The incredible economic pain this is doing is so sad. The major airline stocks are trading like they are going out of business. Delta employs about 100,000 people in Atlanta They are asking people to volunteer for unpaid leave. This is not even counting everyone down the chain. From all the airport workers to all the suppliers. This is all in a matter of weeks.
@sorghum wrote:
“Samuel Shem can say things for dramatic effect, I think he is flat out wrong.””
@Sue22 wrote:
“My local hospital has put out a call for babysitters in the local community. Lots of teens and young adults are volunteering. I’d rather see those med students used as glorified PAs if we get into an all hands on deck situation.“
Again, all you non legal, non medical people, please stop trying to dictate what Medical Students are able to legally do in any healthcare situation.
Legally, this is a good summary of the scope and legal limitations of medical students:
“No matter how capable the student or how close to finishing training, medical students do not have the legal authority to practice medicine. Everything that a student does must be reviewed and checked by a licensed physician. The student should not be allowed even as much independence as a nurse or a paraprofessional. It may be permissible for a physician to delegate certain tasks to a nurse under protocol that should not be delegated to a medical student. The legal assumption is that the student is there to be taught. If the student knew the tasks well enough to be allowed to do them unsupervised, then he or she would not need to be doing them.
Under no circumstances should the student be used as a substitute for the physician in completing routine physician tasks. It is tempting to use medical students to do admission histories and physicals or to evaluate a patient, but it is very dangerous legally. If anything untoward happens to the patient, the physician will be responsible and will be in the position of having injured a patient by not fulfilling his or her medical duties. The attending physician must personally review the history and physical, not just cosign the work of a nonphysician.”
Interview with Dr. Fauci going on right now.
https://www.youtube.com/watch?v=EXY76TKNy2Y&feature=youtu.be
“Again, all you non legal, non medical people, please stop trying to dictate what Medical Students are able to legally do in any healthcare situation”
amen
I stand by what I wrote.
8000 dead worldwide over 4 months.
7000 dead in US in 1 month of the flu.
Most people that get c19 experience no symptoms.
Italy deaths can be attributed to their bad health care system and lack of equipment, they are letting people die. Their stats are worse than China. Also their hospital staffs are infected and they are on the job infecting more at risk people. The US doesn’t have a 3rd world health care system.
We will look at the stats in a couple months. By then maybe the US stats will surpass the number of people killed by beds, toasters, ladders and bees. But if it’s under the normal flu numbers then this has been unnecessary.
Italy has a very good healthcare system. Wait and see what our numbers are next week - we can refresh this post. Italy’s problem was lack of testing early on, lots of old people living with young family members, non-compliance, and living in close quarters (generally).
China numbers are likely way understated, but S. Korea - no. They tested and complied like crazy. Government tracked people who tested positive.
Ok, honestly, we could do ten weeks of this if that helps. That’s 70 days.
I agree. They’re also ahead of the curve in terms of CV treatments. It would be foolish not to pay attention, and learn from/with them.
https://www.nbcnews.com/health/health-care/doctors-push-treatment-coronavirus-blood-recovered-patients-n1158476
well, I watched countless videos of them doing just that from late December through the end of February. Even until about the end of February at least, most Chinese stayed home all the time if they didn’t have to go out. How would you personally know what China did or didn’t do? Back when I assumed the USA would take effective and early action, I was watching what happened in China daily from people in Wuhan who were posting videos, Chinese and Taiwanese news sources, seeing Wuchat posts and videos, etc. The Chinese had a delayed response of maybe 4-6 weeks and then took very strong action. It worked. China is now safer than most of the USA in terms of this virus. Now they worry about people bringing it into their country. They had a community monitoring system from the Cultural Revolution that they reactivated to deal with this virus. I am not a fan of totalitarian style government but once they started reacting, they took strong, effective action that prevented an even worse situation. I don’t trust the Chinese numbers, though. However, if everyone throughout the country stays in their homes and uses delivery services for food, then the disease spread is minimized as much as possible and that’s what they did for the past few months.
CDC reports more than 7,000 cases of coronavirus in US
From CNN’s Amanda Watts
There are now 7,038 confirmed and presumptive positive cases of novel coronavirus in the United States, according to the US Centers for Disease Control and Prevention.
The CDC says 97 people have died.
CNN’s tally relies on state totals and won’t always match the CDC’s count; CNN has counted more than 7,500 cases and 124 deaths.
The CDC says there are cases in 50 states, the District of Columbia, Puerto Rico, Guam and the US Virgin Islands. Of the cases the CDC is reporting, 269 are travel-related, 276 are from close-contact and a majority, 6,493, are still under investigation, the CDC website says.
The CDC says there are 46 cases among people who were aboard the Diamond Princess cruise ship, and three among people repatriated from China. These are counted separately from the US total.
On Tuesday, the CDC reported 4,226 cases. The CDC is updating its coronavirus case numbers on weekdays. CDC’s numbers close out at 4 p.m. the day before reporting. The most up-to-date case counts will come from states, CDC officials have said.
[ in other word, CDC numbers are quite stale by the time they are posted. Current count by Worldometers who gets data from state sites and news releases is currently 8,019 with 125 deaths - and changing quickly ]
Speaking of numbers, our state said today they think we have about 30 times or more the actual number of cases than the reported official cases due to lack of available testing.
I would like to remind everybody that we do not, actually, know how many are infected in the USA. We also do not know how the spread of the virus will be affected by the Florida Spring break narcissists, the uncaring, self centered St Patrick public booze guzzlers, the people who attended Disney’s insanely irresponsible “farewell party”, and by the assorted conspiracy theorists who purposefully went out and mingled after the CDC recommended social distancing.
My recommendation to everybody on the thread is to avoid anybody who mentioned at any point that the pandemic was a hoax, anybody who has kids who went on a beach vacation for spring break this year, anybody who went out this St. Patrick’s day, or attended the Disney farewell party.
Also avoid anybody who is engaging in price gauging for things like hand sanitizer, surgical masks, toilet paper, etc. Not because they may have coronavirus, but because they are disgusting excuses for human beings.
At this point, we should all be behaving as if we are carriers and as if everyone else is too.
Hard for me to avoid. My clients, neighbors, coworkers, etc where Im working now.
Guidelines and rules can be changed when needed. We’ve already seen a small amount of that - no need to worry about state licenses for doctors from different states, lower criteria limits for masks. In times of crisis, all kinds of regulations going out the window.
You don’t get to make up your own facts. Italy doesn’t have a bad health care system. Ours is not stellar by any means and any expert will tell you we aren’t set up for a pandemic. Many of our health care workers have already been exposed and more will be because we have a shortage of PPE in this country.
What business are you in and is it essential? If it is, then take as many precautions as you can via distance, hand washing, etc. Work from home if you can. Most stuff isn’t essential in a pandemic.
That’s true. However, Trump is simply angering the Chinese, which isn’t smart, IMO, considering we have a lot to learn from them in this crisis. Also, they’re bouncing back, somewhat. They 're sending 5 million face masks to France, because France lent them a helping hand during the worst of their crisis. THIS is how nations should behave.
New Jersey governor is in “intense conversations” with White House over coronavirus support
From CNN’s Melanie Schuman
New Jersey Gov. Phil Murphy said he is engaged in “intense conversations” with the White House and spoke to the Vice President on Tuesday about the ongoing coronavirus pandemic.
His administration sent a letter Tuesday regarding the Army Corps of Engineers and received a “response” this morning.
New Jersey needs more manpower, supplies and space, according to officials who are predicting the state will have a shortage of hospital beds much like the rest of the nation.
The state is bringing 260 beds online, 119 of them are in the northern part of the state, 11 in central region and 50 are in the southern part of the state. The state hopes to have another 227 beds online within the next three to four weeks, according to officials.
Bergen County College will be up and running by Friday as a testing site which will prioritize symptomatic patients along with health care workers and first responders. It can collect up to 2,500 specimens a day, officials said.
[ an example of how inadequate our resources are ]
Scientists say they’ve developed a coronavirus test that can give results in 30 minutes
From CNN’s Augusta Anthony in London
Scientists at the University of Oxford have developed a rapid testing technology for the novel coronavirus, COVID-19, according to a press release from the university on Wednesday.
The new test takes just half an hour, over three times faster than the current method, the university said. Previous tests took up to two hours to give a result, according to the press release. The test was validated with real clinical samples at Shenzhen Luohou People’s Hospital in China, the university said.
The research was initiated by the Oxford Suzhou Centre for Advanced Research in China and experiments carried out in the Department of Engineering Science at the University of Oxford.
The scientists are working to develop an integrated device that can test at clinics, airports and at home. They plan to run validations in the United Kingdom and explore how to produce test kits.
[ China has been using 30 minute tests lately per reports ]
Digestive symptoms were the “chief complaint” in nearly half of COVID-19 cases, small study says
From CNN Health’s Arman Azad
Digestive symptoms may be more common in coronavirus infections than previously thought, with a small study released Wednesday finding that symptoms such as diarrhea and a loss of appetite were the “chief complaint” in nearly half of more than 200 confirmed COVID-19 cases.
The research suggests that, during the coronavirus pandemic, clinicians may need to look beyond the major Covid-19 symptoms identified by US health officials: fever, cough and shortness of breath.
That’s because many patients infected with coronavirus, according to the study, may initially present to the hospital with diarrhea, anorexia and vomiting – not necessarily with respiratory symptoms.
Even when researchers excluded anorexia – a loss of appetite or aversion to food – they found that 1 in 5 coronavirus patients still came to the hospital with diarrhea, vomiting or abdominal pain.
In more severe coronavirus cases, digestive symptoms also became more pronounced, and patients with digestive problems were less likely to be discharged, according to the study.
The research, published in the American Journal of Gastroenterology, looked at 204 confirmed coronavirus cases in Hubei province, China. A small number of those patients – seven people – had digestive problems, but no respiratory symptoms at all.
While the researchers cautioned that larger studies would be needed to confirm their findings, they warned that “if clinicians solely monitor for respiratory symptoms to establish case definitions for COVID-19, they may miss cases initially presenting with extra-pulmonary symptoms, or the disease may not be diagnosed later until respiratory symptoms emerge.”
That might explain why many health care workers in China were infected in the early days of the coronavirus outbreak, the researchers said.
“Although this was related to improper protection of medical personnel early on,” they wrote, “it may also have resulted from failing to consider COVID-19 in the face of atypical extra-pulmonary symptoms, especially those with digestive symptoms at the beginning of the outbreak.”
Jordan’s governorates to be completely sealed off Thursday
From CNN’s Kareem Khadder in Jerusalem and Ruba Alhenawi in Atlanta
Jordanian Armed Forces announced on Wednesday that all of Jordan’s governorates will be completely sealed off at 7 a.m. local on Thursday (11 p.m. ET Wednesday), Jordan’s state-run News Agency (PETRA) reported.
The Army statement said that “all crossing points to and from Amman and all of the Kingdom’s governorates will be closed."
The announcement added that exceptions will be made for those with permits from the Armed Forces and based on the nature of their work.
On Wednesday, Jordan’s government held their first cabinet meeting remotely, “as a part of the government’s efforts to lead by example when it comes to social distancing," according to a tweet from the Prime Ministry.
Jordan’s Prime Minister Omar Razzaz announced on Tuesday the implementation of “Defense Law” in an attempt to contain the spread of novel coronavirus in the country.
Coronavirus death toll rises to 55 in Washington state
From CNN’s Konstantin Toropin
A third Clark County COVID-19 patient died late Tuesday evening, health officials from the county’s health department announced through a statement.
The patient is described as a man in his 70s and he was the first confirmed COVID-19 case in Clark County, according to the statement.
He did not have any recent travel or known contact with a confirmed case, the statement added
“It’s a tragedy that we’ve lost another member of our community to Covid-19,” said Dr. Alan Melnick, Clark County health officer and Public Health director, in the statement. “We send our deepest condolences to his family.”
This death bring the total deaths in the state to 55.
[ If you compare that to countries worldwide, that puts Washington State in the 10th spot. ]