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

Post by dkdk8283 » Sat, Apr 18, 2020, 5:34 PM UTC

shalmanese wrote: post #102

carbocation wrote: post #73

Earlier quoted context omitted.

MGH is proning a bunch of awake patients (who have the physical strength to do so) and about ~30% of our ventilated patients. There is no "shocking degree of arrogance from the West" but there may be a failure of adequate reporting, in this article and others, of what we are doing in hospitals.

Except it's applied to literally every part of the Asian pandemic response from masks to contact tracing. Asian countries have been saying for months that there's not some magical technological solution to contact tracing, the tech helps maybe 10%. The rest of it is just plain on the ground shoe leather pounding, public communication and talking to people. Watch as Western countries start discovering as they roll out…

Post by yongjik » Sat, Apr 18, 2020, 5:37 PM UTC

irq11 wrote: post #120

maxerickson wrote: post #97

Earlier quoted context omitted.

The lockdowns are a necessary step to smarter tactics working. My point is that if we move forward as if letting lots of people get infected is a 'smarter tactic', it's going to be worse in all ways. More death, more economic damage.

No, you’re still shifting the goalposts. The point of “flattening the curve” is not — and was never — to reduce the area under the curve . This is a contagious respiratory virus, and it’s going to spread until there is herd immunity. Maybe there will be a vaccine in 12-18 months. Maybe not. But regardless, we can’t go on for that long with over 30% of society out of work. Most people are going to get this virus. If y…

Post by andrewtbham » Sat, Apr 18, 2020, 5:40 PM UTC

andrewtbham wrote: post #124

andrewtbham wrote: post #117

I am following Cameron Kyle-Sidell on twitter (one of the doctors in the video). He has a possible theory on what it's going on. https://twitter.com/cameronks/status/1251233871137574913

why in the fuck was this voted down?? I want a fucking answer. I am sick of this site... Mark my fucking words... I am good at discerning fake news from stuff that shows promise. This is not a 5G tower theory of the disease... this is promising insight that points toward the truth. I am going to link back to this comment and this downvote as the problem with social media. there are too many ignorant stupid self right…

Post by andrewtbham » Sat, Apr 18, 2020, 5:42 PM UTC

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…

Post by lftl » Sat, Apr 18, 2020, 5:44 PM UTC

DanBC wrote: post #93

misja111 wrote: post #88

Earlier quoted context omitted.

I was writing that we should both create hospital capacity and have some moderate flattening of the curve. Of course we shouldn't let the virus run free. But unless you are hoping for a vaccine to be invented soon, which would of course be wonderful, you have to face the other scenario and that is that we have to slowly build up herd immunity. Herd immunity means that people have to get infected and a percentage of t…

> Herd immunity What does her immunity actually mean though? What other diseases do we try to tackle using herd immunity? How many deaths would make herd immunity acceptable or not acceptable? There are 350m people in the US. We need to get about 60% of them to have had covid-19. That's 210m people. We don't know how fatal covid-19 is yet, so here are some lower numbers: 0.1% = 210,000 deaths 0.2% = 420,000 deaths 0.…