SARS CoV-2 coronavirus / Covid-19 (No tin foil hat silliness please)

So a cat tested positive for Covid-19. It's bloody ridiculous that cats are getting tested before humans are. Ridiculous.
 
Yeah but you're in London aren't you? Hope you're keeping well btw.
Yep so it's not such a biggie. Cheers- ditto hope you're getting through this ok.
 
Yep so it's not such a biggie. Cheers- ditto hope you're getting through this ok.

I'm fine myself, thanks, but having an absolute nightmare of a time with my mum who just won't behave. She's not taking this serious at all which is frustrating. :(
 

That is mad but this stuff is a concern. I haven't seen much advice on handling stuff like food, packaging, washing clothes and dealing with other potentially contaminated items. It becomes an issue of risk and practicality.

I currently dispose of packaging straight after shopping and don't eat anything raw without giving it a wash and leaving it for a day or so. Whether that helps much, or if the risk is even significant I don't know.
 
Leave the stuff (non perishable) in the shed/garage/boot. The virus can only survive up to 24 hours or so on cardboard.

That is mad but this stuff is a concern. I haven't seen much advice on handling stuff like food, packaging, washing clothes and dealing with other potentially contaminated items. It becomes an issue of risk and practicality.

I currently dispose of packaging straight after shopping and don't eat anything raw without giving it a wash and leaving it for a day or so. Whether that helps much, or if the risk is even significant I don't know.
Yeah in all seriousness I can't blame people for doing this sort of thing. Especially since there doesn't seem to be any easy to find government advise.
 
Yeah in all seriousness I can't blame people for doing this sort of thing. Especially since there doesn't seem to be any easy to find government advise.
I have some guidelines but are in spanish

Basically you need to have a red point at the entrance where you will leave your street clothes (virus can only stay 12-24 hours in fabric), you pass a wipe with alcohol or hand sanitizer on the packages that you bought. Clean whatever you touched and go to shower. Leave the food that you will eat raw (and not packaged) 24 hours at least at the red point. The one you will cook will kill the virus
 
I think it's more to do with half-arsed journalists turning an isolated incident with a grumpy prick into a "people abuse binmen, civilization is breaking down" story.

It’s fecking annoying though. People tend to follow the major narrative. If the news is full of stuff about how serious everything is and that you’re at risk of death if you leave the house, people will mostly stay at home. If they start talking about people being rebellious and circumventing the rules then people will start to consider that instead. It’s not like western people are somehow special, people just tend to push a bit against where they see the boundaries to be, just like kids do. Just don’t get people thinking the boundaries are too flexible ffs.
 
People's selfishness in all of this is absolutely astounding. I was driving around my town and saw tons of people sitting in packed outdoor seating areas at restaurants and bars. I see people are still going on ski trips and bragging about it on social media.

I wish there was more public shaming in Sweden of those who are unable to look beyond their own wants and needs even for a few weeks in light of a worldwide health crisis.
 
People have to realise it's not about their freedom, its about the fecking health of everyone.

If it is necessary to stay at home to safe thousands of lifes even for a full year, so be it.
You can't blame the goverments for this. You could blame them if they didn't care for our lifes.

If a government's plan to deal with the crisis was to lock things down for a year with no expectation of serious social unrest then the fault for that plan's inevitable failure would be theirs, for not basing their plans on reaslistic human behaviour. The reality is that people simply won't compliantly stay at home for a year, even if we wish they would, even if it's in their own best interests and even if it saves lives. Because they're people, with all the flaws and limitations that implies.

Going into lockdown at some point will be the right move for most countries. If anyone expects that lockdown to be anything other than unsustainable though then they are deluded. Which is why so many countries repeatedly stressed the dangers of implementing these measures too early, they already know they won't last beyond a certain point.

The best you can hope for from an Italian style lockdown is that you implement it at the right time, you make the most of it while it's there, you manage your population to keep them compliant for as long as possible and you exit the lockdown in a measured & managed process. Exit you must though and in a much shorter time frame than a year.
 
If a government's plan to deal with the crisis was to lock things down for a year with no expectation of serious social unrest then the fault for that plan's inevitable failure would be theirs, for not basing their plans on reaslistic human behaviour. The reality is that people simply won't compliantly stay at home for a year, even if we wish they would, even if it's in their own best interests and even if it saves lives. Because they're people, with all the flaws and limitations that implies.

Going into lockdown at some point will be the right move for most countries. If anyone expects that lockdown to be anything other than unsustainable though then they are deluded. Which is why so many countries repeatedly stressed the dangers of implementing these measures too early, they already know they won't last beyond a certain point.

The best you can hope for from an Italian style lockdown is that you implement it at the right time, you make the most of it while it's there, you manage your population to keep them compliant for as long as possible and you exit the lockdown in a measured & managed process. Exit you must though and in a much shorter time frame than a year.

Then what do you do when you get the second wave? Lockdown again?
 
I have some guidelines but are in spanish

Basically you need to have a red point at the entrance where you will leave your street clothes (virus can only stay 12-24 hours in fabric), you pass a wipe with alcohol or hand sanitizer on the packages that you bought. Clean whatever you touched and go to shower. Leave the food that you will eat raw (and not packaged) 24 hours at least at the red point. The one you will cook will kill the virus
Cheers.
 
We have around 60,000 cases in the NJ/NY area with around 1500 dead. This is getting scarily out of hand and I think a travel ban has just been put into effect. So anyone from Ny/Nj cannot drive to another state is what I’m led to believe.
 
Dr. Vladimir (Zev) Zelenko

Board Certified Family Practitioner

501 Rt 208, Monroe, NY 10950

845-238-0000



March 23, 2020


To all medical professionals around the world:

My name is Dr. Zev Zelenko and I practice medicine in Monroe, NY. For the last 16 years, I have cared for approximately 75% of the adult population of Kiryas Joel, which is a very close knit community of approximately 35,000 people in which the infection spread rapidly and unchecked prior to the imposition of social distancing.

As of today my team has tested approximately 200 people from this community for Covid-19, and 65% of the results have been positive. If extrapolated to the entire community, that means more than 20,000 people are infected at the present time. Of this group, I estimate that there are 1500 patients who are in the high-risk category (i.e. >60, immunocompromised, comorbidities, etc).

Given the urgency of the situation, I developed the following treatment protocol in the pre-hospital setting and have seen only positive results:

1. Any patient with shortness of breath regardless of age is treated.
2. Any patient in the high-risk category even with just mild symptoms is treated.

3. Young, healthy and low risk patients even with symptoms are not treated (unless their circumstances change and they fall into category 1 or 2).


My out-patient treatment regimen is as follows:

1. Hydroxychloroquine 200mg twice a day for 5 days
2. Azithromycin 500mg once a day for 5 days

3. Zinc sulfate 220mg once a day for 5 days


The rationale for my treatment plan is as follows. I combined the data available from China and South Korea with the recent study published from France (sites available on request). We know that hydroxychloroquine helps Zinc enter the cell. We know that Zinc slows viral replication within the cell. Regarding the use of azithromycin, I postulate it prevents secondary bacterial infections. These three drugs are well known and usually well tolerated, hence the risk to the patient is low.

Since last Thursday, my team has treated approximately 350 patients in Kiryas Joel and another 150 patients in other areas of New York with the above regimen.

Of this group and the information provided to me by affiliated medical teams, we have had ZERO deaths, ZERO hospitalizations, and ZERO intubations. In addition, I have not heard of any negative side effects other than approximately 10% of patients with temporary nausea and diarrhea.

In sum, my urgent recommendation is to initiate treatment in the outpatient setting as soon as possible in accordance with the above. Based on my direct experience, it prevents acute respiratory distress syndrome (ARDS), prevents the need for hospitalization and saves lives.

With much respect,

Dr. Zev Zelenko


cc: President Donald J. Trump; Mr. Mark Meadows, Chief of Staff




I remember seeing Dr Zelenko talk about this treatment days ago. I think it's disgusting that people are trying to shove this under the carpet. Some governors are even banning it. The below tweet sums it up best.

 


"You will all be fine"

I don't think this is a guy you can trust when he's making such definitive statements about something so difficult to predict. He seems like an attention seeker.
 
I think in the south its probably true, I dont see it in the north though.

A lot cant get government help because they've spent their whole lives dodging tax, and now theyre moaning they're stuck indoors when nearly 1000 people a day are dying because of this? There are bigger things going on.
I posted about it yesterday. Many people in the south of Italy live hand-to-mouth with undeclared income. When the shops, bars and markets closed, they had nothing in their pockets and no official record of employment.

It's not being stir-crazy that's the problem, it's starvation.
 


"You will all be fine"

I don't think this is a guy you can trust when he's making such definitive statements about something so difficult to predict. He seems like an attention seeker.


He uses the word likely and it's true from what we've seen.

Young people in general don't get severe symptoms and the vast vast majority don't need treatment.
 
They have haven’t they? At least they’re all self isolating like everyone else.
Furlough is different. It's a temporary lay off on 80% salary paid by government. It has nothing to do with self isolating
 
Now that it'll start staying sunny later into the evening, the lockdown is going to feel even more depressing than it has done so far.
 
Well it's official. They've told my wife they're a “Covid unit” now

Good luck to her! My ward and almost all wards in my hospital have been made covid units now. I think we will see this in most hospitals in the coming weeks.

Just finished my 8th shift in 11 days and to put it bluntly things are getting worse. Here's a little insight:

Day 1-2: On my first couple days I was hearing of confirmd cases from other wards, areas but still working on my acute medical ward. No suspected cases for me, just another day.
Day 3-4: Had a day off and came back to be moved to Covid-19 triage in ED. Saw on average 12-13 patients a day. Only 2 patients we suspected of Covid-19 but they were not unwell enough to admit so sent them home.
Day 5-6: Been told my ward is closed. Being refurbed and prepared to be a covid-19 unit. All our patients moved into a holding ward where I was also transferred to work. Hearing of multiple deaths from Covid-19 now.
Day 7: Moved to a Covid-19 unit to learn about how we are treating Covid-19 patients, PPE procedures and general experience to feedback to the team. First time in contact with diagnosed positive patients.
Day 8: Moved back to my ward. We are fully Covid-19 now. Only three of us on, two nurses and an HCA. We opened with no patients but full to capacity within 4 hours. We are a 28 bed ward but due to Covid-19 everyone has to be isolated so we only have capacity for 8 patients, 4 bays and 4 siderooms. This will change if we have more than one confirmed positive patient as they can be cohorted together in a bay. All our patients tested and suspected and waiting for results.

Talking to a dcotor, around 70% of their handover from this morning are suspected Covid-19. Now a very small % will be posistive however, any type of cough, spike in temp or respiratory issue is being treated as suspected. For example I have a young person on my ward, 20 year old with tonsillitis, spiked a fever 38c. Lookig quite well, very chatty - now suspected Covid-19. This person will go home today. The whole hospital is full of it now. Other wards are closing to be made into Covid-19 areas. 12 more deaths in the night - its really ramping up now. We are suddenly seeing a lot more confirmed cases but It feels really real now.

I usually treat alot of CCF, CKD, pnuemonia/HAP/CAP/LRTI patients. The latter patients will be made as suspected Covid-19 but I just want to know where the hell have all my CCF and CKD patients gone? They have literally vanished from our hospital and not being admitted.
 



I remember seeing Dr Zelenko talk about this treatment days ago. I think it's disgusting that people are trying to shove this under the carpet. Some governors are even banning it. The below tweet sums it up best.



Could you tell me which governors (singular or plural) are banning it? As far as I can tell state health authorities are suggesting caution in a clinical setting and recommend preventing off label prescriptions in order to prevent hoarding. They seem to be waiting for confirmation that it's useful and at what dose that is. This is what competent people do.

The tweet you say "says it best" seems on its face to be completely moronic. France changing its recommendations in the light of fresh and evaluated medical evidence is precisely the action it should be taking.
 
Furlough is different. It's a temporary lay off on 80% salary paid by government. It has nothing to do with self isolating

For two reasons I'd imagine. Firstly a player would be entitled to seek alternative employment whilst furloughed. Secondly the cap paid for by the government is £2k per month, which for someone on a few dozen times this every week would be a somewhat irrelevant return.

I'm sure in the lower leagues the situation would be different.
 
Could you tell me which governors (singular or plural) are banning it? As far as I can tell state health authorities are suggesting caution in a clinical setting and recommend preventing off label prescriptions in order to prevent hoarding. They seem to be waiting for confirmation that it's useful and at what dose that is. This is what competent people do.

The tweet you say "says it best" seems on its face to be completely moronic. France changing its recommendations in the light of fresh and evaluated medical evidence is precisely the action it should be taking.

Yeah, France never banned it. The first tweet is partially based on two french trial from the professor Raoult and the health ministry, the breaking news is old and incorrect, the news that is it advises to use it only on serious cases until further trials are concluded that was on March 23th.