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

Today for the first time I felt what the Italian medics have been talking about. This is just absolutely awful and the hospital staff are going to have massive mental health issues after this . People are dying left right and centre and they are dying so fast . We get lots of pneumonia and flu in the UK but hardly ever do patients go from no oxygen to maximum possible requirement within hours . UK is going to have thousands and thousands of deaths unfortunately
 
Ah, I'm really sorry for the confusion I caused - that wasn't a tweet written by me but by someone on Twitter.
And there's me writing to Tweet ... :) Anyway, the law's not on his side, as the medics have the final say. But the patient's wish for resus to be attempted must be documented if he's been asked and has given his answer.
 
First time I see this. Good news. I read the news in a swedish newspaper, Expressen or Aftonbladet. I am not a person to do battles in forums Reg ;) I am worried about Sweden, because I have friends and family there, and I like Sweden.
Also, I have to admit, I am still concerned (!) I hear what you say about Sw/st.hlm and I hope you are correct. As you have said yourself, nobody has the answer yet, although myself, I believe in the Korean way with testing, search and isolate.

For Norway, we have not been that good at all aspects. But with the resources we have and the bad planning ahead, things have gone pretty well. But we still need to be able to test a LOT more to be able to open society. And there are still dark numbers here and too early too tell even with the positive development the last days.

I see they have developed a quick and cheap testing method in Sweden that is close to being ready. We have also developed our own methods that we are pushing to use, but there are other things you need as well that needs to be fabricated. I hope after Tegnell the chief epidemiolog had a meeting with Norway and Denmarks experts, that we start to cooperate. I think that if we cooperated, we could use each other strengths to the benefit of each nation.

At least we have paper factories and can print a lot of toilet paper if needed :)
Thanks for including us. Consider the northern border closed from now on. :wenger:
 
The rest of the ICU staff is definitely blaming her.

Well I can understand and I won't blame those people who "did the right thing" for blaming those who made a different choice, but sitting on my ass at home I find it impossible to blame people who don't sacrifice themselves for a society that never valued them.
 
@Tweet, that's shocking. Can you take that up with the practice manager on his behalf? Maybe you can lodge a letter signed by him saying that he wishes resus to be attempted in the event that it's required. I'm sorry, your dad shouldn't be over-ruled like that.

edit - just being old isn't a reason not to attempt to save a life.

Would the bold make a difference in practical terms?

I was under the impression that regardless of whether there's a DNR or not, a doctor isn't obliged to give treatment he does not believe is in the patient's interests? In which case the reality (I'd have thought) is that a 95 year old is unlikely to be put through that ordeal, even if he has indicated that he wants to be. Would the letter really carry that much weight?

I may be entirely wrong, mind.
 
Would the bold make a difference in practical terms?

I was under the impression that regardless of whether there's a DNR or not, a doctor isn't obliged to give treatment he does not believe is in the patient's interests? In which case the reality (I'd have thought) is that a 95 year old is unlikely to be put through that ordeal, even if he has indicated that he wants to be. Would the letter really carry that much weight?

I may be entirely wrong, mind.
From what I've been told, that's what happens here. Normally, it is the physician overruling the wishes of "family" that the person be resusitated.
 
Would the bold make a difference in practical terms?

I was under the impression that regardless of whether there's a DNR or not, a doctor isn't obliged to give treatment he does not believe is in the patient's interests? In which case the reality (I'd have thought) is that a 95 year old is unlikely to be put through that ordeal, even if he has indicated that he wants to be. Would the letter really carry that much weight?

I may be entirely wrong, mind.
No, at the end of the day you're not wrong. But having asked him if he wants a DNR and him having clearly refused, that needs to be properly-documented. Depends what his overall health is like - some people still have good and interesting lives at 95 (my neighbour, for instance).
 
Anyway, the law's not on his side, as the medics have the final say. But the patient's wish for resus to be attempted must be documented if he's been asked and has given his answer.
I'm just concerned that this behaviour is actually a policy which is being covered-up. Worried that people's right to life is being denied in a 'quiet', underhand manner. Obviously, I completely lack any relevant expertise, and I'm not claiming this is part of a cull...rather, I'm concerned about the longstanding trend of dismissing the elderly - and their wishes - as unimportant; apparently they're a hindrance to the rest of us, who are, of course, immortal...
 
I love Germany man, used to live in Minden, and if anyone was gonna make a “success” of this it was you guys, think everyone would have put their mortgage on that.

I still wonder how you have so many serious/critical yet so few daily deaths, are you doing something better than other health services? The UK aren’t overwhelmed yet and they are still losing a much higher rate of critically ill.

Unless the critically ill numbers on worldometers are just incorrect for Germany.
I live near Minden nice town.
 
I believe in the Korean way with testing, search and isolate.

Me too, but they were early and the privacy laws here are so much stronger than Korea, we still can’t even use CCTV properly, not even to catch footy hooligans.

As for toilet paper, I used to work in Vestby and lived in Moss... think I prefer the smell of shit to smell of that place. Hahha
 
France update:

- 1873 new cases.
- 357 new deaths among hospitalized patients; we are still updating the deaths that occured in nursing homes 161 have been added.
- 8079 total deaths. 5889 in hospitals and 2189 in nursing homes and other health structures.
- 140 more people in ICU.
 
Ireland:



Deaths still not spiraling out of control here yet.
 
I'm just concerned that this behaviour is actually a policy which is being covered-up. Worried that people's right to life is being denied in a 'quiet', underhand manner. Obviously, I completely lack any relevant expertise, and I'm not claiming this is part of a cull...rather, I'm concerned about the longstanding trend of dismissing the elderly - and their wishes - as unimportant; apparently they're a hindrance to the rest of us, who are, of course, immortal...
That's happened for many years, Steve, as you know. My mother died in 1994, she had a chronic heart problem but no other health issues (never smoked, didn't drink, not overweight) and at 65 years old she was deemed too ancient to be cared for in a cardiac unit. We took her home and she died within a few days. At 61 when she had her massive heart attack, she should have had a bypass done but it wasn't even considered.

Nowadays, that's changed - she'd get proper treatment, as she could have had surgery and recovered well and age isn't a reason to deny appropriate treatment. However, for the very old, things can still be hit or miss and that's definitely going to be the case with the current crisis.

Obviously, if you have a 90-year-old and a 50-year old both needing vents, all other things being equal you're going to give it to the 50-year-old. But often, things aren't equal, and the older person could be generally fitter than the younger one.
 
In a context where the pandemic sees the health service overwhelmed, it's inevitable that the right to life of some will be at least undermined, isn't it?

Put bluntly, in a scenario where treatment capacity is overwhelmed doctors will be put in a position where they effectively have to knowingly allow some patients to die, not because they couldn't be saved but because there are other patients with a better chance of being saved. And those decisions will inevitably overwhelmingly favour the young over the old.

Leaving aside what the right official guidelines around this issue are or what the best way to communicate it is, the de facto reality is that the lives of elderly patients are likely to be assessed differently to the lives of younger patients as treatment is prioritised. And the worse the situation gets, the harsher and more reductive those judgement calls will be. Which is part of the horror facing the health service.
 
Thanks for including us. Consider the northern border closed from now on. :wenger:

Hahaha, sorry, I have nothing against Finland :lol: It was just an example. You and Iceland as well - of course! Actually I had one heck of an experience including winter resort, tequila and various escapades the one time I visited Finland :D Actually one guy from Finland set me on fire with vodka+a lighter, but the rest was great :lol: (visit during military service in northern norway).
 
In a context where the pandemic sees the health service overwhelmed, it's inevitable that the right to life of some will be at least undermined, isn't it?

Put bluntly, in a scenario where treatment capacity is overwhelmed doctors will be put in a position where they effectively have to knowingly allow some patients to die, not because they couldn't be saved but because there are other patients with a better chance of being saved. And those decisions will inevitably overwhelmingly favour the young over the old.

Leaving aside what the right official guidelines around this issue are or what the best way to communicate it is, the de facto reality is that the lives of elderly patients are likely to be assessed differently to the lives of younger patients as treatment is prioritised. And the worse the situation gets, the harsher and more reductive those judgement calls will be. Which is part of the horror facing the health service.

Absolutely, that’s what happened in Spain and Italy and it’s horrific.

Are the UK already sending out DNR’s or is that online bullshit?
 
As a Doctor who is having multiple such conversations a day with patients and relatives I can tell you that it is one of the hardest parts of my job . Resuscitation is not a nice thing though and if something happened to me then I would probably not want to be resuscitated myself
 
That's happened for many years, Steve, as you know. My mother died in 1994, she had a chronic heart problem but no other health issues (never smoked, didn't drink, not overweight) and at 65 years old she was deemed too ancient to be cared for in a cardiac unit. We took her home and she died within a few days. At 61 when she had her massive heart attack, she should have had a bypass done but it wasn't even considered.

Nowadays, that's changed - she'd get proper treatment, as she could have had surgery and recovered well and age isn't a reason to deny appropriate treatment. However, for the very old, things can still be hit or miss and that's definitely going to be the case with the current crisis.

Obviously, if you have a 90-year-old and a 50-year old both needing vents, all other things being equal you're going to give it to the 50-year-old. But often, things aren't equal, and the older person could be generally fitter than the younger one.
Thanks for that post. :) Unfortunately, I don't actually have elderly relatives to be concerned about but feel very strongly about the subject.
 
Ok I’ve ignored all news for the weekend.

More positive news only please. I’ve heard Italy are looking past peak?
 

United Kingdom
Dates​
UK
Deaths​
Germany
Dates​
Germany
Deaths​
Mar 8th​
3​
Mar 11th​
3​
Mar 9th​
5​
Mar 12th​
5​
Mar 10th​
6​
Mar 13th​
8​
Mar 11th​
8​
Mar 14th​
8​
Mar 12th​
10​
Mar 15th​
12​
Mar 13th​
11​
Mar 16th​
12​
Mar 14th​
21​
Mar 17th​
12​
Mar 15th​
35​
Mar 18th​
12​
Mar 16th​
55​
Mar 19th​
20​
Mar 17th​
71​
Mar 20th​
31​
Mar 18th​
104​
Mar 21st​
47​
Mar 19th​
144​
Mar-22nd​
55​
Mar 20th​
177​
Mar 23rd​
86​
Mar 21st​
233​
Mar 24th​
114​
Mar 22nd​
281​
Mar 25th​
149​
Mar 23rd​
335​
Mar 26th​
198​
Mar 24th​
422​
Mar 27th​
253​
Mar 25th​
468​
Mar 28th​
325​
Mar 26th​
578​
Mar 29th​
389​
Mar 27th​
759​
Mar 30th​
455​
Mar 28th​
1,019​
Mar 31st​
600​
Mar 29th​
1,228​
Apr 1st​
732​
Mar 30th​
1,408​
Apr 2nd​
872​
Mar 31st​
1,789​
Apr 3rd​
1,017​
Apr 1st​
2,352​
Apr 4th​
1,158​
Apr 2nd​
2,921​
Apr 5th​
1,342​
Apr 3rd​
3,605​
Apr 4th​
4,313​
Apr 5th​
4,934​
Will be interesting if Germany can keep the numbers low from here. They're better equipped and perhaps implementing measures roughly when other mainland countries did around them further on in the outbreak can help and have said from day 1 at least from the European perspective of large countries Germany can come out of this better.

If we look at the dates and numbers Germany have been quietly following just a few days behind, 100 deaths each, 3 days gap, ~600 deaths each 2-3 days gap, 1000 deaths each, 3 days in it, 1400 deaths each, 3 days. Things seemed calm in the UK with these small rates under 1400 deaths. If UK could have the same large scale testing I'm sure at Mar 30th it would be 100k cases. Germany simply might be on the path of UK and France but just with enormous testing. They certainly have the ICU capacity when the numbers get big and the virus reaches more older people so perhaps there they can break the path and the large testing can make more self isolate properly but so far the deaths has been inline with France/UK and their low testing..

I'm infinitely more impressed in how other Asian regions/countries have dealt with this on China's door step that have way more Chinese visitors than Italy. From Day 1 I've had Italy, Spain, France UK and Germany in this order in terms of outbreak tourism attraction and cultures.
It's no wonder the cases are so much higher - double is crazy, but probably "normal" though.

The lockdown happened so much later in the UK - it's negligent on the part of the govt.

That Cheltenham took place (250k), the Liverpool Atletico took place (3k travelled from Europe's 2nd hotspot), Rangers vs Leverkusen, etc, in the week where it was going mad in Europe........it beggars belief.
 


Get yer tits out, get yer tits out, get yer tits out for the lads.


You know what would really be uplifting to the nation?

She could cause rapturous laughter and applause throughout the land, if only she went with

"During this difficult time of emergency and challenge, it has never been more important for one to consider the great sacrifice made by those on the front lines of confronting this terrible affliction, therefore I offer only one piece of advice to you my subjects; stay the feck at home twats"
 
Ok I’ve ignored all news for the weekend.

More positive news only please. I’ve heard Italy are looking past peak?

It looks that way yes. Same for Spain. Still early days:
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You know what would really be uplifting to the nation?

She could cause rapturous laughter and applause throughout the land, if only she went with

"During this difficult time of emergency and challenge, it has never been more important for one to consider the great sacrifice made by those on the front lines of confronting this terrible affliction, therefore I offer only one piece of advice to you my subjects; stay the feck at home twats"
If the pandemic were renamed the Covid 19 Plague, you can bet that a hell of a lot more people would stay at home.
 
Leo Varadkar has re-registered with the Medical Council for a GP/Caretaker Taoiseach combo role.

He'll be taking phone consults one day a week apparently.
A classy move I think. Coming off as much better than a lot of world leaders. I'm no big supporter usually, but it's good to see it.
 
In a context where the pandemic sees the health service overwhelmed, it's inevitable that the right to life of some will be at least undermined, isn't it?

Put bluntly, in a scenario where treatment capacity is overwhelmed doctors will be put in a position where they effectively have to knowingly allow some patients to die, not because they couldn't be saved but because there are other patients with a better chance of being saved. And those decisions will inevitably overwhelmingly favour the young over the old.

Leaving aside what the right official guidelines around this issue are or what the best way to communicate it is, the de facto reality is that the lives of elderly patients are likely to be assessed differently to the lives of younger patients as treatment is prioritised. And the worse the situation gets, the harsher and more reductive those judgement calls will be. Which is part of the horror facing the health service.
It's a triage situation, really. It's like doctors on a battlefield - the worst casualties are left in favour of the ones with the best chance of survival, because resources have to be allocated where they can do the most good.
 
Leo Varadkar has re-registered with the Medical Council for a GP/Caretaker Taoiseach combo role.

He'll be taking phone consults one day a week apparently.

Mixed (though I suppose ultimately positive) thoughts on that.

On the one hand, my immediate reaction is to recoil from such a PR friendly move from an extremely PR-conscious politician.

On the other hand, we've seen a SF senator rightly praised for re-registering so it would be rather unfair not to give due credit to Varadkar for doing similar. Plus in a situation where managing the collective mood of the country is important, there's very real value in seeing the leader of the country "play his part".
 
Norway sends 20-25 doctors, nurses and staff to help out in Italy. Not much, but at least something is offered to help.
 
I’m a bit confused here. Doesn’t the R0 of a virus mean the natural reproductive ability a virus has and the number of people one person can infect in one interaction? How does a lockdown change that, or any human intervention?

Lockdowns of course prevent more people getting infected, but if Covid-19 has a natural R0 of 2.5, I take a Covid-19 positive patient out on the street during the 3rd month of a complete lockdown with two non-infected people and the former coughs in front of the latter, surely chances are both will get it? It’s not like the Italian coronavirus is now weaker than the American or French coronavirus, surely?

I get the point of the paragraph in saying lockdowns help but I don’t understand how the R0 in one country can be different than in another. Am I missing something here?
People are confusing R0 with R.