Anyone worried if Corona virus keeps spreading the gyms will shut down?

muscleupcrohn

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Good read on the potential economic impact of various seriousness of response:

 
BamBam54

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This pandemic is neither left or right politically based. It's going to kill everyone equally... left/right, black/white. With an extra kick in the nuts to the old and fat.

This really ought to be a post-9/11 type uniting momemt. We are in some real **** right now, with Trump trying to balance saving the economy vs saving as many lives as possible. Trying to not exaggerate the danger, but also not down play the real risk's and very bad times ahead. It's a tough needle to thread !!

And I really like these experts Dr Fauci and Brix! But in the end they give their advice and the President we elected decides our best course of action moving forward.

If we shut everything down and successfully quarantine the experts say we can bring the US death toll from 1-2 million down to 100-200k here. And yeah, the impact to our economy will be horrific. But if 1-2 million people died in a 6 week period (double the entire death toll of the US civil war!) it might equally crash the economy on top of the pile of dead. Gotta trust and move forward. This is no time for second guessing and political sniping.
 
HIT4ME

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This thread is tough to keep up with, even with all this extra time...

Yes, I agree with most of this, as that is a good answer. So much of this has been wishy/washy which makes things all that more difficult for us in healthcare and the general population. Droplet vs airborne has been another gray area. It’s mostly droplet, but has the potential to become “airborne“ given its extended life on a variety of surfaces that people then move around and/or from air currents. This is the best answer I can give, as nobody really seems to know. There are studies, but each one seems to always yield a different result, or is done under different conditions. It’s definitely more contagious than the flu, so I think an airborne element is certainly there to some degree. My hospital calls it droplet but treats it as airborne-sometimes.

We “mostly“ wear surgical masks to prevent infecting others, and we now must wear those at all times we are at work period- except to eat and drink of course. These virtually have no seal, so droplets still have a very good chance of entering your airways. They do however serve a purpose in containing an infected persons cough- making transmission less likely.

Due to the N95 shortage, nurses and RTs have been asked to go into rooms of pending COVID rule outs, wearing just a surgical mask and face shield- but the patient must wear a surgical mask the entire time. Keep in mind, this is now taking place more frequently in non-negative pressure rooms behind closed doors. I have personally refused to comply with this, and thankfully, so have many others.

Once they come back positive, it’s negative pressure, N95, face shield etc...

The thing about N95 masks that you don’t realize until you use them is that they get very uncomfortable rather quickly. The seal is quite tight, so it really irritates the skin at certain pressure points, and adjusting them becomes unevitable. This means touching the exterior of your infected (or potentially) mask with your hands and more dangerously exposing your nose and mouth to the virus than normal. I do this as infrequently as possible, and I make sure to put on a second pair of gloves- thoroughly wash my hands and go behind closed doors within my “dirty” negative pressure unit. I simply have no choice, and today it literally felt like it was cutting into the bridge of my nose. I was shocked to discover it wasn’t bleeding.

Even wearing the surgical mask outside of COVID units gets old fairly quick, and we constantly end up taking those on and off for various reasons- again, putting our hands up where they shouldn’t be. For the general public, I challenge anyone to wear an N95 (please don’t) and go about their day. As far as surgical masks, the consensus now is that it would reduce transmission, but don’t touch it without washing your hands first!

Damn, I didn’t mean for that to be so long :)
I hear you on the mask - they can become uncomfortable and studies show the need to take them off can really reduce their effectiveness. I have a silicone 3M mask with cartridges that I wear sometimes and it is pretty comfortable as far as they go but it is hard to wear even for a couple hours, I can't imagine all day.
 
HIT4ME

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You kind of DO support his decision and actions, when you justify them by claiming the First Amendment sees him free to commit them, no? Or how do you reconcile the two (1, you dont support him...2, the 1st Amend apparently does support him)?
Supporting a law or right and supporting a decision are two very different things. I support your right and your freedom to leave you house and move around the world. I do not support your decision to do it at the expense of yourself and others.

I support your right to go home and drink 24 cans of beer every night if you choose - but I don't support you doing it every night.

Just because I don't like your choice, doesn't mean I have the right to stop you.

However, I think that Muscleupchron is on the right path that the constitution does NOT defend the right of the church in this case - I will get to that.

Answer my question from my post. How does a law that prohibits gatherings of 100 people (or whatever the amount was) not UNCONSTITUTIONAL to as it would prohibit the free exercise of religion for any church from gathering that has over 100 members since they wouldn’t be able to actually choose to have “church” to begin with, after all a church service by definition according to the Bible is a “ASSEMBLING”, “Not forsaking the assembling of ourselves together, as the manner some” (Hebrews 10:25).

Also, answer me this as well are the laws that deem the gun shops “nonessential businesses” that therefore force them to close constitutional? In a free society those at highest risk, the elderly and those with preexisting conditions should be told to quarantine and it should be up to the rest of the members in society to CHOOSE if they want to quarantine. The economy should not be mandated by government edict to shut down, businesses closed many of which will never open again, millions of people be unemployed, and everyone forced to stay at home! Total government overreach in so many areas at a cost to many millions.
I am not a constitution expert - I admittedly need to brush up on it - and I am no lawyer but I am a commercial real estate broker and work with zoning bylaws on a regular basis and I understand where Muscleupchron is coming from. Any building that open for the public has occupancy limits - whether this is a school, restaurant, retail store, office building or, yes, even a church. These laws are basically based on the intended use and apply in various ways to ALL buildings. I mean, even your own house has an occupancy limit in a way because you are only allowed so many bedrooms based on septic capacity because that effects your health and the public's health.

As far as "use" goes - churches and educational uses, at least in my state, supersede the zoning bylaws. What this means is that you cannot prohibit a church or educational use from locating anywhere. If something is zoned for an office use, you can't just open your auto repair shop there, but a church can go anywhere basically.

Having said that, my analysis seems to point in the direction that a religious use cannot be discriminated against. If it is OK for ANYONE, it is OK for a church. But a church still has to abide by the laws that EVERYONE has to abide by.

In other words, if ANY use is OK in a location (like an office use) you CAN discriminate against an automotive user, but not the church. But if a law says "Any occupancy of this building is limited to X number or people" the church still has to abide by it, because it applies to everyone and is not discrimination.

In this case, if an occupancy is limited to X number of people, that would thus be acceptable - and if a town reduces that number for everyone, the church is not protected because it is not a discrimination against the church specifically.

Of course the town, state and federal gov't can set occupancy laws based on health parameters as they see fit. If they reduce occupancy levels for such a reason, and you don't abide, you can be shut down and I would guess if you still don't abide, the person responsible could be arrested.

Pastor was stupid, reckless, and put his parishioners at risk is not the same as supporting his freedom of choice to do so. If someone believes abortion is morally wrong, but believes a woman should have a right to do so are they then supporting whatever she chooses? Illogical. Supporting that a choice should be present for someone to make a decision is in no way an affirmative support of a decision either way.
Actually, based on the above and muscleupcrohn's angle, I'm thinking he probably does not have the right to do so AND it is morally wrong in addition to it. But I do not think we need to suspend rights. If the church does not have the right to open for more than x number of people, because NO ONE has the right to open beyond that x number of people, then it does not require any suspension of any constitutional right perhaps.

And if the church still abides by that X number of people, they can still congregate - as was suggested above - with more services. So if they have to limit to 8 people, they can still congregate in groups of 8 or smaller - but that's the law for everyone so they are not being discriminated against.

And I support their right to go to church. I still think it is beyond moronic right now and I would question being part of any group of people that thought this was acceptable. I mean, how dumb are all the people that showed up for this? Perhaps they are worried about saving their souls and have a belief that they can't miss a day of church - but I disagree with them heavily. But if that is their belief, and they choose to take actions in accordance with their beliefs - they have a right to do it as long as they are not endangering others. And that's the bigger problem. They ARE endangering others.

Just like I have the right to own a gun, I don't have the right to shoot someone with it. And if I am sick, I don't have the right to make other people sick by walking around coughing on them - I would get arrested for assault at the very least if someone complained. The issue is, no one ever gets arrested for making someone sick because you would have to prove "malice aforethought" - that they intended to harm someone. In this case, going to church when you know people could be sick and you could spread it - that may be enough to prove you had an intent. And they have already arrested a doctor for coughing on a nurse and I'm sure there have been other arrests during this period as well for similar actions.
Yes, my suggestion instead is advise those at high risk such as those that elderly or with preexisting conditions to quarantine and not force the vast majority at low risk to do so closing the economy down, leaving millions unemployed with record high unemployment, knocking companies out of business, destroying one of the best economies on record, taking away people’s rights and freedoms etc with no concrete answer on when the “shutdown” will end.
This is part of the problem - the "high risk" group is a fallacy. People need to get this out of their heads. First off, EVERYONE is at high risk of GETTING this disease. Then there is a subgroup of that that is at a high risk of dying from this disease. But not being part of a "high" risk group doesn't mean you are immune or unlikely to die.

70% of americans are overweight, 40% are obese. THAT is a huge risk factor. As has been pointed out in this thread - most of the critically ill patients are showing up merely being overweight. This means you would have to eliminate 70% of the population right off the bat - they cannot leave the house. Then you'd still have people who are not overweight who have autoimmune diseases, asthma, smokers, drinkers, normal-weight diabetics, cancer patients, etc.

So it's a fallacy to act like there are a bunch of people who are not at risk. EASILY 80% and maybe 90% of the population would fall into some kind of risk category. And the remaining 10-20%? Well, some of them are dying too.

And it's a fallacy to think that just because someone is a risk group they can stay home. You're healthy - can you stay home? Can you not go out and get food? Can you not buy supplies? No, everyone has to do that stuff or have someone do it for them and that means EVERYONE has the potential for being a contact point.

Keeping people who think they're healthy away from other people who think they're healthy is the only way to stop this - because the people who are sick and on ventilators aren't spreading it as much as you think, they are contained with limited contact points. The high risk people are NOT the problem. The low risk people are. The high risk people will be contained and they will die.

Isn’t obesity a risk-factor for this? So most of America would have to stay inside anyway.
People are NOT getting this. Keep beating that drum. If you are 20 pounds over the maximum weight for your height, you are obese. If you are over the maximum weight for your height, you are over weight. For a 5'8'' person this is 160 pounds. This is based on statistics and muscle mass does not matter - once you are beyond this weight, risks of disease is increased.
 
HIT4ME

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yep. The truth is, our best bet was to straight lock everything down from The get go. If we’d done that, this could’ve been over in maybe two weeks, no more than 4. It’s gonna take a lot longer and cost a lot more- both in dollars and in lives- at this point. The longer we keep screwing around and being stubborn about it, the higher the price will get.

Forget about the economy. What we knew is gone. It’s gonna be a different world after this, like it or not. Fuss and complain all you want, but we’re experiencing a paradigm shift.
I think this is tricky. I do defend our rights and our freedoms. People died for them and they are a real gift that is easily taken for granted. I won't wash them down the drain easily. I don't buy "temporary suspensions" of rights or whatever you want to call it - temporary could be the remainder of my lifetime or 1000 years. Everything is temporary.

But it would be wise for people to understand this and distance themselves from others. And I think people putting others in danger should face consequences. We don't even need new laws to do this. If a restaurant is serving, well, how are they going to meet sanitation codes? Shut them down if they aren't doing what they should. If a gym is open and they aren't meeting occupancy codes, shut them down.

Also, this disease is basically a weapon the young and healthy are using against the weaker. It should be wielded with responsibility.

^100% agree man. I initially thought the idea of closing borders, for example, was overreaction, but the benefit of hindsight I now agree with you completely.
Yeah, it is a perfect example of how Trump gets crapped on for anything he does. When he did that he was a racist. But now he hasn't done enough? We can't protect our own people from threats from outside of our borders (because that is racist) - but we can take the rights from our own citizens without a second thought once that threat is deployed? It's a little messed up.

I think Trump has to walk a fine line - using the law as it exists without over-reaching and trampling the constitution.
 
HIT4ME

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Also, for the people still comparing this to the flu or car accidents, etc.

I don't know if the figure is correct but as stated above, car accidents kill 40,000 people a year in america. In china that many people died in about 2 months. Maybe more.

In less than a month we're over 3,000 deaths and that figure is growing rapidly.

If all 40,000 car accidents showed up in the hospital over the course of 30 days - what do you think would happen?

Now add in the fact that a doctor doesn't have to worry about spreading a car accident around to his other patients or coworkers or bringing it home to his family.

As for the flu - I saw a number that someone through out on here saying there are a million deaths per year. Maybe worldwide, but in the US there are between 24-63,000 deaths estimated this year from the flu. Per year. We are catching up really quick to that number here and that is with all of this social distancing. This disease is more infectious than the flu by a long shot and has a higher death rate. There are estimates that if left to run rampant, 80% of the population would be infected. If 1% of those die - that's 0.8% of the population. We have 323,000,000 people in our country. That's 2,584,000 deaths. In a year. On the low end of the estimates. That's 50X the number of deaths from flu if we do nothing.

And for people saying the death rates are exaggerated because of all the people who aren't showing symptoms - yeah. They aren't getting tested. But a lot of people with symptoms being hospitalized and counted probably aren't getting tested either - because we don't have enough tests! And we have no data to quantify the % of those who are infected that show no symptoms - that number could be much smaller than we think. It's just a guess. Ignoring the data because there are small amounts of data showing it may only be partially accurate is letting the tail wag the dog.
 

jrock645

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I think this is tricky. I do defend our rights and our freedoms. People died for them and they are a real gift that is easily taken for granted. I won't wash them down the drain easily. I don't buy "temporary suspensions" of rights or whatever you want to call it - temporary could be the remainder of my lifetime or 1000 years. Everything is temporary.

But it would be wise for people to understand this and distance themselves from others. And I think people putting others in danger should face consequences. We don't even need new laws to do this. If a restaurant is serving, well, how are they going to meet sanitation codes? Shut them down if they aren't doing what they should. If a gym is open and they aren't meeting occupancy codes, shut them down.

Also, this disease is basically a weapon the young and healthy are using against the weaker. It should be wielded with responsibility.



Yeah, it is a perfect example of how Trump gets crapped on for anything he does. When he did that he was a racist. But now he hasn't done enough? We can't protect our own people from threats from outside of our borders (because that is racist) - but we can take the rights from our own citizens without a second thought once that threat is deployed? It's a little messed up.

I think Trump has to walk a fine line - using the law as it exists without over-reaching and trampling the constitution.

I'm with you 100% and that's what I meant with my post saying that I understand the argument on principle. I agree with the logic of it. The issue with taking that stand is that it doesn't help anything. And that's the part that people really digging in on their principles just flat miss the boat on. Like, ok, i'm not saying your logic is wrong, but what do you suggest we do? Crickets at that point, or some half baked idea like what he said about just isolate old people. Obviously, it's not that simple. Complex and drastic problems require complex and drastic solutions. And sometimes you have to throw your personal convictions out the window when no actual solution lies in your personal conviction. And I think we can all agree that shutdown isn't perfect, but "silver bullet" perfect solutions rarely exist- especially for complex problems like this one. So the thing I'll keep coming back to for anyone that keeps stubbornly digging in on "but, but, peoples rights!" type arguments is ok, then what exactly do you suggest we do that will actually solve this?
 
HIT4ME

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I'm with you 100% and that's what I meant with my post saying that I understand the argument on principle. I agree with the logic of it. The issue with taking that stand is that it doesn't help anything. And that's the part that people really digging in on their principles just flat miss the boat on. Like, ok, i'm not saying your logic is wrong, but what do you suggest we do? Crickets at that point, or some half baked idea like what he said about just isolate old people. Obviously, it's not that simple. Complex and drastic problems require complex and drastic solutions. And sometimes you have to throw your personal convictions out the window when no actual solution lies in your personal conviction. And I think we can all agree that shutdown isn't perfect, but "silver bullet" perfect solutions rarely exist- especially for complex problems like this one. So the thing I'll keep coming back to for anyone that keeps stubbornly digging in on "but, but, peoples rights!" type arguments is ok, then what exactly do you suggest we do that will actually solve this?
I agree, and I agree with the idea that we need a better solution. But we have laws on the books to protect people already and we don't have to go full 100% shut down and remove rights in order to get the compliance we need. That is my suggestion - just apply the laws that exist. You can go out and drive around and you can be in small groups, but if we catch a public facility open that is violating occupancy requirements or health codes under this pandemic - we will shut it down. Most of those places shut down already because it is in their best interest to avoid making their customers sick. With less and less incentive to go out, we've already taken a big chunk out of this. Most of the people I know are doing OK with social distancing - the majority. I mean, we're all sitting online arguing about it with all of our free time :)
 

jrock645

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I agree, and I agree with the idea that we need a better solution. But we have laws on the books to protect people already and we don't have to go full 100% shut down and remove rights in order to get the compliance we need. That is my suggestion - just apply the laws that exist. You can go out and drive around and you can be in small groups, but if we catch a public facility open that is violating occupancy requirements or health codes under this pandemic - we will shut it down. Most of those places shut down already because it is in their best interest to avoid making their customers sick. With less and less incentive to go out, we've already taken a big chunk out of this. Most of the people I know are doing OK with social distancing - the majority. I mean, we're all sitting online arguing about it with all of our free time :)

I think the point of the drastic measures, besides the obvious stuff of not having crowds of people at restaurants and such, is to extend into peoples private spaces. And I have a conflicted view on this, because generally speaking I don't care what people do in the privacy of their own home. But this is exactly the problem here- individuals can be having parties in their own home, even if it's groups of 10 or smaller and still really potentiate the risk of spreading this disease. A neighbor went to another party with people you don't know. A friend brings a friend and you don't know that person or where they've been. See what I mean? Obviously, theres never full compliance with anything. There's always some dumbass doing something they shouldn't, and things getting through the cracks so to speak. I think the real value in the drastic measures is how it alters peoples psychology. It makes most people stop and think about what they're doing, limit who they're around, keep to themselves and not being doing things they shouldn't. Doesn't cut risk to zero but it certainly cuts out a lot more than the "everybody just use your best judgement" type of guideline. And this will be highly controversial and it's not something I necessarily agree with morally. But... the situation we're in is kind of like being a war. And ultimately, in a war you have to be willing to do what's necessary to win it.
 
Ricky10

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It’s clear that @jrock645 and @HIT4ME, along with the majority of members in this thread, have a clear understanding of why the extreme measures we are experiencing are a necessary evil. I think our younger population (<25 y/o or so) in general is our most dangerous age group for not taking things seriously through non adherence to guidelines.

I was at the gas station a few days ago pumping gas, and there was a guy in this approximate age range also pumping gas at the opposite side of the pump. He said “I dont know man, I think we might be pushing the limit of the 6’ rule!” It turned out he was kidding, and proceeded to say “all this **** is ridiculous!” He then went on to explain that he was previously inside the gas station, and gave a lady **** for staying ~ 6ft in back of him in line. He then said, “It’s ridiculous for young people like us (apparently he though I was much younger than I am) to be involved in all this cause we are going to be fine”.

He obviously had no clue who he was speaking to, and I was not in the mood for an argument with someone who was that ignorant and clueless to say the least. I simply said ”yeah, I can’t wait until this is all over.”
Good to hear the update from @Ricky10. Was going to post today to see how you were doing!
Ran across this news piece from CBS news that really hit home and had me thinking about how you were doing, and the sacrifices/struggles you all were going through in the medical community on the front lines.
If it hasn't been said already... or often enough... Thank you.
I finally took the chance to watch this video. I knew this was going on, but it’s still difficult to see. Our emergency department isn’t this chaotic yet, but I fear that won’t be the case for long. So far I have been trying to avoid being the therapist in the ED, as not knowing pt’s status makes things very confusing for everyone, and is definitely where I feel the least comfortable at this point. It’s going to be a mess when we receive a presumptive COVID positive pt from EMS that is receiving CPR. This is a hectic situation in the best of times.

A few reasons why I volunteer for the confirmed positive unit is because I at least know what I am dealing with, and managing difficult vents is one of my biggest strengths. Not only is there a shortage of respiratory therapists, but MANY of them don’t have enough experience or adequate understanding of the appropriate ventilator settings and adjustments required for these patients. It’s kind of something you either get, or you don’t.

Yesterday, I walked in to 2 patients (and later 3) that were switched to or started on completely inappropriate settings, which ultimately results in the patient regressing. The NP was pissed (rightfully so), and we scrambled to get everyone back on appropriate settings before the pulmonologist came in. Scary, but at this point we can’t be picky in the help we get for therapists, but this caused me additional unnecessary work and could have harmed pt outcomes.
 

mase1

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The biggest mistake was the country not having an over abundance of masks, saw the potential in December. If everyone was mandated to wear starting a month ago it would have slowed the spread drastically, not the cure of course. To say citizens don't need masks because they don't work but next sentence say we need them for our health care workers, government lost all credibility. Then for FEMA to say we will not step in to stop all of these companies shipping masks overseas for $$$.
 
Mathb33

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The biggest mistake was the country not having an over abundance of masks, saw the potential in December. If everyone was mandated to wear starting a month ago it would have slowed the spread drastically, not the cure of course. To say citizens don't need masks because they don't work but next sentence say we need them for our health care workers, government lost all credibility. Then for FEMA to say we will not step in to stop all of these companies shipping masks overseas for $$$.
The mistake was that the United States are greedy and COCKY.
 

mase1

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Agreed, I voted for Trump and he has done a great job up until now, not going political. Don't have to agree. But living in Florida and his influence over the Governor and our economy they only saw money first. Again I voted for a business man and that is what I got.
 

mase1

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Shocker just saw CDC said wear masks, after I posted it. Any questions I am here for you. Side note- friend is a respiratory therapist and New York just offered him $6,400 a 60hr/week.
 
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muscleupcrohn

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Shocker just saw CDC said wear masks, after I posted it. Any questions I am here for you. Side note- friend is a respiratory therapist and New York just offered him $6,400 a 60hr/week.
And they say it's primarily to keep people who may have the virus and not know it (asymptomatic carriers) from spreading it to other people. Did you actually read the recommendation?
CDC continues to study the spread and effects of the novel coronavirus across the United States. We now know from recent studies that a significant portion of individuals with coronavirus lack symptoms (“asymptomatic”) and that even those who eventually develop symptoms (“pre-symptomatic”) can transmit the virus to others before showing symptoms. This means that the virus can spread between people interacting in close proximity—for example, speaking, coughing, or sneezing—even if those people are not exhibiting symptoms. In light of this new evidence, CDC recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain (e.g., grocery stores and pharmacies) especially in areas of significant community-based transmission.
The cloth face coverings recommended are not surgical masks or N-95 respirators. Those are critical supplies that must continue to be reserved for healthcare workers and other medical first responders, as recommended by current CDC guidance.
People were stocking up on masks that were needed by healthcare workers an first responders. In a perfect world, everyone could/would have the best masks, but since we weren't prepared, that couldn't happen.

https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cloth-face-cover.html
 

mase1

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I agree, tell the hospitals that saw this coming. The suppliers that saw this coming. And finally government. The mask helps healthy people as much as anyone. This point being everyone wears a mask and the rate of infection goes down considerably. We have always know this, unless you were tricked?
 

mase1

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Honestly those of us that follow the CDC blindly or government blindly can realize the spread of virus at such a high rate something is going on besides droplets. But maybe it is thinning out the clueless.
 
muscleupcrohn

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I agree, tell the hospitals that saw this coming. The suppliers that saw this coming. And finally government. The mask helps healthy people as much as anyone. This point being everyone wears a mask and the rate of infection goes down considerably. We have always know this, unless you were tricked?
The masks help non-infected healthy people INDIRECTLY by making it less likely that infected people will spread it to them because the INFECTED PEOPLE WEARING MASKS aren’t sneezing/coughing/etc. and exposing healthy people as much. The mask isn’t so much to help the healthy people not catch it. Did you even read what I posted directly from the CDC?
 
muscleupcrohn

muscleupcrohn

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I agree, tell the hospitals that saw this coming. The suppliers that saw this coming. And finally government. The mask helps healthy people as much as anyone. This point being everyone wears a mask and the rate of infection goes down considerably. We have always know this, unless you were tricked?
The masks help non-infected healthy people INDIRECTLY by making it less likely that infected people will spread it to them because the INFECTED PEOPLE WEARING MASKS aren’t sneezing/coughing/etc. and exposing healthy people as much. The mask isn’t so much to help the healthy people not catch it. Did you even read what I posted directly from the CDC?
 
jswain34

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Honestly those of us that follow the CDC blindly or government blindly can realize the spread of virus at such a high rate something is going on besides droplets. But maybe it is thinning out the clueless.
Here is a good article on that. https://www.statnews.com/2020/03/16/coronavirus-can-become-aerosol-doesnt-mean-doomed/

In short, it CAN remain suspended as an aerosol but thats not likely the main mode of transmission. Also, the virus does much worse in humid environments, especially with its aerosolization.
 
thebigt

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I agree, tell the hospitals that saw this coming. The suppliers that saw this coming. And finally government. The mask helps healthy people as much as anyone. This point being everyone wears a mask and the rate of infection goes down considerably. We have always know this, unless you were tricked?
I watch a lot of tennis on the tennis channel...every year when the atp/wta makes their china tour I see at least a tenth of people in the stands wearing masks. I think in their culture if you are sick with cold or flu, or even hayfever/sinus issues you are supposed to wear a mask to prevent sneezing or coughing on those next to you....we should adopt this, imo...even when virus has run it's course.

at 1st I thought they were wearing masks to protect themselves but I have learned it is to protect those around them, although some do have lung/breathing problems and wear for self-protection.
 

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I watch a lot of tennis on the tennis channel...every year when the atp/wta makes their china tour I see at least a tenth of people in the stands wearing masks. I think in their culture if you are sick with cold or flu, or even hayfever/sinus issues you are supposed to wear a mask to prevent sneezing or coughing on those next to you....we should adopt this, imo...even when virus has run it's course.

at 1st I thought they were wearing masks to protect themselves but I have learned it is to protect those around them, although some do have lung/breathing problems and wear for self-protection.
That’s been common in Asia for a long time. My grandfather was stationed in Okinawa during the Vietnam war and he talked about seeing this even then. Not sure why it’s never been adopted here.
 

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Yes if you are not familiar with science it will take years to figure out the transmission of this virus from all angles. That is why you guard agaisnt all possibilities not voice clueless notions that 3ft away is enough. Original warning.
 

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Also living in Florida with a very hot/ humid spring has not slowed it down, unless this is the good outcome and would be worse otherwise.
 
rgurleyjr

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It’s clear that @jrock645 and @HIT4ME, along with the majority of members in this thread, have a clear understanding of why the extreme measures we are experiencing are a necessary evil. I think our younger population (<25 y/o or so) in general is our most dangerous age group for not taking things seriously through non adherence to guidelines.

I was at the gas station a few days ago pumping gas, and there was a guy in this approximate age range also pumping gas at the opposite side of the pump. He said “I dont know man, I think we might be pushing the limit of the 6’ rule!” It turned out he was kidding, and proceeded to say “all this **** is ridiculous!” He then went on to explain that he was previously inside the gas station, and gave a lady **** for staying ~ 6ft in back of him in line. He then said, “It’s ridiculous for young people like us (apparently he though I was much younger than I am) to be involved in all this cause we are going to be fine”.

He obviously had no clue who he was speaking to, and I was not in the mood for an argument with someone who was that ignorant and clueless to say the least. I simply said ”yeah, I can’t wait until this is all over.”

I finally took the chance to watch this video. I knew this was going on, but it’s still difficult to see. Our emergency department isn’t this chaotic yet, but I fear that won’t be the case for long. So far I have been trying to avoid being the therapist in the ED, as not knowing pt’s status makes things very confusing for everyone, and is definitely where I feel the least comfortable at this point. It’s going to be a mess when we receive a presumptive COVID positive pt from EMS that is receiving CPR. This is a hectic situation in the best of times.

A few reasons why I volunteer for the confirmed positive unit is because I at least know what I am dealing with, and managing difficult vents is one of my biggest strengths. Not only is there a shortage of respiratory therapists, but MANY of them don’t have enough experience or adequate understanding of the appropriate ventilator settings and adjustments required for these patients. It’s kind of something you either get, or you don’t.

Yesterday, I walked in to 2 patients (and later 3) that were switched to or started on completely inappropriate settings, which ultimately results in the patient regressing. The NP was pissed (rightfully so), and we scrambled to get everyone back on appropriate settings before the pulmonologist came in. Scary, but at this point we can’t be picky in the help we get for therapists, but this caused me additional unnecessary work and could have harmed pt outcomes.
I've been reading all of your posts, thanks for sharing and doing what you do! I look for them daily.

Question. I've read 80% could be asymptomatic and show no sides despite being infected. Do you believe this can be true and if so, how can some have no sides and others require ICU, and some in between? Why isn't everyone infected showing similiar sides?
 
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I've been reading all of your posts, thanks for sharing and doing what you do! I look for them daily.

Question. I've read 80% could be asymptomatic and show no sides despite being infected. Do you believe this can be true and if so, how can some have no sides and others require ICU, and some in between? Why isn't everyone infected showing similiar sides?
80%?
 
thebigt

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That’s been common in Asia for a long time. My grandfather was stationed in Okinawa during the Vietnam war and he talked about seeing this even then. Not sure why it’s never been adopted here.
I lived in the PI for 7 years, the Asian culture in general was very polite, and courteous.....
 
Ricky10

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I've been reading all of your posts, thanks for sharing and doing what you do! I look for them daily.

Question. I've read 80% could be asymptomatic and show no sides despite being infected. Do you believe this can be true and if so, how can some have no sides and others require ICU, and some in between? Why isn't everyone infected showing similiar sides?
Well thank you!

Yeah, I don’t think they really know yet how many asymptomatic infections or carriers there could potentially be. That’s part of why they keep talking about serology testing during the task force briefings, to see how many people may have built up antibodies to it and were asymptomatic- so I understand. It would also give piece of mind to those people to know they already had it, and have a built up immunity to it- though we don’t know how long that lasts.

As far as being severely symptomatic...it can be anyone, but it definitely seems to love people that are on the chunky side and have type 2 diabetes. Then you have your other higher risk age groups and factors we hear about all the time. I think there is something we are missing though, and likely quite a bit when you consider how some very young people in ”prefect” health end up dying.

I think there is something on a cellular level going on as well, that may make some people more or less viable hosts for the virus to completely take over.
 
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justhere4comm

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This guy?

Nope.

How about this guy?

Dr Serge Rader - "On achève nos personnes âgées dans les ehpad par sédation Rivotril"
It's Euthenasia imposed.
My friend in France, I have friends all over the world.


(Turn on CC: Translate to English if you don't speak French. It's horrible.)

192777
 
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CroLifter

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Well thank you!

Yeah, I don’t think they really know yet how many asymptomatic infections or carriers there could potentially be. That’s part of why they keep talking about serology testing during the task force briefings, to see how many people may have built up antibodies to it and were asymptomatic- so I understand. It would also give piece of mind to those people to know they already had it, and have a built up immunity to it- though we don’t know how long that lasts.

As far as being severely symptomatic...it can be anyone, but it definitely seems to love people that are on the chunky side and have type 2 diabetes. Then you have your other higher risk age groups and factors we hear about all the time. I think there is something we are missing though, and likely quite a bit when you consider how some very young people in ”prefect” health end up dying.

I think there is something on a cellular level going on as well, that may make some people more or less viable hosts for the virus to completely take over.
Could it be one's immune system? Afaik it is the immune response which destroys one's lungs.

So if someone's immune system overreacts and causes massive inflammation within the lungs= death due to respiratory failure?

That could be a part of the answer as our immune systems reactsdifferent to various pathogens.

Another part of the answer could be individual resistance to that psrticular protein entering the cell? If that is even possible.

Or not being able to successfully make a copy of the virus.
 
justhere4comm

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Could it be one's immune system? Afaik it is the immune response which destroys one's lungs.

So if someone's immune system overreacts and causes massive inflammation within the lungs= death due to respiratory failure?

That could be a part of the answer as our immune systems reactsdifferent to various pathogens.

Another part of the answer could be individual resistance to that psrticular protein entering the cell? If that is even possible.

Or not being able to successfully make a copy of the virus.
You're talking about a cytokine storm

"A severe immune reaction in which the body releases too many cytokines into the blood too quickly. Cytokines play an important role in normal immune responses, but having a large amount of them released in the body all at once can be harmful. A cytokine storm can occur as a result of an infection, autoimmune condition, or other disease. It may also occur after treatment with some types of immunotherapy. Signs and symptoms include high fever, inflammation (redness and swelling), and severe fatigue and nausea. Sometimes, a cytokine storm may be severe or life threatening and lead to multiple organ failure. Also called hypercytokinemia."
 

CroLifter

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You're talking about a cytokine storm

"A severe immune reaction in which the body releases too many cytokines into the blood too quickly. Cytokines play an important role in normal immune responses, but having a large amount of them released in the body all at once can be harmful. A cytokine storm can occur as a result of an infection, autoimmune condition, or other disease. It may also occur after treatment with some types of immunotherapy. Signs and symptoms include high fever, inflammation (redness and swelling), and severe fatigue and nausea. Sometimes, a cytokine storm may be severe or life threatening and lead to multiple organ failure. Also called hypercytokinemia."
Isnt that what we are hearing when it comes to a lot of covid 19 but also flu deaths? Multiple organ failure?

I am sure i heard that mentioned.
 
justhere4comm

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Isnt that what we are hearing when it comes to a lot of covid 19 but also flu deaths? Multiple organ failure?

I am sure i heard that mentioned.
This is what happened in 1918 with The Spanish Flu, whereas most otherwise healthy young people died, but those with matured immune systems did not.

Yes, this is similarly could happen with secondary infections leading to pneumonia and death with the flu.
 
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There is some very preliminary research out of China showing that people with O blood types are infected less than those with non-O (most at risk was A).

Heres the webmd article on it, I dont have access to the full article:


This was a non-randomized purely retrospective trial and hadnt been peer reviewed at the time that I initially saw this a week or so ago, so take it with multiple grains of salt. Just interesting enough for more research to be done to really tease out what’s going on.
 

CroLifter

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There is some very preliminary research out of China showing that people with O blood types are infected less than those with non-O (most at risk was A).

Heres the webmd article on it, I dont have access to the full article:


This was a non-randomized purely retrospective trial and hadnt been peer reviewed at the time that I initially saw this a week or so ago, so take it with multiple grains of salt. Just interesting enough for more research to be done to really tease out what’s going on.
Then it was a good decision to get out of the city and move to a small village at the very start of the epidemic over here. I am A.
 
maximillia

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I am always for questioning assumptions and this post does that. It is good to question common accepted thoughts.

I think you COULD be right. But a few things could happen. With social distancing that need to be accounted for:

1. I believe the following is possible: this is a novel virus. It needs to replicate in a living organism in order to "survive". If it is not allowed to infect anything, it could die off and be gone. This is unlikely since it would mean we would have to reach a point where no living humans at all are infected and any other animals it could potentially infect.

2. The warm weather could effect it and it could die off (again wishful thinking)

3. We could discover improved treatment for the disease - vaccines, protections, treatments that reduce mortality rates. This is the most likely solution, IMO. If we get a vaccine, this becomes a MUCH less impactful issue. If we reduce the mortality rate, rates if infection, etc. - this becomes much less if an issue.

All of these outcomes require time, and the lack of social distancing will reduce time and increase deaths immediately. We have run multiple tests now to prove this. China was locked down. Italy, less so and the results were far more devastating. The US is following a similar curve...less adherence and rapidly increasing effects.

But, questioning where the line is, is intelligent. Trump said it himself I believe - the cure cannot be worse than the disease. Short term, I think this makes sense. And we may have to go into cycles of work and quarantine until we figure out a better treatment.

As far as questioning norms - it seems appropriate here to mention Ignaz Samelweiss during this time. He questioned norms and was ridiculed heavily for it. And all we hear during this epidemic is the advice he pioneered.
At the end of the day, as weird as it sounds, the logical conclusion seems to be that "cycling" the economy is probably the most logical thing to do. However, the huge economic balls may never work again. I hope we all realize that. The economy may go on trt for the rest of it's life.
 

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At the end of the day, as weird as it sounds, the logical conclusion seems to be that "cycling" the economy is probably the most logical thing to do. However, the huge economic balls may never work again. I hope we all realize that. The economy may go on trt for the rest of it's life.
Or it may recover, but never to its full potential (like me after being on trt for 8 months 😆).
 
maximillia

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Well there we go..

The US has the highest number of confirmed COVID cases in the world. Ridiculous..
Not really. It makes sense. China is still probably leading but nobody will ever know for sure. Some third world countries will catch up in due time. Trust me on that.
 
justhere4comm

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No. We are number one. Feels like number 2.
 
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This pandemic is neither left or right politically based. It's going to kill everyone equally... left/right, black/white. With an extra kick in the nuts to the old and fat.

This really ought to be a post-9/11 type uniting momemt. We are in some real **** right now, with Trump trying to balance saving the economy vs saving as many lives as possible. Trying to not exaggerate the danger, but also not down play the real risk's and very bad times ahead. It's a tough needle to thread !!

And I really like these experts Dr Fauci and Brix! But in the end they give their advice and the President we elected decides our best course of action moving forward.

If we shut everything down and successfully quarantine the experts say we can bring the US death toll from 1-2 million down to 100-200k here. And yeah, the impact to our economy will be horrific. But if 1-2 million people died in a 6 week period (double the entire death toll of the US civil war!) it might equally crash the economy on top of the pile of dead. Gotta trust and move forward. This is no time for second guessing and political sniping.
I agree with what you are saying in general. However, I do not believe it's accurate that the number of deaths you quote will also surely cause an equal depression. As we know, the depression arrives because the debt burden is too great in comparison to the incomes. The shutdown is increasing the debt, while suppressing productivity and incomes. The deaths will probably also do that, but, I do not see how it would equal what's on offer currently. I may be wrong about this. I am also most definitely not suggesting that we take the economy and let millions die. Just trying to be accurate about the facts.
 
HIT4ME

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Could it be one's immune system? Afaik it is the immune response which destroys one's lungs.

So if someone's immune system overreacts and causes massive inflammation within the lungs= death due to respiratory failure?

That could be a part of the answer as our immune systems reactsdifferent to various pathogens.

Another part of the answer could be individual resistance to that psrticular protein entering the cell? If that is even possible.

Or not being able to successfully make a copy of the virus.
It could be that. And like you can come up with a couple mechanisms that are possible, someone in the field probably knows a half dozen or more potential mechanisms you and I don't even know exist. It is tough to say I bet.

If you live in MA, this effects you. @Ricky10

Yeah, I saw this. Pretty screwed up....this is why governments aren't always so great.


@Ricky10 - are you in MA if you don't mind me asking? I am too.

At the end of the day, as weird as it sounds, the logical conclusion seems to be that "cycling" the economy is probably the most logical thing to do. However, the huge economic balls may never work again. I hope we all realize that. The economy may go on trt for the rest of it's life.
Maybe you mean something that I am not getting, but we already "cycle" the economy. That is what the fed is for. Increasing and decreasing interest rates will inversely effect employment and kind of puts the brakes on things. I.e. - increasing interest rates should unemployed people, which reduces inflation and slows economic growth.

A lot of this is based on economic theory from the Great Depression and it can be controversial - but it is also the type of thing that presidents don't follow very well because what president wants to slow the economy during their term?


I agree with what you are saying in general. However, I do not believe it's accurate that the number of deaths you quote will also surely cause an equal depression. As we know, the depression arrives because the debt burden is too great in comparison to the incomes. The shutdown is increasing the debt, while suppressing productivity and incomes. The deaths will probably also do that, but, I do not see how it would equal what's on offer currently. I may be wrong about this. I am also most definitely not suggesting that we take the economy and let millions die. Just trying to be accurate about the facts.
Saying debt causes a depression is a little bit of an over simplification but I get it and can agree.

But one thing to consider. During periods of "full employment" - let's take it to the extreme and say actual full employment - that means everyone is employed so if I am an employer and I need to hire someone, I basically cannot (unless I steal from another job which then cannot be filled).

This means that whoever I hire for that job can demand just slightly less than everyone else and I have to pay it. And then that position has to be filled so that employer has to pay more, etc.

And in order to pay these salaries, as all my salaries start to increase in cost, I have to increase prices. So sure, everyone is making more but trailing behind that everything is costing more and more. That is inflation.

During the Obama administration we had hidden runaway inflation that no one talks about - during that time every food product on the shelves stayed the same price but went from a half gallon of ice cream to 3 points, or 1 pound of chicken to 3/4 of a pound. It was strange to me when it happened that it happened all at once and no one noticed.

Anyway, with that paradigm and the fact that we are at full employment already - what happens if we lose 2 million employees????

Sure, losing 200,000 will have an impact and could cause a depression.

Losing 2M will destroy the value of the US dollar, cause a depression and we will end up like Russia waiting in line for a loaf of bread or Germany when you needed a wheelbarrow full of money to buy bread.
 
justhere4comm

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I think he means 2 million. Die. I could be wrong.
 
Ricky10

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Not really. It makes sense. China is still probably leading but nobody will ever know for sure. Some third world countries will catch up in due time. Trust me on that.
I think we are all well aware of that, and the fact that the reported numbers from China don’t hold any credibility. The day I posted that was just more referencing it as a defining moment for us.
If you live in MA, this effects you. @Ricky10

I live in Maine, not Mass...

Our hospital isn’t capable of running any more than 12 or so COVID positive vent patients. Possibly a few more if we use BIPAP units as ventilators. The OR- and their vents are reserved for patients that are not COVID positive, and is essentially our new “clean” ICU. Then we have areas of our hospital that are reserved for patients who were rather quickly intubated/vented upon arrival to our hospital and are COVID rule out patients. These people are in limbo until test results come back, which was still taking 12-24 hrs last time I worked.

It’s hectic and time consuming just to keep up with things. I spent the greater part of my morning reading emails from my manager regarding updates on ever changing policies and hospital protocols. It makes my head spin!
 
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