Re: CoVid-19
Posted: Mon Apr 20, 2020 7:22 pm
East hockey. That didn’t last long. Yoopster keeps topping himself.
The Largest Prep Hockey Message Board Community on the Web
https://www.ushsho.com/forums/
Yeah. How else could it be?Getitright wrote: ↑Mon Apr 20, 2020 7:22 pm East hockey. That didn’t last long. Yoopster keeps topping himself.
If we forget about social distancing and go back to "business as usual", as many are proposing, how do we know it won't be exponentially worse? Let's see what happens in Florida and Georgia in the next several weeks as they start opening things back up (like bowling alleys in Georgia, yeah those are really vital!!!goldy313 wrote: ↑Mon Apr 20, 2020 10:39 pm I was watching Anderson Cooper wonder why all these Trump supporters don’t get it and protest the Government’s handling of the pandemic.
My first thought was, really? A Vanderbilt? My second was they are protesting in states led by Democratic and Republican governors, so clearly it is not entirely a Trump issue as he has also set guidelines many of the protesters wouldn’t be fans of (Trump’s tweets haven’t helped). But still, people need to work.
I work with a nurse whose husband repairs jewelry and high end watches. Anyone who has ever entered a jewelry store knows other than near Christmas and Valentines Day you don’t have to worry about overcrowding. Yet, since it is not deemed essential the business has been closed for a month. The business won’t reopen if this goes on another 2 weeks. Some of this makes no sense, they have to do something to fix it.
Kids need to be in school especially those just becoming literate. We can’t waste time, Walz talked today about making plans for distance learning into next year. Even if we have to drop certain classes kids still need to learn to read, write, and do math. The damage being done to the kids is not going to be easily recovered. Most kids are going to be out of school at least 6 months.
We just set a precedent, this will happen again. Even with a vaccine influenza killed 61,000 and infected 45,000,000 Americans just 2 years ago. This will probably be worse but not exponentially, even without a vaccine.
First, to "yoopskater", "Wet Paint", InthePipes", and "7TIMECHAMP"; again I'll ask,Yoopskater wrote: ↑Mon Apr 20, 2020 6:34 pm The point is, how do we set policy? If we set policy to protect 100% of lives we literally cannot do anything in this life. If we wanted to protect all lives...there were 30k+ lives lost in traffic accidents last year. Well, eliminate cars. Ain’t I a genius? Solved that whole problem in one fell swoop. That is the mind set of a lot of our governors now days. Stay home, let everything else hit the skids, and while you are at it, Chaulk up every death you can to Covid, regardless if they were 90 and had lung cancer. After all, there is fed funding attached to it.
I'll attempt address Wise Old Man's concern with my statement, my point was simply that testing is important, but there are limitations (in some cases significant limitations). I work in the infectious disease diagnostic industry, because this is a relatively new situation (<4 months) there are not yet any peer-reviewed citations on this topic, here is one article that contains a link to a draft paper (pre-print, it's not been peer-reviewed) that gives you some insight to those limitations:Wise Old Man wrote: ↑Sun Apr 19, 2020 4:46 am
First, let's tackle "In the Pipes" comment regarding testing where he states, "These tests you speak of all have significant limitations and the quicker the test results are generated the more inaccuracy they generally have." Really? Please provide citation of proof of this claim as being true regarding the inaccuracy of the rapid tests in a general sense. Are there some specific tests developed by specific entities that have had this issue? Yes, but a very small amount.
I don't know that anybody here is saying it is a hoax or not a problem. All effects and angles do need to be considered though.greybeard58 wrote: ↑Tue Apr 21, 2020 8:42 am I would like to add, according to a news report on March 20 South Korea had 100 reported deaths from this virus and the US had 150 reported. On April 20 the us reported death count was 41,000+, that is over 1,000 a day just from this virus.
To be truthful for all that believe this virus isn't a problem please just stay within your own circle and keep it spreading among yourselves and leave the others trying to do whats best alone, but please when you get the virus don't go to the hospital and put more in danger after all you think it's a hoax and hoaxes don't kill.
Sorry Karl, Mitch and Lee for this vent.
If you are willing to share, I'm curious if your perspective on this shifted on COVID-19 (the danger of the disease, not the ancillary impacts) in the last 6 weeks? I understand there will probably be only so far you'll want to go with your comments (and rightly so), but just in a broad sense.goldy313 wrote: ↑Tue Apr 21, 2020 10:28 pm Any comparison between the US and South Korea is beyond ludicrous from a public health standpoint; the US has a 36.4% obesity rate, 12th in the world, South Korea has a 4.7% obesity rate, 183rd in the world out of 191 countries.
COVID-19 disproportionately affects the obese, obesity affects the normal functioning of the body, including the respiratory system. We could follow the same path South Korea did and would still have a far higher infection and death rate.
Last year heart disease killed 647,000 people in the US, COVID-19 is a terrible virus, but it preys largely upon those with underlying problems. Heart disease isn’t contagious but is largely preventable in much of the population.
The only long term result of all this will be twofold 1)health care just got more expensive, by multiples. We won’t be able to pack as many people into waiting rooms, meaning we see less patients but will expect the same if not more revenue, we will have to keep PPE and ventilators on hand we will never need. Long term care facilities will have to charge far more, many will go out of business after being sued. Hospitals and Clinics will go out of business, rural areas will be hit very hard. 2) the executive branch of governments just became a whole lot more powerful. Rural areas became even more irrelevant to those in charge. What happened in New York and many other states should scare everyone.
I would also add that South Korea, and most countries outside of the United States for that matter, have taken much stricter steps to enforce quarantines of infected individuals and their shelter in place orders. If you are diagnosed with COVID-19 in South Korea and not hospitalized, there is a mandatory 14 day quarantine at home, during which time you are tracked by a smartphone app. People who try to get cute and still violate the order have a tracking wristband strapped to them, with the next step being prison time.
"Pipes"... Two very good articles with very good info. Thank you for sharing. I was certainly aware of the limitations of some of the tests but, good to read about some of the specifics involved. It was interesting to note in the FDA piece that the inconsistencies in the serological testing seemed to create more potential false-negatives when used to test patients that might be early in their initial infection timeline. Whereas, some of the inconsistencies in the non-seroligical tests using swabs to do initial diagnosis are due to either patient discomfort with the nature of the test -- having the swab jammed so far back into your nasal cavity -- along with the ability of the health care worker administering the test too actually get the swab back as far as they need to and, ensure it's manipulated properly in order to obtain the appropriate amount of genetic material.InThePipes wrote: ↑Tue Apr 21, 2020 10:19 amI'll attempt address Wise Old Man's concern with my statement, my point was simply that testing is important, but there are limitations (in some cases significant limitations). I work in the infectious disease diagnostic industry, because this is a relatively new situation (<4 months) there are not yet any peer-reviewed citations on this topic, here is one article that contains a link to a draft paper (pre-print, it's not been peer-reviewed) that gives you some insight to those limitations:Wise Old Man wrote: ↑Sun Apr 19, 2020 4:46 am
First, let's tackle "In the Pipes" comment regarding testing where he states, "These tests you speak of all have significant limitations and the quicker the test results are generated the more inaccuracy they generally have." Really? Please provide citation of proof of this claim as being true regarding the inaccuracy of the rapid tests in a general sense. Are there some specific tests developed by specific entities that have had this issue? Yes, but a very small amount.
https://www.livescience.com/covid19-cor ... tives.html
As time goes on, I expect we'll see many other peer-reviewed publications on this topic, it's just too soon right now.
On the serology test front, the FDA actually went so far as to issue a letter to health care providers outlining the limitations of these tests late last week:
https://www.fda.gov/medical-devices/let ... -providers
Best of luck to you and your family.
"Goldy"... First, I can't say enough about how much I appreciate what you do in these challenging times and I'm truly happy you've made a full recovery. Unfortunately, I have to disagree with you regrading your point that "it's beyond ludicrous" to compare the U.S. to South Korea simply on the basis of a public health standpoint. I don't contest your point regarding obesity within each country and, what effect how being obese seems to negatively affect Covid patient outcomes. Certainly, strictly from a fatalities comparison, the obesity differences are a factor. However, as of right now, John's Hopkins is currently showing South Korea as having 10,702 confirmed cases and only 240 total deaths. While we currently have 856,209 confirmed cases and 42,272 deaths. Meaning, South Korea has one Covid death per 213,621 people and we have one death per 7,002 people. That's one heck of a difference and certainly isn't or can't be explained primarily by the differences in obesity (understanding you aren't saying that's the only reason for the difference).goldy313 wrote: ↑Tue Apr 21, 2020 10:28 pm Any comparison between the US and South Korea is beyond ludicrous from a public health standpoint; the US has a 36.4% obesity rate, 12th in the world, South Korea has a 4.7% obesity rate, 183rd in the world out of 191 countries.
COVID-19 disproportionately affects the obese, obesity affects the normal functioning of the body, including the respiratory system. We could follow the same path South Korea did and would still have a far higher infection and death rate.
Last year heart disease killed 647,000 people in the US, COVID-19 is a terrible virus, but it preys largely upon those with underlying problems. Heart disease isn’t contagious but is largely preventable in much of the population.
The only long term result of all this will be twofold 1)health care just got more expensive, by multiples. We won’t be able to pack as many people into waiting rooms, meaning we see less patients but will expect the same if not more revenue, we will have to keep PPE and ventilators on hand we will never need. Long term care facilities will have to charge far more, many will go out of business after being sued. Hospitals and Clinics will go out of business, rural areas will be hit very hard. 2) the executive branch of governments just became a whole lot more powerful. Rural areas became even more irrelevant to those in charge. What happened in New York and many other states should scare everyone.
This is a great post TT.TTpuckster wrote: ↑Fri Apr 24, 2020 9:01 am Several of you are saying the flu killed 60,000 people in 2018. That is with a vaccine available that a lot of people took. Think about it.
I’m not exactly sure what your point is, but 98% of those people that died did not take the flu shot.TTpuckster wrote: ↑Fri Apr 24, 2020 9:01 am Several of you are saying the flu killed 60,000 people in 2018. That is with a vaccine available that a lot of people took. Think about it.
I think what he’s trying to point out is that 60,000 number would be exponentially higher if there was no vaccine available for the flu shot, a la the Corona virusJeffy95 wrote: ↑Sat Apr 25, 2020 12:09 amI’m not exactly sure what your point is, but 98% of those people that died did not take the flu shot.TTpuckster wrote: ↑Fri Apr 24, 2020 9:01 am Several of you are saying the flu killed 60,000 people in 2018. That is with a vaccine available that a lot of people took. Think about it.
I agree Goldy. I see they are reporting that we are near 1,000,000 cases in the US. With a population of 350,000,000 that means that less than 1/3 of 1 percent of our population has, or has already, had it. That means that over 99.7% of our population has not.goldy313 wrote: ↑Tue Apr 28, 2020 12:30 am As of Saturday the youngest Minnesotan died of Covid-19, he was 44 and lived in a long term care facility. That brought the average age of a Minnesotan that died from Covid-19 down to 83 from 86. Of course the average life expectancy of Minnesotans is 78....every death is a loss but from the day we are born we are one day closer to death. I am becoming less confident by the day in our state and national Government. Some respectable infectious disease MD’s in California have now put the death rate at 0.003.
I get why we suspended everything, say Mayo does 100 elective procedures a day, each elective procedure takes up 5 people’s worth of PPE, a surgeon, an assistant, an anesthesiologist, a surgical tech, and a nurse. That is 5 people, times 100 times 5 days a week. (This is way underestimating Mayo). They would burn through PPE in 2 weeks. You had to stop to get a hold on your PPE as it is largely a “just in time” supply.
We now know just how slow the ICU bed rate is evolving,it is time to slowly start getting back to normal. We have the ICU beds, we have the PPE. We need to adjust our lunch rooms, we need to protect our long term care residents,we will be alright.
While we don't have much published data for MN yet, early results from across the US have demonstrated that in various locations between approximately 4% (CA) and 25% (NYC) of the population has been exposed to COVID-19 in early studies that have been conducted. As we've previously discussed in this thread, these analytical test methods are not perfect and the study designs are also less than ideal, but it does confirm that as expected the exposure to this virus is far greater than our test results indicate. Even the MN state health officials have publicly stated the actual exposure to COVID-19 in MN may be 100 times greater than what our positive test results indicate in MN.grindiangrad-80 wrote: ↑Tue Apr 28, 2020 6:10 am
I agree Goldy. I see they are reporting that we are near 1,000,000 cases in the US. With a population of 350,000,000 that means that less than 1/3 of 1 percent of our population has, or has already, had it. That means that over 99.7% of our population has not.