Covid 19

[MadCityRich]

Re: Covid 19

You'll still be able to go get your wisconsin staples during shelter in place.

Maybe. �� My brother tells me the hoarders are out already. People are weird. Just relax and stop the panic buying; just get what you normally need and everybody else will be able to get what they need. Let's ride this out with common sense.

[Bonin21]

Re: Covid 19

Maybe. �� My brother tells me the hoarders are out already. People are weird. Just relax and stop the panic buying; just get what you normally need and everybody else will be able to get what they need. Let's ride this out with common sense.

I think what you meant to say is, "People are stupid". Not necessarily just the hoarders, but the people that only know how to be selfish and not think how their actions impact others. Our country is embarrassing itself at the moment.

[DrDemento]

Re: Covid 19

Absolutely. It seems that our practice with the medication is basically the same, as I also very closely monitor my patients who are on it and carefully discuss with the patient what to watch for and the known risk profile.

You and I have talked about it in the past but it is easy for everyone to have an opinion on stuff like this, but very few understand the actual decision making process that should take place in medicine. Also, first do no harm.

Stay safe Dr.

At a time like this we begin to see that there truly is a difference in medical practice. There are providers (I suppose that is anyone connected in any way to medicine). There are doctors (and that includes many of those talking heads given TV time - people should really Google some of their credentials as many of them are simply not qualified to be taken seriously and should not be called 'expert' on TV). And then there are physicians. I think at a time like this we need to hear a bit more from the last group. Those who are adequately trained and who actually diagnose and treat patients in the real world. These are the ones who have to use all their scientific knowledge (about 75% of medical practice) and all of the 'Art' of medicine (about 20% of medical practice) and all of the just plain 'luck'(the last 5% of medical practice. I consider myself as well trained and with as much experience as anyone in the medical world. I am board certified in 3 specialties and have over 50 years of medical practice experience. I must admit though with all of that behind me, I am simply at the beginning of understanding what we are facing. I can only offer advice based on the earliest information that we are seeing. And i certainly am not in the business of predictions. At this stage we need to take a step back, take a few deep breaths (perhaps with a mask on), and allow the days to pass so we can accumulate the information and numbers we need to make valid decisions on treatment and prevention.

[ExileOnDaytonStreet]

Gov PeeWee Evers is shutting down WI. I better go stock up on Korbel brandy, cheese curds, brats, and cream puffs.

Grocery stores (amongst other things) are still going to be open.

Wait and see what the actual policy is before griping about it. I’ll wager that it won’t be much different from what’s been going on already. Grocery stores still open, restaurants still doing takeout, etc.

[Chuck Murray]

Re: Covid 19

If people would just get it through their heads they can't congregate, the sooner this will pass. STAY HOME!!!

You can't go back too soon. We have not done what we need to do, which, IMHO...is a total stay at home everywhere.

This is all still theoretical stuff, HR. Maybe it's the prevailing wisdom of the day, and I certainly understand "flattening the curve" conceptually … but it's not like any of this is precedented, at least not in the US. When all is said and done, it's just an unproven theory that seems to make sense, and we're giving it a two-week try, but there is no guarantee it is yielding positive results. It's the same as some folks on here with opinions about the Cuomo-Trump treatment experiment, and how it's not guaranteed to yield positive results. Yet some believe the "social distancing" or "lockdowns" or "shelter in place" approaches are proven. They're not.

Another one of our fellow posters got a little preachy the other day on another thread on the "don't be stupid - stay home" thing, and I got after him at the time. I know that's not where you're coming from, but it's important to remember that "just stay home" works better for some folks than it does for others. I'm not talking about irresponsible kids on Spring break in FLA. People's jobs, careers, businesses are at stake. Blithely telling them to "just stay home" can be a tough sell, especially when doing so could mean those jobs, careers and/or businesses aren't there when someone giving orders tell then it's OK to go back.

I'm not picking on you or anyone else, but the reality of work life and ramifications of this situation is VERY different in the private and public sectors. We have two adult children - one is a teacher, like you, and the other is 3rd in line in what until recently has been a thriving and successful small business with a statewide footprint. Predictably, the former is pretty chill with the situation, while the latter is literally fighting day-to-day for the survival of their business. Night and day.

+++++++++++++++

I'm enjoying the back-and-forth between the doctor-types on our thread. As someone who's gotten a glimpse of the defense side of med malpractice litigation, I'm familiar with the First, do no harm oath. If there is some tension between the medical professionals and the politicians, I think it's down to the physicians rightly viewing First, do no harm from the perspective of their patients, whereas with the President and governors, the "patient" is their overall constituency, its economy, and everyday life as normal. This is the fault line over which there will likely be lots of struggles and heated discussions, and it doesn't mean one side is ignoring or not listening to the other. They simply have different jobs, and different constituencies. Physicians are not here to worry about the health of the overall economy, and only in a preventive sense for the "well" population.

I started this post 2 hours ago, I'm dreading checking out what I may have missed in the interim …

[DrDemento]

Re: Covid 19

Chuck M: here is one physician who is not only worried about the health of the patient, but also in some ways the health of the economy. My practice has taken a beating. My savings along with any retirement accounts being mostly invested on Wall Street are, shall we say, now sort of minimal. i agree with much of what you have posted. i do not see a hard and fast set of rules or guidelines that really could apply to everyone. With 50% of the cases now seen in NY I think the city of NY itself has more cases than most countries. With West Virginia having perhaps 12 cases, obviously no one size fits all. But i think we are still in the first inning of this game and have a long way to go to find out the result. And it may end up as one of those marathon extra inning affairs.
Then again, someone may come up to bat and hit a home run with men on base to end this thing in regulation.

[HockeyRef]

Chuck M: here is one physician who is not only worried about the health of the patient, but also in some ways the health of the economy. My practice has taken a beating. My savings along with any retirement accounts being mostly invested on Wall Street are, shall we say, now sort of minimal. i agree with much of what you have posted. i do not see a hard and fast set of rules or guidelines that really could apply to everyone. With 50% of the cases now seen in NY I think the city of NY itself has more cases than most countries. With West Virginia having perhaps 12 cases, obviously no one size fits all. But i think we are still in the first inning of this game and have a long way to go to find out the result. And it may end up as one of those marathon extra inning affairs.
Then again, someone may come up to bat and hit a home run with men on base to end this thing in regulation.

Sensible post and my feelings exactly. We have just begun like you said. This has to shake out abit...or, alot. Surgeon Gen said this morning this week will be bad as that 2 week window will bring alot of cases (as we have seen already)..nope I think it's way too soon to entertain an easing back (although hey plenty of people are still working in our area thank goodness) just yet. I have mentioned already how the Chinese handled it to get it locked down fast and back to no cases (so they report). We won't go to those extremes. I am surprised this talk of just practically going back to normal next week, etc...is happening when we really don't know the scope of how it will be playing our for us.

Chuck I don't know what your time table is for 'going back to work' etc or just who you think should go back to work. If you are talking about full scale dive in, business as usual in say, 2 weeks, man, I just don't know about that. Not sure if that's your feeling on it but I'm highly doubtful it would be prudent. Again, thanking those who are still out there trying to provide health care, retail, and other things we need to keep moving. Be well.


Like you (or anyone else) I don't have a time table and pray it's over sooner than later without a catastrophic amount of harm to people and our economy

[DrDemento]

Re: Covid 19

Not sure how much stock I put in the numbers reported from Asia in general. China? Who knows, they are so concerned about putting out the proper spin on things. My other concern is India. They report fewer cases than virtually any other large country. But they share a border with China and have a population of almost the same magnitude. If India had reported zero cases, i would have felt better even if it was an underestimate. But in a country that has their population, crammed into a small living space with huge congested cities and admittedly not the best sanitation, if they report 300 or more cases, then they have a boatload more than that are we are not even scratching the surface.

[HockeyRef]

Re: Covid 19

My remote learning assignment for the day: Followed Twitter for the latest presser; just can't listen to the sycophants...Missing was noted scientist, eminent disease specialist Anthony Fauci but they trotted out Bill Barr who talked about price gouging. Going to evaluate next week how much we should still be 'social distancing' next week. The quote of the day was "lots of people died from the flu today, as you know" the President replied dryly when it was brought to his attention? as we experienced our very first day of 100 dead in a single day MK. Also a bit of other stuff that didn't really matter. The End. -HockeyRef

Extra Credit Assignment: I really liked this quote from Twitter, too:

Trump to a question about the rising death toll: "It's bad, and obviously the numbers are going to increase with time, and they're going to start to decrease, and we're going to be opening our country up for business, because our country was meant to be open." Yep, just like a business. To heck with those that have died and will continue to die. Does he care about people?

[Wayuphere]

My remote learning assignment for the day: Followed Twitter for the latest presser; just can't listen to the sycophants...Missing was noted scientist, eminent disease specialist Anthony Fauci but they trotted out Bill Barr who talked about price gouging. Going to evaluate next week how much we should still be 'social distancing' next week. The quote of the day was "lots of people died from the flu today, as you know" the President replied dryly when it was brought to his attention? as we experienced our very first day of 100 dead in a single day MK. Also a bit of other stuff that didn't really matter. The End. -HockeyRef

Extra Credit Assignment: I really liked this quote from Twitter, too:

Trump to a question about the rising death toll: "It's bad, and obviously the numbers are going to increase with time, and they're going to start to decrease, and we're going to be opening our country up for business, because our country was meant to be open." Yep, just like a business. To heck with those that have died and will continue to die. Does he care about people?

No. Reelection 😳

[e.cat]

Re: Covid 19

Happy President Trump talking about pivoting back to the economy soon. He was built for this moment! +