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What doctors on the front lines wish they’d known a month ago

nytimes.com

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Re: What doctors on the front lines wish they’d known a month ago

#41

Post by dmitryminkovsky »

garmaine wrote: post #31
downerending wrote: post #18

Earlier quoted context omitted.

Annoying to be sure, but you can circumvent the paywall by adding a period to the end of the domain name.

Why does this work?

I believe that technically all domain names start with (we enter them backwards into the browser) a dot and that dot represents the DNS root. So it works in the browser if you add that root explicitly. No idea for sure why this works but my guess is because the paywall is somehow programmed based on window.location or some backend equivalent that works against the domain without the explicit root.

Re: What doctors on the front lines wish they’d known a month ago

#43

Post by dmitryminkovsky »

sumedh wrote: post #12
okasaki wrote: post #7

Earlier quoted context omitted.

I only see the first paragraph and a notice telling me to create an account to continue.

If you create an account the corona virus articles are free.

Tracking you makes it very much not free.

Re: What doctors on the front lines wish they’d known a month ago

#45

Post by downerending »

watwut wrote: post #35
downerending wrote: post #22

Earlier quoted context omitted.

Without disputing that (and thx for link), it's worth noting that the "flu" has been killing a large number of people year in and year out for as long as we can remember. The long-term death rate of COVID-19 remains to be seen. The final verdict on how bad it was will depend on whether or not lengthy immunity is attained (including to mutations).

Yeah, but I don't understand what is significance of that claim. We have flu vaccine and general push to make people vaccinate every year. Up to mandating it for hospital workers at some places. Some employers are organizing them for free for employees. We do close schools here and there for a week or so when flu is getting large to get it under control. We do close hospitals for visits at this times.

One implication is that COVID-19 might not be "just the flu". It might actually end up being far less damaging than the flu, as viewed over decades. And we don't trash our economy and the lives of the working class that depend on it due to flu deaths, even though they are still quite dramatic.

Personally, I'm conservative on this, and have barely left my place in the last eight weeks. I can work from home and will suffer little even if the lockdown is quite lengthy. But not everyone is in such a fortunate position, and I think we need to consider what's happening very carefully.

Re: What doctors on the front lines wish they’d known a month ago

#46

Post by downerending »

garmaine wrote: post #31
downerending wrote: post #18

Earlier quoted context omitted.

Annoying to be sure, but you can circumvent the paywall by adding a period to the end of the domain name.

Why does this work?

It's a bug in the paywall code. Bank error in your favor. :-)

Re: What doctors on the front lines wish they’d known a month ago

#47

Post by coldtea »

the_mitsuhiko wrote: post #15
elric wrote: post #8

Anecdata: I distinctly remember spending a lot of time lying on my stomach in hospital beds during several stints of double pneumonia I experienced as a child, some 30 years ago. It's hard to imagine that front line doctors didn't know about proning a month ago. Is this a technique that went out of vogue since my childhood, only to be replaced with a reliance on sedation and ventilators, and is it making a comeback d…

> It's hard to imagine that front line doctors didn't know about proning a month ago. Where do you get the idea they didn’t?

Because there were several articles implying so...

https://edition.cnn.com/2020/04/14/health/coronavirus-prone-...

Re: What doctors on the front lines wish they’d known a month ago

#48

Post by Retric »

amelius wrote: post #40
dmurray wrote: post #20

> “You put a tube into somebody,” Dr. Levitan said, “and the amount of work required not to kill that person goes up by a factor of 100,” creating a cascade that slows down laboratory results, X-rays and other care. I'd hope this could be a generally applicable lesson after the pandemic. In less overwhelming times, the medical best practice is once someone is in hospital, prescribe the statistically best treatment ev…

Instead of ventilation, wouldn't a heart-lung machine (or other types of external oxygenators) be the preferred method if cost was not an issue? https://en.wikipedia.org/wiki/Extracorporeal_membrane_oxygen...

That has significant risks of infection. I think a negative pressure ventilator like the iron lung are probably the lowest risk of adverse effects. But, it’s going to hamper other treatment options, and works on a relatively narrow range of issues. https://en.wikipedia.org/wiki/Negative_pressure_ventilator

Positive pressure ventilators however cover a wider range of medical issues though at increased risks.

External oxygenators are really a last resort which should be avoided whenever possible.

Re: What doctors on the front lines wish they’d known a month ago

#49

Post by asdkjh345fd »

nickthemagicman wrote: post #6

That if you're under 54 corona virus isn't any more deadly than the flu?

It is more deadly still, but lets pretend it is the same as the flu. Have you noticed that due to the efforts to prevent the spread of the Chinese virus, we've also lowered the number of people dying from the flu dramatically? We've designed our societies so that we needlessly kill tens of thousands of people every year from common communicable diseases. Maybe going "back to normal" isn't the right idea.

Re: What doctors on the front lines wish they’d known a month ago

#50

Post by amiga_500 »

jordanbeiber wrote: post #24

Here in suffering Sweden 80% of covid patients in intensive care survive. I read that 80% of NY ICU patients on ventilation dies. Are we perhaps using less mechanical breathing devices here i Sweden? Edit: this didn’t come out right... couldn’t find total icu death rate but have read stories about high mortality in NY.

What about the BMI difference, being fat and having covid is higher risk.
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