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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

#51

Earlier quoted context omitted.

> This is what I think many forget when they speak against lockdown and for "herd immunity" - that this would not only result in a huge ammount of unnecessary deaths, but also pretty much wear out if not outright kill a signifficant part of medical personel. Actually, no. You're parroting nonsense. The US cannot do testing and tracing because they waited too late, with 100,000 airline arrivals per week from China bef…

> The US cannot do testing and tracing because they waited too late. "Cannot"? Why wouldn't it just require a much bigger effort? I've been flabbergasted by the lack of wartime thinking this whole time in the US. We know how to mobilize things and build logistical supply chains, why can't we apply that to a in-country medical battle? Not only did the US governments (at all levels) demonstrate incompetence early, we'v…

The folks holding the power in the US don't appear to want there to be a pandemic, therefore it's just a bad flu. Out of sync with reality.

This is going to get rougher, I think.

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

#52
post #32

Earlier quoted context omitted.

This is what I thin many forget when they speak against lockdown and for "heard immunity" - that this would not only result in a huge ammount of unnecessary deaths, but also pretty much wear out if not outright kill a signifficant part of medical personel. It's basically condemning them to working nonstop for months if not years, watching people die all day long & being in infection danger at all times while at work.…

Completely agree, we have to think of others not ourselves when we diligently put on our masks.

We diligently put on our masks out of a sense of theater and emotion rather than actual effectiveness.

https://www.medicalnewstoday.com/articles/new-study-question...

And the WHO continues to maintain that healthy people do not need to wear masks.

And asymptomatic spread of the virus is “very rare” according to the WHO: https://www.cnbc.com/2020/06/08/asymptomatic-coronavirus-pat...

Masks in the general public is just a placebo. A way to make people feel like they are “doing their part.”

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

#53

Earlier quoted context omitted.

It's actually not easy; not every place has facilities for that. Wife is a nurse, and we went through this discussion of the best process when she was an ICU nurse during the Ebola scare five years ago. Remember too, sometimes folks are on the way to work in their scrubs, not necessarily leaving work.

Why are they getting their scrubs exposed to the ‘outside’ at all?

Because it isn’t meaningfully dangerous. The inside of hospitals are not sterile. If there is a need for additional cleanliness, scrubs are covered with something that actually is sterile

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

#55
post #32
post #3

Not an ER doc, but a doc in long term care facilities which have been hit particularly hard. Fortunately things have slowed down considerably now, but at its peak it was absolutely nerve racking. There’s an element to this pandemic which many people working in healthcare have felt. We see patients fall sick often, and we see them die often, although this was at an near overwhelming scale. But what we don’t see often…

This is what I thin many forget when they speak against lockdown and for "heard immunity" - that this would not only result in a huge ammount of unnecessary deaths, but also pretty much wear out if not outright kill a signifficant part of medical personel. It's basically condemning them to working nonstop for months if not years, watching people die all day long & being in infection danger at all times while at work.…

Through US government incompetence we missed our chance to contain and suppress the virus back in February. Now the pandemic is so widespread that it's impractical to do enough contract tracing and isolation to eradicate the virus. In many areas the authorities aren't even bothering to try. So we're on a path to herd immunity whether we like it or not.

Obviously this is a bad state of affairs. But it's important to understand the reality we're in rather than indulging in fantasies.

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

#56

Earlier quoted context omitted.

> This is what I think many forget when they speak against lockdown and for "herd immunity" - that this would not only result in a huge ammount of unnecessary deaths, but also pretty much wear out if not outright kill a signifficant part of medical personel. Actually, no. You're parroting nonsense. The US cannot do testing and tracing because they waited too late, with 100,000 airline arrivals per week from China bef…

> The US cannot do testing and tracing because they waited too late. "Cannot"? Why wouldn't it just require a much bigger effort? I've been flabbergasted by the lack of wartime thinking this whole time in the US. We know how to mobilize things and build logistical supply chains, why can't we apply that to a in-country medical battle? Not only did the US governments (at all levels) demonstrate incompetence early, we'v…

> "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 better than nothing. Again, that's false hope in this case. Herd immunity is the only logical result in this case.

But hope is not a strategy.

I would compare the US response to corona in 2020 to the English and French appeasement of Germany in the 1930's. Denial of reality resulted in the total destruction of Europe in WW2, not much different to the health and financial results of corona.

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

#57

Earlier quoted context omitted.

> This is what I think many forget when they speak against lockdown and for "herd immunity" - that this would not only result in a huge ammount of unnecessary deaths, but also pretty much wear out if not outright kill a signifficant part of medical personel. Actually, no. You're parroting nonsense. The US cannot do testing and tracing because they waited too late, with 100,000 airline arrivals per week from China bef…

> The US cannot do testing and tracing because they waited too late. "Cannot"? Why wouldn't it just require a much bigger effort? I've been flabbergasted by the lack of wartime thinking this whole time in the US. We know how to mobilize things and build logistical supply chains, why can't we apply that to a in-country medical battle? Not only did the US governments (at all levels) demonstrate incompetence early, we'v…

This is, i think, the root of people's anger toward the police right now. The ruling class can't seem to do anything but stomp on the people they hold power over.

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

#58

Earlier quoted context omitted.

Completely agree, we have to think of others not ourselves when we diligently put on our masks.

We diligently put on our masks out of a sense of theater and emotion rather than actual effectiveness. https://www.medicalnewstoday.com/articles/new-study-question... And the WHO continues to maintain that healthy people do not need to wear masks. And asymptomatic spread of the virus is “very rare” according to the WHO: https://www.cnbc.com/2020/06/08/asymptomatic-coronavirus-pat... Masks in the general public is jus…

> This study did not aim to verify whether surgical or cloth masks are able to shorten the trajectory of droplets emitted through coughing.

This seems like a very limited study, since so much of the discussion about masks as a way of preventing spread has resolved around the known cases of one person spreading the virus to a big crowd of others in a confined indoor space.

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

#59
post #14
post #11

Earlier quoted context omitted.

Yeah, the odds of death if you have to be put on a ventilator is 88%. It is similar to CPR, in that it works but statistically has a very low chance of success since it is only administered once the situation has deteriorated to near certain death.

88% is definitely not true. That paper retracted that claim.

Thanks a lot for correcting that. I was going off the stat NYC reported at the peak of the pandemic.

Just checked and it is quite the stark difference.

https://www.npr.org/sections/health-shots/2020/05/15/8567680...

Quote from the article

Old information:

    Early reports from China, the United Kingdom and Seattle found mortality rates as high as 90% among patients on ventilators. 

    And more recently, a study of some New York hospitals seemed to show a mortality rate of 88%.
New information:

    The mortality rate among 165 COVID-19 patients placed on a ventilator at Emory was just under *30%* . 

    And unlike the New York study, only a few patients were still on a ventilator when the data were collected.

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

#60

Earlier quoted context omitted.

Completely agree, we have to think of others not ourselves when we diligently put on our masks.

We diligently put on our masks out of a sense of theater and emotion rather than actual effectiveness. https://www.medicalnewstoday.com/articles/new-study-question... And the WHO continues to maintain that healthy people do not need to wear masks. And asymptomatic spread of the virus is “very rare” according to the WHO: https://www.cnbc.com/2020/06/08/asymptomatic-coronavirus-pat... Masks in the general public is jus…

The WHO recently changed its guidance to recommend masks for all, albeit only in "specific situations" where distancing is not possible.

WHO has updated its guidance to advise that to prevent COVID-19 transmission effectively in areas of community transmission, governments should encourage the general public to wear masks in specific situations and settings as part of a comprehensive approach to suppress SARS-CoV-2 transmission.

https://www.who.int/emergencies/diseases/novel-coronavirus-2...

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