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re: ‘We Are 10 Days Away From Our Hospitals Getting Creamed’

Posted on 3/11/20 at 5:49 am to
Posted by auggie
Opelika, Alabama
Member since Aug 2013
31570 posts
Posted on 3/11/20 at 5:49 am to
quote:

Numbers that don't agree with what I want to push are not "honest".


I will accept similar numbers from Florida, from it's northern portions where the elevations are above 10,000 feet, and they have buildings more than 500 years old.
Posted by Oilfieldbiology
Member since Nov 2016
42264 posts
Posted on 3/11/20 at 6:09 am to
Just keeping his body in shape so he won’t be susceptible to this due to underlying health issues such as obesity and cardiovascular issues
Posted by Walkthedawg
Dawg Pound
Member since Oct 2012
11466 posts
Posted on 3/11/20 at 6:11 am to
Only 9 days left, hope we all make it to next Sunday, The LOrds Days
Posted by Oilfieldbiology
Member since Nov 2016
42264 posts
Posted on 3/11/20 at 6:19 am to
quote:

Tell me about what's happening in Italy. They seem to believe that they have more patients than they can scale capacity to handle


An aging country that lives in relatively confined quarters and old buildings and relies massively on foreign tourism that over the past few years has increased their dealings with China, including business partnerships requiring travel, locked down their entire country of 65,000,000 over 9,000 infections.
Posted by Oilfieldbiology
Member since Nov 2016
42264 posts
Posted on 3/11/20 at 6:23 am to
quote:

The trouble is that all the usual pathology in the ICU will still be there and hospitals don't run excess ICU capacity since it's so expensive. There's not a lot of excess capacity.


This is a legitimate concern. But I’m still taking a “everyone don’t be an idiot and practice good hygiene and make sure to let the people who need help get it by not clogging up hospitals because you’re a healthy 25 year old with a cough” approach
Posted by Oilfieldbiology
Member since Nov 2016
42264 posts
Posted on 3/11/20 at 6:25 am to
quote:

Re-read what he wrote. He's talking about reaching 1% in any one area, not necessarily 1% across the country. Absent intervention, that could very much happen and right now we are not aggressively intervening.


Straight up martial law quarantine is the only thing that maybe even might stop this, and for a disease that isn’t nearly as deadly as the concern trolls want it to be, this isn’t justified
Posted by Oilfieldbiology
Member since Nov 2016
42264 posts
Posted on 3/11/20 at 6:30 am to
quote:

a mechanical ventilator any different from an air compressor ,attached to a regulator and airway?


In theory not much, but I don’t want bubba redneck engineering my lungs
Posted by Oilfieldbiology
Member since Nov 2016
42264 posts
Posted on 3/11/20 at 6:31 am to
quote:

His modest suggestion is that we plan for that contingency as opposed to doing nothing.


Nothing modest about quarantining the entire fricking country
This post was edited on 3/11/20 at 6:32 am
Posted by jimmy the leg
Member since Aug 2007
44214 posts
Posted on 3/11/20 at 6:35 am to
Please update your thread title to show the correct countdown day.
Posted by Boatshoes
Member since Dec 2017
6775 posts
Posted on 3/11/20 at 6:39 am to
quote:

not clogging up hospitals because you’re a healthy 25 year old with a cough” approach


As of today, a healthy 25 year old with a cough and fever who has normal vital signs is going to be discharged from the emergency department in 99% of the cases (particularly if they have a normal chest x-ray and normal vitals). Even if they have presumptive pneumonia on chest x-ray, an abnormal CBC, and a fever they are probably going to be discharged based on the recommendation of something like the CURB65 score with an RX for outpatient antibiotics.

Old? Comorbidities? Elevated lactate? Hypoxic?
Admitted, possibly the to the ICU.

So consider the specific thresholds you have to meet to get admitted in the first place before you talk about hospitals getting clogged up by sick 25 year olds. Medicare and private insurance companies have established guidelines on who they are willing to let doctors admit to the hospital, even in observation status.
This post was edited on 3/11/20 at 6:41 am
Posted by auggie
Opelika, Alabama
Member since Aug 2013
31570 posts
Posted on 3/11/20 at 6:40 am to
Italy is suffering revenge, for Marco Polo stealing the noodles.
Posted by Oilfieldbiology
Member since Nov 2016
42264 posts
Posted on 3/11/20 at 6:44 am to
quote:

Even with the same death rate as the flu, there are 230,000 Americans that will die from this. If we can all pull our heads out of our asses, maybe we can prevent 100,000 of those. It may not matter to you, but it will probably matter to them.


I am very interested to see if this number is anywhere near correct at the end of all of this.
Posted by Oilfieldbiology
Member since Nov 2016
42264 posts
Posted on 3/11/20 at 6:47 am to
quote:

The WHO believes the Chinese numbers. Do you seriously think that the CCP would have quarantined over half a Billion people, canceled Golden week, and trashed 16% of their 2020 GDP for 3000 people?


Yes. They play the long game and if this damages the US economy and trump enough to get him out of office, they win the next decade plus.
Posted by Oilfieldbiology
Member since Nov 2016
42264 posts
Posted on 3/11/20 at 6:49 am to
So what you’re telling me is that all of those tests are instantaneous and take no time or people to discern so boat loads of otherwise healthy people piling up
In waiting rooms won’t result in strained systems?
Posted by Ace Midnight
Between sanity and madness
Member since Dec 2006
95622 posts
Posted on 3/11/20 at 7:05 am to
quote:

But I’m still taking a “everyone don’t be an idiot and practice good hygiene and make sure to let the people who need help get it by not clogging up hospitals because you’re a healthy 25 year old with a cough” approach


The problem is - the media generated panic is going to drive perfectly healthy folks to go to their doctor and demand a coronavirus test.

And the media want them to.
Posted by longwayfromLA
NYC
Member since Nov 2007
3331 posts
Posted on 3/11/20 at 10:47 pm to
quote:

The problem is - the media generated panic is going to drive perfectly healthy folks to go to their doctor and demand a coronavirus test.

And the media want them to.


S. Korea managed this very real problem by physically separating much of testing operations (which doesn't require doctors) from its triage operations (also no doctors) from the respiratory illness care from the rest of its healthcare delivery system. They then offered consistent communication to make sure everyone went to the right spot and to consistently direct those that didn't do so. Logistically, this much more difficult here because of the sheer number of players. But that's what we should have been prepping for over the last few weeks.
Posted by goofball
Member since Mar 2015
17353 posts
Posted on 3/11/20 at 10:49 pm to
Already happening. People are panicking and going to the ER for minor cold symptoms. They are overwhelming the system and probably getting themselves exposed to the Coronavirus.
Posted by goofball
Member since Mar 2015
17353 posts
Posted on 3/11/20 at 10:53 pm to
I don’t think patients can be compelled to quarantine by doctors orders. I don’t think a mass quarantine is possible in most western countries.
Posted by longwayfromLA
NYC
Member since Nov 2007
3331 posts
Posted on 3/11/20 at 10:57 pm to
quote:

I don’t think patients can be compelled to quarantine by doctors orders. I don’t think a mass quarantine is possible in most western countries.


Italy is giving it a go, we'll see how that goes. I agree that will always be a tough sell here.
Posted by auggie
Opelika, Alabama
Member since Aug 2013
31570 posts
Posted on 3/11/20 at 11:11 pm to
quote:

In theory not much, but I don’t want bubba redneck engineering my lungs


If you needed breathing assistance, and couldn't obtain proper medical equipment, or get into a hospital. I'm pretty confident that you would do whatever is necessary, if you know how.
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