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nittany ramModerator
I will be spending self-isolation in Australia where I will be trying to figure this out…
In the US healthcare is linked to employer.
In a pandemic many lose their employment.
So they also lose their healthcare.
Healthcare is important in a pandemic.
So…Just be poor and die?— Lee Constable đ„ (@Constababble) March 22, 2020
nittany ramModeratorHow do we reach these people without hurting their workers? https://t.co/ZhUeIcYydN
— Ryan Marino (@RyanMarino) March 22, 2020
nittany ramModeratorThanks, Invader.
She is a huge Saints fan. We watched the NFC Championship game between the Rams and Saints together. When the Rams were setting up to attempt the winning FG in overtime, I looked over at her and she was crouched on the floor as if she was pleading with the TV. When Zurleinâs kick went through the uprights, I heard her fall forward onto the floor. Part of me felt sorry for her because I know exactly how she felt, but most of me secretly gloated and thought better you than me, Sis.
nittany ramModeratorJust spoke with my brother-in-law and his wife. It looks like they both have COVID-19. They werenât tested, but they have the symptoms – fever, nonproductive cough, soreness in the chest…
They live in Miami, Fla. They are both in their mid-40âs with kids from previous marriages. Her three kids are young adults and out of the house. He also has three kids ranging in age from 12 to 17. Heâs a professor at FIU and she has a pool maintenance business. Both are in excellent physical condition so I expect them to be fine.
nittany ramModeratorI’ve taken more than my share of BS from this team over the years.
Bad personnel decisions, incompetent management, year after year after year of sub-mediocre football…
They traded Eric Dickerson for f’s sake.
If that’s the new helmet, I swear I will end someone.
I’m serious. You don’t believe me, Kroenke?
Try me. My thumb is poised directly above the United app on my phone.
You unveil that gawd-awful thing on Monday morning, by Monday afternoon there’ll be one less heir to the Walton fortune…
PS. I don’t believe for a moment that that’s the new logo/helmet design.
nittany ramModeratorThe predicted scenarios varies by state pic.twitter.com/TxlUb5V8cT
— Channa Prakash (@AgBioWorld) March 21, 2020
nittany ramModeratorMy wife and I both work in healthcare, so we are busy right now. My wife is a physician who does telemedicine from our home. She sees patients over the internet. Over the last week, she has 40+ patients in her virtual waiting room at any given time. Some of them wait 5 or 6 hours to see her ( um, what is that they always say about socialized medicine and wait times?). Iâm a microbiologist in a hospital lab so Iâm sorta in the thick of the specimen collecting and testing aspect of this thing.
We donât have children. Our only dependent is a sweet 4 year old German Shepherd with the disposition of a puppy and a few koi. My parents are in their late 70s. My dad is in pretty good shape from a pulmonary and cardiovascular standpoint but he canât get around like he used to. My mother smoked most of her life. She finally quit but it took a nearly fatal episode due to COPD to scare her straight. There is no way she could survive COVID-19 given her condition.
Fortunately they live on the side of a mountain in rural PA so they were practicing social distancing before it was cool. My brother is around and keeps an eye on them.
Unfortunately we will all have COVID-19 stories by the time this is over.
nittany ramModeratorMy hospital and most of the hospitals in our region will be limiting tests to inpatients, nursing home residents, and healthcare workers.
More and more labs are offering the test, but the supplies to collect and transport specimens for testing are in short supply. If you canât collect the specimens, you canât test them. For example, Copan is one of the major suppliers of the swabs needed to collect the specimens. If I place an order for swabs with Copan today, I wonât have them until August.
The time when testing could have really been helpful in limiting the spread of Covid-19 has passed anyway. Itâs ubiquitous now. Itâs in every community. It has become a clinical diagnosis. If someone has symptoms consistent with the disease, then you treat them as if they have the disease and have them self-quarantine. It would be different if we currently had an approved treatment for the disease, but as it stands right now there is nothing that can be done except supportive care.
nittany ramModeratorSad day.
My favorite Rams teams always featured a bell cow back – McCutcheon, Dickerson, Bettis, Faulk, etc. Gurley was one of the best of that group when he was healthy. A joy to watch.
nittany ramModeratorI work in a hospital so I go to work as usual. Iâm QA Supervisor and Microbiology Lead for the clinical lab. As you can imagine weâve been especially busy with COVID-19 stuff (my hospital provides drive-up specimen collection for people suspected of having it).
I thought there was a big shortage of tests. I was wondering how Idris Elba got tested when he claims he has no symptoms.
There is. There is a shortage of tests and the viral media the specimens go in so they can be transported to the testing facilities. A good part of my day is trying to acquire supplies. People are only supposed to be tested if they have a referral from their doctor, which would imply the doctor has reason to suspect their patient might have the virus. Itâs probably not a surprise to anyone on this board that there is a different set of rules for the rich.
nittany ramModeratorMy friend and I ordered the x-ray glasses.
The ad depicted a drawing of a smiling kid wearing the glasses and looking at his hand and seeing bones. We hoped to see people’s skeletons.
When we got the glasses the first thing we noticed was that you couldn’t see skeletons with them (unless, of course, you were looking at a picture of a skeleton). When you wore them you just saw what you would normally see except out of focus.
- This reply was modified 4 years, 9 months ago by nittany ram.
nittany ramModeratorI work in a hospital so I go to work as usual. Iâm QA Supervisor and Microbiology Lead for the clinical lab. As you can imagine weâve been especially busy with COVID-19 stuff (my hospital provides drive-up specimen collection for people suspected of having it).
March 17, 2020 at 1:54 pm in reply to: Cooks and Gurley traded HOLD ON REPORTS THAT THIS IS FAKE NEWS #112481nittany ramModeratorTwitter rumors are that both TGIII and Cooks stopped following the Rams on twitter and/or instagram. I don’t have the energy or inclination to verify it for myself.
It doesn’t necessarily mean they are gone, but the implication is that they are upset or feel disrespected that the Rams seem to be shopping them around.
nittany ramModeratorMy wife went into Walmart yesterday and when she walked by the gun section she noticed that the shelves that contain ammo were nearly empty. A co-worker told me that her so-in-law went to a local guns shop yesterday and they were completely out of ammo.
To me thatâs a little unnerving considering the general level of panic surrounding this outbreak.
Who knows what nutty conspiracists/militia groups like the Three Percenters will react if things do get bad.
March 15, 2020 at 8:12 pm in reply to: notes from expert panel on the virus & other expert views #112384nittany ramModeratorDo we have any logic-based-guesses on when the Virus is really gonna get going in the USA ? How soon before it gets rolling? Do we know?
w
vItâs hard to get good estimates because we arenât doing enough testing. It could be rolling right now. We could be a couple weeks away from the peak. Itâs hard to say. This disease has an estimated R0 of about 2.5 to 3.2, meaning one person with the disease infects between 2.5 and 3.2 others. Compare that with the seasonal flu which has an R0 of between 1 and 2. That means when COVID-19 begins rolling, it could really roll.
Btw, we now have 3 positive patients in our small community hospital. Thatâs 3 positives in about 80 tests which doesnât sound terrible, but 2 of those positives were in the last 10 tests. Shit might be about to get real.
- This reply was modified 4 years, 9 months ago by nittany ram.
March 15, 2020 at 6:12 pm in reply to: notes from expert panel on the virus & other expert views #112378nittany ramModeratorCoronaviruses have a variety of animal reseviours. The first SARS was hosted in civits and racoon dogs. For MERS it was camels. The novel coronavirus is found in bats and pangolins. Practically all birds and mammals will host some variety of coronavirus.
Coronaviruses are RNA viruses. Unlike DNA viruses (ex. Herpes) RNA viruses are prone to mutations because they lack the biochemical machinery necessary to fix replication errors. Most of the errors are lethal or have a negative or neutral impact on the virus. However, every so often, a mutation confers some advantage on the virus, such as the ability to infect a new host. As the COVID-19 virus spreads around the globe, it’s very possible a mutation will allow it to acquire new animal hosts.
Viruses that have only a single host can be eradicated because they have no place to hide. Small pox is an example. Develop a vaccine and you’re good to go. However, it’s nearly impossible to eradicate a virus that can jump back and forth between humans and other animals because it can re-emerge later on as a new and improved version of itself. Herd immunity and vaccines might still effectively control the virus but they will never eliminate it completely, and the potential for new outbreaks will always exist. It will be interesting to see if the novel coronavirus can acquire some new animal hosts as it moves around the world. There might be some species of bats in the US that it could infect right now without mutating at all.
nittany ramModeratorI once read an article that proposed the idea that the reason why we see crooked teeth in modern humans and not in ancient humans is because of our diets, especially when we are very young.
Modern human babies eat soft foods. Because of that their jaws donât develop as robustly as if they had eaten harder foods. Because of this, their jaws donât get large enough for all the teeth to fit in place in their proper orientation. In contrast, aboriginal people in Southeast Asia have straight teeth. The authors argued that this is because their babies eat many of the same hard foods the adults eat. So their jaws develop as they should and thereâs room for all their teeth to fit.
I donât know how valid this is. It sorta dovetails with the video in that crooked teeth correlate with smaller jaw size.
Iâm not sure I buy any of it. I sent some spit to 23 and Me last month and found out I have more Neanderthal DNA than 66% of their clients. If I have all that troglodyte DNA, then why did I need braces when I was a kid? Iâd like to see your precious James Nestor answer that!
March 13, 2020 at 9:03 pm in reply to: notes from expert panel on the virus & other expert views #112246nittany ramModeratorTesting is crucial. Itâs why South Korea is testing so much.
It tells medical professionals how many are actually infected. That lets planners know how based on symptom progression what the future demand will be on the system and gives real data about the infection progression.
It also can give data which could indicate viral mutation or hopefully, the end of the virusâ infection period.
As for the testing capacity, 1k per day is through the CDC which doesnât allow automated testing.
if they allow automated testing and outsourcing to approved labs, that could easily increase 10 fold or more.
The way we are testing doesn’t make sense. Testing every specimen via PCR is overly time-consuming, expensive, and inefficient. Now they are running out of the reagent needed for RNA extraction. Our state lab warned us that testing might slow down as the test materials they need become backordered.
We need a quick and inexpensive EIA screening test that can be performed at every hospital lab. Only specimens that test positive with the screening test would need to be sent to the state lab for confirmatory testing with PCR. This two-tiered approach is similar to the way we test for Lyme disease. Physicians would get their results quicker as the majority of tests would be negative and they would have the results the same day. If the test is positive, the specimen can ship to the state lab the very same day so the PCR turnaround time is no longer than it is now. Actually, it would be much shorter because the state lab would be running fewer specimens.
- This reply was modified 4 years, 9 months ago by nittany ram.
March 13, 2020 at 8:19 pm in reply to: notes from expert panel on the virus & other expert views #112237nittany ramModeratorI read that even as more test kits come in, our facilities can run only about 1,000 tests/day anyway.
But since there is nothing much that can be done for patients apart from IVs and comfort care, Iâm not sure testing really makes that much difference. I donât know what can be done except for everyone to stay away from crowds, wash hands all the time, and stop breathing.
I hope RBG is in a bubble tent.
Not testing from the beginning is where we really dropped the ball. Testing early and often is how you stop an outbreak in its tracks. It allows you to find and contain infected people before the disease gets into the community. Once its in the community, the opportunity to contain it is lost, as zn’s article says.
Gearing up for this outbreak has been a nightmare for my small community hospital. We are not staffed well enough to deal with the logistics of coordinating the billion moving parts involved in this. We send the covid-19 specimens we collect to the VT Dept of Health Lab. I’ve been there for meetings and seminars many times. It is a brand new and modern lab but they are also not staffed to deal with this. Tensions are high. I got in a shouting match with the state’s Public Health Compliance chief over the phone when they decided we could no longer send specimens in the manner they initially requested. There I was with 20 specimens from suspected covid-19 patients that the state lab was telling me they wouldn’t accept. As it turns out, one of those specimens was positive for the covid virus (SARS-COV-2). It was the first positive specimen in VT.
Of course, testing isn’t perfect and a negative result does not ensure the patient isn’t infected. In the beginning when they were trying to determine the best way to test for the virus, the CDC recommended that we collect lower respiratory cultures (sputum or bronchial lavage), upper respiratory specimens (nasopharyngeal swab, oropharyngeal swab, and nasal wash), and a stool and urine specimen in case additional testing was necessary. That’s a lot of specimens to be collecting and testing. As it turns out, the best results come from sputum and the lavage. The problem is, a productive cough isn’t a typical symptom so sputum is often hard to come by, and you can’t collect a lavage (flood the lungs with saline and suck up the contents) easily especially when you are talking about dozens of people a day. So they settled on the nasopharyngeal (NP) and oropharyngeal (OP) swabs and winnowed that down further to just the NP swab. Remember that patient who tested positive? He was tested early on when we were still collecting multiple specimens from all those different sources. We were able to get a sputum from him, so we sent it along with an NP swab, OP swab, and nasal wash to the state lab for testing. The sputum and nasal wash came back positive. The NP and OP swabs were negative. The NP swab is now the specimen of choice, but if that was all that we had sent, we might not know we had a patient with covid-19. Don’t get me wrong, testing is still effective and necessary in dealing with this outbreak, but as I said before, it’s not perfect.
March 3, 2020 at 11:33 pm in reply to: just some “no thread for em” various political tweets … 2/25 thru ? #111888nittany ramModeratorRegardless if you believe Bernie is anti-science, associating himself with Williamson is a major blunder, IMO. This is disappointing.
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Oh, i disagree totally. I think that would be like distancing himself from Rogan just because Rogan has some batshit crazy ideas.
Too much purism can really whittle down yer allies to zero.
I want her new-age voting bloc.
Williamson is a LOT of things. Some of them Good. Shes not âjust-and-onlyâ an anti-vaxer. I think its a mistake to âreduceâ her to only that. All in all, I think sheâs a more positive force than, say, 95 percent of Congress.
w
vWell, I hope youâre right, but I donât think thereâs enough thatâs good about her to outweigh whatâs bad about her. Ultimately outside of perhaps CA, I think her support will do more harm than good. But maybe she can get those crazy rich white women to stop writing checks to Goop and start writing them to Bernie.
March 3, 2020 at 9:12 am in reply to: just some “no thread for em” various political tweets … 2/25 thru ? #111871nittany ramModeratorRegardless if you believe Bernie is anti-science, associating himself with Williamson is a major blunder, IMO. This is disappointing.
As I've been saying all along –
Bernie Sanders and Marianne Williamson are both whackadoodles with anti-science views.
Bernie pretends to be pro-science, but his anti-biotech views say otherwise. https://t.co/3PXCG8hVVx— FAC is BOTH HOPEFUL/SKEPTICAL OF 2020 (@facisback) March 3, 2020
nittany ramModeratornittany ramModeratorYeah, great movie.
On a related note, I find myself rooting for psychopathic killers in movies most of the time. They usually have that underdog thing going for them (they are typically born of some childhood trauma, then chewed up, swallowed, and vomited up by society), and who doesnât root for an underdog.
February 13, 2020 at 3:13 pm in reply to: Washington Post: Sanders a risk… the media hates Bernie thread #111295nittany ramModeratorThis entire article is ridiculous but Iâll concentrate on this…
dAs if that werenât bad enough, Sanders carries decades of ideological baggage, having in the past praised Communist regimes and joined a socialist party that took Iranâs side during the Iranian hostage crisis.
What a load of BS.
He praised Cuba for giving its citizens universal healthcare and free education. He also said living conditions werenât nearly as bad as how they were portrayed.
He commented on how efficient, clean and inexpensive the Soviet public transportation system was compared to the system (or lack thereof) in the US.
Thatâs the extent of his praise for communist regimes.
The Iran thing is fake news. He was never even a member of the Socialist Workers Party, which is the party the author is referring to.
nittany ramModeratorYeah, well I âknowâ what YOU, want Mr Science. You want GIGANTIC Orchards of Genetically Modified Asparagus. Asparagus the size of RedWoods. AndâŠwalking Meats. Giant Corporate-Grown Bacon Strips. All across the land. Giant-Meat grown from Test Tubes. And Robots. Meat-Robots.
w
vYou get me.
nittany ramModeratorInteresting. He mentions the desire of many people to return agriculture to the era of the small âfamily-ownedâ farm. They think this is more sustainable. It isnât. Not from a financial standpoint as the author of this article points out and not from an environmental standpoint either.
Actually, 98% of farms, large and small, are already family owned. But the preponderance of family-owned farms is relatively recent. Prior to the middle part of the 20th century most farmland was leased by the farmer from a landowner who was not only paid rent, but also took a share of the profits from whatever crops the land yielded. Very few farmers owned their own land. They lived and died in poverty. Returning to the innocent and wholesome farming practices of yesteryear would mean creating a giant underclass of impoverished sharecroppers and tenant farmers.
- This reply was modified 4 years, 10 months ago by nittany ram.
nittany ramModeratorBillyT wrote:
Iâm not a fan of anyone trying to pair them as two people in the same boat in that sense, and Trump is no victim.
Me too. A voter in NH interviewed on the radio said it best…âBernie is the anti-trumpâ.
Bernie is the least like Trump of any of the Dem candidates.
A lot of people think that what Sanders and Trump have in common is that they both are at the extreme ends of their parties. But thereâs nothing extreme about Trumpâs views from a GOP perspective. He wants the same things they all want – deregulation, tax breaks for the rich, elimination of social programs…Heâs just more brazen about it.
nittany ramModeratorDoes it mean anything at all? What does Iowa mean?
w
vItâs an Omaha-Ponca word that means âGrey Snowâ and also âDrowsy Onesâ.
Not sure what that has to do with the election, but, you do you… đ
nittany ramModeratorEnh.
It is a Fail, and itâs embarrassing, but if nothing else happens the rest of the way, it will be forgotten.
Yeah, if NH goes smoothly IA wonât matter.
February 2, 2020 at 6:54 am in reply to: the one-shot tweets thread (diff'rent stuff, funny angry interesting) #110874nittany ramModeratorThe 49 Senators who lost the vote on witnesses represent 19 million MORE people than the 51 Senators who won.
— Lawrence O'Donnell (@Lawrence) February 1, 2020
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