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I tested with my current cold because of a funny smell/lack of smell. Negative twice. I get sinus issues and usually a funny smell with sinus colds, it's normal for me. I tested because thing#1 works in a school and my wife is an LCMHC who sees some patients in person. If I had the 'rona, I'd want both people to know so they could mitigate their exposure to others. I tested because I think I'm eligible for the 'lovid if I test in time, right?
We’ve tested to not be vectors spreading in our community, extended family, or places of work.
If you’re positive what is your protocol? And negative?
I had a direct exposure at work in December. Coworker tested themself when they got home from work that day cuz they were symptomatic, informed our boss, boss informed the rest of the team. I appreciated knowing. It was right before the holidays and I altered behaviors. Never caught it, but was less than 1 month since receiving my booster.
Positive: Isolation in a room in the house (ie a sick room) and wearing mask when out of room for toilet use (it sucks). For the household, it would depend on who tested positive and symptoms of those testing negative. Those that are negative would change their social plans and wear masks in indoor spaces. We have not had to go through this process in my household. We’d also be blasting filters at home. Isolation ends when test is negative. I’d work from home if needed and call in sick for my side hustle at then ski hill. Wife (works at a school) would call in sick - her boss has long covid and would fully support not coming into work until testing negative.
Negative with symptoms: stay home as much as possible and wearing mask in public indoor spaces when have to be out and about. This is generally the protocol we’ve followed when there some other respiratory virus in our home (ie almost all of Xmas break. 2 of my nieces were sick on Xmas and spread it to everybody else cuz my in-laws ignored that their kids could get their entire family sick - it sucked). We tested one symptomatic person every few days at home during that time.
We’ve only tested when there are no symptoms in the house if we’re going to spend time with elderly family (one has T2D).
I only test healthy people in clinic if they are curious or encourage testing if someone like Grandma is coming to visit. Otherwise, if it won’t change treatment, I don’t test. I encourage testing only if in window for antivirals (Tamiflu/Paxlovid) and meet risk criteria for antivirals.
I never test for RSV unless it’s infant, or elderly with respiratory distress/hypoxia. But even then, doesn’t change much.
it doesn’t change what happens in a clinic/ER between a healthy young patient and the clinician - but it could easily still change what that patient wants to do to protect others/prevent spread
Yup, which is why I offer testing to anybody that wants it, but also let them know if it will/ will not change treatment.Quote:
Originally Posted by bennymac
The thing with covid and home testing, you could be negative at home test, but easily have influenza, which is also nasty. So where's the ethical boundary for seeking an influenza test regarding isolation? Seems the ethical boundary only applies to covid, but influenza is pretty damn rough on elderly folks and some kids.
My buddy in the office next to me has a family member with respiratory issues that have them visiting the ER monthly so he appreciates knowing when I test positive for RSV/FLU/Covid.Quote:
Originally Posted by Trackhead
And we test at first symptoms. So really it's a way for us to see if it's COVID (we've both had COVID with real mild symptoms before) or just a mild cold. If we start feeling worse than a mild cold, we are shutting 'er down anyways and yeah, there isn't much point in testing other than to put a name to it at that point.
Home testing kits for the flu aren’t as available - but they’re out there. Nothing is perfect of course - you could be covid positive or flu positive and test negative giving you a false sense of security. But maybe out of covid will come a better understanding of when people need to temporarily isolste to prevent infecting other people - especially vulnerable people. But maybe that’s too optimistic!
Looks like FDA approved home covid/flu test last year. Interesting…
https://uploads.tapatalk-cdn.com/202...9bb77778e7.jpg
These reportedly have sensitivity and specificity approaching PCR - powered by a AA battery and for home use. I have two of them but haven’t had to use them (knocks on wood)
That's an example of the inflated R0's. One referenced paper (Burki, 2021) presents the high R values but no evidence. The other (Ito et al., 2021) defines a relative reproduction number, their value is 3.19 for omicron vs delta. Presumably Burki or their source multiplied relative reproduction numbers (determined similar to Ito) to calculate reproduction numbers of each variant - the R's of 7, 10, etc. That's an error, as I described. They assume the same epidemiological conditions are present, but they are not. The population under study certainly has some immunity to delta infection and none to omicron. As a counterexample, why didn't beta surge again? It couldn't, as the population resists it. In reproduction terms, beta's R was below one. Dying delta's R was likely near 1 as well. So the proper multiplication for omicron is about one, times 3.19. That's why I contend covid's R is nowhere near measels'.Quote:
Originally Posted by jono
To be fair, they are experts, and I'm a crank who's good at math, decent at reasoning, can read a paper, and has an inflated sense of his ability to form an opinion.
It's an interesting question what would happen if covid didn't change. We may all have sufficient herd immunity against OG covid so that it can no longer spread. Maybe all old variants are as dead as smallpox. Is herd immunity lifelong, or just long enough to suppress the old variant while the new one takes over?
Graph here of variant prevalence over time. Old variants appear dead.
https://nextstrain.org/ncov/gisaid/n...orth%20America
R << R0 though. R0 only happens when a naive population takes no precautions. Which is why measles outbreaks are so small: no naive population. R0 estimating requires looking at the fastest spread and then backing out factors that slowed it down to estimate the higher number.Quote:
Originally Posted by LongShortLong
By the time delta was dying it faced a cautious population (delta had been the deadliest to date and omicron was a fast-spreading unknown) with widespread immunity to delta: prior delta infections, some cross immunity from pre-delta exposures and strong cross immunity from omicron infections, on top of effective vaccines that became highly effective against delta with boosters. Even with heterogeneity, sub-populations got to choose their own immunity. The graphic you linked is really stark (at least for North America) but it's not very surprising given all those factors.
So no post-OG variant ever really had a chance to show off its R0. I'm not sure how much this effects the rest of your reasoning and I've got no opinion about the measles comparison. They look kinda roughly similar if I squint at a wind coming out of the sun. Maybe. IDK
What a fucking piece of shitQuote:
Originally Posted by old goat
Death is a signQuote:
Originally Posted by PB
The biggest anti vacc guy in my circles drinks heavily (and drives), smokes cigarettes and black market shatter (weed processed with butane).Quote:
Originally Posted by californiagrown
Ya. Back when the Grateful Dead used to follow me around regularly, the most hardcore drug abusing people I've ever met were into health food and were anti-vax. "It's a conspiracy, man!" The health food I am sure gave them a slight edge in their unhealthy life style. However they were also probably the people most in need of vaccines.Quote:
Originally Posted by Thaleia
I think you guys are describing addicts. They come in all forms. Ski addicts being the best and quite possibly the worst for your mechanical body also.
It’s all the hippies/soccer moms in California not vaccinating their kids with MMR, etc. because they’ve never seen life before vaccines and assume the diseases don’t exist,m annymore, until they do. MAGA avoids covid vaccines and Paxlovid, Libtards/California organic eating vegans think they know better than the IDSA and just avoid gluten/meat and everything will be fine.
About five years ago had my first, and probably only, patient with tetanus. Parents never vaccinated him. Ended up on a vent for several weeks but survived. Before we medevac’d him he told his wife to vaccinate all their kids per recommended schedule.
That’s way overly broad for the culprits here. The vast majority are connected in some way to Waldorf schools. That’s a hotbed of antivax. Outside of those (which is def comprised of hippies and/or soccer moms) I hear of very little to no antivax mentality. Some are def libtard/granola heads but it’s a subset. Hasn’t been an issue in public schools here at all
Yeah I know it’s a generalization….I’m just ranting obviously.
The Waldorf people drive me insane that’s all and have influenced the majority of the bullshit here. Just want to make sure they get full credit ;)
But, I don’t think the FL surgeon general is a Waldorf dude.
I could argue about that. But I won't.Quote:
Originally Posted by summit
Quote:
Originally Posted by old goat
someone should file a report regarding Joseph Lapado's medical license ( IF he has one.Quote:
Originally Posted by old goat
I suspect a license may not be a requirement for Surgeon General - which is arguably primarily a political position )
do you disagree with the idea death is the final sign (?)
( it can't be a "symptom" in the physical world ;
to my training, a clinical sign is described by another / others )
I appreciate those who continue to 'beat the drum' -
covid remains in my region, and
people continue to die from covid
( it is not a Cold, and
it is Not ' a mild 'Flu" ) .
rock On, my friends...
skiJ
agreed x2Quote:
Originally Posted by summit
Thank you for this ^^
skiJ
OK, I stand corrected:
https://jamanetwork.com/journals/jam...r%27s%20office.
Alternative: a sign from Dog
Death is not a sign. It is a diagnosis. Lack of a pulse. No respirations. Fixed and dilated pupils. Those are signs. And death is very much a symptom--the light at the end of a tunnel, your past life flashing before your eyes while your kids are on their phones. And who knows what else dead people experience--who's to say you don't look down from the spirit world on your lifeless corpse and think OK, I;m dead. It's not so bad. Lucky for me I didn;t do our taxes; now my wife has to.
^^that was funny as shit. Especially the first two sentences.
I should clarify that "death is a diagnosis" is the medical point of view. What death is from a philosophical point of view--well I could elaborate at some length. But I won't.
Your guys generalizations are funny. Most of the vax skeptics I know are in fact pretty well educated. Longtime local journalist friend of mine up and quit that career and now works for the forest service because he didn't agree with the paper's vax mandates. Similar stories for teachers I know, except while they didn't quit, none of them are stoked on having been coerced into taking the vax to keep their career. Many people with college degrees I know, may not be super skeptical of the vax itself, but freely admit that the lockdowns and fraudulent marketing to convince people to take the vax as well as the coercion are a huge problem, and violate the geneva convention. You can't have informed consent without accurate information.
There is a huge difference between people who are skeptical about this vax and the way it was implemented, vs being preexisting anti vax in general.
but yea, keep saying its all drug addicts or something.
I don’t think posting a wall of text about your anecdotal experience proves anything.
I work in a hospital. When broken down the vax rate is highest among the most educated, physicians. The rate descends with the level of education among staff.
Sent from my iPhone using TGR Forums
I think Leroy has a valid point. There are a lot of supposedly well educated people with some very screwy ideas. RFK jr--Harvard Law comes to mind.
Scott Atlas comes to mind, and the Florida SG. It wouldn't shock me to learn that Leroy is well educated. Doesn't make the ideas any less screwy. The fact that well educated people believe something doesn't prove it's true. Think of all those clerics who made Galileo recant--they could all speak Latin so they must have been well educated. "And yet it moves."
Some of the dumbest people I've ever known were "Well Educated". Just listened to a recording of a black soldier saying that on his way to Europe he heard rumors of what the Nazis were doing but he thought that a well educated country like Germany could never do that. The human brain is a strange thing. I'll give you Dr Oz and Dr Phil and Dr Bruce Aronwald.
Don't forget Dr. Science.
Dr. Phil is educated?
As a doctor myself I can tell you that a lot of us are bat shit crazy.
The thing is, its important to know when you are out of your area of expertise. Its also important to understand that being really smart is only half of the equation... you also have to then apply those smarts/expertise to the full and accurate data set. That second part is where the trouble comes from much of the time- when a really smart person meets a limited pool of information and forms faulty conclusions cause the data they used was bad.Quote:
Originally Posted by Cisco Kid
I wonder how his 5G service is...
https://www.seattletimes.com/nation-...7-covid-shots/
Probably sucks. We were lied to about the vaxx increasing 5G service. I want my money back
yeah but you ^^ must at least have become magnetic ?
" we pump those kids with vax from the time they are 10 yrs old " to quote an elementary school teacher i know
Vaccines start being given when a baby is 2 months of age - the teacher should do their own research.
Since embryos are peeps, we can start vaccinating in utero.