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

jrock645 said:
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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For those of us who've worn a mask for extended periods, we know why it hasn't been adopted here.
 
HIT4ME said:
It has an MA in it...close enough.
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They are geographically VERY close to us as well!

To clarity on my prior post, our facility could definitely use having 5-10 additional standard ventilators sent to us that would be more appropriate than using BIPAPs and transport ventilators to support these patients. At the same time, our facility only has a limited number of rooms available that have high pressure oxygen and air hookups in the room which are required to operate full scale ventilators.

Unless they get really creative and do even further construction while piping in medical air hookups in more rooms, we can only handle so many of these patients at this time.
 
Ricky10 said:
They are geographically VERY close to us as well!

To clarity on my prior post, our facility could definitely use having 5-10 additional standard ventilators sent to us that would be more appropriate than using BIPAPs and transport ventilators to support these patients. At the same time, our facility only has a limited number of rooms available that have high pressure oxygen and air hookups in the room which are required to operate full scale ventilators.

Unless they get really creative and do even further construction while piping in medical air hookups in more rooms, we can only handle so many of these patients at this time.
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that is good info...ventilators without the hookups are useless, right?
 
thebigt said:
that is good info...ventilators without the hookups are useless, right?
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For the most part yes, it depends on the kind of ventilators we would be sent. Some have the abilty to be used with just high pressure (50 psi) oxygen, but the pt would be stuck receiving 100% oxygen for the duration. Oxygen is considered a drug in itself and causes lung toxicity and increases free radicals which is not good for any patient. We treat these pt’s with high levels of continuous pressure (like high CPAP) to keep the lungs, and air sacs within the lungs popped open for optimal gas exchange and lung health. Meanwhile, this allows us to set the oxygen level as low as possible to avoid toxicity.

I just read that Maine requested 400 ventilators from the national stockpile, while also announcing that we don’t have enough RT’s to run them. They are basically requesting anyone that was ever registered as an RT in their life (active license or not) to come out of retirement etc to help..:oops:

I have a bad feeling that the dynamic in my hospital changed rather dramatically since I last worked 2 days ago..
 
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Ricky10 said:
For the most part yes, it depends on the kind of ventilators we would be sent. Some have the abilty be used with just high pressure (50 psi) oxygen, but the pt would be stuck receiving 100% oxygen for the duration. Oxygen is considered a drug in itself and causes lung toxicity and increases free radicals which is not good for any patient. We treat these pt’s with high levels of continuous pressure (like high CPAP) to keep the lungs, and air sacs within the lungs popped open for optimal gas exchange and lung health. Meanwhile, this allows us to set the oxygen level as low as possible to avoid toxicity.

I just read that Maine requested 400 ventilators from the national stockpile, while also announcing that we don’t have enough RT’s to run them. They are basically requesting anyone that was ever registered as an RT in their life (active license or not) to come out of retirement etc to help..:oops:
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Ricky - question - I'm an admitted Vitamin C quack - has your hospital used Vitamin C or Mucomyst in any of these patients?
 
HIT4ME said:
Ricky - question - I'm an admitted Vitamin C quack - has your hospital used Vitamin C or Mucomyst in any of these patients?
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No additional vitamin C, and nothing that qualifies as a supplement per say...just standard tube feeds if vented. They are all getting hydoxychloro and azithro..

We have not done any Mucomyst yet and that probably won’t be a standard. Only one of the patients I have had on the vent had really tenacious secretions which is generally what we reserve that for. The other 3 vents had insignificant secretions. I hope that remains the case overall..
 
Ricky10 said:
No additional vitamin C, and nothing that qualifies as a supplement per say...just standard tube feeds if vented. They are all getting hydoxychloro and azithro..

We have not done any Mucomyst yet and that probably won’t be a standard. Only one of the patients I have had on the vent had really tenacious secretions which is generally what we reserve that for. The other 3 vents had insignificant secretions. I hope that remains the case overall..
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lol, the left wing media called hydroxychloro and zpack trumps snake oil.
 
Ricky10 said:
For the most part yes, it depends on the kind of ventilators we would be sent. Some have the abilty to be used with just high pressure (50 psi) oxygen, but the pt would be stuck receiving 100% oxygen for the duration. Oxygen is considered a drug in itself and causes lung toxicity and increases free radicals which is not good for any patient. We treat these pt’s with high levels of continuous pressure (like high CPAP) to keep the lungs, and air sacs within the lungs popped open for optimal gas exchange and lung health. Meanwhile, this allows us to set the oxygen level as low as possible to avoid toxicity.

I just read that Maine requested 400 ventilators from the national stockpile, while also announcing that we don’t have enough RT’s to run them. They are basically requesting anyone that was ever registered as an RT in their life (active license or not) to come out of retirement etc to help..:oops:

I have a bad feeling that the dynamic in my hospital changed rather dramatically since I last worked 2 days ago..
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explain? using cpap machines in place of ventilators?
 
thebigt said:
explain? using cpap machines in place of ventilators?
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We won’t be :)

On a vent- Continuous Positive Airway Pressure (CPAP) is referred to as Positive End-Expiratory Pressure (PEEP), but they are the same thing. I just referred to it as CPAP before because most people are familiar with that term.

As I kind of mentioned before though, we may be using our hospital BIPAPs as vents, as they can deliver a set inspiratory pressure above the PEEP/CPAP. This results in a breath, and when hooked on to the end of an endotracheal tube rather than a mask- the pt is being mechanically ventilated.
 
Ricky10 said:
We won’t be :)

On a vent- Continuous Positive Airway Pressure (CPAP) is referred to as Positive End-Expiratory Pressure (PEEP), but they are the same thing. I just referred to it as CPAP before because most people are familiar with that term.

As I kind of mentioned before though, we may be using our hospital BIPAPs as vents, as they can deliver a set inspiratory pressure above the PEEP/CPAP. This results in a breath, and when hooked on to the end of an endotracheal tube rather than a mask- the pt is being mechanically ventilated.
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necessity is the mother of invention...
 
thebigt said:
lol, the left wing media called hydroxychloro and zpack trumps snake oil.
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It's crazy how out of hand the conversation on this has gotten. To the best of my knowledge, Trump has never called this drug combo a cure for coronavirus. He has pushed it as a viable treatment option, which clearly many dr's seem to agree with(since it seems to be fairly commonly used), and it's about all we really have right now. I don't understand what everyones issue is with him advocating for it.
 
jrock645 said:
It's crazy how out of hand the conversation on this has gotten. To the best of my knowledge, Trump has never called this drug combo a cure for coronavirus. He has pushed it as a viable treatment option, which clearly many dr's seem to agree with(since it seems to be fairly commonly used), and it's about all we really have right now. I don't understand what everyones issue is with him advocating for it.
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it's part of the democratic and media agenda to demonize trump even during a pandemic...they also called trump a racist for the china ban, now they are claiming they were for it all along, lol.

they just can't let trump get a win.
 
The state of Maine is also requesting or recognizing that these vented patients require a ratio of 1:4 (RT to Covid vent patients), while normally it is 1:6 or 7 for typical vented patients. These patients require much more work from us, and all staff.

I had 4 vented Covids two days ago myself, so I was right at that ratio and I was extremely busy. It was even worse that I had to fix the mistakes my coworkers had made. Calling all RTs in for the fight is one thing, but many of these people won’t be qualified for these cases.

I believe some people have or will die on a ventilator simply because the staffing won’t be enough or experienced enough to treat them appropriately.
 
Ricky10 said:
The state of Maine is also requesting or recognizing that these vented patients require a ratio of 1:4 (RT to Covid vent patients), while normally it is 1:6 or 7 for typical vented patients. These patients require much more work from us, and all staff.

I had 4 vented Covids two days ago myself, so I was right at that ratio and I was extremely busy. It was even worse that I had to fix the mistakes my coworkers had made. Calling all RTs in for the fight is one thing, but many of these people won’t be qualified for these cases.

I believe some people have or will die on a ventilator simply because the staffing won’t be enough or experienced enough to treat them appropriately.
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I really appreciate hero's like you ricky, and I am sure the overwhelmingly vast majority of front line healthcare workers are dedicated...I just hope frustration/resent doesn't lead to more orville lynn majors-I had a uncle kiled by that piece of ****.
 
thebigt said:
I really appreciate hero's like you ricky, and I am sure the overwhelmingly vast majority of front line healthcare workers are dedicated...I just hope frustration/resent doesn't lead to more orville lynn majors-I had a uncle kiled by that piece of ****.
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(y)

Wow, that’s crazy :(
 
I shared a story from France where they are giving elderly a drug to help them relax and die.
It's being called unwilling euthanasia of sorts. My friend who lives in France shared it with me.

Don't be surprised if it is happening in Italy and elsewhere.
This is the new Plague.
 
justhere4comm said:
I shared a story from France where they are giving elderly a drug to help them relax and die.
It's being called unwilling euthanasia of sorts. My friend who lives in France shared it with me.

Don't be surprised if it is happening in Italy and elsewhere.
This is the new Plague.
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wouldn't even need to use drugs if on ventilator...this is what would happen under medicare for all, rationing medicine with elderly at bottom of list. doesn't france have socialized medicine?
 
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HIT4ME said:
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.



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.



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?




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.
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I didn't mean those cycles. I meant literally starting and shutting the economy down, like it's being done now. Of course that's unrealistic. Somebody else mentioned this up there. But, other than that, there's no real way to prevent a large number of deaths. Unless a country wants to take a few years and make the entire country a giant hospital. Not seeing that happening anywhere, so who knows what the plan is.

As for your observation about the loss of employees, shouldn't we factor in the average age of the casualties? Haven't checked lately, but I think that is on the higher side. That's morbid, but good news I guess. Everything considered.
 
HIT4ME said:
Ricky - question - I'm an admitted Vitamin C quack - has your hospital used Vitamin C or Mucomyst in any of these patients?
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hey bro, I know you rabbit hole this stuff so wondered if you’d looked at ozone therapy?? I’ve got a medical grade machine for use as part of an anti ageing protocol but it was also effective against sars in some studies. The significance of the immunity boosting I felt would also be appropriate in this situation (as a preventative) and then I’ve not looked closely into the oxygen increase (given covid impacts oxygen levels) but assumed that wasn’t likely to be game changing.

would love to know your views if you’d looked at it though (I know it’s widely used in the medical setting in Germany who seem to have very few deaths - probably co incidence but interesting)
 
thebigt said:
I really appreciate hero's like you ricky, and I am sure the overwhelmingly vast majority of front line healthcare workers are dedicated...I just hope frustration/resent doesn't lead to more orville lynn majors-I had a uncle kiled by that piece of ****.
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Holy shît. Thats insane. Dude was an absolute demon. Sorry were personally affected by him.
 
Ricky10 said:
No additional vitamin C, and nothing that qualifies as a supplement per say...just standard tube feeds if vented. They are all getting hydoxychloro and azithro..

We have not done any Mucomyst yet and that probably won’t be a standard. Only one of the patients I have had on the vent had really tenacious secretions which is generally what we reserve that for. The other 3 vents had insignificant secretions. I hope that remains the case overall..
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Yeah, it looks like the Chloroquine theory is circling the drain. Hopefully you guys are seeing results?

thebigt said:
lol, the left wing media called hydroxychloro and zpack trumps snake oil.
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Unfortunately it seems like some reports are showing it may not have any significant effect and may be a waste of our time. But it isn't like Trump came up with the idea himself.

jrock645 said:
It's crazy how out of hand the conversation on this has gotten. To the best of my knowledge, Trump has never called this drug combo a cure for coronavirus. He has pushed it as a viable treatment option, which clearly many dr's seem to agree with(since it seems to be fairly commonly used), and it's about all we really have right now. I don't understand what everyones issue is with him advocating for it.
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He pushed to have it tried. This has always been part of his platform, people should not be victims of FDA non-approval when they are facing challenges without a solution. If we have a drug that hasn't been proven yet, and you are going to die, he has taken the stance that you should be able to try it.

Of course this can have some ethical grey area but I mostly agree with it.

I think Trump did get some light on the drug and this forced the FDA to open the doors for trials. Unfortunately it may not work out. The downside is that maybe we spent resources trying this that could have been spent elsewhere because we jumped the gun. But I think we have to go down a lot of dead end roads and the faster we get down those roads the faster we will find the way out.

maximillia said:
I didn't mean those cycles. I meant literally starting and shutting the economy down, like it's being done now. Of course that's unrealistic. Somebody else mentioned this up there. But, other than that, there's no real way to prevent a large number of deaths. Unless a country wants to take a few years and make the entire country a giant hospital. Not seeing that happening anywhere, so who knows what the plan is.

As for your observation about the loss of employees, shouldn't we factor in the average age of the casualties? Haven't checked lately, but I think that is on the higher side. That's morbid, but good news I guess. Everything considered.
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I gotcha.

As far as age - yes, age is an ugly factor from a purely economics view. But principles have a value too and how do you factor those in when you are valuing someone's life as if we were talking depreciation? I don't know. It isn't an easy answer and is probably beyond my knowledge.

At some level you are right, bad sh1t happens and we can't stop it.

And this may seem counter to some of what I have said but I always tell people - you can have safety or you can have freedom, pick one. Oh, and safety is just an illusion.

Nobody can protect us from this, we have to protect ourselves to a large extent. And hopefully we have enough left over so that we can all try to protect others too.
 
jswain34 said:
Holy shît. Thats insane. Dude was an absolute demon. Sorry were personally affected by him.
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thanks, it was really hard on my mom. I was ready to take my gun to his trial and save the tax payer some money!!!
 
Whisky said:
hey bro, I know you rabbit hole this stuff so wondered if you’d looked at ozone therapy?? I’ve got a medical grade machine for use as part of an anti ageing protocol but it was also effective against sars in some studies. The significance of the immunity boosting I felt would also be appropriate in this situation (as a preventative) and then I’ve not looked closely into the oxygen increase (given covid impacts oxygen levels) but assumed that wasn’t likely to be game changing.

would love to know your views if you’d looked at it though (I know it’s widely used in the medical setting in Germany who seem to have very few deaths - probably co incidence but interesting)
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Hmmm...never looked into it, but I am going to have to now. I will try to look into it over the next few days. Sounds interesting. I am usually skeptical but given your interest I am curious because you normally have similar skepticism.
 
thebigt said:
thanks, it was really hard on my mom. I was ready to take my gun to his trial and save the tax payer some money!!!
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I had to look up who this was. Sorry to hear this. That is horrible.

I am sorry he is dead though. He still had 342 years to serve. I hope he got 360 years worth of butt rape in the <18 years he served.
 
This shutdown is far reaching more than just the economy. I can see short term depression, anxiety, drug use and relapse, possibly obesity all rising, even crime if going long enough. Imagine those living week to week with no income or less on unemployment, all the while stuck in a home they can't afford. Add to that some losing family and friends to death. Sad days.
 
rgurleyjr said:
This shutdown is far reaching more than just the economy. I can see short term depression, anxiety, drug use and relapse, possibly obesity all rising, even crime if going long enough. Imagine those living week to week with no income or less on unemployment, all the while stuck in a home they can't afford. Add to that some losing family and friends to death. Sad days.
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I've wanted to drink just about every day since everything closed, mostly out of boredom. I haven't, but I can see this situation making ppl crack. But, I gotta say, nobody really spends time at home with their families these days. I'm sure lots of ppl are going to say they do, but in general, families don't spend time together. eating dinner at the same time rarely. I've spent every day with my kids, had at least 2 sit-down meals per day with them, watched a few movies together. All stuff that wouldn't have happened if we were not locked down
 
Yes, I fell off the wagon the last couple days....feel like crap. I'm going back to focusing on not touching any booze again. I recently went 6 months sober.
 
manifesto said:
Yes, I fell off the wagon the last couple days....feel like crap. I'm going back to focusing on not touching any booze again. I recently went 6 months sober.
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I once went 2 years without a drop, then relapsed....one day at a time
 
HIT4ME said:
Yeah, it looks like the Chloroquine theory is circling the drain. Hopefully you guys are seeing results?



Unfortunately it seems like some reports are showing it may not have any significant effect and may be a waste of our time. But it isn't like Trump came up with the idea himself.
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It’s hard for me to tell, as we don’t have a control group to compare it to. Given that these people still ended up intubated in my unit, some up to 5 days after the initiation of hydroxychloro- I don’t see it as being that effective.

I was in touch with some of my co-workers, and we now have 5 Covid vents. That is what I will be walking into tomorrow, along with treating another positive patient...maybe they will end up on a vent too by morning. Nobody has been able to be weaned off the vent yet since our first intubated patient- 8 days ago. This is the problem too, these patients require ventilator support for a longer period than average :confused:. There is just nothing positive about any of this!

rgurleyjr said:
This shutdown is far reaching more than just the economy. I can see short term depression, anxiety, drug use and relapse, possibly obesity all rising, even crime if going long enough. Imagine those living week to week with no income or less on unemployment, all the while stuck in a home they can't afford. Add to that some losing family and friends to death. Sad days.
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Yes, it is absolutely terrible. As many people say, its like living in a science fiction movie or a nightmare we expect to wake up from. China needs to be held accountable for this..
 
manifesto said:
Yes, I fell off the wagon the last couple days....feel like crap. I'm going back to focusing on not touching any booze again. I recently went 6 months sober.
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My dad has 30-something years sober. If you need sometime to talk to, I can ask if he’d be willing to talk to you. I know there’s online meetings going on and whatnot, but I don’t know how your support system is ATM.
 
justhere4comm said:
You got this man.
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Thanks brother. I'm thinking of starting a mild cycle to keep me motivated. It sounds dumb, but I wont drink if I'm running an oral....this could help give me some momentum....what do you guys think?
 
muscleupcrohn said:
My dad has 30-something years sober. If you need sometime to talk to, I can ask if he’d be willing to talk to you. I know there’s online meetings going on and whatnot, but I don’t know how your support system is ATM.
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I appreciate it bro. I have a solid family around me. A great wife and kiddos
 
manifesto said:
Yes, I fell off the wagon the last couple days....feel like crap. I'm going back to focusing on not touching any booze again. I recently went 6 months sober.
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Don't feel bad . This is an extremely stressful time and I am sure this is the case for many others, but it will only temporarily help and you know this. Better to just avoid and keep going with another outlet to cope

However, when this whole thing blows over, if it ever does, I am going to literally drink a corona for the first time in my life lol
 
manifesto said:
Yes, I fell off the wagon the last couple days....feel like crap. I'm going back to focusing on not touching any booze again. I recently went 6 months sober.
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If I’m ever tempted I just remember the darkness that appears whenever I did drink. Just passed my 7th birthday, whatever positives I think a drink might bring is nothing compared to the negatives I know it does
 
bradleyt1 said:
Invalid Link Removed
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I think It’s so freaky that resident evil 3 remake just came out Friday and clearly was in development way before we were hearing about the corona virus, yet that intro is so spot on lol.. and umbrella experimenting with what looks like a vaccine in the nemesis.. don’t know if anyone here is a huge resident evil fan like myself but what a time it is to be in quarantine playing a game about a city in quarantine.
 
bradleyt1 said:
I think It’s so freaky that resident evil 3 remake just came out Friday and clearly was in development way before we were hearing about the corona virus, yet that intro is so spot on lol.. and umbrella experimenting with what looks like a vaccine in the nemesis.. don’t know if anyone here is a huge resident evil fan like myself but what a time it is to be in quarantine playing a game about a city in quarantine.
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I wish I could get into survival horror games. The insistence on that ass backwards control scheme always killed it for me.
 
jrock645 said:
I wish I could get into survival horror games. The insistence on that ass backwards control scheme always killed it for me.
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In the old resident evil games yes they had the tank controls with fixed camera angles so it was hard to see what was in front of you.. but the new remakes are all 3rd person and are awesome trust me bro if you can pick up RE2 and RE3 remake to play during this time. You will have a blast!
 
What would be a good price to pay for a used ps4 or xbox one?
 
manifesto said:
What would be a good price to pay for a used ps4 or xbox one?
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GameStop lists a 1TB PS4 Pro for $280 used, and apparently they have local stock, where I am anyway.

I also see XBox One S 1TB used for $230, new for $250, One X new for $300, etc. I’m not familiar with XBox names and specs though.
 
muscleupcrohn said:
GameStop lists a 1TB PS4 Pro for $280 used, and apparently they have local stock, where I am anyway.

I also see XBox One S 1TB used for $230, new for $250, One X new for $300, etc. I’m not familiar with XBox names and specs though.
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Yeah, I saw them new on eBay for around $300.
 
That's not bad...I'm not a big Gamer, but I may need this help fight some boredom
 
Anyone feeling a bit depressed?? It’s been raining like crazy. Lol, I’m about to go get gas just to get out of the house for a bit.
 
puccah8808 said:
Anyone feeling a bit depressed?? It’s been raining like crazy. Lol, I’m about to go get gas just to get out of the house for a bit.
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Going for walks helps. Little projects around the house.
A lot of people are drinking, maybe more than usual but that's a depressant.
I'm working out more than ever so, no drinking. ;)

My boss called. It was nice to hear her voice and she said she misses me. It’s all about a connection.
I'm actually going to be working support from my home office for the foreseeable future now.

Do you have pet(s)?
The dog is loving all the attention. As well. :)

It’s kind of a revisiting of ones self too. Rethinking. Reading a great book.
I'm an introvert forced to be an extrovert so this is actually refreshing for me.
I just expressed to my team: I'm getting stronger; gaining muscle, and losing fat.
 
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