Dr D Rich
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@ Doc Robinson
Of course the learned reader understands the CDC flu numbers are derived from disease/statistical modeling. In 35 years as a physician, I recall only a single time when viral cultures were obtained for influenza A. However, that holds true for most viral diseases, H.zoster ophthalmicus and HSV keratitis come to mind immediately where cultures are never obtained. Morphology seals the diagnosis.
Dr. D et al (since my post was lost on the 50% mortality of ARDS) will confirm that sepsis, ARDS, ALI, DIC and multiple organ system failure are common causes of death in the individual SARS, MERS, COVID-19, flu, and community acquired pneumonia cases.
No doubt the counting “process” has been used to manipulate public sentiment
**** “ARDS is a very serious disease and unfortunately even with the best medical care the chances of dying from this disease are around 30 to 50%. Those surviving the disease will often have long hospital stays.”
Hell, I wouldn’t be surprised if Trump, Xi and Putin surrendered to our Alien Overlords on Wednesday, April Fool’s Day.
“Dissociative disorders involve problems with memory, identity, emotion, perception, behavior and sense of self. Dissociative disorders usually develop as a way of dealing with trauma. Dissociative disorders most often form in children exposed to long-term physical, sexual or emotional abuse. Natural disasters and combat can also cause dissociative disorders.”
Some things are already known instead of an author presenting their discovery of ARDS as a really really bad thing. Its unnerving to see how quickly a coronavirus or influenza victim goes down hill when they develop Gram negative sepsis associated with a Klebsiella pneumoniae superinfection.
“ARDS is a very serious disease and unfortunately even with the best medical care the chances of dying from this disease are around 30 to 50%. Those surviving the disease will often have long hospital stays.”
On a serious note and all kidding aside, I wouldn’t be surprised if Trump, Xi and Putin surrendered to our Alien Overlords on Wednesday, April Fool’s Day
Sure.
CFTC.gov just bailed out a supposedly solvent Capital One. Not one single American’s credit card, underwater mortgage, auto loan or student loan debt was forgiven, but Capital One gets bailed out by a .GOV
Now tell me how coronavirus exolains this financial chicanery in the context of Overnight REPO, QE 3 or 4 (I lost count), and last week’s FED rescue totaling $4.5 trillion dollars?
Just who are these leaders saving and, as Dr. D said, why are you making excuses for them while we all are subjected to austerity and social isolation?“Beyond mass hysteria this chaos has the features of Dissociative Disorder throughout the general population.
Dissociative disorders involve problems with memory, identity, emotion, perception, behavior and sense of self. Dissociative disorders usually develop as a way of dealing with trauma. Dissociative disorders most often form in children exposed to long-term physical, sexual or emotional abuse. Natural disasters and combat can also cause dissociative disorders.”https://www.zerohedge.com/markets/cftc-quietly-bails-out-capital-one
We all share in the pain differently.
I didnt know the director for the JFK Center made hospital CEO level coin. Let the symphony eat cake.“Rutter, meanwhile, told the Washington Postthat she would forego her $1.2 million salary while the JFK center was closed.”
CDC statistics for 2017-18 U.S flu season
**** 45 million illnesses
**** 810,000 hospitalizations
**** 61,000 deaths
Ask Dr. D what death from pneumonia by any cause looks like. It looks really bad. It is also a catastrophe for that person and their family
“In radiology, ground glass opacity (GGO) is a nonspecific finding on computed tomography (CT) scans that indicates a partial filling of air spaces in the lungs by exudate or transudate, as well as interstitial thickening or partial collapse of lung alveoli.”
@John Day
Indeed!
@WES
Good news!
@zerosum
I checked the list yesterday and my vocation/skillset is highest priority.. So why would a major federal healthcare system replace me with an optometrist in this crisis and send me home?Bonus question: How many years of medical school, internship and residency are required to enter optometry; 2, 3, 4 or 7 years?
Warning: no cheating by Googling the innertubesYa gotta pay attention to Dr. D and his knowledge of probability and statistics applied to medicine.
So what about 100,000.
Here’s the 2018-19 Flu season data:
*** symptomatic illness – 35,520,883
***medical visits- 16,520,350
***hospitalizations- 490,561
***deaths- 34,157In the 2017-18 Flu season the numbers were 30% to 75% higher in each category.
There was no drama back then, just one and two years ago, except they closed the ER and inpatient wards to additional admissions. And none of those hospital administrators CEO, general counsel, one RN, one finance officer and 2 MDs all making $550,000 to $1.2 million per annum prepared the medical center for this future and comparatively minor disaster.
I already related my personal (medicine calls it anecdotal) experience with medical center closure to admissions and a respiratory illness cluster in my clinic during a concurrent major hospital demolition, renovation and $75 million dollar construction project.
That situation has yet to be investigated for potential causes such influenza virus, RSV respiratory synctitial virus, aspergillus released from demolition or a pneumoconiosis from non-biological material released from demolition.
@ lasttwo
“…America sat idle.” I don’t know, but sounds like broad distribution victim blaming. Obviously bad things don’t happen to a Chosen people. Most societies possess a promotional mythology for storytelling.
I do see one flaw in your logic. Even without the vaunted leadership from within the federal government’s office of pandemic preparedness, what was preventing the private sector, noteworthy for its indefatigable initiative and seminal brilliance, from carrying out the necessary work as a duty to the larger society from which it derives profit?
Bosco, no argument from me.
Sept 2001, they/we weaponized the law, with the AUMF, Patriot Act, and abusive prosecution of any swarthy, disloyal appearing schmuck who got in our way. Here we go again with Maduro and martial not-martial law.
Sept 2001, they/we weaponized Medicine. Torture became a higher moral & ethical calling to justice in defense of the nation than the Hippocratic oath and Geneva protections. And we paid Mitchell and Jessen Psych Associates $81 million to torture folk under the Gina Haspel’s leadership. Now , medically, we’re all commanded to hide in our houses.
Sept 2001 we/they weaponized Anthrax but it only ruined a few lives without causing the Herd to panic. Today we just have at least 5 pathological COVID-19 strains and the herd better panic or else we’re gonna lose the remnants of the lives which were destroyed by economic austerity over the past 12-19 years .
They turned friend into foe. They turned family against each other. They pathologized generosity and gift giving. In my life, they turned colleague against colleague, inverted the chain of command, and turned groom against best man. They celebrated venality and competition over competency and ethical comportment.
Here’s a guess.
Hot war is coming and I give it a 70% chance.
You know, bombs, bullets and missiles at Venezuela (DOJ just indicted Nicolas Maduro et al for, get this, behaving as a criminal enterprise in support of drug traffickers and terrorists), Iran, Russia or China in no particular order.Doesn’t “behaving as a criminal enterprise in support of drug traffickers and terrorists” sound like a description of the CIA or the entire MIC as Maj. Danny Sjursen opined in his recent essay at Antiwar.com
The first big shoe drops.
As of 19 March 2020, COVID-19 is no longer considered to be a high consequence infectious diseases (HCID) in the UK.
British Government: COVID-19 No Longer Considered To Be A High Consequence Infectious Disease In UK
WES, I forgot to add my money is on you, Dr. D, zerosum and not least boscohorowitz.
Persevere ‘coz the time devoted is worth knowing a trusted ally joined the battle at your shoulder.
I can identify with your struggle having raised a son through young adulthood…a son missing a lung and half his diaphragm. Life unexpectedly prepares us for these unexpected moments in time. Sometimes the sweetest music is hearing his breath through the quiet night. I wish the same for you.My money remains on Dr. D and zerosum in no particular order.
“But as the Europeans dawdle over their aid package, Italy is finally seeing some signs that the strict national lockdown, an unprecedented and unparalleled step among western nations, might actually be working…”
Italy is lying just like China. Wait ’til the real numbers come out.
Governor Andrew Cuomo says we should all help New York because helping New York will teach us how to help ourselves when coronavirus hits us all weeks later.
This exhortation is reminiscent of a certain NYC mayor’s appeal to us all after 911.
There’s never any mention as to NYC’s assistance to the rest of us or any documented follow through.Tomas Pueyo is appealing to authority from a secure, comfortable position.
However, when one note is off, it destroys the whole symphony. I think that is a quote or paraphrase from Star Trek.I’m with zerosum.
—Debt Jubilee for all Americans in line with 2020 National Census. So there’s no discrimination.
—Take Pelosi’s $2.5 trillion dollar bailout and divide it evenly among 330 million citizens.
—That’s $7,575.75 dollars for each citizen
—Forgive all individual student loan, mortgage, auto, and credit card debt
—Prosecute ((abusively in the style the Justice Department pursued against Joseph Nacchio when he refused the Govt’s demand for users call records)) hospital CEOs which brought the healthcare system to this unprepared place, all bank CEOs who directed their institutions into unmanageable debt, and corporate leaders such as Boeing’s CEO who remain recalcitrant with their bailout demands.I have a personal anecdote about a poor kid from California, ambitious as hell, who lived across the hallway in college. Above average student and future naval aviator. His story is one of what an individual will do once he/she has access or proximity to the reigns of power. What you do is intimidate then fire the whistleblower and Goldman monitor, Carmen Segara, to curry favor favor with Geithner your boss. You wear a feather in your cap for being boots on the ground as lawyer turned economic advisor when the US “reconstructed” Iraq under Paul Bremer in the mid to late 2000s. ’83 Mike Silva.
Zerosum and others have been right. It’s all about debt forgiveness for the poor…………yeah, the poor banks, the poor businesses just like with Obama, Geithner, Mike Silva and the NY FED back ten years ago. Ah, read it for your self. Btw, Dr. D, you’re right again about the numbers…..Nobel Prize!
The New Federal Reserve as Garbage Can for All Capitalist Debt
https://www.nakedcapitalism.com/2020/03/debt-and-power-an-interview-with-michael-hudson.html
The world is certainly changing fast. I never thought I would see the day that IL76 Russian aerospace transport planes would land in Western Europe. Nine of them did precisely that in the last 24 hours, landing in a very grateful Italy with loads of medical supplies and personnel from Russia.
This will not be forgotten: China, Russia and Cuba send much-needed aid to Europe and Africa
Michael Levitt, a Nobel laureate and Stanford biophysicist, began analyzing the number of COVID-19 cases worldwide in January and correctly calculated that China would get through the worst of its coronavirus outbreak long before many health experts had predicted. Now he foresees a similar outcome in the United States and the rest of the world. While many epidemiologists are warning of months, or even years, of massive social disruption and millions of deaths, Levitt says the data simply don’t support such a dire scenario
Ha ha ha! I nominate Dr. D to be re-awarded Stanford biophysicist Michael Levitt’s Nobel Prize.
To paraphrase our friend and local sage Dr. D, “The numbers just don’t add up.”
Why are some persuaded by who or what comes before them? Why then are others dissuaded by the same people and similar information?
In medicine, a good physician pays attention to their cognitive biases. After all, what patient wants to be saddled by the wrong diagnosis?
A wrong premise must be rejected or else it confounds all future tests. boscohorowitz understands the null hypothesis.Cons succeed for inducing judgment errors—chiefly, errors arising from imperfect information and cognitive biases.
The Enemy Within: A cautionary tale of disease, indifference and devastation | The Seattle Times
https://archive.seattletimes.com/archive/?date=20041022&slug=pacific-pflu24Looks like China is still lying.
Or am I reading it wrong that their 81,000 cases of corona… virus would have to triple by 4/2/2020 to reach the Fibonacci projection of 255,966?
Perhaps the Chinese officials are not counting the asymptomatic positive COVID-19 testers.@ zerosum.
Winning? I sense we are common souls.
There’s just consolidation of power by the wicked and incompetent.
There’s only deeper poverty for the impoverished.
No matter the outcome and as always is the pattern, these pathological narcissists will claim the prize.
And we’re back to China bashing which was a not infrequent theme on TAE over the past two months.There it is……coronavirus my ass. What an excuse,
Money for rich and unrestrained power for the megalomaniacs. Christ, even the alcoholics submitted too easily.Apropos of just about everything going on today and in no particular order:
–do you often wonder what happened to all those patients turned away from major medical centers in Seattle and other cities when the demand for beds exceeded open beds during the flu seasons of 2010, 2015 and 2017? Did US Public Health measure the consequence and complications for the patients turned away?
–someone should ask Tony Fauci his opinion of Montagnier’s Nobel for HIV research and not Bob Gallo vis a vis Fauci’s and Gallo’s efforts to secure fame 35 years ago during another worldwide virus hysteria.
–A long time ago, I was given a copy of Hervey Cleckley’s “The Mask of Sanity” by my med school academic advisor, a nationally renowned expert in mental health. The book was not given to help better understand my future patients. Rather, the gift took the form of a warning as to the presence of sociopaths, psychopaths and antisocial personality disordered individuals among medical professionals notwithstanding the expression of such behaviors in the business, political and law communities. Letting businessmen, attorneys and physician MBAs lead hospitals brought us to this point where both non-profit and for-profit hospitals are equally unprepared to address the current crisis according to most news accounts.
—and western Pennsylvania has not been immune to the phenomenon. Beware Public Health initiatives, I suppose, because the remedies fall woefully short of justice and timely in no sense of the word. https://www.post-gazette.com/local/city/2011/08/30/Late-Pitt-dean-Cutler-denounced-for-infecting-Guatemalans-with-syphilis-in-research-experiment/stories/201108300164
—optometrists are not MDs or junior ophthalmologists
Nothing new just the depth and breadth of hysteria.
Here’s two Michael Parenti paragraphs from 1918:Back in the trenches, the agitators among us prove right. The mutinous Reds standing before the firing squad last year were right. Their truths must not be buried with them. Why are impoverished workers and peasants killing other impoverished workers and peasants? Now we know that our real foe is not in the weave of trenches; not at Ypres, nor at the Somme, or Verdun or Caporetto. Closer to home, closer to the deceptive peace that follows a deceptive war.
Now comes a different conflict. We have enemies at home: the schemers who trade our blood for sacks of gold, who make the world safe for hypocrisy, safe for themselves, readying themselves for the next “humanitarian war.” See how sleek and self-satisfied they look, riding our backs, distracting our minds, filling us with fright about wicked foes. Important things keep happening, but not enough to finish them off. Not yet enough
I received notification from a nursing assistant to not report for work on Monday.
Sounds like the termination letter comes next.
Best wishesSo, Dr. D, the cytokine suppressing effects of chloroquine and plaquenil are not so theoretical???
AND antibiotics which compete with this coronavirus for the RNA switch which turns off the host cells natural anti-viral activity DO make a difference or are they saying a Zpak effectively trests the concomitant bacterial pneumonia?
Do you think the 30s ribosomal subunit tetracyclines will be found to be as effective as the 50s ribosomal macrolides or just another fortuitous coincidence?45 year old science re-emerges
