COVID-19 Pandemic (Coronavirus)

[old soul]

Got it, good looks. What I'm seeing on my end is class triage through the community wide screening and testing process. Those that are most at risk live in housing complexes, don't drive, are homeless, have health risk factors, or some combination thereof. The shelters are on lock down and some of the homeless are staying in abandoned houses together. One person gets it, spreads it in close conditions, spreads it to a frontline care provider if they manage to make it to a hospital, or the person handing them change, or serving them food, etc. It can and will spread and I don't know how well contact tracing will go with some of these high need, low resourced, high distrust folks. It's got a Katrina feel, like we'll be finding pockets of the dead all over the country, especially in areas that have made physical access to testing and care inaccessible. Sorry for the venting/pressured text, feeling powerless.

Can’t really speak about the nation as a whole, but the short answer would be I suspect they get reported but there is a delay in them getting added to the count.

at least for patients who get tested in the hospital but then go home, when people die at home there is a whole process that involves the coroner, completing death certificates, notifying hospitals where the patient was recently seen, etc. So during that process hospitals get notified so that medical records can be updated to reflect that someone has died. not just in this instance With covid19 but under even normal circumstances. It doesn’t happen immediately though.

now for people who got tested out in the community and never came to a hospital, the process is likely similar. We collect info on people who get tested for epidemiological purposes (tracking cases in counties, to avoid counting duplicate results as unique cases, etc). All this gets forwarded to health department and included in reports that we have been following. If these patients die at home, I suspect a similar process from above happens. Maybe slower, maybe faster. Not sure.

for people who die at home and never get tested, even if suspicion for covid19 I assume they don’t get counted at all since it wasn’t confirmed.

 

[---]

Got word that one of my coworkers died from Covid this evening.

He has been on a ventilator for about 10 days and they didnt test him until he was so bad he needed intubation. He was in the hospital for about a week before that.

RIP

Rip

Was he a younger cat?

 

[---]

I'm starting to think that this outbreak at some point has turned into bio terrorism..

Explain?

 

[NO-BadAzz]

I'm starting to think that this outbreak at some point has turned into bio terrorism..

TMZ posted that LA Market, why would they do that, knowing that it was not an accurate post, or dated picture if I read that correctly

A virus is really taking people out like this?? I don't wanna be that guy, but a virus is really taking folks out like this??

 

[satam55]

 

[Hiesenberg]

Rip

Was he a younger cat?

No, he was around 60 with some issues, but nothid debilitating that you think would kill you...

 

[satam55]

Big Pharma

 

[eXodus]

Thanks, i thought it was interesting and the best news as well, thst Drs are questioning the treatment of it for ARDS

here’s another video



go to the 1:02 mark towards the end, he goes into details on taking care of a patient they wanted to intubate but she refused

Hmmm ,perhaps that could explain why things are either getting better quickly or getting worse quickly when using advanced respiratory supports?
The use of vents have been FAR less effective when compared to use in patients with other forms of viral pneumonia.. going from a 78% success rate to 50/50



peep 3:42

 

[BlackMamba824]

what’s your take on it?

this thread is really interesting, in the replies it’s mostly all drs talking about it

Interesting concept I guess. But I would add that typically with high altitude pulmonary edema (HAPE), descent from elevation (not applicable here), supplemental oxygen and rest are the mainstays of management and you see improvement in the oxygen levels fairly quickly. At least in this clip, the patient is on HFNC and her sats are in the 50s which would suggest she hasn’t responded. So Im not sure think that explains everything. Also with any non-invasive ventilation (bipap, cpap, hfnc) there is concern for aerosolization of viral particles

 

[Dr. Acula]

to further on this, makes sense why studies show certain blood types are more affected, and why a lot of italians have died, not just because of age but also because a lot of mediterranean’s have blood issues (anemia, sickle cell) and could explain also why a lot of black people are dying in states that are higher percentage of white

seems from evidence and dr talk that this virus is an attack on the blood





a NY ER dr even said we need to change how they intubate patients

I sent this to my mom for her opinion. Because, I wanted to make sure its not quackery and legit from everything being said since I'm not a medical person and can't dissect this stuff as well as she could

She said in regards to this tweet


That this guy is absolutely right. What you do is you always look at the patient and if the "sats" are low but they are responding well, then ignore them and treat the patient not the numbers. Also mentioned that putting the patient in a prone position is the right thing to do and even mentioned they have bed specialized for this purpose.

She also said that this person appears to be young so while she appears to be doing well right now, what you have to watch out for the young people in this position is that they can be humming along and I hope I'm reciting what she said correctly but its like their heartbeat is pumping constantly and fast. The danger is that while being young helps these people survive this type of event there is a danger of all of sudden of them "dropping off a cliff" and crashing. Again I hope I recited that right..


In regard to this video, she said he makes a convincing case and if he is right then ventilating patients is the absolute last thing you want to do. She said she wish he talked about the "Blood gasses" level as that would give more evidence to support what he is seeing. Trying to remember if she said if the pH of the blood is high than this might be further evidence supporting what he is saying. I think she said "high" and not low. Again reciting from memory.

If what this dude is saying is true, then all this lobbying for ventilators is completely misguided.

 

[Ethnic Vagina Finder]

Explain?

 

[BlackMamba824]

I sent this to my mom for her opinion. Because, I wanted to make sure its not quackery and legit from everything being said since I'm not a medical person and can't dissect this stuff as well as she could

She said in regards to this tweet


That this guy is absolutely right. What you do is you always look at the patient and if the "sats" are low but they are responding well, then ignore them and treat the patient not the numbers. Also mentioned that putting the patient in a prone position is the right thing to do and even mentioned they have bed specialized for this purpose.

She also said that this person appears to be young so while she appears to be doing well right now, what you have to watch out for the young people in this position is that they can be humming along and I hope I'm reciting what she said correctly but its like their heartbeat is pumping constantly and fast. The danger is that while being young helps these people survive this type of event there is a danger of all of sudden of them "dropping off a cliff" and crashing. Again I hope I recited that right..


In regard to this video, she said he makes a convincing case and if he is right then ventilating patients is the absolute last thing you want to do. She said she wish he talked about the "Blood gasses" level as that would give more evidence to support what he is seeing. Trying to remember if she said if the pH of the blood is high than this might be further evidence supporting what he is saying. I think she said "high" and not low. Again reciting from memory.

If what this dude is saying is true, then all this lobbying for ventilators is completely misguided.

Not sure it’s quite that simple but agree to an extent. People end up getting intubated And not just for low o2 says but for a number of reasons (respiratory fatigue and impending airway compromise, inability to protect airway/altered mentation, etc) But agree we treat the patient and not just a number. When patients retain too much co2, For instance, their pH drops and that’s also a bad thing and that can sometimes happen gradually. So she was right, people can go down super quick. I can’t say that what he’s saying in this clip applies to every case but certainly some patients would benefit from not being intubated (especially people who have a higher chance of not coming off the vent). agree it’s tough to interpret this without blood gases And more info just looking At the clip.

 

[NotaPAWG]

I sent this to my mom for her opinion. Because, I wanted to make sure its not quackery and legit from everything being said since I'm not a medical person and can't dissect this stuff as well as she could

She said in regards to this tweet


That this guy is absolutely right. What you do is you always look at the patient and if the "sats" are low but they are responding well, then ignore them and treat the patient not the numbers. Also mentioned that putting the patient in a prone position is the right thing to do and even mentioned they have bed specialized for this purpose.

She also said that this person appears to be young so while she appears to be doing well right now, what you have to watch out for the young people in this position is that they can be humming along and I hope I'm reciting what she said correctly but its like their heartbeat is pumping constantly and fast. The danger is that while being young helps these people survive this type of event there is a danger of all of sudden of them "dropping off a cliff" and crashing. Again I hope I recited that right..


In regard to this video, she said he makes a convincing case and if he is right then ventilating patients is the absolute last thing you want to do. She said she wish he talked about the "Blood gasses" level as that would give more evidence to support what he is seeing. Trying to remember if she said if the pH of the blood is high than this might be further evidence supporting what he is saying. I think she said "high" and not low. Again reciting from memory.

If what this dude is saying is true, then all this lobbying for ventilators is completely misguided.

Viruses are pH Sensitive



interesting considering that’s what this article says as well

The simple alkalinization of the blood reduces the cells susceptibility to the virus. The ability of influenza virus to release its genome under different acidic conditions is linked by medical science to the transmission of influenza virus. The threshold pH at which fusion is first observed can vary among different serotypes of membrane protein hemagglutinin (HA) and may correlate with virulence. The acid stability of HA has been linked to the successful transmission of virus between avian and human hosts.

Coronavirus infectivity is actually exquisitely sensitive to pH. The MHV-A59 strain of coronavirus is quite stable at pH 6.0 (acidic) but becomes rapidly and irreversibly inactivated by brief treatment at pH 8.0 (alkaline). Human coronavirus strain 229E is maximally infective at pH 6.0. Infection of cells by coronavirus A59 at pH 6.0 (acidic) rather than pH 7.0 (neutral) yields a tenfold increase in the infectivity of the virus.

Data suggests that the coronavirus IBV employs a direct, low-pH-dependent virus-cell fusion activation reaction. “Fusion of the coronavirus IBV with host cells does not occur at neutral pH and that fusion activation is a low-pH-dependent process, with a half-maximal rate of fusion at pH 5.5. Little or no fusion occurred above a pH of 6.0.”

Raising pH (to an alkaline state) increases the immune system’s ability to kill bacteria, concludes The Royal Free Hospital and School of Medicine in London. The viruses and bacteria which cause bronchitis and colds thrive in an acidic environment. Keeping our pH in the slightly alkaline range of 6.8-7.2 can reduce the risk and lessen the severity of colds, sore throats and bouts of influenza.

 

[NotaPAWG]

Not sure it’s quite that simple but agree to an extent. People end up getting intubated And not just for low o2 says but for a number of reasons (respiratory fatigue and impending airway compromise, inability to protect airway/altered mentation, etc) But agree we treat the patient and not just a number. When patients retain too much co2, For instance, their pH drops and that’s also a bad thing and that can sometimes happen gradually. So she was right, people can go down super quick. I can’t say that what he’s saying in this clip applies to every case but certainly some patients would benefit from not being intubated (especially people who have a higher chance of not coming off the vent). agree it’s tough to interpret this without blood gases And more info just looking At the clip.

do think pH levels and acid-icy in blood can be a contributor like the article i just posted suggests? have drs considered that?

 

[Atlrocafella]

It’s a lot of clout chasing doctors out here.