Corona Virus

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One of my coworkers just got back from Florida from spring break, his observation based on years past is no significant changes or pre-cautions.If it wasnt "in the wild" previously plenty of carriers that have spread out over the US.
 
Medic21 said:
The cdc recommends double gloving in the OR as standard practice. There is A documented failure rate of up to 84% for surgeons.
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Depends on the surgeon and the surgery being performed, Peds are almost always double gloved while eyeballs and such, are generally single gloved for greater dexterity. Scrub nurses generally follow what the surgeon does, Anesthesia almost always single gloves, again depending on the case, and what infectious process the patient has. Scary times, though, my oldest daughter just just volunteered for the RICU they are setting up in anticipation of more Covid cases, not real thrilled about that.
 
I have all my tentative port flushes already scheduled through July, I have to go to infusion monthly to have my Power Port flushed. I also have a refraction exam for tomorrow morning at the hospital (St, Joe's, Ann Arbor). I lost my vision in both my eyes as a result of the heavy doses of Chemo I received last fall a year ago, I survived, lost some parts but being a survivor is a wonderful thing. Problem with Chemo is it impacts everyone differently, depending on the formulation and the dosage. Thanks to modern medicine (and great private healthcare), I now have almost perfect vision but I need to be refracted to see if I might need light corrective lenses, I don't think so but the doctors at St. Joe always want to make sure of everything.

I called to confirm a few hours ago and the scheduler asked me on the phone if I had been out of the country to which I replied no which is standard today but then asked me if I had been out of state (kind of caught me off guard) but I replied no and added that 'I don't have Covid 19 that I know of and she gave out a sigh....

I could have had the port removed. I chose not to. It's my badge of courage. I have it as a reminder of what I went through. Having said that, I sure as hell don't want a repeat performance from cancer or Covid 19 that I prefer to call the Wuhan Flu.

Begreen, you, your son and his girlfriend will be in my prayers tonight. I say a silent prayer every night when I thank the Lord for another day.......

Through all this, my biomass stove keeps chugging along though tomorrow afternoon I need to mix up another load of corn and pellets to feed it. It's always hungry....
 
mcdougy said:
May I ask what her symptoms are?
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High fever last night, respiratory distress. She is high risk with diabetes, hypertension and overweight.
 
begreen said:
GF is heading to the ER, they are not waiting for test results. Son now is masked and considered contagious. This stuff is getting real, fast.
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This thing is moving fast. Dr Osterholm said tonight he feels this will be with us for many months and few will be able to completely avoid it. Called it "a Corona Winter" . Keep us posted BG , were all pulling for you and your family to make through ok.
 
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+1 on my end too. Wife just told me the Mayor of San Francisco locked the city down. Social distancing.... Only essential services. No gatherings, no socializing, nothing. Stay home. Good place to be actually. I'm practicing that myself as well as my wife.
 
Medic21 said:
The restrictions on establishments are already being ignored in my area of Indiana and police have already said they have no authority to do anything about it.
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Yeah, it's usually a civil rather than a criminal violation. Here the County Executive is sending out the Fire Marshall and the Code Enforcement Officers to order temp closings and give fines.
 
I'd like to see a voluntary lock on the stock markets. No point in everyone loosing their butts over something out of their control...
 
An aged population, such as mentioned for Italy, is not necessarily a healthy population. That their health care system kept them alive should not be equated with them having been kept healthy. My dog was kept alive for probably three years longer than he should have been. He was alive, but not healthy. Every time I was ready to pull the plug, I was overridden.
 
Seasoned Oak said:
This thing is moving fast. Dr Osterholm said tonight he feels this will be with us for many months and few will be able to completely avoid it. Called it "a Corona Winter" . Keep us posted BG , were all pulling for you and your family to make through ok.
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Thanks. They have her on a nebulizer. Still not sure if it's the virus. Takes a while for the test results to come back.
 
My wife and I cant work anymore because someone she works with went to FL and got back Sunday night.
 
SidecarFlip said:
+1 on my end too. Wife just told me the Mayor of San Francisco locked the city down. Social distancing.... Only essential services. No gatherings, no socializing, nothing. Stay home. Good place to be actually. I'm practicing that myself as well as my wife.
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And the term “locked down” the news is using is playing into the panic hype. They have no different restrictions than we do here.
 
MTY said:
An aged population, such as mentioned for Italy, is not necessarily a healthy population. That their health care system kept them alive should not be equated with them having been kept healthy. My dog was kept alive for probably three years longer than he should have been. He was alive, but not healthy. Every time I was ready to pull the plug, I was overridden.
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That is pretty crass on your part. A canine is a bit different that a human in my view and I bet you don't have it yet. I say yet because if and when you contract it and if you get really bad, you want a medical professional to decide if you live or expire? I don't believe you do.

Lots of people in this country have pre existing conditions that make them at risk, both young and old. Our health system as well as the hypocratic oath centers on the continuance of life, not ending it.
 
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If people used their heads for something other than to space their ears apart, we would be much better off. As it is, 'people' will have to be forced by external means because somewhere between those 2 ears, the message is lost.
 
SidecarFlip said:
Way more pronounced in the east and west coasts than here in the Midwest states, in fact West Virginia has no confirmed cases yet. I suspect that will all change
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Yea it has been slower to spread to here. School shutdowns are beginning to go into effect everywhere here now though. My daughter is out until at least the first of April starting after today. The governor declared a state of emergency to release funds to help combat it and even daycares are closing. It's going to be hard on folks around here that's for sure.
 
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Grizzerbear said:
Yea it has been slower to spread to here. School shutdowns are beginning to go into effect everywhere here now though. My daughter is out until at least the first of April starting after today. The governor declared a state of emergency to release funds to help combat it and even daycares are closing. It's going to be hard on folks around here that's for sure.
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Financial hardship or personal hardship is better than permanent hardship... death. Nothing comes free, everything in life has a price, including life itself.
 
SidecarFlip said:
That is pretty crass on your part. A canine is a bit different that a human in my view and I bet you don't have it yet. I say yet because if and when you contract it and if you get really bad, you want a medical professional to decide if you live or expire? I don't believe you do.

Lots of people in this country have pre existing conditions that make them at risk, both young and old. Our health system as well as the hypocratic oath centers on the continuance of life, not ending it.
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A dog is not a human like you said, and it's up to us to know when it is time to have it's life end. We had a German Shepherd that had bad hip dysplasia, and then developed Degenerative Myopathy , she was blind and couldn't control her bowels. It was up to us, as her caregivers to make the decision to put her out of her misery.

In humans, that is why it is so important to have an Advanced Directive on file, so your family knows your wishes, should you not be able to communicate. That way your family is making the decisions and not the Dr's.
 
SidecarFlip said:
Financial hardship or personal hardship is better than permanent hardship... death. Nothing comes free, everything in life has a price, including life itself.
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O I agree. I actually don't understand why they have waited this long and to me two weeks of school closings is not going to be long enough.
 
Medic21 said:
We have a long way to go to equal 80 million plus infected with over 12,000 deaths back in 2009.

Calm down, be proactive with your life how you see fit, and go on.

I’m not buying into the fear side of it and I’m one that will be on the very front line of this. I’ve been getting my ass kicked already with 911 calls because of it. The general population is being stupid, the media is being stupid, the experts in the media are paid to sensationalize this, the government is overreaching and overreacting.

Italy’s population, before you mention it, is 18 years older and the average age of death is 80.2. This is expected and will continue. They have nowhere the ability of healthcare we have in the US with beds and hospitals.

Ive worked in healthcare for 25 years plus now, same with my NP wife. We are not going to make huge changes because we understand what this is. This isn’t close to the first Pandemic either on of us has worked through. This is not the first Coronavirus to come out of the region. We will get through this.
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Italy actually has 20% more beds, per capita.
 
bfitz3 said:
Italy actually has 20% more beds, per capita.
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2.8/1000 vs 3.2/1000 with 60 million vs 325 million in population is way fewer beds available. Not to mention no country has the number of ICU beds we have or the ability to move as many patients around the country as easily as we do.

It is a breeze with all the transport rescources we have to move pts from a highly impacted area to a less impacted area for thoseICU beds. I take transfers daily that Italian Paramedics are not allowed to because we have advanced or healthcare and EMS systems way beyond most countries.
 
mcdougy said:
https://www.cbc.ca/news/coronavirus-italy-1.5498650
Another set of reasons why Italy is being hit so hard.
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Iv read few stories of how China is quite entrenched in italy. And other countries dealing with a high level of debt like greece buying up business and assets at fire sale prices. For the most part only trusting chinese nationals to run these business ,so a lot of back and forth travelers exacerbating the spread of the virus. Shows theres a price to be paid in more ways than one in these countries for financial mismanagement.
 
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