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

muscleupcrohn

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That's not bad...I'm not a big Gamer, but I may need this help fight some boredom
No idea about XBox, but as far as PS4 games go, God of War (2018) and Horizon Zero Dawn are both INCREDIBLE single-player story-driven games.
 
puccah8808

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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.
 
justhere4comm

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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.
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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Nac

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Im currently trying to strike a balance between reading media articles, and not reading media articles. Its quite difficult because I either am or arent.

PS watched a really good movie yesterday called The Platform. I wouldnt recommend it if anyone is already feeling fed up with other humans, though.
 
Renew1

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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.
I actually like the rain. It's raining here.

Yeah, I'm more of a home-body than most, but I've bounced off the walls a couple of times. Thankfully, I was able to get out and do a job yesterday!!
I felt 110% better! .. Almost euphoric.
 
manifesto

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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.
Nice job, and encouraging post. Keep it up. 2 days no booze here, and I wont fall back into that trap
 
manifesto

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I just ordered a pull up/dip tower to add to my gym. Almost got everything now...still trying to round up some dumbbells, or adjustable ones, without going bankrupt
 
Ricky10

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So this will mainly be an update on the man in his 60’s who I got to know a bit pre-intubation/mechanical ventilation. He was intubated March 30th, and was given a 60% chance of survival. CHF and diabetes were his comorbidities, and renal failure was one of the big concerns while on the vent. Fortunately, his CHF remained in check, so renal failure was also avoided.

I had previously stated that I hoped I would be present the day he had the tube removed, allowing him to breathe for himself. That did in fact happen this morning, but I would not have done so if it were my choice, and it wasn’t the triumphant moment I was hoping for. While still on the vent, we do a breathing trial with the tube still in place that simulates one’s own ability to breath off the vent. This went OK, but he just didn't look right...like staring off into space and just not looking mentally present. He was following simple commands so ultimately, the pulmonologist wished for me to pull the tube and place him on supplemental oxygen.

Upon removing the tube, he didn’t resemble his prior self at all. He was nonverbal all day, and didn’t look us in the eye. People do get delirium from the sedation, and sometimes it takes time for all that to clear, but this was not normal. It resembled more of a mental shock/stress response, neurological issue, or stroke. Thing is, these people aren’t getting CT’s because they can’t contaminate the machine or entire room for that matter.

Bottom line, his mental status never improved throughout the day, while his oxygen demands increased. At the end of my shift, I had to resort back to High Flow oxygen, set very close to the same numbers he was at before he got intubated 6 days ago. He will likely get reintubated tonight, if he isn’t already. Chances of survival get worse each time this happens.

Meanwhile, my other 4 vents are making very little progress, and 2 of them are expected to die at this point...and I can tell that they will. The other two could go either way. This virus is so nasty!
 
Ricky10

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This is not the time for jokes, but this is the 1st thing that came to my mind upon reading this

Of course I only see the worst cases. I have to remind myself of that too..

I definitely could have used C3PO’s help and cheerful spirit yesterday!
 
HIT4ME

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So this will mainly be an update on the man in his 60’s who I got to know a bit pre-intubation/mechanical ventilation. He was intubated March 30th, and was given a 60% chance of survival. CHF and diabetes were his comorbidities, and renal failure was one of the big concerns while on the vent. Fortunately, his CHF remained in check, so renal failure was also avoided.

I had previously stated that I hoped I would be present the day he had the tube removed, allowing him to breathe for himself. That did in fact happen this morning, but I would not have done so if it were my choice, and it wasn’t the triumphant moment I was hoping for. While still on the vent, we do a breathing trial with the tube still in place that simulates one’s own ability to breath off the vent. This went OK, but he just didn't look right...like staring off into space and just not looking mentally present. He was following simple commands so ultimately, the pulmonologist wished for me to pull the tube and place him on supplemental oxygen.

Upon removing the tube, he didn’t resemble his prior self at all. He was nonverbal all day, and didn’t look us in the eye. People do get delirium from the sedation, and sometimes it takes time for all that to clear, but this was not normal. It resembled more of a mental shock/stress response, neurological issue, or stroke. Thing is, these people aren’t getting CT’s because they can’t contaminate the machine or entire room for that matter.

Bottom line, his mental status never improved throughout the day, while his oxygen demands increased. At the end of my shift, I had to resort back to High Flow oxygen, set very close to the same numbers he was at before he got intubated 6 days ago. He will likely get reintubated tonight, if he isn’t already. Chances of survival get worse each time this happens.

Meanwhile, my other 4 vents are making very little progress, and 2 of them are expected to die at this point...and I can tell that they will. The other two could go either way. This virus is so nasty!
That sucks man. I hope he somehow turns around. I always wonder about anti-acetylcholine toxicity in those situations (not that I am a doctor) or or electrolytes, it even prior nutritional status because it can be hard to get a baseline of how someone was before they showed up and getting vitamin levels is often low on the priority list.

But I am sure you guys have done blood work and are on it. I just always have optimism it could be something simple that looks drastic and is correctable. It would be nice but I am sure the optimistic solution is unlikely I'm this situation.

I haven't seen updates in this but just came across this and thought it was interesting:

 
HIT4ME

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@Ricky10 - I know you guys are not using Vitamin C and maybe it won't work - but did you see the recent meta-analysis showing it reduced time spent on a ventilator for all patients by 14% and 25% by the most ill patients?


Still...meta analysis, so maybe it is a dead end but I thought it was interesting in light of other analysis showing reduced pneumonia.
 
HIT4ME

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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.
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.
Haha - like you I am actually really enjoying this isolation a little. It is weird, but I sometimes feel like other people have lost the ability to openly communicate in person and you can be lonely among a group of people, yet being alone I can really enjoy. Like you said, being with your thoughts and finding yourself again is kind of nice. I have been exhausted from work over the last couple years and I have actually just been using the time to relax and rest and recover and I am just now, after 2-3 weeks of sleeping in and going "half speed" starting to get my motivation coming back.

I have also had some time to watch a bunch if old Celtics-Lakers games from the 1980's and 2008. I have been playing the guitar and talking to you guys..it has been fun.

But, I am also with Pucca. Today, I started wondering what else I can do with my time and to decide what my plan is and I felt a little cooped up.

But overall I think social isolation is great. We should have done this years ago.
 
BamBam54

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The front line info from @ricky10 is invaluable and sobering. Please keep it coming if you are able, but we understand you must be stressed and incredibly busy...

Interested to hear your take on Boris Johnson. Sounds like the ICU is where Corona visits suddenly become deadly serious!
 

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xR1pp3Rx

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some crazy sh!7 starting to surface on the Wuhan flu. oddly enough WA state just shipped out all the extra ventalators, yet announced extended stay at home and school is out for summer now. WEIRD? I think so. I wont go down all my great conspiracies' roads with you guys, but the biggest threat I see is putting this tyranny back in its box. I don't think that will happen peacefully.
 

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damn good read for those interested in the mechanics of Wuhan Flu.
Great read! Thank you for sharing this. I'd love to share it elsewhere, but his rhetoric would offend everyone on the left and they'd miss the point of the entire article.

Do you know much about who wrote this? They mention that they're not a dr, yet they seem to have a pretty respectable depth of knowledge about the body and how this virus actually works.... where did they learn this?
 
xR1pp3Rx

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Great read! Thank you for sharing this. I'd love to share it elsewhere, but his rhetoric would offend everyone on the left and they'd miss the point of the entire article.

Do you know much about who wrote this? They mention that they're not a dr, yet they seem to have a pretty respectable depth of knowledge about the body and how this virus actually works.... where did they learn this?
I am not sure of this particular author, how ever the inet is lit up with like articles today so there are bound to be some better ones later today to show your friends.. but why bother when they wont agree with anything but the narrative being pushed by the media and liberal think tanks. I think its a better plan to load your guns and prepare for your door getting breached by hooligans when they close the grocery stores and only open them once per week... which is exactly what Jay Inslee is espousing now. the tyranny over this BS is going to lead to one of two things.. nam sayin?
 
HIT4ME

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damn good read for those interested in the mechanics of Wuhan Flu.
That's an interesting read, but a waste of time. There's no studies or evidence to support his theory - just conjecture. Not even saying it is wrong, because a hypothesis is always conjecture to a large extent - just that he doesn't provide any evidence or any reason to believe what he is saying is actually true - as much sense at it may make.
 
justhere4comm

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Spain and Italy are rated the healthiest countries in the world, yet they have been 'hit' by Covid-19 quite badly.


Plasma Therapy – Using Antibodies to Treat the Sick

The last treatment on our list is not a drug at all, nor is it a nutraceutical. At the same time, it holds perhaps the greatest promise of all the treatments in our review. Plasma therapy is the practise of using antibodies from patients who have recovered from Covid-19 and injecting them into those who are currently infected still.

Plasma therapy in general has been used widely to treat a great number of diseases, indeed it was plasma therapy that proven to perform better than remdesivir in the treatment of ebola, that led to remdesivir being discontinued as a treatment modality for ebola.

When it comes to treating Covid-19 the research is as new as it gets with the research being published on the same day this research review is being written – April 1, 2020.14 These researchers concluded that plasma therapy showed great promise as a treatment, especially given its successful use with other viral infections including the SARS outbreak of 2003. This study followed up a study published on March 27, 2020 which demonstrated the successful use of plasma therapy on five patients.15

What makes plasma therapy perhaps the most exciting treatment option of all the ones covered is that this study, while admittedly involving only a very small sample size, involved its successful use in five patients who had been critically ill. Moreover, these patients were all suffering various forms of organ failure, all were intubated and reliant on extracorporeal membrane oxygenation machines (ECMO). ECMO machines are essentially a way of providing oxygen to the body in patients whose hearts and lungs are unable to provide enough to sustain life.

The results from this study were nothing short of stunning. Within three days, body temperature was normalised in four out of five patients, and viral loads decreased and became negative twelve days after the plasma transfusion while three patients were weaned off ventilators within two weeks. Three of the patients were discharged from the hospital after near two month long stays while the remaining two remained in stable condition.

Clearly, this study requires further corroboration from larger trials, but nothing else holds quite the same promise as plasma therapy, being both the most effective treatment to date while also being safer than the use of antiviral drugs in particular – a critical consideration for those who are very sick. The one downside with this type of treatment is that during a pandemic it is likely to prove very difficult to scale due to ever growing numbers of people falling sick far outstripping the numbers of those choosing to donate a limited amount of blood.

However, in time, as numbers of infected stabilise, and further studies demonstrate the same benefits, plasma therapy offers more hope than perhaps any vaccine or medicinal drug for treating Covid-19.
This article was emailed to me.
I cut out the BS advertisements and preserved this portion.
 
HIT4ME

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I disagree that he shows any real knowledge of what is actually happening. It's just made up conjecture. And I am far from Anti-Trump. I am pretty darned conservative and have defended Trump elsewhere on this board numerous times - but this article is not a good defense of him. It's stuff like this that just digs the hole further if it turns out to be false.
 

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I am not sure of this particular author, how ever the inet is lit up with like articles today so there are bound to be some better ones later today to show your friends.. but why bother when they wont agree with anything but the narrative being pushed by the media and liberal think tanks. I think its a better plan to load your guns and prepare for your door getting breached by hooligans when they close the grocery stores and only open them once per week... which is exactly what Jay Inslee is espousing now. the tyranny over this BS is going to lead to one of two things.. nam sayin?

I definitely naw mean. I cleaned and checked my firearms over the weekend.
 

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That's an interesting read, but a waste of time. There's no studies or evidence to support his theory - just conjecture. Not even saying it is wrong, because a hypothesis is always conjecture to a large extent - just that he doesn't provide any evidence or any reason to believe what he is saying is actually true - as much sense at it may make.
That's my hesitance with it as well. The guy sounds like he's dead on, but simply mentioning that he's not a dr will completely discredit him and every word of the article in the minds of most.

I'm truly at a loss, though, for how combative people are with the idea of using a drug for something different than it was originally developed for. They act like this is a new idea and that Trump must've come up with this all on his own. There's off label uses for virtually every drug out there. Lots of drugs get used and marketed for something different and completely unrelated to what they were developed for in the first place.
 
thebigt

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That's my hesitance with it as well. The guy sounds like he's dead on, but simply mentioning that he's not a dr will completely discredit him and every word of the article in the minds of most.

I'm truly at a loss, though, for how combative people are with the idea of using a drug for something different than it was originally developed for. They act like this is a new idea and that Trump must've come up with this all on his own. There's off label uses for virtually every drug out there. Lots of drugs get used and marketed for something different and completely unrelated to what they were developed for in the first place.
heck of a post...good job!!!
 
xR1pp3Rx

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I disagree that he shows any real knowledge of what is actually happening. It's just made up conjecture. And I am far from Anti-Trump. I am pretty darned conservative and have defended Trump elsewhere on this board numerous times - but this article is not a good defense of him. It's stuff like this that just digs the hole further if it turns out to be false.
are you saying this about the first article or the second?
 
HIT4ME

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That's my hesitance with it as well. The guy sounds like he's dead on, but simply mentioning that he's not a dr will completely discredit him and every word of the article in the minds of most.

I'm truly at a loss, though, for how combative people are with the idea of using a drug for something different than it was originally developed for. They act like this is a new idea and that Trump must've come up with this all on his own. There's off label uses for virtually every drug out there. Lots of drugs get used and marketed for something different and completely unrelated to what they were developed for in the first place.
Yeah - I have no problem with him not being a doctor. But he's laid out this theory, which all looks to click because it has assumptions in it that make everything fit - but where is there even evidence that Covid binds to blood cells and blocks iron like this? He doesn't site one source or article or anything. He just made it up. And he may be right - but only because he is a good guesser if he is. And it's not like we don't have really intelligent people working on this that have mastered skills we don't even know exist. But it's an interesting theory....but just a theory and we have enough people pretending to know the facts right now.

And I am with you on the Trump thing. Lots of people are against chloroquine merely because Trump is for it. I'm all for trying new things when nothing else is working. You can't just sit back and wait for the normal process to take place when you're trying to save a life. I still think we should be cautious and way risks, sure - and chloroquine is nice because we have a safety profile in humans already.

The bottom line is that this is a virus that is less than 6 months old. We have not been able to find a cure for the common cold in 100 years - we are really up against it here. It's like people expect this to go away in 3 months but don't want to experiment and learn at an increased rate.

I have a family friend with Alzheimer's. I started talking to some researchers at different universities and a lot of them were helpful with academic learning and I took that knowledge and passed it along. The person didn't want to try things because they weren't standard treatments. I was like....ummm...we have a safety profile here, and what choice do you think you have? None of the standard treatments work, we know that - so try something extra. It's just human nature.
 
HIT4ME

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are you saying this about the first article or the second?
First article -sorry - the second was good! Both were interesting and good posts...I just don't put a lot of faith in what the first person had to say.
 
xR1pp3Rx

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First article -sorry - the second was good! Both were interesting and good posts...I just don't put a lot of faith in what the first person had to say.
I felt that the second one backed up the first one in a lot of ways.. while the first one is second hand the other article is not about how rona works so much but the points addressed fell in line with the first one. that said, the news is getting out.. BIG TIME> its all over the net today. So i think the science is coming. ALSO @@@ isreal says their vaccine is finally ready for prime time and will be available with in 3 weeks.
 
BamBam54

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My sister sent me a similar story about the covid-oxygen connection, from a guy who says he is a NY ICU doctor.

https://www.reddit.com/r/conspiracy/comments/fuc9hj
Thumbs up to the interesting theory, especially in regard to ventilators. But on the negative side, this was posted to a reddit conspiracy page. You would think real life saving breakthrough might be more mainstream. And I don't know how a guy just starts up his own ICU. And I would expect a NY surgeon to have a nicer kitchen, etc....
 
thebigt

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Yeah - I have no problem with him not being a doctor. But he's laid out this theory, which all looks to click because it has assumptions in it that make everything fit - but where is there even evidence that Covid binds to blood cells and blocks iron like this? He doesn't site one source or article or anything. He just made it up. And he may be right - but only because he is a good guesser if he is. And it's not like we don't have really intelligent people working on this that have mastered skills we don't even know exist. But it's an interesting theory....but just a theory and we have enough people pretending to know the facts right now.

And I am with you on the Trump thing. Lots of people are against chloroquine merely because Trump is for it. I'm all for trying new things when nothing else is working. You can't just sit back and wait for the normal process to take place when you're trying to save a life. I still think we should be cautious and way risks, sure - and chloroquine is nice because we have a safety profile in humans already.

The bottom line is that this is a virus that is less than 6 months old. We have not been able to find a cure for the common cold in 100 years - we are really up against it here. It's like people expect this to go away in 3 months but don't want to experiment and learn at an increased rate.

I have a family friend with Alzheimer's. I started talking to some researchers at different universities and a lot of them were helpful with academic learning and I took that knowledge and passed it along. The person didn't want to try things because they weren't standard treatments. I was like....ummm...we have a safety profile here, and what choice do you think you have? None of the standard treatments work, we know that - so try something extra. It's just human nature.
compare this to a person dying of cancer and in extreme pain---they won't increase pain meds for fear of becoming addicted!!!

sometime the medical community acts like a bunch of retards.
 
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A bit off topic, but in reply to @TheBigT I think this is pertinent.

The pain medication (ie., morphine) has horrible side effects. Consider the patient with cancer, in my case, my mother with ovarian cancer (stage IV). She was up all the time, and constipated from the drugs, and would not eat in order to gain strength. I had to carry her to the bathroom in order to help her try and force herself to get some relief.

It was a nightmare for the both of us. If only there were some kind of pain relieving drug that would also help her appetite at the same time. I kind of euphoric drug that didn't have an addictive nature, or horrible sides... it may even help shrink tumors in the process?

Can anyone suggest such a drug?

I know this has nothing to do with the topic at hand, and I apologize.
 
thebigt

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A bit off topic, but in reply to @TheBigT I think this is pertinent.

The pain medication (ie., morphine) has horrible side effects. Consider the patient with cancer, in my case, my mother with ovarian cancer (stage IV). She was up all the time, and constipated from the drugs, and would not eat in order to gain strength. I had to carry her to the bathroom in order to help her try and force herself to get some relief.

It was a nightmare for the both of us. If only there were some kind of pain relieving drug that would also help her appetite at the same time. I kind of euphoric drug that didn't have an addictive nature, or horrible sides... it may even help shrink tumors in the process?

Can anyone suggest such a drug?

I know this has nothing to do with the topic at hand, and I apologize.
8 years ago my mom was diagnosed with breast cancer...they did surgery and put her on chemo, fortunately the treatment worked and she has been cancer free every since--I sincerely hope your mom had a similar outcome...she will be 89 this month
 
HIT4ME

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https://www.sciencedaily.com/releases/2009/08/090813170848.htm

https://profofpot.com/cannabis-can-worsen-pain/

https://www.sciencedirect.com/science/article/abs/pii/S0304395903003312

https://www.upi.com/Health_News/2018/09/20/Medical-marijuana-increases-pain-threshold-for-patients/1771537292969/

https://www.dailymail.co.uk/health/article-5869259/Marijuana-users-feel-pain-study-lower-pain-tolerance.html

https://www.foxnews.com/story/study-too-much-marijuana-makes-pain-worse-not-better

Just a 2 minute search. I can't think of any compound that has any proven treatment for pain. I'm not for opioids and if someone wants to try THC or CBD or whatever - have at it. But the actual research is pretty underwhelming and conflicting so far. On a similar note - opioids have no real evidence they treat pain either. Lots of anectdotal evidence over 150 years of use that just became accepted.

Not to mention the side effects of marijuana that everyone ignores. I personally know of at least 2 people in my life who have had hyperemisis and REFUSE to believe their symptoms are due to their pot smoking because all of their pothead friends are unaware and say there are no sides.

I'm fine with people using, and they should be able to - but they should have a balanced approach. The upside is, it's pretty unlikely to help - but it's pretty unlikely to have any real, lasting problems (beyond neurological damage) and it won't drop you dead from an OD.
 
HIT4ME

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compare this to a person dying of cancer and in extreme pain---they won't increase pain meds for fear of becoming addicted!!!

sometime the medical community acts like a bunch of retards.
Again, not a big fan of opioids but for someone at the end of life, about to die..."what do you have to lose?"

On the other hand, there is evidence of opioids inducing pain as well. Pain is a complex thing. But this is why much more research is needed and we shouldn't be avoiding compounds like marijuana - we need to study whatever we can and figure out what is actually happening.
 
Renew1

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A bit off topic, but in reply to @TheBigT I think this is pertinent.

The pain medication (ie., morphine) has horrible side effects. Consider the patient with cancer, in my case, my mother with ovarian cancer (stage IV). She was up all the time, and constipated from the drugs, and would not eat in order to gain strength. I had to carry her to the bathroom in order to help her try and force herself to get some relief.

It was a nightmare for the both of us. If only there were some kind of pain relieving drug that would also help her appetite at the same time. I kind of euphoric drug that didn't have an addictive nature, or horrible sides... it may even help shrink tumors in the process?

Can anyone suggest such a drug?

I know this has nothing to do with the topic at hand, and I apologize.
I think both you and @thebigt are correct in your comments on this (in my opinion).

I was with my grandmother when she was going through the final stages of cancer (and for her, the end of her life).

The Dr had given her (us to give her) Morphine liquid (or it could have been Demerol, or Dilaudid... Sorry I can't remember at the moment). He also prescribed liquid Atavan.

I honestly feel like the (careful) combination of those 2 had the best effects for her.

Just (of course) be very careful. Those pain meds are dangerous on their own, and the Ativan can add a measure of danger as well.

An extended family member suggested (one difficult day) that we give her an extra large dose so that she could get some rest. I pulled her son aside and reminded him that extra large doses of these drugs are sometimes used to end the patient's "suffering" (life is more accurate). So be very careful.
I'm praying for you, your Mother, and all of your family.

I lost the love of my life to cancer. It is a terrible disease.
 
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Renew1

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The reason I mentioned the Ativan, was because I felt like it enabled us to give her less of the opiate sometimes.
 
thebigt

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The reason I mentioned the Ativan, was because I felt like it enabled us to give her less of the opiate sometimes.
the least amount possible that makes the pain bearable is always good...my problem is denying someone who is dying pain relief for the ridiculous reason of fear of addiction.

I don't fear death, I fear a long drawn out, painful, suffering death.. ...
 
HIT4ME

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I think both you and @thebigt are correct in your comments on this (in my opinion).

I was with my grandmother when she was going through the final stages of cancer (and for her, the end of her life).

The Dr had given her (us to give her) Morphine liquid (or it could have been Demerol, or Dilaudid... Sorry I can't remember at the moment). He also prescribed liquid Atavan.

I honestly feel like the (careful) combination of those 2 had the best effects for her.

Just (of course) be very careful. Those pain meds are dangerous on their own, and the Ativan can add a measure of danger as well.

An extended family member suggested (one difficult day) that we give her an extra large dose so that she could get some rest. I pulled her son aside and reminded him that extra large doses of these drugs are sometimes used to end the patients "suffering" (life is more accurate). So be very careful.
I'm praying for you, your Mother, and all of your family.

I lost the love of my life to cancer. It is a terrible disease.
Was there with my 91 year old grandmother last October. Not cancer, just the end and liquid morphine. The home health aids and family members start thinking they are doctors once you out that stuff in their hands. They wield power that they don't understand.

You almost have to push too hard just to keep the balance between comfort and making it worse. It can be hard.
 
Renew1

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the least amount possible that makes the pain bearable is always good...my problem is denying someone who is dying pain relief for the ridiculous reason of fear of addiction.

I don't fear death, I fear a long drawn out, painful, suffering death.. ...
In neither case was addiction (or potential) a factor at all in the use of their medications.
In those instances there were greater comcerns.
 
thebigt

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In neither case was addiction (or potential) a factor at all in the use of their medications.
In those instances there were greater comcerns.
was she in a lot of pain or was the dosage of meds adequate?
 
Renew1

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was she in a lot of pain or was the dosage of meds adequate?
Well, for my Grandmother, we had total control over how much we decided to give her. So most of the time, it was under fairly good control.

In the other situation, the Dr was more limited (to a degree) in how much and how often he could prescribe. So (quite honestly) there were several times that I accessed alternatives by other means.
 
Ricky10

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@Ricky10 - I know you guys are not using Vitamin C and maybe it won't work - but did you see the recent meta-analysis showing it reduced time spent on a ventilator for all patients by 14% and 25% by the most ill patients?


Still...meta analysis, so maybe it is a dead end but I thought it was interesting in light of other analysis showing reduced pneumonia.
The front line info from @ricky10 is invaluable and sobering. Please keep it coming if you are able, but we understand you must be stressed and incredibly busy...

Interested to hear your take on Boris Johnson. Sounds like the ICU is where Corona visits suddenly become deadly serious!
That is interesting for sure regarding the Vitamin-C! People would probably look at me like I had my head up my ass though if I suggested it. So I definitely should!

Yes, I am very busy, and tired. On top of my scheduled extra shift this week, I was called in last night for an overnight shift because someone called out. I was very pissed because it was only because her child had the shyts- and she is not a single parent. Ummm hello, we are kind if in the midst of a national crisis here!

So that one guy with the CHF history that I extubated did get reintubated approximately 1 hr after I left work my prior shift from hypoxic respiratory failure (again), and altered mental status. It is believed that he went into cardiogenic shock. His EF (ejection fraction) is about 15% at baseline, so his heart is not very efficient at pumping oxygenated blood to meet his needs on the best of days. In light of his acute lung condition, his heart is all that much more stressed.

While on the vent the first time, his blood was sufficiently oxygenated but his own body was likely going into survival mode and prioritizing perfusion of his vital organs- which does not include the brain. Perfusion of blood to the brain is not something our hospital is equipped to monitor at the bedside, so what likely happened IMO is that he suffered anoxic brain injury on the vent, and will likely have permanent deficits if he survives this second ventilator journey.

I had 5 vents total last night, and they are the very same people I have had all along. Today I learned we got a 6th. Last night I also had an interesting COVID positive lady in her 70’s with a mild asthma history, but nothing else. She made it clear that she was DNR/DNI from the start, and only agreed to oxygen and medications. She ended up on 90% High flow oxygen by the end if the night, but her breathing was not labored at all, and she actually looked really good! The tentative plan was hospice care for her today though. I am back in tomorrow for 3 days in a row, but I can’t take the COVID ICU because my nose is bruised/painful from wearing the N95 so much. Tomorrow I will be in “clean” ICU..

Yeah, that’s pretty crazy about Boris Johnson. Things seem to look good for him though as they say he doesn’t have pneumonia, which would imply there is nothing acute regarding this virus on his x-ray. I have had 2 or 3 patients in and out of the ICU with bilateral pneumonia that end up on a few liters of oxygen for a few days, and then go home after a week or so. Some people are just recovering without any noteworthy interventions, despite a less than than spectacular x-ray.
 
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Rebuild

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I am not sure of this particular author, how ever the inet is lit up with like articles today so there are bound to be some better ones later today to show your friends.. but why bother when they wont agree with anything but the narrative being pushed by the media and liberal think tanks. I think its a better plan to load your guns and prepare for your door getting breached by hooligans when they close the grocery stores and only open them once per week... which is exactly what Jay Inslee is espousing now. the tyranny over this BS is going to lead to one of two things.. nam sayin?
When did Jay Inslee say he is considering grocery stores only being open one day per week?
 
muscleupcrohn

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When did Jay Inslee say he is considering grocery stores only being open one day per week?
Yeah, I'm curious about that too. It doesn't make any sense to have grocery stores only open once a week. In fact, it makes the complete opposite of sense. The more hours/days/etc. the essential stores are open, the less people have to be at the store at a given time, which means better social distancing is possible. If everyone tried to go to the grocery store on the same day, it would be even more of a madhouse than it already is, and social distancing would be all but impossible, and riots would be likely. Hell, here in South Florida, where there are a lot of elderly people, I heard that even the designated 1 hour for senior citizens at Publix sort of backfired, as there were so many senior citizens who all showed up, that the store was busier than it normally was during this outbreak. Granted, in places where the elderly population isn't so high, that strategy may work, but the point I'm making is that if you force everyone to go to the same store at the same time, you end up with a VERY busy store, which means a very crowded store, which is less than idea in term of limiting the spread of the virus and practicing proper social distancing.

So I don't think I buy this...
 

Iwilleattuna

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tin foil alert: adrenochrome anyone?
IMO, That's a real thing and part of satanic worship/cult.

Speaking of that, not sure if anyone has been reading Q Anon and why this virus and an increased incidence of "Earthquakes" happened around the same time.

Very weird how all of this is occurring around the time of the Resurrection as well

And yes, I am wearing my tin foil hat. Got to protect myself from 5g , lol

walking around public in, not a mask, but a tin foil hat.... savage
 
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Iwilleattuna

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People who make a video about it on youtube get deleted immediately
 

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