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Stay away from your parents, 8track... just in case, ya know?

And for the love of God, don't sneeze on the monitor, you'll infect us all!!

Hope this passes quickly 8.

Tamiflu only works in the first day or two? I can't remember what that window is. It's short though.

Spicy poops.

It's a lot more fun on round one. Round two happens after sobering up.

Bars and restaurants closing in IN now too. No word on liquor stores that I'm aware of

The idea behind these closings is not that less people will get the virus or even that less people will die from the virus...

We are currently experiencing a shortage of emergency drugs, ventilators, and emergency workers...

The idea of keeping people home is that if we can spread the number of cases of this virus out over 3 moths instead of squeezing them all into one month, then less people will die from drug and medical equipment shortages and from hospitals being overwhelmed...

Exactly, but I think social distancing and avoiding crowds are also important.

55/75 sweet spot today. Can't go anywhere so outside is where I'll be with a cigar.

Most of the nonsense we're seeing is... whataya gonna do? People are stupid.

We have over-reacted and panicked.

Thing is... are we doing enough? are we doing too much?

When this is over, will we have overreacted and the next one we underreact?

It's a great unknown that won't be revealed for a decade at minimum.

When I look at the information from official channels, it's still unclear. Compared to other infectious diseases, we're overreacting. It's new, and it's brutal. But there's plenty old stuff around that still kicks asses all the same.

But I'm not familiar enough with this one to really speak on it. If the CDC and WHO are making this such a big deal, it is probably a big deal.

It's at least a huge burden on resources. The older stuff we're ready for, we have enough supplies to deal with it. Couple years ago my hospital ran out of ventilators. Had a patient manually ventilated by another human around the clock until someone died and a vent was available. That patient did live to discharge btw. But if all 40 of our ICU beds are filled with vented patients, and all 34 of our vents are in use, we've got a problem. When we had to bag that patient around the clock, we only had 30 vents. Now we've got nearly enough for all the ICU beds.

From what I'm seeing, it leads to ARDS a lot more frequently than other respiratory viruses. That's the big issue. In my practice, I've seen about 1 in 5 survive full blown ARDS. Whether or not they survived beyond the ICU I don't know. Many miracle patients get out of ICU and then die before or shortly after they return home. But once you've got full blown ARDS, it's pretty much a salvage operation.

It's incredibly difficult to treat, because there's nothing to treat. We have some antivirals, but they're not very effective at best. A novel virus that someone has never been exposed to in the past through community contact or vaccination, can wreak havoc because we can't do chit about it.

I'm a little scared, but at the same time I have spent a decade, really two decades, of my life dealing with patients with the most virulent and debilitating diseases, syndromes, etc and escaped unscathed. I feel this will be the same. But the global response by the people that run things is incredible. They're implementing quarantine despite the economic effects. The ruling class does not allow economic downturn. Yet here we are. Which is the most worrisome bit of news about all of this. Whenever the suits take a hit, you know it's a big facking deal.

Well, at least you passed your nicotine screening!

I don't really know. I don't typically deal with stuff like this. My expertise is in short term surgical issues. But over the years I've dabbled in this stuff too. My stance on things like this is to look at the people that make the money, since they make the rules n stuff. I'm just a pawn in their game.

But thats the part that really, really, bothers me. The suits are giving up profits in the name of "health". There's something we don't know going on. Hospital says no visitors, no kids, no masks, but yet there's visitors with masks and kids. We're told we have to consider the Press Gaineys before enforcing published restrictions. It's clearly a show, but for what? If chit's that severe that we're shutting down the country and destroying capitalism for a month, hell - I've lost 80k in retirement already and I'm just a pawn. I imagine the suits have lost a lot more. Or maybe they haven't...?

That's what bothers me the most. The people furthest removed from the frontlines that make the rules are doing things that reduce their profits. They could charge for testing, they could admit anyone with subjective fevers. But we're avoiding it at cost.

The virus, if it progresses to ARDS which is what I'm reading, is brutal. But the response from the suits is not right. They're not going to give up profits for nothing.

Al, we're going to pay for this. They will escape unscathed.

Dudes...

You OK?

About a 60% bounce back. Chills are gone and still no fever. Body aches have lessened.

The ten hours of sleep helped immensely. Working from home.

It is this brutal as much as we keep trying to think it isn't or it doesn't add up. We probably are not doing enough but should error on doing too much. Danm you hit it pretty much on the head about flattening the curve and the difficulty finding the right balance. That is the part of what is dominating my days.

As for the disease some will recover quickly and fairly easily. Some will die, and a pretty good bucket of folks will live but suffer.... assuming we can spread things and resources are available for them. On that side of things the resources available vs resources required data is frightening. Sorry it just is.

Some folks keep wanting to disbelieve. Even some countries. Until they start to see the data.

take the uk. i think they are slow to the game and may very well pay. Italy was slow too.

https://www.bbc.com/news/health-51915302


Lets hope our actions slow things enough so folks can claim we panicked that is the best case scenario..

To be clear the bbc article has nothing to do with my work or any data or info available directly to me. I found this part interesting though..... I think delay/flattening accomplishes some things and not others. It could buy time for immunization etc....

"However, the suppression approach comes with major problems.

It effectively requires shutting down parts of society and there is no exit strategy.

As fewer people would be infected there would be little immunity in the population and cases would soar soon after measures were lifted again.

This is the conundrum China now faces. Research suggests 95% of people in Wuhan were still susceptible to the virus at the end of January."

Hey buddy, can you spare a square ? How many rolls can you get in a LFR?

People living paycheck to paycheck are gonna struggle, but people like waitresses and waiters and bartenders - who basically live shift to shift - are gonna have a severely difficult time...

Very cool, and stand up. Hopefully it will remain in effect until this is over.... which according to the President yesterday could be much longer than most of us thought.

how many companies can do that for how long. This thing is a cluster eff, but one that has been predicted for a long time. It's like predicting the mother of all storms is coming and getting it wrong a time or two. Folks start to believe its never coming.

Well fact is, they can't afford for my wife to not work... She's amazing at what she does and well compensated, which is why she works and i play house...

Especially with interest rates dropping, everyone is refinancing... She'll be working from home at a minimum...

But her office only has 3 other people in it and it's .8 miles from our house... And it's located on a currently abandoned main street...

huh. she could go in and be safe id guess. I'm working from home 3 days a week anyway. full time is imminent and not a problem. I'm going in tomorrow anyway. less people there.

Yes drafter... like da woofs... except unintentional. more like all the tornado warnings we get when the thing never touches down.... until it does.

Speaking of da woof.... kody-dog has been scared of stairs (hes a chunk compared to louie and clumsy too). He just discovered he can do it so now he goes up and down them all day. Weird dog.

he deserved it

I'd burn the rest of that sick time...