It was the orgy in the boathouseQuote:
Originally Posted by funkendrenchman
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It was the orgy in the boathouseQuote:
Originally Posted by funkendrenchman
Quote:
Originally Posted by SumJongGuy
Do you always talk to yourself?Quote:
Originally Posted by SumJongGuy
I wasn't talking to youQuote:
Originally Posted by riser4
i got banned from both gapic and turd tips
both swirled the shit bowl into the big fail of perma flushing within months
Have you considered getting banned from Alpine Zone?Quote:
Originally Posted by skifishbum
I'm furiously googling Alpine Zone RNFR! Did anyone ever ban Greg here??Quote:
Originally Posted by old goat
Too entertaining to ban.Quote:
Originally Posted by SumJongGuy
I don’t remember anything about your Ttips banning. Did you diss Karhu Jaks or something?Quote:
Originally Posted by skifishbum
Boathouse employees wear cloth masks indoors. Outdoor employees, not always. I know nothing of the orgy, wasn't invited. Next time I'm there I'll ask to see what their thoughts are on home vs workplace transmission. They do have a lot of rugrats for summer camp. And the restrooms are less ventilated than other areas (few tiny windows). Rugrats and restrooms seem like the two weak points.
I double mask because the single n95 needs the extra pressure to kinda seal. Used to wear a full face respirator with rubber seals for work, so these n95s seem like really tenuous protection.
I’m surprised any are wearing masks at all at the boathouse.
Doctor (GP) friend and family are entering post infection and strictly following cdc recommendations, including when to exit isolation.
Another friend works at multiple hospitals in northern FL, masking only required in the covid wards.
Shameful (the last sentence.) The last thing a hospitalized patient needs is to get covid from a provider. I could accept putting on a mask when entering a patient room or otherwise interacting with patients. Much more reasonable than expecting patients to be putting on masks and taking them off or just wearing them all day. Sharing rooms is a problem without a good solution.Quote:
Originally Posted by bodywhomper
KEY WORDS: in northern FLQuote:
Originally Posted by bodywhomper
Wouldn't 'single' rooms be a solution to shared rooms ?
it's my understanding the regional nursing care center has rooms that have four beds to six beds -
( I could not imagine living like that - unless I was living in an old military barracks... )
has anyone seen anything credible about the development of an intranasal vaccine ? ??
thanks... skiJ
“3 are in Phase 3 randomized trials but not getting any OWS-like support to accelerate”Quote:
Originally Posted by skiJ
https://twitter.com/erictopol/status...7k-Eyb1ZE0SmXA
Most hospitals have mostly double rooms--giving everyone a single room would cut hospital capacity almost in half. A solution, hardly a good one.Quote:
Originally Posted by skiJ
The universty of Michigan hospital where I went to med school had large rooms with 20 beds--10 on each side of the room, with just enough room between beds to draw a curtain and have a nurse or doctor or two stand at the bedside. An extremely efficient way to care for patients, since nurses have much less physical ground to cover. Also a very efficent way to spread airborne pathogens. That hospital has since been replaced. My girlfriend at the time at previously been a nurse at the Royal Victoria in Montreal. The only RN for a 40 bed single room ward on the night shift. Her first job out of school.
If the issue is airborne pathogens, it seems a combination of single patient rooms and multi-patient rooms and wards like the newer ICUs I have seen ( that have multiple beds for a single Care / nursing station can be used effectively - with single patient rooms used until a diagnosis is confirmed.
This capacity would not be cut in half, but might be reduced 10% or 5% or 20% depending on circumstances --
The situation I described isn't a transitional patient care situation - many of the residents at the Center of Care will be there for the rest of their lives
( an old friend, paralyzed by meningitis has been there a decade... )
five roommates ?
no thanks...
I think there are management schemes that can decrease Some of the complications of shared rooms, without cutting capacity in half.
Good luck !
I see this opportunity returning sooner than later...
skiJ
My uncle completed his residency there. He was a surgeon. I know he was there in 1985, because I visited him then (Ohio/MI game!!), but I don’t remember the span of years. He worked the clinic for the games and got us free tickets.Quote:
Originally Posted by old goat
I finished in 76, so he was there after my time. Never did make any football games--I couldn't afford it but I did sell my ticket rights. I don't know what it's like now but when I was there students got rights to buy tickets to specific seats--and seniors' seats were near the 50, not stuck in a corner--the rights were worth a goodly sum on the open market.Quote:
Originally Posted by bodywhomper
The home tests don’t seem to be accurate with the new strainQuote:
Originally Posted by SumJongGuy
Sent from my iPhone using TGR Forums
I was 10 and oblivious to the seating costs. I remember sitting in the student section, the owner of dominos pizza making an appearance v by helicopter, Michigan winning, students rushing the field, and the goalposts getting torn down.
It sure seems like that... and they're shutting down a lot of the county free PCR test locations. But to be fair, I haven't seen a line at the one near me in well over a month. Maybe the home tests will work better with the next round??Quote:
Originally Posted by DBdude
Click: Celtic down, repeat, Celtic down. Acknowledge please.
Click: Copy
We are seeing this now as well.Quote:
Originally Posted by DBdude
One of my employees is WFH this week sick with COVID. Mild, thankfully. Her parents flew out this past weekend from Jackson hole to visit... They promptly tested positive out here. They then promptly rebooked their flight back to JH later that day so they could quarantine at home instead of out here.
JFC.
:nonono2: :nonono2: :nonono2:Quote:
Originally Posted by californiagrown
Ya, not the best, most courteous way to handle that. Hope they at least wear fully legit N95s the entire time they are in public places. IIRC, there were healthcare folks actually working in them after testing positive when it was full blown chaos and not nearly enough people to handle the crush of sick and dying people.Quote:
Originally Posted by californiagrown
Hardly that level of emergency though. And nobody's legally requiring anyone to do the right thing either..
Our area is now orange on the high transmission areas map. I was in a meeting last night, 7 people in a 10 by 10 low ceiling room, 3 masked, 4 unmasked.. I only knew two of them.. and they were the others wearing KN95 masks. I did know for certain that the other 4 were not from the area and in town on business.
They're out there. Home tests suck even when you're trying. Allergies or COVID? I'll go out if I feel good but wear the halfway good mask around others sharing air nearby.
My 79 year old mom 4x vaxxed went to Colorado the weekend before this one and caught covid with her idiot guru friends at their 'conference'. They all tested themselves day 1 then unmasked for money sucking meditation sessions. Flew home Sunday (wore N95 in plane), sick Monday, tested positive Tuesday, Paxil same day. Better by the weekend, negative on Monday and back to normal driving my 12 yo girl around to her events. My dad stayed negative. Home test everyday. Zero symptoms. Also 4x vaxxed. He is just like me. Skating free of this garbage from the start.
My dad doesn't hate people like I do and is involved in everything on every committee running around everywhere (mostly to avoid my mom I think) and his mask wearing has always been softer than mine so no explanation for why he hasn't gotten sick.
Wife comes down with sore throat Thursday. Home tests negative 2x. PCR negative Friday with University of Iowa fast PCR test. Missed two days of work. Mostly better today.
Myself still skating free from all if this shit. Even the sore throat my wife has that shows up as nothing on all the tests. Wtf?
When it strikes I will cry like a baby. Till then counting my good luck charms.
' glad folks are well, ugly-
please
don't forget - all the other bugs are still out there, And
plenty of allergens in eastern IA that can contribute to a sore throat
( I need to check for a Wildfire smoke plume like there was last year... )
...plenty of irritants, allergens, and pathogens -
' glad your family is well !
skiJ
Allergens yes.Quote:
Originally Posted by skiJ
We have been crazy free of wildfire smoke this summer.
Hot AF though.
Sunday morning epi musings:
With the antigen home test we always knew that it might take two tests over two days to have good sensitivity. This was known and why the tests came in two packs. The message was "if you are sick, stay home, please test."
The message isn't changed, but anecdotally, these tests now seem less sensitive. I was recently exposed when someone who thought they were having allergies tested negative 2 days in a row, then the day after the bbq, that person tested positive. Then I developed allergy type symptoms. I isolated 5 days, tested negative 3 days in a row on sx days 3-5, and went out masked for the next 5.
Did I have COVID? Don't know. Had I been quite social before then? Yes. Did I hang out after with two friends who were also on (unrelated) COVID watch and also testing negative? Sure.
For over a year during the pandemic, I used to say to healthcare workers "COVID isn't the only thing your patient can have, but your patient almost certainly has COVID" in the context of respiratory infectious diagnosis. At first there were no other circulating RVs except rhinovirus. Then the masks started to come off, and there were other circulating pathogens, but they were still eclipsed by the hyper-contagious COVID variants. Now "almost certainly" is just "likely." COVID is still number one, but it isn't the only one.
Do the tests still work?
On Friday an Epi from the state suggested continuous testing for up to 6 days might be needed. I thought this was extremely absurd for the average person.
The current way of thinking, data supported, is that if you are testing antigen negative with good procedure, you are at least significantly less contagious, or likely not contagious. You don't have enough antigen you are just not shedding as much, or any, replication competent virus, particularly if you have some level of immunity (and almost everyone does now), particularly if you are on the recovery end of the illness, thus the idea of using antigens to clear early from isolation.
So did the viral antigen dynamics change vs the tests? Or is this a manifestation of antigen levels in people with significant immunity from vaccination/infection?
If there is a new way of thinking that we need to test for 6 days, it needs to be data supported. If the reasoning is that the antigen tests have severely degraded clinical sensitivity (ability to positively detect transmissible infection), then we need different tests (updated antigen or use PCR). Such a message is not being put forth outside of discussion on my state epidemiology call.
I've said this repeatedly, testing is hard and complex, even for the medical professional.
Hospitalizations are manageable. Staffing impacts are the primary. This is the end of the Deceleration Phase that Fauci described at the end of the Pandemic->Endemic transition.
Go out, enjoy a social summer, don't stress. You might get Rona, but you'll be OK. You won't get the pox, polios, marburg, yellow fever, or whatever else the 24 hour news cycle is yammering about. Stop stressing. Wash your hands. Wear a mask in crowded and poorly ventilated places. If you are stick, stay home. I still like antigens to clear COVID iso, especially if you are around the vulnerable.
/Sunday morning epidemiology musings
FWIW I already had polio. It wasn't that bad. I don't see why people stress about it.
Is there newer/better data about long covid than the cdc’s report about 1 in 5 between 18(?) and 65 years of age? Among the middle-aged adults people that I was hanging out with yesterday, it was 1 in 4. 0 in 5 for the children (under 18).
Is there clear correlation between infectiousness and RAT results at the beginning of infection? Mina still pushes that symptom onset means different things if you are vaxed or previously infected versus fully naive. For those that have some immunity, “early symptoms now reflect immunity starting and ramping up, rather than virus harming.” And he’s still stating one becomes infectious/contagious after the virus begins “harming.”
I’m California, there’s still confusion about when to exit isolation. CDC says one thing, California says another (basically test to exit). Some PCP in CA are following the CDC and not the state and some counties have not updated their recs to includes the state’s newer rec. I believe this is a messaging/outreach problem. Biden announced that he’s following “test to exit,” cdc director has stated that this should still not be the cdc policy and that (apparently?) the cdc policy should not be updated based on newer data specific to current infectious variants.
Personally, I’m still not excited about getting infected. I do not have much time off available, I have fun plans, I’m not excited to spread it amongst my family. hearing my preciously(?) strong, fit, and healthy SIL describe her new struggle to swim across a short pool is opposite how I’d like to be spending my next 2+ months.
Nobody wants COVID. Everyone will get COVID.
Some people don’t seem to care if they catch it.
And therapeutics continue to improve, vax that brings mucosal immunity continue to progress in their trials, and growing observations and government acknowledgement of higher severity with reinfections for some.
Hearing from a friend who is an industry leader and decision maker , which includes close attention in ethics, that they do not have an answer for the people (including employees) that are immunocompromised about how they should be living and enjoying their life. This is somebody who establishes corporate policy that sets trends in an industry that many other industries will follow.
Still hearing from people that should know better (eg MPH), that they are glad they finally got it and got that over with, and they likely did not catch the ba.5.
And then there’s this, people with previous infection of common endemic coronavirus that are showing pre-existing immunity to covid 19: https://www.cell.com/cell-host-micro...elatedArticles
There were people who had OG rona (Wuhan-1) who then got Alpha or Beta or Gamma, and then got Delta. We had that data mid 2021. Any vestiges of the concept of 'getting it over with' should with the Omicron B.1 reinfection data out of South Africa at the end of 2021. That subvariants are escaping other subvariants calls into question the meaning of term variant.
Anyone still thinking it COVID is one-and-done, well... hope they got the flu over with too!
Attachment 422260
As was said, therapeutics, vaccines, and cumulative immunity have largely remove the severe disease and pandemic impact threats. We have a still-rapidly-evolving unbelievably fit and transmissible airborne respiratory virus transitioning into the worlds most prevalent endemic respiratory infectious disease. How frustrating... but it is the world we find ourselves in.
I intend to minimize my chance and frequency of infection until folks like whomper's precious SIL are swimming across pools. So far very few in my circle have been infected. If I take that as 5% over 2.5 years, that's about 50-50 for one or more infections during the remainder of my life. A lot of people will get Covid but not everyone. A lot of people will get Covid many times.Quote:
Originally Posted by summit
Your circle is better than mine. Congrats.Quote:
Originally Posted by LongShortLong
The literalism with which rounding errors are presented as fact is probably the leading Achilles heel of American medicine.Quote:
Originally Posted by summit
Test popped positive today in about 20 seconds. Happy Pie and Beer Day!Quote:
Originally Posted by summit
Is it really just the flu?Quote:
Originally Posted by old goat
Yeah, I think the take that everyone will get it is a self-fulfilling prophecy. It's like saying "oh well, there's nothing we can do"Quote:
Originally Posted by LongShortLong
Some people have never had old fashioned influenza. Some people haven't had food poisoning. It's possible to visit Mexico or India and not get Montezuma/Delhi Belly.
The odds aren't in your favor, but neither is the lottery, or getting drafted by a pro team, or acting in a Hollywood movie, or making a scientific breakthrough. Fatalism guarantees bad outcomes.