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I'm Married to an ER Doc in NYC

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Re: I'm Married to an ER Doc in NYC

#161

Post by koheripbal »

isolli wrote: post #121
nashashmi wrote: post #8

Earlier quoted context omitted.

It actually benefits you to have a doctor in the family who is there navigating and talking to the doctors. The doctors are more receptive to each other and listen carefully. Otherwise you are just a number. And the doctors won't try so hard on patients who really don't have any understanding of medicine in the first place.

My wife went to the ER (in Manhattan) with septicemia a week after giving birth. She was left lying on a stretcher for 17 hours without as much as water to drink before they finally "found" a room for her. (Thankfully she recovered.) A few months later, a friend who works at the hospital told me: I wish you had called me, I could have gotten you a room. And I thought: this is just like a third world country, where yo…

You are lucky. People in Quebec hospitals are left in hallways permanently, due to space issues - even before covid.

Re: I'm Married to an ER Doc in NYC

#162

Post by felipemnoa »

thaumasiotes wrote: post #27
felipemnoa wrote: post #22

Earlier quoted context omitted.

>>we can’t never go outside again Somebody needs to tell that to Brooklyn residents. Streets are crowded.

It seems clear that flatline meant what he wrote, "we can't never go outside again", and not the opposite, "we can't ever go outside again". Brooklyn residents crowding the streets are agreeing with that sentiment.

My bad. I honestly thought it was just a typo and he actually meant the second quote. Double negatives are really bad.

Re: I'm Married to an ER Doc in NYC

#163

Post by koheripbal »

klmadfejno wrote: post #7
ketanmaheshwari wrote: post #6

Earlier quoted context omitted.

I have never admitted to a hospital in the US but have heard stories of other folks who have been. I just get a feeling that once you are admitted in a hospital nobody has any power including yourself. Everything is taken over by the "system". This is my biggest fear why I would never want to be hospitalized.

That may be true, but I meant powerless to meaningfully improve someone's medical outcome due to COVID, regardless of bureaucratic barriers.

...which is not correct.

Re: I'm Married to an ER Doc in NYC

#164

Post by klmadfejno »

davycro wrote: post #81
klmadfejno wrote: post #2

The way things are described make the doctors sound powerless. I've been frustrated by the lack the information on the usefulness of hospitals. The impression I've gotten is that they cannot do much, and if they would go as far as intubation, you're highly likely to die even with intubation.

We can put a patient on oxygen without intubating them. High flow oxygen can provide up to 60 liters per minute. We can prone patients, and provide them with nutrition to help support their immune system. We save many patients with supportive care. We can’t however cure the virus. And if it progresses far enough then no amount of oxygen will save a patient. These cases are hard because we have to watch someone die wi…

I'm hoping this doesn't come off as snarky but, why can't / don't we tell people to prone at home? As I understand, it's literally just lying down on your stomach.

I first encountered the concept in a new york times article where the interviewed nurse was saying the problem was people got bored and stopped doing it. That sounded... dumb. And as though being prone should be plastered all over the public health recommendations.

Re: I'm Married to an ER Doc in NYC

#165

Post by m4rtink »

nradov wrote: post #69
laichzeit0 wrote: post #64

Earlier quoted context omitted.

Say the US gets to herd immunity and the rest of the world has done a really good job at containing the virus, e.g. New Zealand. What are they realistically going to do long term? Shut up their country until a vaccine arrives? Quarantine everyone coming in or going out for two weeks? Who is realistically going to want to travel into or out of there with those kind of restrictions. I seriously wonder if the short term…

Yes it seems that New Zealand will attempt to wait for a vaccine and in the mean time impose a quarantine on anyone who arrives from another country. Balaji Srinivasan thinks we will see the world divided into "red" zones where the virus is still widespread and ”green" zones where the virus has been contained. Travelers will be able to move fairly freely between green zones countries. So if you're in Taiwan you might…

This is already happening, see these rules for foreign travel published by the Czech ministry of health:

https://www.mvcr.cz/mvcren/article/coronavirus-information-o...

There is a map with green, orange and green countries.

UK and Sweden are red, most of western Europe orange.

For green countries, Czech citizens can go there and back without the need to present negative tests results and enter quarantine. Same thing for residents and nationals of those countries.

For orange countries, Czech citizens can go there and back without the need to present negative tests results and enter quarantine. Residents and nationals of those countries are banned from entering Czech Republic.

For red countries, Czech citizens can go there but need to present negative tests results and enter quarantine. Residents and nationals of those countries are banned from entering Czech Republic.

Re: I'm Married to an ER Doc in NYC

#166

Post by m4rtink »

redis_mlc wrote: post #126
Intermernet wrote: post #117

Earlier quoted context omitted.

Yes, but why? It may be a valid reason, but I don't know what it is.

In case you didn't see the riots last week, many US people don't trust the police. If somebody knocks on your door, how do you know what their real motive is? Are they there for contact tracing, to serve a warrant, to tip off ICE, or to plant something? After all, the CIA used vaccines as a ruse to hunt Bin Laden.

I don't think police does contact tracing - usually it's the civil employees of the "hygiene office".

Re: I'm Married to an ER Doc in NYC

#167

Post by redis_mlc »

pedrocr wrote: post #146
kmonsen wrote: post #103

Earlier quoted context omitted.

Of course testing scales with the size of the country.

So do available resources. This go to argument that things that work in smaller countries don't work in the US is bizarre. It's used in all these discussions of how things that work in the EU couldn't possibly work in the US, even though the EU has a larger population.

Nobody is talking about the EU - we're talking about NZ and Taiwan.

Re: I'm Married to an ER Doc in NYC

#168

Post by majewsky »

rscho wrote: post #145
beachy wrote: post #114

Earlier quoted context omitted.

I've read a fair bit of military history, and I'm fairly confident the moon landings were not done using a green screen, so please elaborate on which 2 of these are not true.

Maybe "saved the world" and "invented" the internet? Because yeah of course, the internet has been "invented"! It was absolutely not a natural evolution of local networking based on known technology...

Through that sort of reasoning, computers have never been invented. They are just a natural evolution of mechanical calculators. I mean, sure, but that definition of "invent" is so narrow as to be meaningless.

Re: I'm Married to an ER Doc in NYC

#169

Post by redis_mlc »

NhanH wrote: post #122
redis_mlc wrote: post #56

Earlier quoted context omitted.

> "Cannot"? Why wouldn't it just require a much bigger effort? Corona is basically endemic in the US. You can test nursing homes and airport arrivals, and do followup testing on a small population. You cannot test 320 million people, and do followup weekly testing on them. Perhaps you're inspired by the success in NZ or Taiwan. The US has a totally different situation. You seem to think that "doing something" is bett…

Did you just recently believe that herd immunity is the solution in the past month (or 2), or was it your ideal solution since January?

1) Since SF hospitalizations flatlined 2 months ago:

https://www.sccgov.org/sites/covid19/Pages/dashboard.aspx#ho...

2) Since it turned out the US can't do testing and tracing

Re: I'm Married to an ER Doc in NYC

#170

Post by laichzeit0 »

avionicsguy wrote: post #130
laichzeit0 wrote: post #64

Earlier quoted context omitted.

Say the US gets to herd immunity and the rest of the world has done a really good job at containing the virus, e.g. New Zealand. What are they realistically going to do long term? Shut up their country until a vaccine arrives? Quarantine everyone coming in or going out for two weeks? Who is realistically going to want to travel into or out of there with those kind of restrictions. I seriously wonder if the short term…

Please don't take this as being directed explicitly towards your comment. But why does anyone think there is such a thing as herd immunity for Covid-19? I've been following the research since December/January on New England Journal of Medicine, Virological.org, Lancet etc. And I think there is not yet enough evidence to suggest that there is immunity conferred by contracting Covid-19. Does anyone know of any studies…

> But why does anyone think there is such a thing as herd immunity for Covid-19?

I suppose this depends on what the null hypothesis is? Is the null hypothesis "You have immunity after being infected" or is it "You don't have immunity after being infected". You assume it's the latter and you're saying there's not enough evidence to reject it. But you could just as well assume it is "You have immunity after being infected" and we're gathering evidence to see whether that can be rejected or not.

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