomatic. Twice as much as it was pre delta and why numbers were at an all time high.

Remember when you couldnít even go to the hospital or take a covid test unless you had severe symptoms last year? Remember when they canceled all elective surgeries? Told people to stay home unless you were dying?

Well they didnít do that this year based on information given to them by the CDC. They werenít prepared, they didnít plan or budget accordingly because they believed the worst was behind them.

Iím not blaming hospitals for this mess. Just trying to bring perspective to the notion that I think it was a perfect storm and more than half of the patients in hospitals are not in bad shape AT ALL from Covid.

Cases are going down, hospitalizations are going down, hopefully deaths also. Hoping the next wave is not as bad.
[Reply]
suzzer99 10:25 PM 09-14-2021
Originally Posted by 'Hamas' Jenkins:
COVID isn't necessarily a boon for the budget, either. As a quick example, CMS only reimburses a hospital $500 for a monoclonal infusion.
Meanwhile my friend just got a single infusion of a drug called Solaris for an auto-immune disease that cost $78k.
[Reply]
lawrenceRaider 06:36 AM 09-15-2021
Originally Posted by suzzer99:
Meanwhile my friend just got a single infusion of a drug called Solaris for an auto-immune disease that cost $78k.
That's just retarded, unless it actually cures the disease.
[Reply]
Monticore 06:59 AM 09-15-2021
Originally Posted by carlos3652:
I agree staffing is a bitch right now. Burnout and Layoffs because of shor mandates donít help.

Iím not a health care expert. I just posted an Atlantic article that stated almost 60% of hospitalizations are mild to asymptomatic. Twice as much as it was pre delta and why numbers were at an all time high.

Remember when you couldnít even go to the hospital or take a covid test unless you had severe symptoms last year? Remember when they canceled all elective surgeries? Told people to stay home unless you were dying?

Well they didnít do that this year based on information given to them by the CDC. They werenít prepared, they didnít plan or budget accordingly because they believed the worst was behind them.

Iím not blaming hospitals for this mess. Just trying to bring perspective to the notion that I think it was a perfect storm and more than half of the patients in hospitals are not in bad shape AT ALL from Covid.

Cases are going down, hospitalizations are going down, hopefully deaths also. Hoping the next wave is not as bad.
In Canada and I assume a lot of other countries having empty beds is better financially for the institution, our ICUs/hospitals have had similar struggles with delta , your are not getting admitted unless you need it you hospitals normally don't have the spare beds for that.
[Reply]
Monticore 07:03 AM 09-15-2021
Originally Posted by lawrenceRaider:
That's just retarded, unless it actually cures the disease.
Drugs are expensive it's crazy, the RSV vaccine is 1500$(in Canada) per shot/month x 10 months, I didn't even know there even was one for RSV probably because it's not covered and not many people can afford that I guess.
[Reply]
IA_Chiefs_fan 08:35 AM 09-15-2021
Originally Posted by suzzer99:
Meanwhile my friend just got a single infusion of a drug called Solaris for an auto-immune disease that cost $78k.
That's terrible! I hope your friend has good health insurance.
[Reply]
Chiefnj2 08:41 AM 09-15-2021
Originally Posted by dirk digler:
Lots of data coming out today about boosters and waning immunity especially for those 65 and older. Since I got the Pfizer vaccine in late December\early January I am probably going to get one even though I am not that old. :-)

So, less than 10 daily severe cases per 100,000 for those over 60 with two doses? Iím not seeing the strong need for a booster that the media is pushing.
[Reply]
Monticore 08:51 AM 09-15-2021
Originally Posted by lawrenceRaider:
That's just retarded, unless it actually cures the disease.
don't think it does .


Soliris was originally approved to treat two blood disorders affecting about 180 Canadians ó paroxysmal nocturnal hemoglobinuria and atypical hemolytic uremic syndrome (aHUS) ó with the list price in Canada for a year of treatment ranging from $500,000 to $700,000.

sound like drug is needed to stay alive, not sure if there are alternative or if its covered , thank god they seem rare.
[Reply]
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