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Covfefe-19 part 6: Waiting For Advice from Kid Rock and Tiger Woods now.

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I agree that the first map is likely *slightly* misleading. But for fu**s sake, the upper midwest outside of the metros are just as rural as anywhere in the South.

Theres no way she can tell me with a straight face that *all* of Alabama (excluding Birmingham metro) is more rural than all of North Dakota, South Dakota, and Nebraska fu**ing combined!


*edit*
I fully expect the "didn't stop" pockets in the upper midwest because of the need to drive for necessities, I'm honestly surprised there aren't more. What amazes me is the blatant disregard the Southeast gives.
 
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Re: Covfefe-19 part 6: Waiting For Advice from Kid Rock and Tiger Woods now.

Sh-t.

MILAN—In the town of Coccaglio, an hour’s drive east of here, the local nursing home lost over a third of its residents in March. None of the 24 people who died there were tested for the new coronavirus. Nor were the 38 people who died in another nursing home in the nearby town of Lodi.

These aren’t isolated incidents. Italy’s official death toll from the virus stands at 13,155, the most of any country in the world. But that number tells only part of the story because many people who die from the virus don’t make it to the hospital and are never tested.

In the areas worst hit by the pandemic, Italy is undercounting thousands of deaths caused by the virus, a Wall Street Journal analysis shows, indicating that the pandemic’s human toll may end up being much greater, and infections far more widespread, than official data indicate.

Italy’s hidden death toll shows what could lie in store for the worst-hit areas of the U.S., Europe and many other countries in the weeks ahead if the coronavirus is not tamed fast. The burden that the pandemic puts on health-care systems can cause so many deaths that it is hard to gauge the full human cost.

As stretched and sometimes overwhelmed hospitals fight to save their patients, many other people die unseen and uncounted, including elderly people in out-of-the-way locations. In addition, the health-care crisis can lead to a surge of deaths from other causes that would normally be treatable.

“There are many more dead than are officially declared. But this is not a j’accuse. People died and they were never tested because time and resources are limited,” Eugenio Fossati, deputy mayor of Coccaglio, says of deaths caused by the virus.
 
Re: Covfefe-19 part 6: Waiting For Advice from Kid Rock and Tiger Woods now.

I agree that the first map is likely *slightly* misleading. But for fu**s sake, the upper midwest outside of the metros are just as rural as anywhere in the South.

Theres no way she can tell me with a straight face that *all* of Alabama (excluding Birmingham metro) is more rural than all of North Dakota, South Dakota, and Nebraska fu**ing combined!


*edit*
I fully expect the "didn't stop" pockets in the upper midwest because of the need to drive for necessities, I'm honestly surprised there aren't more. What amazes me is the blatant disregard the Southeast gives.

It doesn't even matter, though. The author is defending the South but the problem is the mindset that permeates areas that tend to be rural (not all of them of course but a tendency). "The South" is in every state and people know where it is. It's not restricted to the US, and it is immortal: Voltaire was on about it 300 years ago. Aristotle considered those who lived outside the polis not fully human.

Civilization lifts us above the animals. It doesn't permeate every nook and cranny. There are places in this country where it could just as easily be 8000 BC.
 
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Re: Covfefe-19 part 6: Waiting For Advice from Kid Rock and Tiger Woods now.

Man, Obama’s inaction is really gonna cause a lot of mass graves.
 
Re: Covfefe-19 part 6: Waiting For Advice from Kid Rock and Tiger Woods now.

Gasoline sales in Maine are off more than 50%.
 
Re: Covfefe-19 part 6: Waiting For Advice from Kid Rock and Tiger Woods now.

Gasoline sales in Maine are off more than 50%.

I seriously can’t remember the last time I bought gas.

In fact, the next time I need to buy gas will be for my lawnmower, not my car.
 
Re: Covfefe-19 part 6: Waiting For Advice from Kid Rock and Tiger Woods now.

Saw a tweet from Jake Sherman:

PELOSI is creating a HOUSE select committee on the coronavirus Will be chaired by JIM CLYBURN.
 
I agree that the first map is likely *slightly* misleading. But for fu**s sake, the upper midwest outside of the metros are just as rural as anywhere in the South.

Theres no way she can tell me with a straight face that *all* of Alabama (excluding Birmingham metro) is more rural than all of North Dakota, South Dakota, and Nebraska fu**ing combined!


*edit*
I fully expect the "didn't stop" pockets in the upper midwest because of the need to drive for necessities, I'm honestly surprised there aren't more. What amazes me is the blatant disregard the Southeast gives.

Exactly. Show me these magical grocery stores that pop up on every corner in the Thumb, or Northern Michigan, or even just 20 minutes outside of Metro Detroit/GR/Lansing/college towns that are somehow throwing these stats off.
 
Re: Covfefe-19 part 6: Waiting For Advice from Kid Rock and Tiger Woods now.

<blockquote class="twitter-tweet" data-lang="en"><p lang="en" dir="ltr">here is what I have to say about these two maps: the first one lacks a ton of context that the second one includes. if you're using the first map to make sweeping judgments about the South, please rethink. I'll explain. <a href="https://t.co/crzBAPSd45">pic.twitter.com/crzBAPSd45</a></p>— Olivia Paschal (@oliviacpaschal) <a href="https://twitter.com/oliviacpaschal/status/1245711609890320386?ref_src=twsrc%5Etfw">April 2, 2020</a></blockquote>
<script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>

They voted for the situation they're in. Eff 'em.
 
Srsly. What has the guy even done the last 3 years?

I was at a dinner party a few years back and a woman there was talking about how she hated Obama for his inaction during Katrina.

I haven’t gone back to her house.
 
Re: Covfefe-19 part 6: Waiting For Advice from Kid Rock and Tiger Woods now.

I was at a dinner party a few years back and a woman there was talking about how she hated Obama for his inaction during Katrina.

I haven’t gone back to her house.

You can't fix stupid, but you can choose not to associate with, breed with, or otherwise encourage it.
 
Re: Covfefe-19 part 6: Waiting For Advice from Kid Rock and Tiger Woods now.

If one has time on their hands today, read this. It is a follow-up by Dr. Gorksi on his SBM post from Monday (that I posted on). There is some repeat of what he (and dx) covered already but he does a very good job expanding on what I was saying about the FDA. Essentially, the "emergency use" is political, not scientific.

https://respectfulinsolence.com/2020/04/01/fda-eua-chloroquine-hydroxychloroquine-covid-19/

It is important to note that the papers we are seeing are not going through the regular peer review process (even papers in NEJM, Lancet). They are expedited to get the information out there, but that means you have to be extra skeptical. Normal turnaround time of several months is not acceptable either in these situations but I suspect many will be retracted in the years to come.

Also remember that physicians, nurses, etc are human. They have biases and get scared like the rest of humanity. I personally know physicians who have written for hydroxychloroquine for themselves or family and although I am profoundly disappointing in their reasoning, I do understand the motivation. I hope it does work but it is important to wait for appropriate evidence, especially with the risks. There are several other treatments currently under trial I think have a higher prior plausibility.

For those interested with some time on hand, this is an excellent book. https://www.amazon.com/Cognitive-Errors-Diagnostic-Mistakes-Case-Based/dp/3319932233 It is a bit pricey, but reads easily and is very enjoyable. It is a comprehensive guide to how physicians (and the regular public) make cognitive errors and I will be making it a must read for any trainees I oversee. It looks like a textbook but it honestly is not too dense and is very readable. I really wish I would have written it (although Dr. Howard does a far better job than I could).

Burd, I know you liked "Mistakes were made but not by me" so this may be right up your alley.
Superb post.
Just had a fam member from VT message asking advice because they know of someone who works in a long term care facility, is symptomatic and was sent home with no guidance what so ever. Person has no insurance so no PCP. You can't get a test without a Dr order. No money to go for a visit so is really ill, most likely with the virus, has exposed/ been exposed to patients and coworkers. There are 'recommendations' for testing but it seems we have a million different little fiefdoms that all have different protocols some of which are a free for all/who you know.

I searched a bit but maybe I wasn't using the right parameters- is there any site that is tracking protocols for testing? I am getting messages from people all over the place and protocols vary from testing [some asx people who are at risk (healthcare workers) and may have been exposed] to [don't test unless you are going to be admitted]. Without knowing what people are using for parameters how are people making predictions? <-- serious question. It is obvious some places are under-reporting, not testing. I don't see how we figure this out until we have the right data. Math sucks. the Process of statistical analysis is baffling to me but it would seem you have to have those variables known to control for error
 
Re: Covfefe-19 part 6: Waiting For Advice from Kid Rock and Tiger Woods now.

I agree that the first map is likely *slightly* misleading. But for fu**s sake, the upper midwest outside of the metros are just as rural as anywhere in the South.

Theres no way she can tell me with a straight face that *all* of Alabama (excluding Birmingham metro) is more rural than all of North Dakota, South Dakota, and Nebraska fu**ing combined!


*edit*
I fully expect the "didn't stop" pockets in the upper midwest because of the need to drive for necessities, I'm honestly surprised there aren't more. What amazes me is the blatant disregard the Southeast gives.

Yeah I mean the first one is misleading, so it's good the second one is there to clear it up, but it doesn't make the South look THAT much better. Instead of it being, "wow the South is really sucking at this", instead it's "the Plains, Rockies, and South really suck at this".
 
Re: Covfefe-19 part 6: Waiting For Advice from Kid Rock and Tiger Woods now.

The look on this bishes face

<blockquote class="twitter-tweet"><p lang="en" dir="ltr">How to ensure you don't get follow-up questions on Fox, apparently. <a href="https://t.co/nOUqw4ZVhO">pic.twitter.com/nOUqw4ZVhO</a></p>— Ben Smith (@benyt) <a href="https://twitter.com/benyt/status/1245529084534366208?ref_src=twsrc%5Etfw">April 2, 2020</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>

Yeah I almost posted that last night. This is why all those headlines of "New tests" didnt do much for me since it wont help much where the backlog exists.
 
Re: Covfefe-19 part 6: Waiting For Advice from Kid Rock and Tiger Woods now.

I seriously can’t remember the last time I bought gas.

In fact, the next time I need to buy gas will be for my lawnmower, not my car.

I did yesterday...but that was just random timing. This tank will last all of April (if not longer) at the rate I am using my car.
 
Re: Covfefe-19 part 6: Waiting For Advice from Kid Rock and Tiger Woods now.

I topped my tank off at $1.09/gallon last Friday. Took $5.00. I actually drove more yesterday for work than in the last 15 days, 120 miles round trip. It was the only time I've worked outside my house in 2 weeks other than to drop something off at a post office.
 
Re: Covfefe-19 part 6: Waiting For Advice from Kid Rock and Tiger Woods now.

Gasoline sales in Maine are off more than 50%.

I'm not surprised. I went from driving 20 miles round trip every day for work to zero miles (I live in the same town as my job, but on the opposite side). Hundreds of my co-workers are doing the same.
 
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