Official Thread: Coronavirus "COVID-19"

[shrike126]

Can someone move these posts to P&R? You gotta stop doing this, Shrike.

It worries me that pointing out how connected our world is, and how much we depend on each other, and should pull down nationalistic animosities and barriers instead of putting them up, is "P&R" these days.

Deleted posts on our interconnected economies. Also, any posts blaming China should be created in P&R and not here as well.

[Shapeshifter]

https://apnews.com/a5077c7227b8eb8b0dc23423c0bbe2b2

More deaths, no benefit from malaria drug in VA virus study

Researchers analyzed medical records of 368 male veterans hospitalized with confirmed coronavirus infection at Veterans Health Administration medical centers who died or were discharged by April 11.

About 28% who were given hydroxychloroquine plus usual care died, versus 11% of those getting routine care alone. About 22% of those getting the drug plus azithromycin died too, but the difference between that group and usual care was not considered large enough to rule out other factors that could have affected survival.

Hydroxychloroquine made no difference in the need for a breathing machine, either.

Researchers did not track side effects, but noted hints that hydroxychloroquine might have damaged other organs. The drug has long been known to have potentially serious side effects, including altering the heartbeat in a way that could lead to sudden death.

[xCLAVEx]

Why are so many COVID-19 patients also seeing blood clots?

As the COVID-19 pandemic ravages a world still grappling with vast uncertainty over the virus, a new and unnerving pattern has emerged in some patients.

Though novel coronavirus symptoms thus far have presented chiefly within the respiratory system, the infection is swiftly showing to be an all-out, system-wide assault that reaches far past the lungs. Doctors in hot spots across the globe have begun to report an unexpected prevalence of blood clotting among COVID cases, in what could pose a perfect storm of potentially fatal risk factors.

In New Orleans, a man in his 30s was admitted to the hospital a week into treatment for the flu, severely sick. Developing shortness of breath, chest pain and an abnormally rapid heart rate -- he was tested for coronavirus -- doctors realized those symptoms also are typical of a pulmonary embolism: a potentially deadly blood clot that can move from the legs to the lungs and damage the heart.

The man's blood work already showed heart damage, though he had no known underlying medical conditions, no recent travel, no recent surgeries. His chest scans, shown first to ABC News, revealed a massive clot. Termed a "saddle embolus" because it hooks over branches of both pulmonary arteries, it was severely stressing the right side of the heart, unable to push blood against the clot already in its strained state.

"Thankfully, we were able to find this and treat this early, otherwise it probably would have killed him," Dr. Siyab Panhwar, a cardiovascular consult for the patient, told ABC News.

The patient's system, riddled with inflammation -- increasingly a pattern among patients with COVID-19 -- in such a heightened state may have been doing more harm than good because inflammation -- a defensive mechanism in the body -- can increase clotting.

The body's response creates a domino effect that may cause further harm, doctors told ABC News. Patients' systems are strained by numerous factors triggered by the virus -- stressed lungs, severe inflammation -- that set in motion the clotting effect.

It's growing so common with severe COVID cases, doctors are recognizing it as a new pattern of clotting called COVID-19-associated coagulopathy, or CAC, which is notably associated with high inflammatory markers in the blood, like D-dimer and fibrinogen.

"This virus is affecting the lungs, but it appears to be causing inflammation of the whole body," Dr. Viren Kaul, a pulmonary critical care specialist at Crouse Health and an assistant professor of medicine at SUNY Upstate Medical University, told ABC News. With those patients at a higher risk of clotting, doctors must identify those individuals a quickly as possible.

In Spain, among the hardest-hit nations, clotting cases have become so prevalent in novel coronavirus patients that doctors have begun routinely treating individuals with therapeutic doses of anticoagulation medication.

"In the beginning of the outbreak, we started only giving them medicine to prevent clots. We saw that it wasn't enough," Dr. Cristina Abad, an anesthesiologist at Hospital Clínicos San Carlos in Madrid, told ABC News. "They started having pulmonary embolisms, so we started [full] anticoagulation on everyone."

Nearly half of the COVID-19 deaths in Spain have been in Madrid.

The exact cause of increased clotting in COVID patients remains unclear -- as novel as the virus itself. But Abad said she believes the increase in clotting is from the severe inflammation, fluid and stress to the respiratory system.

MORE: 'Massive blindspot': Missing data in COVID pandemic leaves US vulnerable

In the U.S., doctors on the front lines of the COVID battle have been crafting new protocols as the world scrambles to understand more about this virus.

Dr. Salim Rezaie, an emergency medicine physician at Methodist Hospital in San Antonio focused on understanding COVID-19 and its association with clotting, said he's been tracking telltale signs of clotting through their byproduct, D-dimer proteins, which break off in the body and spread through the bloodstream. Those help determine anticoagulant dosages.

"The crux of all this is, what does that mean for the body's larger system?" Rezaie said. "The evidence is really new, and it's not robust. People are just trying to do the right thing, give the most benefit, but not cause more harm."

Panhwar shared a story of a patient who was nearly discharged before additional symptoms were discovered, adding: "We're seeing really swift decompensation for patients with severe symptoms."

"About 40 years old, she was going to self-quarantine, she was walking out the door, and she went into sudden respiratory arrest," Panhwar continued. "She was intubated and coded in a matter of 30 minutes. So when that happens, our suspicion of pulmonary embolism is very, very high. But without screening for it, we can't know for sure."

"It can happen so quickly. It can be very traumatic. This disease is unlike anything we've seen," he added.

Some COVID-19 patients have been crashing, hard and fast, from sudden events -- pulmonary embolisms, cardiac arrests, respiratory failures -- leading some doctors to wonder whether such cases were spurred by a clot for which they didn't know to look.

But symptoms of a worsening COVID infection mirror those of a severe clot in the lung, which, doctors have said, further blurs the lines of a diagnosis already difficult to clarify. More observation and research will be required.

"Separating the two entities, talking about clots in the lungs and worsening COVID infection, can be difficult, which is the challenging thing," Kaul said.

But even screening for clots amid the current threat of infection presents additional difficulties: Every surface of full-body CT scan machines must be wiped down, thoroughly, which requires additional resources and takes more than an hour. It's yet another clog in the system.

"It's really like the Wild West," Panhwar said. "We're in uncharted territory."

https://www.yahoo.com/gma/why-many-covid-19-patients-seeing-blood-clots-100306024--abc-news-topstories.html

So heart damage is a real possibility with many Covid patients. I've never heard of a virus that can cause so many different problems indirectly as this one.

[shrike126]

https://apnews.com/a5077c7227b8eb8b0dc23423c0bbe2b2

More deaths, no benefit from malaria drug in VA virus study

Yeah. People need to stop pushing this as a treatment for Covid-19 before it gets more people killed.

[Java Cool Dude]

I've never heard of a virus that can cause so many different problems indirectly as this one.

It's like a line straight out of a video game/B-rated horror movie; in 2019 a virus came out of China and f***** everyone, EVERYONE!

[Java Cool Dude]

Yeah. People need to stop pushing this as a treatment for Covid-19 before it gets more people killed.

Someone around here suggested maybe Democrats shouldn't be given the "cure" since they are so skeptical of its "benefits"!

[shrike126]

Someone around here suggested maybe Democrats shouldn't be given the "cure" since they are so skeptical of its "benefits"!

Sometimes it's frustrating trying to save stupid despite itself.

[xCLAVEx]

Someone around here suggested maybe Democrats shouldn't be given the "cure" since they are so skeptical of its "benefits"!

I've heard a similar one hoping that the virus would infect "trump supporters" and "thin the herd" when they gather.

Both sides have idiots, no side has the monopoly on this.

[acroig]

I've heard a similar one hoping that the virus would infect "trump supporters" and "thin the herd" when they gather.

Both sides have idiots, no side has the monopoly on this.

Indeed.

[Java Cool Dude]

I've heard a similar one hoping that the virus would infect "trump supporters" and "thin the herd" when they gather.

Both sides have idiots, no side has the monopoly on this.

Agreed to an extent, one side though has more covidiots than others!

https://nypost.com/2020/04/20/kentucky-sees-highest-spike-in-coronavirus-cases-after-protests/

[ice]

I've heard a similar one hoping that the virus would infect "trump supporters" and "thin the herd" when they gather.

Both sides have idiots, no side has the monopoly on this.

Exactly. There is nothing more annoying than the division of our own ****ing people. We're all on the same team in this country, shut the **** up and stop being finger pointing, petty assholes. It's why the PR section here and politics in general is full of nothing but idiocy.

My company bought 500 masks from an Amish community and distributed them today. They mean well, but none of them fit properly .

[xCLAVEx]

Exactly. There is nothing more annoying than the division of our own ****ing people. We're all on the same team in this country, shut the **** up and stop being finger pointing, petty assholes. It's why the PR section here and politics in general is full of nothing but idiocy.

My company bought 500 masks from an Amish community and distributed them today. They mean well, but none of them fit properly .

My company gave me a mask yesterday kind of out of the blue. Even though it's an awkward fit, it still could work and I will use it.

[xCLAVEx]

Agreed to an extent, one side though has more covidiots than others!
https://nypost.com/2020/04/20/kentuc...fter-protests/

Dunno, I highly doubt the majority of those spring breakers that all got infected a few weeks ago were trump supporters (maybe some).

People like that can be very punchable sometimes...but from 6 feet away.

[MasterGoa]

Guys, if you are left jobless and without health coverage while all bills are coming in,
the vast majority of people would panic.

Protesters are back to a wall and don't know where to go for help.

The problem with Covid 19 is that it is totally unknown and is rewriting both medical and history books.

[Crawdaddy79]

So has anyone else partaken in pizza deals during all of this? One of the localish places here had 50% off all pizzas and it was awesome. Got my ridiculous 8 topping 16 inch pizza for $14. Peppers, jalapenos, tomatoes, mushrooms, chicken, ham, fresh garlic, and Italian sausage.

[Greasy]

So has anyone else partaken in pizza deals during all of this? One of the localish places here had 50% off all pizzas and it was awesome. Got my ridiculous 8 topping 16 inch pizza for $14. Peppers, jalapenos, tomatoes, mushrooms, chicken, ham, fresh garlic, and Italian sausage.

Hell yes we have.

[MasterGoa]

Here is a covid19 related video that will be a mini vacation!

Lazy8, this one's for you!

[yt]zIbXai0l174[/yt]

[shrike126]

More P&R stuff deleted.

[Lazy8s]

Here is a covid19 related video that will be a mini vacation!

Lazy8, this one's for you!

[yt]zIbXai0l174[/yt]

That was cool, thank you

[Greasy]

Here is a covid19 related video that will be a mini vacation!

Lazy8, this one's for you!

[yt]zIbXai0l174[/yt]

Amazing. To think a lab person in China created all this is just crazy. Thanks again China for the memories.

[Higgy10]

im looking at the numbers for my immediate municipality and the surrounding ones and am starting to wonder a bit now

http://www.simcoemuskokahealthstats.org/topics/infectious-diseases/a-h/covid-19

https://www.publichealthgreybruce.on.ca/Portals/0/Topics/InfectiousDiseases/COVID19/Situation_Report.pdf

these 4 counties represent a huge land area and roughly a million ppl

simcoe/muskoka

The Simcoe Muskoka District Health Unit currently has 215 confirmed cases of COVID-19 including 104 recovered, 12 hospitalizations and 14 deaths.

simcoe/muskoka has at least 8 hospitals

grey/bruce
 1 new cases reported in past 24 hours in Grey Bruce
 64 cases to date (current cumulative total)
 0 cases currently hospitalized
 22 recovered cases
 20 cases reported in Health Care Workers working in Grey Bruce
 1 facility in COVID-19 outbreak (reported in Long-Term Care facilities)

grey/bruce has 3-4 hospitals i think

if i did the math correctly thats like 1 hospitalization per hospital?

i think some intelligible reopening is feasible with these numbers

[Canesfan2020]

im looking at the numbers for my immediate municipality and the surrounding ones and am starting to wonder a bit now

http://www.simcoemuskokahealthstats.org/topics/infectious-diseases/a-h/covid-19

https://www.publichealthgreybruce.on.ca/Portals/0/Topics/InfectiousDiseases/COVID19/Situation_Report.pdf

these 4 counties represent a huge land area and roughly a million ppl

simcoe/muskoka

The Simcoe Muskoka District Health Unit currently has 215 confirmed cases of COVID-19 including 104 recovered, 12 hospitalizations and 14 deaths.

simcoe/muskoka has at least 8 hospitals

grey/bruce
 1 new cases reported in past 24 hours in Grey Bruce
 64 cases to date (current cumulative total)
 0 cases currently hospitalized
 22 recovered cases
 20 cases reported in Health Care Workers working in Grey Bruce
 1 facility in COVID-19 outbreak (reported in Long-Term Care facilities)

grey/bruce has 3-4 hospitals i think

if i did the math correctly thats like 1 hospitalization per hospital?

i think some intelligible reopening is feasible with these numbers

Low density? I live in a county of just over a million that's fairly dense. I don't care to see how much more it can jump.

[Higgy10]

Low density? I live in a county of just over a million that's fairly dense. I don't care to see how much more it can jump.

extremely low, its hillbilly heaven out here.

Grey county is 1800sq/m
bruce is 1600sq/m
simcoe is 1900sq/m
muskoka is just over 1500sq/m

[Greasy]

Looks like SC is opening up. Great, the border is about 40 min away from us. If any of you live there stay safe, and stay in SC please.

[curio]

Here's an idea....you can withdraw a members access to P&R right? Anyone who gets political here, just withdraw their access to everywhere BUT P&R. See how that works out.

I wouldn't even wish that on my worst enemy

[Nunz]

And, as I said, we have another forum for that type of discussion.

Yup.

[acroig]

Yup.

You staying healthy hoss? Where the F are you stationed at?

[demo]

So... With everyone in lockdown and people unable to go out, something funny has been happening around here.. When it's bin night (trash night) everyone has started wearing super hero costumes, or dresses, or pirate costumes etc, when taking the bins out.. It's hilarious to see Batman take the trash out down the street, and then some guy in a ball gown, followed by Wolverine and so on. It's become a bit of a phenomenon. I love Aussie humour.

[Nunz]

You staying healthy hoss? Where the F are you stationed at?

I'm good. We haven't made any changes besides some room swaps and a shift plan if someone gets COVID in my unit. We are business as usual. The war machine doesn't slow down for things like this; we just adapt. I'm deployed somewhere in the middle-east

DOD mandated we wear masks, doesn't issue any, and then said "**** it, just wear cloth masks of whatever you can find"... Yeah a cloth mask in 105 degree weather ain't fun.

Hope you and your family are well!

[acroig]

I'm good. We haven't made any changes besides some room swaps and a shift plan if someone gets COVID in my unit. We are business as usual. The war machine doesn't slow down for things like this; we just adapt. I'm deployed somewhere in the middle-east

DOD mandated we wear masks, doesn't issue any, and then said "**** it, just wear cloth masks of whatever you can find"... Yeah a cloth mask in 105 degree weather ain't fun.

Hope you and your family are well!

Likewise bud, stay healthy. At least it does not seem like your are stuck next to someone like our sailors in aircraft carriers os subs.

[shrike126]

Okay, let's try this again.

Feel free to discuss the Covid-19 pandemic / healthcare crisis without mentioning any government's responses to managing the crisis (both domestic or otherwise). Anything involving political commentary (for example on China's involvement, the U.S.'s involvement, or concerns about lack of medical care, testing availability, or treatment) belongs in the P&R forum subsection.

[Crawdaddy79]

Looks like Singapore is getting into trouble.

According to WHO, 1111 new cases out of their 9k are today's.

https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200422-sitrep-93-covid-19.pdf

March 23: What Singapore can teach the U.S. about responding to Covid-19

Yesterday: Singapore extends lockdown as Covid cases surge past 9,000

Their new cases ramp is a cliff upwards. This thing is a mother****er.

[acroig]

By saying "Here we go again.." I wasn't trying to debate the accuracy of the statement. I was stating that these kind of statements will just trigger discussions that belong in the P&R forum. Guess I was right...

Indeed.

[Nascar24]

Looks like this is going to turn into the yearly killer virus. Looks like it could be the normal way of life for the foreseeable future. Since its mutating then your probably going to be able to catch it again like any common cold.

https://www.fox2detroit.com/news/coronavirus-has-mutated-into-at-least-30-different-strains-study-finds?fbclid=IwAR0omzAW3oDVEiY4dDTwlM0Xyf9uFKs510vMgmsedsNtt_jq_AeXTFp962A

[Greasy]

Anyone remember when 2000 was going to be the year the world fell apart? I member!

[MasterGoa]

It's bad... But at the same time it's good...

We have technology to stay connected (non withstanding a zoom patch :-/ )
Information crosses the earth in minutes.
Testing and studies are happening across the world, collaborating in real time.
We have machines that can analyses the genetic make of a virus in 5-15 minutes.
FLIR camera's can take the temperature of dozens of people at the same time
without touching them.

Seriously, someone from 1980 comes here and it's Star Trek for real...

[bill dennison]

maybe i should add a lime tree to the back yard to go with the navel and tangerine for corona season

[acroig]

maybe i should add a lime tree to the back yard to go with the navel and tangerine for corona season

[shrike126]

maybe i should add a lime tree to the back yard to go with the navel and tangerine for corona season

Now that's ****ing funny. I approve.

[Lazy8s]

My work just handed out black bandanas to use as masks.

I have a job at a bank today.


See ya'll in 5-10 years