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  1. #7201
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    Oct 2003
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    Under the bridge, down by the river
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    Old Goat, maybe you posted this one? I waded into this thread late: https://www.health.ny.gov/regulation...guidelines.pdf

    On my end I’m not covering inpatient services for another three weeks, although I’m expecting to be called in for backup before then. Currently going through my outpatient panel and making sure everyone has documented advance care planning, completed POLST forms. For my patients whom are borderline hospice eligible I’ve started to recommend hospice involvement sooner rather than later. And for the folks who want to avoid the hospital, this virus has meant I now have to ask myself, ‘how do I help people die at home without hospice support?’

  2. #7202
    Join Date
    Apr 2007
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    Wa wa..tatic
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    Quote Originally Posted by seano732 View Post
    Fire/ EMS Update #5 (SW Edition)
    57 Confirmed in NM. Don't have total tested in front of me, and it is low, but increasing..................
    We will see what tomorrow brings. All of you mags stay safe. Paging Diamond Joe to the white courtesy phone for an EC Update....
    Sorry mang I'm slacking

    Fire/EMS update, EC edition

    ~525 confirmed in MA. We are responding to at least a couple "suspected" cases per day at this point. I'm a little bit concerned that with all the media coverage and hysteria we are getting elderly patients who are more psychosomatic than actually stricken with Covid-19, but what can you do? Our PPE stocks are dwindling, but holding up (with the exception of N95 masks). We are wearing gloves, gowns, surgical masks, and eye protection on every suspected Covid-19 call, all of which are disposed of after the run. Additionally, we're trying to limit the exposure of our firefighter/medics by reducing the amount of responders who go into residences as well as have patient contact. If possible, we're using ONE person (the medic who will be riding in the back with the patient) go into the residence, put a surgical mask on the patient, and escort them outside to the ambulance.

    We also do not have a positive case among our members, but have yet to implement testing before entering any of our stations. I like that idea - but who is responsible for doing the testing, and how is it being done? Are the outgoing firefighters testing the incoming shift? Obviously, our number one concern is the same as it is for anyone on the front lines of this thing - nobody wants to bring a potentially deadly disease home to their family, which is definitely increasing the stress level of an already stressful job. I'm also shocked at the amount of people still out and about, Whole foods and Market Basket both looked like a Sunday morning, packed with shoppers. No social distancing whatsoever. Elderly people everywhere, despite the fact that most supermarkets in this area are now having special times when they're only open to elderly and "at risk" people.

    We're also hearing that there will be some sort of stay-at-home order in the coming week or two. I'd say you can bet on that happening, we probably should've done it already....

  3. #7203
    Join Date
    Mar 2006
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    17,451
    Thanks you guys. We have a small donation. Wondering if we should just take it the local firehouse?
    Click image for larger version. 

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  4. #7204
    Join Date
    Feb 2005
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    15,047
    ^^^ it will definitely get used, that's for sure. Or give it to your local check out person.

  5. #7205
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    Mar 2006
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    17,451
    The gf wants to flirt with the firefighters anyway. Just her excuse to go there. Maybe I’ll get lucky and they keep her too.

  6. #7206
    Join Date
    Jan 2010
    Location
    In the swamp
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    8,563

    Chinese Rat Flu

    https://www.fiercepharma.com/pharma/...ine-tablets-to

    “In response, Novartis has pledged a global donation of up to 130 million hydroxychloroquine tablets, pending regulatory approvals for COVID-19. Mylan is ramping up production at its West Virginia Facility with enough supplies to make 50 million tablets. Teva is donating 16 million tablets to hospitals around the U.S.”

    If Mylan is “ramping up production”, I’d think they’re fairly confident of its use in the fight?

  7. #7207
    Join Date
    Dec 2009
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    The Mayonnaisium
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    8,421
    The better half runs the clinical side of an eye specialty. One of the physicians turned symptomatic yesterday and was tested today. Results expected mid week. We're not quite 40 and she is healthy as a horse but I've had a dry cough since the beginning of February I can't shake. Saw my own doctor and best guess is some kind of bronchitis. Same thing with the cough happened two years go. Opposite of stoked right now.

  8. #7208
    Join Date
    Dec 2003
    Location
    funland
    Posts
    5,109
    Quote Originally Posted by Mazderati View Post
    The better half runs the clinical side of an eye specialty. One of the physicians turned symptomatic yesterday and was tested today. Results expected mid week. We're not quite 40 and she is healthy as a horse but I've had a dry cough since the beginning of February I can't shake. Saw my own doctor and best guess is some kind of bronchitis. Same thing with the cough happened two years go. Opposite of stoked right now.

  9. #7209
    Join Date
    Sep 2006
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    5,615
    POTD

  10. #7210
    Join Date
    Nov 2008
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    Edge of the Great Basin
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    2,833
    Quote Originally Posted by hikesalot View Post
    Wait, what... some Nigerians fell for an American scammer?

  11. #7211
    Join Date
    Feb 2003
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    5,965
    Quote Originally Posted by The SnowShow View Post
    https://www.fiercepharma.com/pharma/...ine-tablets-to

    “In response, Novartis has pledged a global donation of up to 130 million hydroxychloroquine tablets, pending regulatory approvals for COVID-19. Mylan is ramping up production at its West Virginia Facility with enough supplies to make 50 million tablets. Teva is donating 16 million tablets to hospitals around the U.S.”

    If Mylan is “ramping up production”, I’d think they’re fairly confident of its use in the fight?
    Absolutely. Mylan is the corp. that jacked prices on EpiPens to the moon. They wouldn't be ramping up production of hydroxychloroquine unless they're sure there will be massive worldwide demand.

    You probably already know people who take it. It's an old drug, commonly prescribed for lupus, rheumatoid arthritis, and certain other autoimmune syndromes as a second-line treatment after prednisone. They probably call it "Plaquenil," which is a trade name, but it's the same drug.

    ====

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    ATTN: Medical professionals! QTc cutoffs for hydroxychloroquine, via UW Covid team

    Before You Panic! Testing vs. absolute # of cases vs. mortality

    Yes, calling it "Wuhan coronavirus" and blaming China for its spread is justified

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  12. #7212
    Join Date
    Sep 2009
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    in the trench
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    Quote Originally Posted by El Chupacabra View Post
    That's the same list of stuff that was debunked awhile back - purportedly from a Stanford doc, but was and is not true.
    Ok thanks. Would you have a link by chance?

    Sent from my SM-G950W using TGR Forums mobile app

  13. #7213
    Join Date
    Oct 2004
    Location
    50 miles E of Paradise
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    Quote Originally Posted by The SnowShow View Post
    https://www.fiercepharma.com/pharma/...ine-tablets-to

    “In response, Novartis has pledged a global donation of up to 130 million hydroxychloroquine tablets, pending regulatory approvals for COVID-19. Mylan is ramping up production at its West Virginia Facility with enough supplies to make 50 million tablets. Teva is donating 16 million tablets to hospitals around the U.S.”

    If Mylan is “ramping up production”, I’d think they’re fairly confident of its use in the fight?
    You do realize that this hysteria about hydroxychloroquine is based on one small, very flawed study, right?
    It's just as likely that the subjects who recovered would have done so on a regimen of weed and chocolate milk.

    Maybe these companies are ramping up production because feds are willing to buy at some absurd price?
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  14. #7214
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    Sep 2004
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    18,073
    Quote Originally Posted by grinch View Post
    Ok thanks. Would you have a link by chance?

    Sent from my SM-G950W using TGR Forums mobile app
    I googled "Stanford coronavirus rumor" - many hits -

    https://www.lamag.com/article/corona...hoax-stanford/
    Quote Originally Posted by powder11 View Post
    if you have to resort to taking advice from the nitwits on this forum, then you're doomed.

  15. #7215
    Join Date
    Oct 2003
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    Quote Originally Posted by Diamond Joe View Post
    Sorry mang I'm slacking

    Fire/EMS update, EC edition

    ~525 confirmed in MA. We are responding to at least a couple "suspected" cases per day at this point. I'm a little bit concerned that with all the media coverage and hysteria we are getting elderly patients who are more psychosomatic than actually stricken with Covid-19, but what can you do? Our PPE stocks are dwindling, but holding up (with the exception of N95 masks). We are wearing gloves, gowns, surgical masks, and eye protection on every suspected Covid-19 call, all of which are disposed of after the run. Additionally, we're trying to limit the exposure of our firefighter/medics by reducing the amount of responders who go into residences as well as have patient contact. If possible, we're using ONE person (the medic who will be riding in the back with the patient) go into the residence, put a surgical mask on the patient, and escort them outside to the ambulance.

    We also do not have a positive case among our members, but have yet to implement testing before entering any of our stations. I like that idea - but who is responsible for doing the testing, and how is it being done? Are the outgoing firefighters testing the incoming shift? Obviously, our number one concern is the same as it is for anyone on the front lines of this thing - nobody wants to bring a potentially deadly disease home to their family, which is definitely increasing the stress level of an already stressful job. I'm also shocked at the amount of people still out and about, Whole foods and Market Basket both looked like a Sunday morning, packed with shoppers. No social distancing whatsoever. Elderly people everywhere, despite the fact that most supermarkets in this area are now having special times when they're only open to elderly and "at risk" people.

    We're also hearing that there will be some sort of stay-at-home order in the coming week or two. I'd say you can bet on that happening, we probably should've done it already....
    Stop throwing your N95s away.

    Now

    Stop

    FULL STOP

    Or you won't have any. If it was me I'd be collecting them in a name and dated lab bag, decon bag exterior.

    Reuse the mask after 2-3 days. Or sooner if you have no choices. Virus viability drops after a day on porous surface like cardboard (no sure how long on a mask though).
    Quote Originally Posted by blurred
    skiing is hiking all day so that you can ski on shitty gear for 5 minutes.

  16. #7216
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    Jan 2008
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    Quote Originally Posted by The SnowShow View Post
    https://www.fiercepharma.com/pharma/...ine-tablets-to

    “In response, Novartis has pledged a global donation of up to 130 million hydroxychloroquine tablets, pending regulatory approvals for COVID-19. Mylan is ramping up production at its West Virginia Facility with enough supplies to make 50 million tablets. Teva is donating 16 million tablets to hospitals around the U.S.”

    If Mylan is “ramping up production”, I’d think they’re fairly confident of its use in the fight?
    The stuff is so cheap to make I think they can ramp up production without much downside if it doesn't get used, vs huge upside if it works and they can jack up the price.
    The hcq +azithromycin study looked promising enough to me to justify studying it properly. Not promising enough to go gaga yet but not pooh pooh either. (Those are technical terms; the FDA tests the drugs on babies.) The HCQ didn't come out of nowhere. It's been known to have activity against coronaviruses.

  17. #7217
    Join Date
    Nov 2003
    Location
    Portland
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    14,906
    Quote Originally Posted by The AD View Post
    I went for a walk in a park today and there were lots of people out. Other than what appeared to be families the only large groups I saw were young people. Seems like the social distancing thing isn't really getting through to them yet.
    Same. 30-40 kids playing a variety of sports at the middle school athletic fields. Full blown baseball game being played at the baseball field. 3 on 3 game of hoops being played at the park nearby as well. I guess their parents have no control, are being lied to, or don't give a shit

  18. #7218
    Join Date
    Apr 2007
    Location
    Wa wa..tatic
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    Quote Originally Posted by Summit View Post
    Stop throwing your N95s away.

    Now

    Stop

    FULL STOP

    Or you won't have any. If it was me I'd be collecting them in a name and dated lab bag, decon bag exterior.

    Reuse the mask after 2-3 days. Or sooner if you have no choices. Virus viability drops after a day on porous surface like cardboard (no sure how long on a mask though).
    You clearly missed the part where I said we're wearing SURGICAL masks on suspected covid 19 calls. We're not wearing N95s, cause we don't have many and saving for when/if they're needed for more intrusive interventions and not just transports

  19. #7219
    Join Date
    Oct 2004
    Location
    50 miles E of Paradise
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    11,089
    Quote Originally Posted by old goat View Post
    The hcq +azithromycin study looked promising enough to me to justify studying it properly. Not promising enough to go gaga yet but not pooh pooh either. (Those are technical terms; the FDA tests the drugs on babies.) The HCQ didn't come out of nowhere. It's been known to have activity against coronaviruses.
    I think the proper term is "apeshit" not "gaga".

    Sure it may have potential, and worth looking at. I see that U of MN is starting a giant human trial.

    But how long to a proper determination of safety/efficacy? Sometime after a vaccine is developed?
    Check Out Ullr's Mobile Avalanche Safety Tools for iOS and Android
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  20. #7220
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    Oct 2003
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    Seattle
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    22,504
    Quote Originally Posted by Spats View Post
    Absolutely. Mylan is the corp. that jacked prices on EpiPens to the moon. They wouldn't be ramping up production of hydroxychloroquine unless they're sure there will be massive worldwide demand.
    Well, let's hope you're right and this drug is truly effective. That would be game changing for sure.

  21. #7221
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    Apr 2007
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    Also, as this gets worse, I just want to say - if you're not at a high risk for severe illness - i.e. COPD, asthma, CHF, elderly, etc - and you get sick - you have a fever and a cough - STAY HOME. Yes assume you probably have covid 19. Is calling 911 or driving to the ED going to change anything for you? No. There is no approved treatment for it. Will it change anything for anyone else? YES you will waste resources and be unnecessarily exposing a LOT of UNINFECTED people - people vital to the heath care system - to the disease.

    If you're not sick - stay home. If you ARE sick, STAY HOME!!!! Its not hard. Stay the fuck home.

  22. #7222
    Join Date
    Oct 2012
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    10,172
    Quote Originally Posted by Shorty_J View Post
    I hear you but it's not like everyone else just stopped dying because they're waiting until covid is over.

    Sent from my SM-A505W using Tapatalk
    Or the frail that were/are already dying won't just die from covid.

  23. #7223
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    Jan 2008
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    Quote Originally Posted by TBS View Post
    I think the proper term is "apeshit" not "gaga".

    Sure it may have potential, and worth looking at. I see that U of MN is starting a giant human trial.

    But how long to a proper determination of safety/efficacy? Sometime after a vaccine is developed?
    https://med.umn.edu/news-events/covi...sity-minnesota

    It's a trial for people who have been closely exposed to active patients--household contacts or medical care providers. Not treating CV patients. The idea is to see if the subjects later get sick. They are recruiting patients all over the country so I think they could probably get their subjects very quickly and have results within possibly weeks. The article doesn't say how long they will be treated. The problem I see is that you have to keep the subject away from any other symptomatic or asymptomatic infected people. Suppose they got sick a week after the trial ended. Did the drug fail or were they infected by someone else after the drug was stopped. In the case of a health care worker it might mean taking them off the line. The problem is obvious; I assume they are thinking about that. I'm too lazy to search for the trial protocol.

    For that matter, even if the drug works using it would seem problematic for the same reason; as this thing takes off people are going to be repeatedly exposed. Will they keep everyone on it all the time. 300M of us less children and people who have already recoverd all on the drug? Maybe time to buy Novartis stock. (If you're ever looking to do some lucrative insider trading it's hard to do better than to get onto the inside track of a clinical trial.)

  24. #7224
    Join Date
    Feb 2003
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    5,965
    Quote Originally Posted by TBS View Post
    You do realize that this hysteria about hydroxychloroquine is based on one small, very flawed study, right?
    It's just as likely that the subjects who recovered would have done so on a regimen of weed and chocolate milk.

    Maybe these companies are ramping up production because feds are willing to buy at some absurd price?
    As I've repeatedly pointed out, we've known since 2004 that chloroquine has strong anti-coronaviral activity. The Chinese and Italian doctors who performed the trials on Covid-19/Wuhan patients (there are at least two of them) didn't just take drugs off the shelf at random. They tested drugs with existing scientific studies suggesting that they might be effective.

    Virol J. 2005 Aug 22;2:69.
    Chloroquine is a potent inhibitor of SARS coronavirus infection and spread.
    Vincent MJ1, Bergeron E, Benjannet S, Erickson BR, Rollin PE, Ksiazek TG, Seidah NG, Nichol ST.
    https://www.ncbi.nlm.nih.gov/pubmed/16115318

    Biochem Biophys Res Commun. 2004 Oct 8;323(1):264-8.
    In vitro inhibition of severe acute respiratory syndrome coronavirus by chloroquine.
    Keyaerts E1, Vijgen L, Maes P, Neyts J, Van Ranst M.
    https://www.ncbi.nlm.nih.gov/pubmed/15351731

    The media continually repeats propaganda triggers like "small, flawed study" because THEY WANT YOU TO DIE to own #orangeman.

    ====

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    Before You Panic! Testing vs. absolute # of cases vs. mortality

    Yes, calling it "Wuhan coronavirus" and blaming China for its spread is justified

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  25. #7225
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    Nov 2005
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    Down In A Hole, Up in the Sky
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    Umm...most people would prefer that ‘Orangeman’ just dies.
    Don’t be hyperbolic.
    Forum Cross Pollinator

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