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*** OFFICIAL *** COVID-19 CoronaVirus Thread

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Everything closed at 8pm on Monday and starting on Tuesday it was take out & delivery only until 8pm

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10 minutes ago, Politician Spock said:

New York State has 5367 confirmed cases, but 3615 are from New York City alone. That means New York City alone has nearly 3 times as many as the 2nd highest state (Washington  - 1376).

If a week from now they aren't worse than Italy, I will be surprised. 

NYC will explode with cases.

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Just now, lod001 said:

NYC will explode with cases.

It already is. If it were a country it would currently rank 9th just behind South Korea.

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Just now, Politician Spock said:

It already is. If it were a country it would currently rank 9th just behind South Korea.

We were at 423 confirmed cases on Monday

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Total Cases per 1 million in population

Italy 679
Switzerland 455
New York City 420
Spain 372
Norway 324
Austria 224
Iran 219

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6 hours ago, Doug B said:

Same for me. We had a discussion about this sometime last week ... IIRC, @Terminalxylem found out that untreated hypertension was the risk factor, not merely being a hypertension patient who is managing with medicine.

Could have been @Tecumseh , @ProstheticRGK , or @ghostguy123. Pretty sure it was Terminalxylem, though.

It wasn’t me, though untreated BP is clearly a greater general health risk. IIRC, the studies which found the association didn’t stipulate whether it was treated or untreated. Because C-19 can cause cardiac damage, my guess is many of those with HTN are at greater risk because of undiagnosed heart disease.

6 hours ago, Keerock said:

My understanding is that it is the drugs used to control hypertension that cause the issues.

This is all theoretical. There are mental gymnastics which allow one to believe ACE inbitors and angiotensin receptor blockers (two classes of BP meds) could be helpful or harmful in C-19 infection. Basically, they cause the virus’ receptor in lung cells to be up regulated...some reason this is bad, because the virus has more sites to bind, others stipulate the extra receptors are helpful in cleaning up all the displaced angiotensin I and II. It all boils down to whether the virus itself is causing the damage, or the body’s response to it.

Bottom line, we don’t really know if treated or untreated BP is a bigger risk for COVID mortality. It would be helpful if subsequent studies elaborated what BP meds people are taking, so we can at least see if there is any association between the classes which interact directly or indirectly with the SARS-CoV-2 ACE-2 binding site.

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Would it be less painful for the economy to shut down the country entirely for 1 month and see if we can stop this or drag it on for months the way we are doing it now?  At some point I think we need to go all in.

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Posted (edited)

Information I just received is that 10-day lockdown soon to be implemented nationwide...mandated by Fed and enforced by National Guard.  Will only be allowed to leave during scheduled times to grocery store.

Edited by TheDirtyWord
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9 minutes ago, top dog said:

I think that is what they are hoping for.  That the governor shuts it down so it isn't "their fault".. 

It is horribly stupid.  One of the board members was like, but everyone is going to get it anyway...

None taken. It will be one less idiot there after the dust settles...

I read a great post on Reddit that said that after this is over, one of the best questions to ask potential employers when interviewing will be how they handled this and what did they do for their employees. That will give you just about all the insight you need on whether they actually value employees as people or not.

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Wife wants to watch Contagion 

we’ve seen it before but she’s a massive hypochondriac

this won’t end well

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GF just got home from Destin. 18 college kids eating crawfish and playing B.S. with her 8 year old for a few hours. I got to give her the stiff arm tonight as I got some extra work dumped on me at 5 pm, and I'll be working the rest of the night, but those walking petri dishes will be home on Saturday and infecting errbody in this city by Saturday. I guess I'm due to get it tomorrow night if I can't come up with a good excuse.

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7 minutes ago, Penguin said:

Wow, Jersey with 742 positives out of 1,026

It’s not good data though since they’re only testing those who have symptoms/exposure 

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1 minute ago, TheDirtyWord said:

Information I just received is that 10-day lockdown soon to be implemented nationwide...mandated by Fed and enforced by National Guard.  Will only be allowed to leave during scheduled times to grocery store.

Link?

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19 minutes ago, Man In The Box said:

Just got a robo-call from our borough. All non-essential businesses closed starting tomorrow at 8pm. Bars and restaurants are open for take-out only and must close at 8pm. Bergen County, NJ. 

Thanks for this, makes me feel better about my 85 year old grandma up there.

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1 minute ago, TheDirtyWord said:

Information I just received is that 10-day lockdown soon to be implemented nationwide...mandated by Fed and enforced by National Guard.  Will only be allowed to leave during scheduled times to grocery store.

Information from who? And does that mean you can’t go to the drug store to get medication? Or to a hardware store to get stuff to fix your pipe when it breaks and starts flooding your house when you’re stuck at home?

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3 minutes ago, TheDirtyWord said:

Information I just received is that 10-day lockdown soon to be implemented nationwide...mandated by Fed and enforced by National Guard.  Will only be allowed to leave during scheduled times to grocery store.

Source?

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1 hour ago, Anarchy99 said:

So if a grocery store specifically tells you to come in during their special shopping hours for the “older community” and you aren’t above the age they are targeting, would you go shop then? Asking for a friend. 

They should have age 40-50 something men shop with 21-30 year old women to keep things nice and safe. 

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Posted (edited)
2 minutes ago, GroveDiesel said:

Information from who? And does that mean you can’t go to the drug store to get medication? Or to a hardware store to get stuff to fix your pipe when it breaks and starts flooding your house when you’re stuck at home?

From what I heard, at least here in Jersey is that if we go on shelter and stay in place we will be allowed to go to the grocery store and pharmacy one day a week depending on either our last name or license plate number.

Edited by Penguin

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My 80 y/o step-mom (married my dad 40 years ago) taken to the hospital in Sarasota with chest pains.  Now scheduled for a triple bypass tomorrow.  No travel, no visitors. Dad can’t stay with her.  😡😢

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3 minutes ago, Capella said:

It’s not good data though since they’re only testing those who have symptoms/exposure 

Isn't this pretty much true anywhere in the US?  Why is the overall positive rate only around 10% if that is the case?

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22 minutes ago, Rodrigo Duterte said:

It was from my sister, to her siblings only.  I will call my niece directly now.  She is the one who got the knock.

I actually went straight to the grocery store, even though I have quite a bit of rations, and no joke, the first guy I saw there was my sister's husband.

Sounds like a really funny family joke at this point.

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Blood donation is safe. Urgent need now. O negative in most demand.

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2 hours ago, BladeRunner said:

Needless to say this would be fantastic. I’ll look at this report later, I personally would want to know if there has been any commentary on it in medical journals or serious reporting from Europe or the like. I think this study was peer reviewed?

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Posted (edited)
2 minutes ago, Galileo said:

Isn't this pretty much true anywhere in the US?  Why is the overall positive rate only around 10% if that is the case?

Can’t answer that without examining age groups, sex, race, etc. Right now the sample is skewed one way only. 

Edited by Capella

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2 hours ago, top dog said:

  Check your temperature before coming to work (if possible).  If you have temp of 100.4 or higher, stay home.  Don't come back until 3 days after the fever breaks.  

That is good advice normally.  During a pandemic may be a bit light...

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My sister-in-law is getting tested tomorrow. Her symptoms aren't exactly typical COVID19 but she's a visiting nurse working with vulnerable populations. We're just glad she's able to get tested so we'll know.

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2 minutes ago, Keerock said:

My 80 y/o step-mom (married my dad 40 years ago) taken to the hospital in Sarasota with chest pains.  Now scheduled for a triple bypass tomorrow.  No travel, no visitors. Dad can’t stay with her.  😡😢

Wow...that sucks.  Wishing the best for you

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56 minutes ago, Rodrigo Duterte said:

Fire department just knocked on a family member's door to tell them to have enough food for 2 weeks because lockdown is coming in 48 to 72 hours.  They were going door-to-door.  This is in SoCal.

At some point we need to start handing out long time-outs for this sort of post.

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1 hour ago, GoBirds said:

Anyone else hearing tomorrow is the day they shut everything down? It’s rumor that someone is spreading daily but someone w DOD ties related this one.l so was curious if anyone else is hearing it.....going to kill us at work with a closing. 

If you're going to post something like this, post EXACTLY where you are hearing it. Preferably with a link.

If you don't have a link, post exactly where you heard it. 

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27 minutes ago, [scooter] said:

Not that I'm doubting you, but could you confirm that it was actually your family member that this happened to?

Rumors spread when the chain-of-custody breaks down. Nobody wants to say "I heard from a friend that the fire department just knocked on their family member's door...", so they delete the first part of the sentence to make it sound more believable.

Again, I'm not doubting you. I'm just saying that this sort of thing happens all. the. time.

You were right.  That's not what happened.  VERY sorry.

Here's the gist.  The neighbor is a fireman and came over and said they should prepare for that.  As in worst case scenario.  And that his FD has done that.

VERY sorry about that.  Called my sister and asked why she texted such specifics and she was like, well that's he said. 🙄

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2 minutes ago, matttyl said:

Sounds like a really funny family joke at this point.

What are you doing Step-Brother 

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13 minutes ago, TheDirtyWord said:

Information I just received is that 10-day lockdown soon to be implemented nationwide...mandated by Fed and enforced by National Guard.  Will only be allowed to leave during scheduled times to grocery store.

Exactly how did you receive this and what is the link?

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41 minutes ago, [scooter] said:

My elderly parents have asked me to pick up some groceries for them early tomorrow morning (during the special "senior citizen" shopping hours). My dad said that he called the store manager and got permission for me to do it.

No way am I going. I don't want to get shunned like Handicapped Parking Space Guy.

I'll be waiting in the parking lot until exactly 9:01 a.m. and then I'll try to dodge the black death with the rest of the rabble.

Can you do Amazon Fresh and have it directly sent to their house? Or have one of those online shopping with pick up options (like Wegmans)? Not sure where you live. 

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6 minutes ago, Galileo said:

Isn't this pretty much true anywhere in the US?  Why is the overall positive rate only around 10% if that is the case?

Well, except for the rich and famous of course.

Amazing how all these NBA players can get tested despite showing NO symptoms. And yet tons of people out there with actual symptoms can’t get tested unless they are bad enough to end up on a ventilator. This is outrageous.

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Guys, nobody is going to ask you and your family to starve to death.  Our food supply chain is in great shape.  Knock it off with this ####.

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6 minutes ago, Joe Bryant said:

If you're going to post something like this, post EXACTLY where you are hearing it. Preferably with a link.

If you don't have a link, post exactly where you heard it. 

I get why you're asking but a lot of people that post here have ties to agencies in the Federal Gov't.  They can't always post HOW they know something.  Would you prefer they not post at all?  

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Mayor Eric Garcetti @MayorOfLA

I’m issuing a Safer at Home emergency order — ordering all residents of @LACity

to stay inside their homes and immediately limit all nonessential movement. We’re taking this urgent action to limit the spread of COVID-19 and save lives.

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26 minutes ago, joffer said:

Skimming that page it seems like we are attacking the problem as best we can at this point regarding testing.  Majority of the tests are happening New York, Washington, and California which appear to be the "hot spots".  Also, each state has most of it's tests since last week so more tests are being rolled out which is obviously good news.

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CNBC: Here are some of the details of the plan, according to Senate Republicans:

  • Cash payments of up to $1,200 would go to individuals, with up to $2,400 for couples. The sum would increase by $500 for every child. The check totals would start to phase out above $75,000 in adjusted gross income based on 2018 tax returns. People with no federal tax liability would get only $600. 
  • Extend the tax filing deadline to July 15 from April 15. 
  • Corporations could delay estimated tax payments until Oct. 15. Employers and self-employed people could delay payroll taxes. 
  • Up to  $50 billion for airlines, $8 billion for cargo air carriers, and $150 billion for other severely distressed businesses. The government has the right to “participate in the gains” of any business it lends money to.
  • For two years, no executive at a company receiving a business loan may make more than $425,000 in total compensation. Executives whose salary has already been determined through collective bargaining agreements may be exempt from that restriction.
  • Any company with less than 500 employees is entitled to a small business loan. The cap of that loan is either $10 million or the average of monthly payments. Businesses use the loan to pay for payroll including paid sick leave, salaries, mortgages, rent, utilities or other debt obligations. 
  • All private health plans must cover testing without cost-sharing and increase funding for community health centers. It also aims to spur the hiring of more health care professionals to fight the pandemic.
  • The plan gives the Education Department authority to suspend federal student loan payments for up to three months.
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21 minutes ago, bcat01 said:

Would it be less painful for the economy to shut down the country entirely for 1 month and see if we can stop this or drag it on for months the way we are doing it now?  At some point I think we need to go all in.

IMO, that should have been the strategy all along but without all the wasted time in the middle, the masses would not have bought in. We probably should have gone with this option two weeks ago. Or after the NBA closed up shop. 

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12 minutes ago, Joe Bryant said:

If you're going to post something like this, post EXACTLY where you are hearing it. Preferably with a link.

If you don't have a link, post exactly where you heard it. 

Sorry I thought I mentioned it was a rumor but know the rules evolve.....it’s a coworker of my wife who’s parent is DOD. That’s all I got, if you need me to delete since there’s no link no problem just say the word. Was just curious if anyone else had heard, never claimed it was fact. My bad. 

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Amazing how low Germany's death rate is, kudos to them

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1 hour ago, SFBayDuck said:

I have no idea what most of that means, but sounds promising?

 

BTW, really appreciate your contributions in here.

Thanks. Sorry to use so much jargon. 

To clarify, high blood pressure seems to be a risk factor for death/severe COVID. Some drugs used to treat high BP have a mechanism which involves the receptor the virus uses to gain entry to lung cells. People have speculated those drugs may be helpful, or harmful in those who are infected. You can rationalize both possibilities, but we really don't have data to know one way or the other. 

Honestly, I think it won't pan out as having any clinical utility.

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6 minutes ago, IvanKaramazov said:

Guys, nobody is going to ask you and your family to starve to death.  Our food supply chain is in great shape.  Knock it off with this ####.

When I was at Sam's a couple of weeks ago, I grabbed 6 cans of Hormel chili. It's amazing the crap we ate as kids. I had a leftover sandwich from a restaurant last week which wasn't filling enough later at dinner. I'm quite positive those are getting donated to someone in the fall unless things get really bad. That stuff is horrible.

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"Hey baby, I have some two ply extra soft Charmin.  What do you say you come over to my place and try some out?" 

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Someone I went to college with is a paramedic in New Orleans and has been posting short recaps of their days on the front lines:
 

Quote

So I'm going to try to update pretty regularly now to give y'all some insight into the front lines here re:coronavirus

Today (3/15), I got to work and everything felt was different and more serious than it did a few days ago when I was on the streets last. Got my "you don't have a fever" sticker and was updated on our new PPE policy, which seems to change daily. Had my first patient who I'm pretty sure has it. He had just gotten off a cruise ship (to Mexico and back) this morning, he looked like ####, his lungs sounded terrible, he had a fever/cough/vomiting, etc. Did my gown/goggle/mask combo and told [Coworker] not to get in the back with me to minimize people getting into contact with the patient.

Just found out a few hours later that he ended up testing negative for flu.

As it has been explained to me, people who test positive for the flu have approx 2% chance of testing positive for COVID-19. Therefore: if you're positive for flu, you're negative for corona. If you're negative for flu, then they decide whether to test you for COVID. In New Orleans, there are only maybe 100 or so tests available to each hospital so they are really having to selectively test people. This patient in question is being considered presumptive COVID positive.

At NOEMS we are out of disposable gowns due to national backorder. Services that are not currently out of gowns will be soon. Yesterday, we were supposed to wear gowns on any call that was suspected COVID. Today since we are out, they just changed the policy so now we are wearing them if we administer some sort of nebulized aerosol treatment (ex: albuterol for asthma/wheezing). Most of the COVID patients are wheezing and would it would be indicated that they receive one of these treatments. My guy this morning was wheezing but I didn't give him a treatment because his oxygen saturation was fine and he didn't have any respiratory history.

All of the emergency rooms at every hospital are pretty much completely full. NOEMS has a policy that we implement in cases like this called "rotation" which is us literally just going down the list of hospitals in order. Normally we really only go on rotation during Mardi Gras, when we have an overload of random drunk people to deal with. Rotation is not normal and we've been on rotation since about 10 am.

I am currently listening to an all-staff conference call about COVID-19. We've never had a conference call before and there are a plethora of technological problems lol some things never change.

So basically: everything continues to be a mess. It will continue to be a mess. Don't go to the hospital unless you are straight up dying. There aren't enough testing kits nationwide, so if you try to get a test, you'll probably just accidentally get exposed to coronavirus in the waiting room.

**********

Yesterday (3/16) was pretty much more of the same. All the hospitals are beyond capacity. Still on rotation with no signs of stopping. Most ER waiting rooms have people with fevers of 103 not getting rooms because there are no rooms to put people in. I've been picking up more and more people with all the signs and symptoms of CV and they're like "I feel terrible" and I'm like "I'm sorry, there's really not that much I can do" and it sucks!

There was one person that I picked up out of his home where I looked at him and was thought to myself "you're a goner" and am fairly convinced that he is likely to die in the hospital and never to return to his house. This is not the first time that I've had this thought in my career but it is the first time I've had this thought under these new circumstances. It's a sobering experience.

But amongst all this CV disaster, people still have other medical emergencies that also never stop! Sunday night I ran a really ####ed up miscarriage call that went sideways that was pretty upsetting. Shootings are down (for now) but for whatever reason people have been hitting pedestrians a lot this weekend.

I'm off today, taking today as a well deserved rest. I don't know how many off days I'm going to realistically have coming up in the future because as my coworkers begin to get sick, they'll probably end up activating us and forcing us to work on our off days (like a hurricane activation). They already unilaterally cancelled all vacation requests so all of my vacations that I've been looking forward to are now not an option.

**********

Yesterday (3/18) was both better and worse than I expected. The day started out pretty slow, and then rapidly returned to the new regular #### show. Absolutely had patients yesterday who are going to come back positive on their COVID tests. The problem is that we technically never know for people who don't have the obvious symptoms. Had a patient with a temp 103.8, a new personal record for me for someone not having a heat stroke.

People often call us to their house to "get checked out just to be safe" but the problem is that, besides being not particularly helpful bc we can pretty much only check your vitals and do an EKG, is that they have now completely rendered their self-quarantine useless by having us come into contact with them. It's very much like inviting a vampire into your house. I am absolutely a vector and now you have summoned me to your home and I'm in your house, accidentally transmitting it to you and spreading germs all over you and your stuff while you're already sick/elderly/immunocompromised. There's really nothing I can do about it, if we get a call, we have to respond. And I feel so bad because it's mostly people who have fallen through the cracks of society (poor people, people of color, elderly people, drug users, people experiencing homelessness, undocumented people, single moms, people without health insurance or transportation, some combination of the above) and don't have health care beyond 911 who call us for this sort of thing and they are, of course, the people who are likely to be susceptible to this whole thing. They are ALSO most affected by the impending local economic decimation. We here in New Orleans rely on the tourism/food/drink/entertainment industry for a large part of our economy. Everything is currently shut down, and we are rapidly approaching a complete economic disaster. There are no jobs and no money. Most people in New Orleans are already living paycheck to paycheck and there is currently essentially no plan for how to alleviate that. I know I'm going to be absolutely fine, money-wise, throughout this whole thing because I'm an "essential employee." But I'm really worried about everyone else.

Also: Worked my first suspected COVID code (cardiac arrest) yesterday. We're still out of gowns so I had a pair of safety glasses (my own personal ones from when I was in construction) and a ####ty N-95 mask (that I'd already been using for the past three calls). I don't want everyone to get the wrong idea here-- I work codes pretty regularly, it's all part of the territory. But this was a particularly bad one. It was a million degrees in this house, I was pouring sweat, I couldn't breathe through my mask, we had to pull this woman out of her house, I got and pulse back and lost it multiple times, I was worried about getting droplets on me, I got my hand stuck underneath a piece of equipment at some point, a family member was legitimately speaking in tongues at the ambulance as we were trying to load the patient up. They called it (stopped resuscitation efforts) at the hospital but idk if they're even going to test her for CV. The numbers are real skewed, it's hard to get accurate data when they're not testing people.

My captain pulled me aside at the end of the shift and told me continue to stay safe and continue to look out for [Coworker] and that he was proud of me and I almost cried.

 

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