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Covfefe-19 The 12th Part: The Only Thing Worse Than This New Board Is TrumpVirus2020

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  • Originally posted by ScoobyDoo View Post
    https://twitter.com/cadiulus/status/1300408867717812231




    I think this pretty well sums it up. bronco already had it with the AIDS analogy. Throw this in and the argument is over.
    As a type 1 and typing from experience, it would be almost impossible for an ICU to mismanage this to kill you in such a short period of time that the bear attack wouldn’t be the cause.
    a legend and an out of work bum look a lot alike, daddy.

    Comment


    • Originally posted by Chuck Murray View Post

      I was actually willing to follow along with WW on some aspects of his response until he dropped this one into the mix.
      You are missing the point to a degree that it has to be dishonest, hence the rant.

      If your death certificate says:
      1. Cardiac arrest
      2. PNA
      3. Covid-19

      Those are considered 2 co-morbidites associated with Covid-19. But...the person did not have these prior to getting Covid-19 and are...a direct result of the illness. This is clearly outlined in the information from CDC and the coverage by health professionals that have actually filled out a death certificate.

      To misunderstand this at this point can only come from deliberate choice to select to look only at things fit your narrative and ignore the literal mountains of information that make in untenable.
      In the immortal words of Jean Paul Sartre, 'Au revoir, gopher'.

      Originally posted by burd
      I look at some people and I just know they do it doggy style. No way they're getting close to my kids.

      Comment


      • Originally posted by mookie1995 View Post

        As a type 1 and typing from experience, it would be almost impossible for an ICU to mismanage this to kill you in such a short period of time that the bear attack wouldn’t be the cause.
        Here is one for you all that is an actual death certificate I have filled out. These stories are not atypical when you talk about ICU deaths.

        50ish patient, brittle diabetic, presents with a large ischemic stroke. Gets tPA (clot busting drug) and there is hemorrhagic conversion (brain bleed in the bed of the ischemic stroke). Rolls into the ICU with a blood sugar of 800 (hint this is bad).

        Now one of the required treatments of DKA (diabetic ketoacidosis) is volume expansion (give the patient a butt load of fluids). The treatment for cerebral edema (brain swelling) is volume contraction ("remove" fluid through hypertonic saline or high salt fluid).

        The patient eventually herniates (brain has no room to go in the skull, pushes downward on the brainstem) and then goes into a cardiac arrest.

        All of you following...especially Chuck...how would you fill out their death certificate?

        They would have been OK if not for the stroke. Their diabetes probably contributed to her stroke risk to some degree. Or was it the known side effect of tPA causing the hemorrhagic conversion? But really it was the herniation that really set things off. But then again, she actually died from a cardiac arrest.
        In the immortal words of Jean Paul Sartre, 'Au revoir, gopher'.

        Originally posted by burd
        I look at some people and I just know they do it doggy style. No way they're getting close to my kids.

        Comment


        • This is an idiotic a misunderstanding as when RI "got in trouble" for discharging dead patients.

          All patients are discharged. Some with a disposition of "deceased". This reporter - and the throngs of idiots who got bent out of shape - saw that, wrote an article about it (and even noted that the hospital said this is what happens to everyone, everywhere), and decided it was fraud.

          https://www.nydailynews.com/coronavi...dua-story.htmlhttps://www.nydailynews.com/coronavi...dua-story.html
          I gotta little bit of smoke and a whole lotta wine...

          Comment


          • Originally posted by WisconsinWildcard View Post
            To misunderstand this at this point can only come from deliberate choice to select to look only at things fit your narrative and ignore the literal mountains of information that make in untenable.
            I have a different theory and I'm not being snarky.

            I think ideological blindness can literally make us stupid. It disables the cognitive parts (and/or processes) in our brains that typically distinguish smart from stupid people.

            There's nothing magical about being smart, it's just a gift from the gods like a great fastball or high cheek bones. That means that thing is subject to change under potential stimulae. Trauma is an obvious one: bash a guy in the head with a 2x4 and he's going to drop from Yale to Michigan.

            I hypothesize ideological blindness actually traumatizes the brain and damages people's ability to think. He's not lying, he honestly cannot see because he is suffering from a localized mental incapacity. Surely there has been neurological research to test this and perhaps it fails but it's my hypothesis.
            Cornell University
            National Champion 1967, 1970
            ECAC Champion 1967, 1968, 1969, 1970, 1973, 1980, 1986, 1996, 1997, 2003, 2005, 2010
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            Comment


            • Originally posted by WisconsinWildcard View Post
              ..how would you fill out their death certificate?
              “YES”

              (last time mookie was admitted his was 1250.

              some odd Drs came to see mookie. They had never heard of that number before.
              a legend and an out of work bum look a lot alike, daddy.

              Comment


              • Originally posted by mookie1995 View Post
                (last time mookie was admitted his was 1250.

                some odd Drs came to see mookie. They had never heard of that number before.
                To be honest that is a low sperm count.
                Cornell University
                National Champion 1967, 1970
                ECAC Champion 1967, 1968, 1969, 1970, 1973, 1980, 1986, 1996, 1997, 2003, 2005, 2010
                Ivy League Champion 1966, 1967, 1968, 1969, 1970, 1971, 1972, 1973, 1977, 1978, 1983, 1984, 1985, 1996, 1997, 2002, 2003, 2004, 2005, 2012, 2014, 2018, 2019, 2020

                Comment


                • Originally posted by Kepler View Post

                  To be honest that is a low sperm count.
                  Bully!!
                  a legend and an out of work bum look a lot alike, daddy.

                  Comment


                  • Originally posted by WisconsinWildcard View Post

                    You are missing the point to a degree that it has to be dishonest, hence the rant.

                    If your death certificate says:
                    1. Cardiac arrest
                    2. PNA
                    3. Covid-19

                    Those are considered 2 co-morbidites associated with Covid-19. But...the person did not have these prior to getting Covid-19 and are...a direct result of the illness. This is clearly outlined in the information from CDC and the coverage by health professionals that have actually filled out a death certificate.

                    To misunderstand this at this point can only come from deliberate choice to select to look only at things fit your narrative and ignore the literal mountains of information that make in untenable.
                    I think your posts on death certificates and causes listed has been very helpful. Thank you. I always kind of wondered what went into listing causes of death.

                    I do have a question though, and maybe you don't have an answer for it, or maybe there isn't an answer.

                    Let's say I have coronary artery disease. Then let's say that I test positive for Covid. If I die of a heart attack, for instance, do you know whether there is any effort made to see if the Covid triggered or caused the heart attack, or contributed to it, or is that something that's just not done (or can't be done)? I assume that other than for recordkeeping purposes there would be no real point to trying to figure that out, since I'm dead. But I was curious as to whether the medical profession is trying to understand whether Covid is triggering these events that can otherwise be fatal, or if that's something that can even be determined.
                    That community is already in the process of dissolution where each man begins to eye his neighbor as a possible enemy, where non-conformity with the accepted creed, political as well as religious, is a mark of disaffection; where denunciation, without specification or backing, takes the place of evidence; where orthodoxy chokes freedom of dissent; where faith in the eventual supremacy of reason has become so timid that we dare not enter our convictions in the open lists, to win or lose.

                    Comment


                    • That is an interesting question. I always assumed I guess that for the purposes of the DC they wouldnt have the time to look into that but later they could look into it further. But I have less than zero knowledge just how it always went in my head.
                      "It's as if the Drumpf Administration is made up of the worst and unfunny parts of the Cleveland Browns, Washington Generals, and the alien Mon-Stars from Space Jam."
                      -aparch

                      "Scenes in "Empire Strikes Back" that take place on the tundra planet Hoth were shot on the present-day site of Ralph Engelstad Arena."
                      -INCH

                      Of course I'm a fan of the Vikings. A sick and demented Masochist of a fan, but a fan none the less.
                      -ScoobyDoo 12/17/2007

                      Comment


                      • Originally posted by mookie1995 View Post

                        Bully!!
                        Hey I'd have killed for that in high school. Woulda kept it in the glove box right next to the registration.
                        Cornell University
                        National Champion 1967, 1970
                        ECAC Champion 1967, 1968, 1969, 1970, 1973, 1980, 1986, 1996, 1997, 2003, 2005, 2010
                        Ivy League Champion 1966, 1967, 1968, 1969, 1970, 1971, 1972, 1973, 1977, 1978, 1983, 1984, 1985, 1996, 1997, 2002, 2003, 2004, 2005, 2012, 2014, 2018, 2019, 2020

                        Comment


                        • Originally posted by Kepler View Post

                          Hey I'd have killed for that in high school. Woulda kept it in the glove box right next to the registration.
                          To be honest mookie has always counted sperm as ONE, TWO, rarely THREE
                          a legend and an out of work bum look a lot alike, daddy.

                          Comment


                          • Originally posted by SJHovey View Post
                            Let's say I have coronary artery disease. Then let's say that I test positive for Covid. If I die of a heart attack, for instance, do you know whether there is any effort made to see if the Covid triggered or caused the heart attack, or contributed to it, or is that something that's just not done (or can't be done)? I assume that other than for recordkeeping purposes there would be no real point to trying to figure that out, since I'm dead. But I was curious as to whether the medical profession is trying to understand whether Covid is triggering these events that can otherwise be fatal, or if that's something that can even be determined.
                            A good question. I can speak a bit on it but I would caveat that there are a lot of details that are nuanced that may not translate well.

                            Different states do have different requirements that trigger an autopsy. Age, reason noted for death, circumstances surrounding death, level of involvement of medical professionals etc. Ultimately that is the best way to determine the exact cause of death in most cases if in the hands of an experienced and well trained pathologist. It is helpful for record keeping but it is also important learning opportunity. NEJM has a weekly section from Mass General that has countless lessons learned from autopsy.

                            Coronary artery disease is very common and we have good ideas of historical rates. Most people with CAD do not have heart attacks. If we start seeing changes in the pattern of patients (which is not too challenging, especially in the setting of a tertiary care facility where one team is caring for all heart attacks or strokes), it is a reasonable assumption the ongoing pandemic is changing that. We have actually seen this, with mild heart attacks and strokes essentially staying home, and an increase in more severe or atypical heart attacks/strokes (like in the young, no other clear co-morbidities).

                            Covid-19 is pro-thrombotic, we have learned. It has a high rate of pulmonary embolism, ischemic stroke, heart attack, DVT etc in hospitalized patients and a thrombotic event as the presenting symptom is not that uncommon.

                            Ultimately, it comes down to where you die and the physician who cared for you to determine most etiologies of death. If you have a patient with clear signs of Covid-19 infection and a thrombotic event, you are more likely to identify that as an etiology. If it is a positive test but you do not feel it was a large contributor, you may not identify it. The vast majority of physicians, especially the ICU docs that are doing most of this, are great, compassionate professionals. The degree of rampant fraud or incompetence required to drastically change the numbers is near impossible and would require a vast conspiracy of hundreds of thousand individuals.

                            In the immortal words of Jean Paul Sartre, 'Au revoir, gopher'.

                            Originally posted by burd
                            I look at some people and I just know they do it doggy style. No way they're getting close to my kids.

                            Comment


                            • The cruelty is the point

                              https://mobile.twitter.com/ASlavitt/...69174839906305

                              Comment


                              • Originally posted by WisconsinWildcard View Post

                                You are missing the point to a degree that it has to be dishonest, hence the rant.

                                If your death certificate says:
                                1. Cardiac arrest
                                2. PNA
                                3. Covid-19

                                Those are considered 2 co-morbidites associated with Covid-19. But...the person did not have these prior to getting Covid-19 and are...a direct result of the illness. This is clearly outlined in the information from CDC and the coverage by health professionals that have actually filled out a death certificate.

                                To misunderstand this at this point can only come from deliberate choice to select to look only at things fit your narrative and ignore the literal mountains of information that make in untenable.
                                That's our Chuckles.
                                What kind of cheese are you planning to put on top?

                                Comment

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