hoyajinx
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COVID-19
Mar 15, 2020 7:22:00 GMT -5
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Post by hoyajinx on Mar 15, 2020 7:22:00 GMT -5
I’m not a doctor. Can someone explain to me what these screenings would entail? Is it possible for infected people to be asymptomatic and get through screening without a problem? These huge clusters of people would seem like a dire problem if that is the case.
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SSHoya
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COVID-19
Mar 15, 2020 7:47:28 GMT -5
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Post by SSHoya on Mar 15, 2020 7:47:28 GMT -5
Another clusterfcuk brought to you by Dear Leader. But shortly after taking effect, the measures designed to prevent new infections in the United States created the exact conditions that facilitate the spread of the highly contagious virus, with throngs of people standing shoulder-to-shoulder in bottlenecks that lasted late into the night. www.washingtonpost.com/transportation/2020/03/14/europe-travel-ban-airport-delays/
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hoya9797
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Post by hoya9797 on Mar 15, 2020 8:15:39 GMT -5
I'd love to know when that picture was taken. I saw it last night when I got home from terminal 5 at O'Hare and it was absolutely empty when we went through customs at about 6:30.
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DanMcQ
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Post by DanMcQ on Mar 15, 2020 9:25:36 GMT -5
I’m not a doctor. Can someone explain to me what these screenings would entail? Is it possible for infected people to be asymptomatic and get through screening without a problem? These huge clusters of people would seem like a dire problem if that is the case. Pretty unlikely for asymptomatic people to transmit COVID - most of the transmission comes from those actively ill (with fever, cough, shortness of breath). Unclear if screening asymptomatic people is of benefit as we: a) don't know the positive and negative predictive value of the test(s) in a low prevalence population and b) do not have testing capacity to widely screen the whole population. In regards to point a, the lab developed tests have not been validated as to predictive values. What we need is capacity to screen all those who are symptomatic so that we can cohort / quarantine and prevent secondary cases, especially among vulnerable populations.
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Deleted
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Post by Deleted on Mar 15, 2020 9:31:53 GMT -5
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DanMcQ
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Post by DanMcQ on Mar 15, 2020 9:32:38 GMT -5
I've been criticized elsewhere on this board for making this a political issue. It is not. It is a public health disaster created by a man whose arrogance blinds him to his ignorance. The actions of his administration, which takes its orders from him, have put hundreds of thousands of American lives needlessly at stake. No amount of lying will cover that up. It is simply tragic. It IS a political issue. But you didn't make it so. The President did and continues to. But the health issue is separate from the political issue. The former matters far more. At this point, I'm hoping that individual people and communities proceed with what may seem like an absurd level of caution to help to offset the gross lack of preparedness and leadership at the federal level. I'm not in a "high risk" group as far as I know. But I am very much aware that my normal life entails frequent interactions and contact with those that are. As such, as best I can, I'm going to conduct myself as though I'm a high risk person as well. It seems to be the only thing I can actually do to help both myself and those in my vicinity. The lack of a timely appropriate response and inability to have the firehouse built and fully staffed in order to put out the fire before it consumes the building should definitely be a political issue going forward. It is, as a I said, a tragic mistake that I pray we can overcome. www.bostonglobe.com/2020/03/13/opinion/bostons-infectious-disease-specialists-message-public-dont-be-cavalier-about-coronavirus/
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Deleted
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Post by Deleted on Mar 15, 2020 9:38:01 GMT -5
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DanMcQ
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Post by DanMcQ on Mar 15, 2020 9:39:05 GMT -5
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tashoya
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Post by tashoya on Mar 15, 2020 9:57:04 GMT -5
Who better in the administration to deal with the situation than Jared who has a long history of not giving a crap about people in his role as slumlord? Dr. Ben Carson, as large of an unmitigated disaster as he's been in his current role, would have been a far better choice.
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Deleted
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Post by Deleted on Mar 15, 2020 10:05:12 GMT -5
Hopefully Mitch, John, and the rest are enjoying their 3... I mean 4 day weekend.
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blueeagle
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Post by blueeagle on Mar 15, 2020 10:21:03 GMT -5
It is important to clearly define what screening and testing mean. The president clearly did not understand the distinction when he said that “testing” was being done when people board planes coming back to the US.
Screening: checking for fever and asking about symptoms and possible exposure. This can be done fairly quickly. If screening is positive, then testing is done.
Testing: oral or nasal swab sent for a lab test (PCR) which typically takes about 2 hours to process. This can be delayed if the swab samples need to be sent to a centralized lab that is not local to your community.
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DanMcQ
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Post by DanMcQ on Mar 15, 2020 10:30:47 GMT -5
It is important to clearly define what screening and testing mean. The president clearly did not understand the distinction when he said that “testing” was being done when people board planes coming back to the US. Screening: checking for fever and asking about symptoms and possible exposure. This can be done fairly quickly. If screening is positive, then testing is done. Testing: oral or nasal swab sent for a lab test (PCR) which typically takes about 2 hours to process. This can be delayed if the swab samples need to be sent to a centralized lab that is not local to your community. Absolutely true and an important distinction. I would add that very few hospitals currently have onsite COVID PCR testing capacity and either have to outsource to their local state lab or an offsite commercial testing lab. For most hospitals in the US turnaround time from those sites is anywhere from 24 hours to 5ish days. That said, if a person has compatible symptoms they should be in home self-quarantine or (if sick enough) in the hospital. Most hospitals developing on site testing will likely NOT have those tests up and running for another week or two and when running at capacity it will be difficult for most to do more than 100-200 tests daily. Cleveland Clinic brought up their in house test earlier this week: I do not believe their daily capacity is much more than that, although that (capacity) is second hand information from a colleague.
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Deleted
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Post by Deleted on Mar 15, 2020 12:15:29 GMT -5
Dr. Fauci this morning: “I would like to see a dramatic diminution of the personal interaction that we see in restaurants and in bars. Whatever it takes to do that, that's what I'd like to see.”
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DanMcQ
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Post by DanMcQ on Mar 15, 2020 13:58:44 GMT -5
Bravo (read from top to bottom):
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tashoya
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Post by tashoya on Mar 15, 2020 21:55:02 GMT -5
I want to say a big thank you to the medical professionals in the thread. Please be as safe as you're able. I'm very much hoping that something changes drastically such that health professionals somehow suddenly find themselves inundated with the basic supplies they need. If you folks find free moments, please continue to post. I think more information, especially from people that I feel I can trust, is certainly a huge plus especially when one of our best weapons in this is going to be educated personal decisions and actions. Thanks again and good health to all.
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DanMcQ
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Post by DanMcQ on Mar 16, 2020 1:13:39 GMT -5
Governor Baker shuts down MassachusettsCommunity transmission in 7 countires. Schools closed for 3 weeks. Restaurants closed (take out only) and bars closed. No gatherings over 25 people and gatherings of less people only if social distancing, hand washing and other preventative measures taken. It's certainly past time for this. CDC modified recommendations today to prohibit gatherings of more than 50 people for 8 weeks.
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SSHoya
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Post by SSHoya on Mar 16, 2020 5:26:14 GMT -5
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3xhoya
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Post by 3xhoya on Mar 16, 2020 11:06:50 GMT -5
I am a physician who works in a field that is primarily elective (rehab/pain medicine). I have had a cough for the past 5 days and called the NY State Coronavirus hotline today to attempt to get tested. I qualified for testing and was told I would get a call back. Six hours later I am still waiting for that call. Ethically, since I do not know what I have, I will remain home as I can not risk spreading this to my vulnerable patients and colleagues. It is a trying time because I am also not getting any guidance on what we should be doing. My department has taken it upon itself to begin cancelling all elective procedures and non-urgent medical visits. We are also instituting Telehealth so we can communicate with patients from the safety of their home.
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Deleted
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Post by Deleted on Mar 16, 2020 11:39:50 GMT -5
That's so messed up... smh
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SSHoya
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Post by SSHoya on Mar 16, 2020 14:18:18 GMT -5
Stupidest man in Congress strikes again.
A conservative lawmaker is threatening to delay the House's efforts to send an emergency coronavirus bill to the Senate, according to House aides working on the proposal.
Rep. Louis Gohmert (R-Texas) wants a series of technical corrections to the House-passed bill - fixes still being negotiated Monday - to be read on the House floor before he'll let it move to the upper chamber, according to House aides representing both parties.
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