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

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Congrats TTF!

In bad news 300K new cases and 3914 deaths.

12 states 100+ (1 with 99)
3 with 200+ (Zona with 197)

Texas with 466 to cruise past 30k total deaths. (too bad Cruz wasnt one of them)
California with 679! (Devin Nunes' Cow seems fine)
 
Seems like the US has its own rapidly spreading COVID variant now...

COuple that with this great news...
From The Lancet
NEW—76% of 1,733 #COVID19 patients diagnosed in #Wuhan had at least one symptom six months after symptom onset; fatigue or muscle weakness and sleep difficulties were the most common symptoms, followed by anxiety or depression. Read the full study: https://hubs.li/H0DyrVD0

I can’t remember the last time I slept through the night, even on ambien. I’m always awake 3-4 hours after falling asleep and it blows. This did not occur pre covid
 
Congrats TTF!

In bad news 300K new cases and 3914 deaths.

12 states 100+ (1 with 99)
3 with 200+ (Zona with 197)

Texas with 466 to cruise past 30k total deaths. (too bad Cruz wasnt one of them)
California with 679! (Devin Nunes' Cow seems fine)

That's cause Devin Nunes' Cow's farm is actually somewhere in the midwest. Montana?
 
Getting the jab tomorrow. Can't wait! :)

Teaching starting first week in Feb but will boost in that week so timing should be right.

Heard something interesting yesterday- the person talking (I can't remember what the exact specialty was) was saying the dose schedule was driven by the need to fast track the approval. That there was some indication that a longer wait for the 2nd dose boost may actually provide a better immunity. This was not in the context of the immunize everyone once but more why they had the schedule they did.

Meanwhile.... is there any data keeping track of all the positive tests, games canceled in college sports? We see them used as an excuse for people to think they can go on with regular life because the sports people do it. Have seen at least one blatant falsehood published re numbers of positives that have occurred on a team. Lots of teams are managing to successfully suppress the information - at least 3 teams in one of the leagues has had huge numbers of team members positive. There's no standardized protocol for testing or requirement for testing before competition. Each league has different requirements, each team has different protocols. Many of them are inadequate with the result coming back after the team played a positive player. I would just love to see what the actual numbers are.
 
Interesting chart on each state, how many doses they have vs how many shots given. WV and ND leading the way at 68%
https://www.nytimes.com/interactive/...9c87b918204cd4

was listening this AM to someone from WV. They said they bypassed the commercial pharmacies (the avenue recommended by CDC) and relied instead on DPH because the chain pharmacies were not flexible and they had no way to control or predict how they did things. Kind of interesting. I got mine from NH Nat'l Guard. Many of the hospitals in NH are distributing but do not have any avenue to do anyone but their own employees.
 
was listening this AM to someone from WV. They said they bypassed the commercial pharmacies (the avenue recommended by CDC) and relied instead on DPH because the chain pharmacies were not flexible and they had no way to control or predict how they did things. Kind of interesting. I got mine from NH Nat'l Guard. Many of the hospitals in NH are distributing but do not have any avenue to do anyone but their own employees.

I read this article the other day about West Virginia’s rollout.

https://mountainstatespotlight.org/...ess-story-chaos-for-local-health-departments/
 
was listening this AM to someone from WV. They said they bypassed the commercial pharmacies (the avenue recommended by CDC) and relied instead on DPH because the chain pharmacies were not flexible and they had no way to control or predict how they did things. Kind of interesting. I got mine from NH Nat'l Guard. Many of the hospitals in NH are distributing but do not have any avenue to do anyone but their own employees.
Its ridiculous that states aren't close to 100%, they might just as well let it be first come first serve at this point and get rid of whats on hand. I'm out in the public every work day, I'd get it tomorrow if I could.
 
Yes. The rollout itself is slow as a turtle but for Pete's sake there is no excuse for not being read to jab people in the arm. At the rate things are going we wont have even the 1a group done by April. This is ridiculous.

Now is not the time to come up with intricate plans...the Fed dropped the ball there and we are screwed. Start vaccinating every old person and health care official. And if a health care official doesnt want it because they dont trust it...too friggin bad.
 
Yes. The rollout itself is slow as a turtle but for Pete's sake there is no excuse for not being read to jab people in the arm. At the rate things are going we wont have even the 1a group done by April. This is ridiculous.

Now is not the time to come up with intricate plans...the Fed dropped the ball there and we are screwed. Start vaccinating every old person and health care official. And if a health care official doesnt want it because they dont trust it...too friggin bad.

I can't even.... I had the most frustrating conversation with someone the other day about this. One of the internet experts who insisted that it should be simple to get it out there. Could not get them to understand there is a whole process that goes into planning. Some of it can't happen until it is approved but it is inexcusable that preparation didn't happen. I feel bad for the Public Health folks who usually rely on the CDC (and they should be able to) to provide guidance and make detailed recommendations. They have no control over what they can access or when they are going to get it. They have been hung out to dry.

Also frustrating the number of different narratives floating about timing, strategy, effectiveness etc. It isn't if A then B. It is a decision tree with multiple factors. This same person is an expert in all of this. GAHHHH! I get folks don't like uncertainty but bloody hell people! You can't decide one size fits all.
 
That is true and I admit I have no idea how any of this works and the logistics involved. I am not blaming health care officials in any way (except the ones refusing the vaccine the optics of that are just awful unless they are doing it to give it to others) I am blaming the politicos who either are too incompetent (the Feds) or are way overthinking it. (a lot of the states)

The US is the model for how never to do this...
 
As some know, I've been working on my hospital's planning since November, and the most frustrating part of this is that the planning and distribution has been effectively left to hospital managers and administrators around the country, with little to no real, material guidance from the federal government. MA is a pretty good state for managing health, but they've pretty much just reinforced the (ever evolving) CDC guidelines and told us what's necessary for reporting data.

It's bonkers to me that it is this way, but par for the course from an administration that fundamentally believes that this is a fraud.
 
Ugh. Miserable.

Fortunately they likely have a bunch of non-COVID patients and staff they can rapidly administer, but this is not a good thing at all. Not catastrophic, but really really frustrating.

Most frustrating part of that story:

“By the end of the day, more people received an injection in just a couple of hours than have been vaccinated since the start of the vaccine program on Dec. 18, Howe said.”
 
Most frustrating part of that story:

“By the end of the day, more people received an injection in just a couple of hours than have been vaccinated since the start of the vaccine program on Dec. 18, Howe said.”

A lot of the slowness is that we (hospitals) are super unsure of how quickly we can prepare vaccinations and administer them. Here are some complicating factors that require us to be very slow and deliberate at first:
  • Once reconstituted, you have about 6 hours to stick the vaccine in someone's arm (for both Pfizer and Moderna). So you need to very carefully measure your stock and reconstitution schedule.
  • You need a pharmacist to reconstitute.
  • How often are side effects going to pop up? We're supposed to monitor folks for 15 minutes, but what's the setup on that monitor area? How big is it, and how many people can you safely put in there?
  • Hospitals are by necessity and nature slow, deliberate and conservative, so it was expected that we'd start slowly, learn how to do things, and hopefully ramp up speed. I think most of us now are ramping up pretty well. While maybe we did 150 people per day at first, we should be able to do 200-225 per day now (for example.)
 
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