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Covfefe 19: now in 3D

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Re: Covfefe 19: now in 3D

<img src="https://i.ibb.co/2qrC5H0/FB-IMG-1584300531503.jpg" alt="FB-IMG-1584300531503" border="0" height="400"></a>

Always look on the bright side?
 
<blockquote class="twitter-tweet"><p lang="en" dir="ltr">To everyone in NYC but ESPECIALLY healthy people & people under 40 (bc from what I’m observing that’s who needs to hear this again):<br><br>PLEASE stop crowding bars, restaurants, and public spaces right now. Eat your meals at home.<br><br>If you are healthy, you could be spreading COVID.</p>— Alexandria Ocasio-Cortez (@AOC) <a href="https://twitter.com/AOC/status/1238860728565747714?ref_src=twsrc%5Etfw">March 14, 2020</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>

Ted Cruz just retweeted this, agreeing with AOC.

If that doesn't drive the point home, nothing will...
 
Re: Covfefe 19: now in 3D

Don't go out just to prove a point, but also don't avoid going out because of fear, if that makes sense, you know?

Except if your lack of fear could mean killing people. Then, you know, maybe stay home. If you’re not a self-absorbed total *******.
 
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Some of the people standing up next to and behind trump for his news rallies, er uh I mean news conferences, are good and qualified people I'm sure, but the more times they stand beside him and let him lie the worse this is going to be. So when he stands up there and lies about the swine flu and the Biden and Obama response, the Anthony Fauci's of the world have to go right to the podium and "correct" him. They don't need to say "my fellow Americans, your president just intentionally lied to you," but they do need to immediately say what is correct about whatever trump lied about. If they don't they are complicit. We know a good number of them are. I'd like to believe some of them are not. The self congratulatory nature of these conferences need to end. The press would do well also to direct as many questions as possible to the real scientists and leaders that are assembled. Why they insist on asking trump a question that will only allow him to lie is bad strategy. Give Dr. Fauci an opportunity to tell the truth and offer something useful. Don't give trump or one of his bobbleheads an opportunity to lie.

Fauci was all over the place today basically contradicting ever lie he said. The guy is trying...
 
Re: Covfefe 19: now in 3D

<img src="https://i.ibb.co/C5GTSJ2/FB-IMG-1584301354741.jpg" alt="FB-IMG-1584301354741" border="0" height="400"></a>
 
Re: Covfefe 19: now in 3D

https://talkingpointsmemo.com/edblog/from-the-trenches-4

Everyone I work with seems resigned to a sense of impending doom, and an expectation that we will all be infected in the weeks ahead, and that we have no alternative course of action without abandoning our patients.

Many coworkers live with their parents, immunocompromised family members, etc, and are terrified about what they will do when they get sick. Live in a call room? stay in a hotel? not go home for 2 months? We’re slowly changing our operations, adding staffing, infectious screeners, etc – but there is organizational resistance to make the big changes that are already necessary. Despite near-daily reports from Italy of WWII-era triage decisions, shortages of key equipment, PPE, etc – we are still operating as if we can add a couple shifts to the schedule and otherwise operate normally. We’re not isolating URI patients from other patients in the waiting room, nor keeping them out of the “clean” areas of the hospital. We still have zero ability to test anyone who isn’t critically ill. We’re still using PPE for individual patients, discarding it, then using a new set for every patient. This would obviously be appropriate under any other circumstances, however we have recently been told that we will run out of PPE, most likely masks, within several days. Colleagues in the NYC area report that in the last few days there has been a surge of ill ARDS/covid patients, including one facility which intubated 5 of these patients in a single 12 hour stretch. In addition they have been told only to wear masks if intubating because of shortages … Reports from China suggest Covid patients typically require ventilators for 2+ weeks before improving.

There are reports coming out of South Bay that hospitals there are inundated in covid patients – but everything is being kept hush-hush for no discernible reason. All the staff I work with (MD, RN, tech, etc) are quite certain that we are headed for a catastrophe of somewhat epic proportions. Some people in the news have been saying we can do it better than Italy – I think the opposite is likely true. We have less beds per capita than any other industrialized society, and a completely inadequate number of ventilators, prone beds, ECMO circuits, perfusionists, etc for the wave that seems to be coming. We have a population that is half-heartedly pursuing social distancing measures, and no capacity to truly isolate the infected (home quarantine is a joke. the majority of the cases in China were transmitted via family clusters). We have national leadership that is both arrogant, incompetent, and seemingly determined to pursue political advantage regardless of the price to the nation. There will be some extremely difficult decisions ahead for our leaders, and I have less than zero faith they will be able to nimbly guide us out of a crisis.

We are used to dealing with regional disasters in the US: hurricane in NO: send aid from the rest of the country. Fires in CA: send in firefighters from the other regions. We haven’t faced a crisis that occurs in every state simultaneously since…? WWII?

I think our leaders, health departments, hospitals, emergency managers, etc have grown complacent that any shortcoming will be resolved when the cavalry arrives in the form of a federal/national response. In this case I think there will be very limited reinforcement. This will hit WA, northern CA, and NY first, then the rest of the country will follow within 2-4 weeks due to the lack of testing capability and governmental inaction. I find myself daily wondering how we have had a less effective public health response than China, South Korea, New Zealand, Italy, etc. Our persistent lack of testing capability is incomprehensible, crippling, and infuriating at this stage of the crisis.

I’ve cared for loads of patients in situations that were plenty scary. I don’t think I’ve ever been as scared for myself, my colleagues, my neighbors, and our country as a whole.
Sorry if this is a bit scattershot, lots of long shifts this past week with not enough sleep – and the wave hasn’t even hit yet.
 
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Self isolate and use proper prophylaxis and we'll flatten the curve.

While putting the dog out this PM, a neighbor and his 4 yr old son were out going over to another neighbors to play. The young boy saw our goldendoodle and came over to say hi to Bentley.

After we exchanged pleasantries with the dad and his son, I reminded the young boy to wash his hands. His reply to me was "You don't have to wash your hands, you're old and will get sick."

Thanks, kid.
 
Re: Covfefe 19: now in 3D

After we exchanged pleasantries with the dad and his son, I reminded the young boy to wash his hands. His reply to me was "You don't have to wash your hands, you're old and will get sick."

This is the sole sincere interaction between young and old I have ever heard of.
 
Re: Covfefe 19: now in 3D

Except if your lack of fear could mean killing people. Then, you know, maybe stay home. If you’re not a self-absorbed total *******.

I am staying home (minus work, and getting gas to get to said workplace). I am a higher risk person on getting the virus.
 
I am staying home (minus work, and getting gas to get to said workplace). I am a higher risk person on getting the virus.
And in the same breath stating that it is ok for low risk people to go about their lives. Your actions are great. Your words are mind-numbingly stupid. Both of those things can be true at the same time.
 
Re: Covfefe 19: now in 3D

Governor of OH is shutting downs bars and restaurants, as of 9pm tonight. Delivery/pickup only. No in-house service.
 
Re: Covfefe 19: now in 3D

Illinois just joined OH in the non-in-house service for bars and restaurants.
 
Re: Covfefe 19: now in 3D

MD has shut down casinos and horse racing tracks.

DC has limited restaurants to 250 max patrons, no bar seating, 6 max at a table, 6 feet between tables.
 
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Re: Covfefe 19: now in 3D

Here's the stat I saw yesterday. South Korean 20 to 29 year olds are the single largest carrier of this disease per S. Korean testing.

Italy, using the same method as the US in only testing those with symptoms, doesn't reflect that same large bump.
 
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