Re: COVID-19 and the States
Posted: Fri Dec 31, 2021 12:08 am
Falsehoods Unchallenged Only Fester and Grow
https://thefogbow.com/forum/
You rang?Phoenix520 wrote: ↑Thu Dec 16, 2021 3:05 pm The world has been In the Soup for two years. Can someone explain why there havent been public health moves to, oh, say, designate 1 hospital in every major metro area as non-COVID, for all other needs? This would seem to be a good time to step out of the box in our thinking.
Also, too, and this is just me: after July 4, 2022, if you are willfully unvaxxed, prepare to be massively, globally shunned. Shunning in one’s community is much more effective than shaming.
I fully expect LM K to have something to say about it and I’d love to hear what it is.
Sadly, some die insisting that covid isn't real. They just have really bad colds that turned into pneumonia.pipistrelle wrote: ↑Fri Dec 17, 2021 11:50 amEveryone knows. I suspect even the cult knows. They don’t care. Until they end up intubated, when they admit COVID is real and please throw all the medical resources at it possible. Until they die.
I suspect they know but can’t admit it.LM K wrote: ↑Fri Dec 31, 2021 7:54 pmSadly, some die insisting that covid isn't real. They just have really bad colds that turned into pneumonia.pipistrelle wrote: ↑Fri Dec 17, 2021 11:50 amEveryone knows. I suspect even the cult knows. They don’t care. Until they end up intubated, when they admit COVID is real and please throw all the medical resources at it possible. Until they die.
DeSantis, when he's back from vacation, will be begging for federal help soon too.
Even more sadly, hospital workers are being harassed & attacked by patients' friends and family members who claim the hospital is killing patient by not giving the patient various dewormers, herbs, hydroxychloroquine, etc.LM K wrote: ↑Fri Dec 31, 2021 7:54 pmSadly, some die insisting that covid isn't real. They just have really bad colds that turned into pneumonia.pipistrelle wrote: ↑Fri Dec 17, 2021 11:50 amEveryone knows. I suspect even the cult knows. They don’t care. Until they end up intubated, when they admit COVID is real and please throw all the medical resources at it possible. Until they die.
Adrienne Taren MD/PhD
·
Dec 30, 2021
There aare no ICU beds in all of Oklahoma, Kansas, Missouri, or Arkansas ask me how I know
Adrienne Taren MD/PhD
@AdrienneTaren
Important clarification, no STAFFED icu beds that they will allow me to put a patient in.
50 state hospital status:Oro Valley Hospital in Arizona is temporarily not accepting patients having heart attacks. Due to staffing issues from #COVID19 they are unable to provide 24/7 call coverage in the Cath Lab. https://www.kold.com/2021/12/31/oro-val ... -patients/
Here’s what we need to do to avoid the worst-case scenario, starting now.These particular recommendations focus on a singular goal: keeping our hospitals from falling apart due to the need for care exceeding capacity.
•Circuit breakers must be introduced in some areas. Circuit breakers are short-term restrictions, regardless of vaccination status, designed to slow the spread of Covid-19. The goal of these circuit breakers is specifically to “flatten curves,” so that hospitals do not become overwhelmed. To accomplish this, restrictions need not last long. In fact, tremendous impact can be achieved in just a matter of days (or perhaps a week or two), if adhered to sufficiently. Such restrictions are familiar and should include eliminating indoor dining or limiting seating capacity drastically. (This means that temporary government relief for affected businesses should again be provided.) Other large gatherings like concerts should go virtual temporarily or should limit their capacity dramatically. Working from home should be encouraged when possible.
Unlike the spring of 2020, circuit breakers should have clear on-ramps and off-ramps, based on case counts. Why? Because case counts today predict hospitalizations a week from now, though the exact correlation depends on local vaccination rates, what fraction of the population has previously been infected, and the average age of newly infected individuals.
Hospital capacity is not just about beds and equipment, but also staffing. Omicron will cause more infections among healthcare workers and more of their families will have infections, whether from school or work. To avoid a massive loss in hospital workforce days, hospitals should adapt “test to stay” policies for employees who have been exposed to SARS-CoV-2 whether at home or at work, rather than enforcing lengthy quarantine periods. (Because it appears that even boosting is not a forcefield against Omicron, vaccination status won’t be relevant). For infected healthcare workers, hospitals should also use “test to return” for those feeling well enough to work after 5-7 days, replacing standard 10-14-day isolation periods. We now know that many people remain contagious for just a few days, while others far longer. Why guess when we can use rapid tests to determine whether someone is a risk to their colleagues and patients? This will keep the workforce from thinning out at inopportune times. Similar systems have recently been shown to have saved tens of thousands of in-person learning days for children, without worsening spread.
Provide US residents with free or inexpensive KN94, KN95, or N95 masks. These masks should be routinely used in crowded indoor settings. Less effective (surgical or some cloth) masks might be acceptable for low density settings where the risk of encountering someone at the peak of contagiousness is statistically far lower. (While using the best masks all the time would be “optimal,” we are human; let’s reduce harm rather than pretending we can eliminate it by striving for a perfection that nobody can achieve). Insisting on the best masks in crowded high-risk conditions will limit “superspreading” events.
•Send every US resident free rapid antigen tests. Rapid tests should be readily available to the public and free. While rapids don’t rule out infection, they identify almost all of the contagious ones. However, it’s possible that Omicron’s transmission dynamics will render rapid tests somewhat less useful because the “warranty” on the information they provide may turn out only to be good for several hours, rather than a day or two. This is something we are watching and waiting for the FDA to comment on soon.
•Go big on vaccination and boosting by re-opening mass vaccination sites. These sites provided vaccines to communities that now lack vaccine access.
•Go small on vaccination and boosting by going door-to-door to reach people in need. EMS workers can do this. We need to lower the bar for those finally considering vaccinating due to Omicron.
Do not purchase KN94, KN95, or N95 masks from Amazon. Based on research by the NYT I'm purchasing only from BonafideMasks and Project 95.LM K wrote: ↑Fri Aug 20, 2021 11:54 am
There are a ton of fraudulent masks out there. The NTY has an excellent article excellent article about fraudulent masks and how to find authentic N95 and KN95 masks.
They recommended these two websites from which to purchase authentic masks.
Bonafide Masks.
Project95.
A few days ago I purchased 50 KN95s from Bonafide Masks. Both sites are excellent. Project 95 sells a ton of PPE and home testing kits. I'm going to start purchasing gloves and other supplies from Project 95.
I'll purchase KN95s and K95s only from these sites. Added bonus! Everything is cheaper on both sites because they're bulk sellers. But even if masks costed more, I'd still use only these two sites.
Yep.Slim Cognito wrote: ↑Sun Jan 02, 2022 7:15 pm I have a stash of surgical masks. Are they also obsolete?
From the CNN article above:LM K wrote: ↑Sun Jan 02, 2022 11:10 pmYep.Slim Cognito wrote: ↑Sun Jan 02, 2022 7:15 pm I have a stash of surgical masks. Are they also obsolete?
"We need to be wearing at least a three-ply surgical mask," she said, which is also known as a disposable mask and can be found at most drugstores and some grocery and retail stores. "You can wear a cloth mask on top of that, but do not just wear a cloth mask alone."
2 hours ago I issued an emergency order for @EmbryHealth authorizing triple time pay for our five busiest sites being crushed by unprecedented demand. I'm doing everything possible to get additional people to these sites to get the patients through the lines.
Thanks, pipistrelle!pipistrelle wrote: ↑Sun Jan 02, 2022 11:24 pmFrom the CNN article above:LM K wrote: ↑Sun Jan 02, 2022 11:10 pmYep.Slim Cognito wrote: ↑Sun Jan 02, 2022 7:15 pm I have a stash of surgical masks. Are they also obsolete?"We need to be wearing at least a three-ply surgical mask," she said, which is also known as a disposable mask and can be found at most drugstores and some grocery and retail stores. "You can wear a cloth mask on top of that, but do not just wear a cloth mask alone."
Jorge A. Caballero, MD @DataDrivenMD wrote:NEW: Daily #COVID19 admissions among U.S. children are twice as high as they were during the peak of the Delta wave
source: HHS, https://healthdata.gov/Hospital/COVID-1 ... /g62h-syeh
NEW: 23,220 emergency department visits *for* #COVID19 were reported by U.S. *pediatric hospitals* between Dec 24-30. This shattered the 7-day record, which was set during the peak of the Delta wave (Sept. 2020)
source: HHS, https://healthdata.gov/Hospital/COVID-1 ... /anag-cw7u