General Corona virus updates

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psychicdeath

Member
Jan 21, 2015
955
1,521


I know I always seek advice from drugged out, Communist actors in times of national crisis. They always offer words of wisdom like "Beat up Madonna, and pressure the female reporter you are interviewing El Chapo with to bang you."
 

BeardOfKnowledge

The Most Consistent Motherfucker You Know
Jul 22, 2015
60,554
56,071


I know I always seek advice from drugged out, Communist actors in times of national crisis. They always offer words of wisdom like "Beat up Madonna, and pressure the female reporter you are interviewing El Chapo with to bang you."
"I wouldn't take advice from that guy."

- El Chapo
 

BJTT_Kiwi

My member is more well known than yours
Jun 25, 2015
3,275
5,863
Now where's my tech company to aggregate this for easy sharing and community between doctors? This kind of inefficiency is why medicine is slow to advance in this day and age
Welcome to my world.
Reps off the road, I've had 4 Pharma companies enquire in the last 36 hours about using our (digital) platform for continuity.

It's (pleasanty surprising) that this challenge has presented such an opportunity.
 

Splinty

Shake 'em off
Admin
Dec 31, 2014
44,116
89,900
What are the ramifications of double ventilating?
As far as I can tell reading from critical care doctors blogging, simply limiting variability between the patients. But unless I have two patients of vastly different sizes at very different points in their disease process with vastly different comorbidities, you're probably doing more good than harm simply getting them on the ventilator instead of letting them die of respiratory failure.
 

lueVelvet

WHERT DA FERCK?
Aug 29, 2015
5,045
7,439

View: https://mobile.twitter.com/alandrummond2/status/1240008793167192066


One challenge on using a single vent with multiple tubing is that you need the same tidal volume and pressure across the system.
So I don't see a way I could double ventilate a large man in a small woman next to each other. And if I had too many patients and such a large tubing setup I think that I might poorly optimize their pulmonary treatment.

Interestingly I am seeing doctors online sharing out 3D printing models for both the valves to do multiple tubing as well as valves to do flow restriction to allow separate pressures between two patients. that still doesn't fix the tidal volume issue, which is essentially the amount of air I give each breath with the ventilator, but it does solve trying to optimize different respiratory supports with the same ventilator.

I hate that it's under these conditions but I am excited at the ingenuity here of using 3D printed parts and sharing them amongst the community. Now where's my tech company to aggregate this for easy sharing and community between doctors? This kind of inefficiency is why medicine is slow to advance in this day and age

Maybe someone can work up another valve to regulate the air flow of each tube?

edit: that’s probably much easier said than done.
 

ShatsBassoon

Throwing bombs & banging moms
First 100
Jan 14, 2015
18,600
33,599
As far as I can tell reading from critical care doctors blogging, simply limiting variability between the patients. But unless I have two patients of vastly different sizes at very different points in their disease process with vastly different comorbidities, you're probably doing more good than harm simply getting them on the ventilator instead of letting them die of respiratory failure.
Like being the runt of the litter. Last to feed, but still being fed.
NY has a massive population I imagine the amount of treatment needed now and in the coming weeks is insurmountable.
 

BJTT_Kiwi

My member is more well known than yours
Jun 25, 2015
3,275
5,863
Splinty @Splinty just curious... not trying to be a cunt.
What is the point in all this intervention?

The old must die of something. The young will gain immunity.
Why go bananas (and fuck the economy in the process) to try and slow this thing?
 

BeardOfKnowledge

The Most Consistent Motherfucker You Know
Jul 22, 2015
60,554
56,071
Splinty @Splinty just curious... not trying to be a cunt.
What is the point in all this intervention?

The old must die of something. The young will gain immunity.
Why go bananas (and fuck the economy in the process) to try and slow this thing?
You want my parents number so you can tell them to hurry up and die for your convenience?
 

BJTT_Kiwi

My member is more well known than yours
Jun 25, 2015
3,275
5,863
You want my parents number so you can tell them to hurry up and die for your convenience?
Nah bro, 100% not at all.
I've got grandparents, and older parent(s) as well.

Just confused as to why this bug has been singled out.
 

lueVelvet

WHERT DA FERCK?
Aug 29, 2015
5,045
7,439
Nah bro, 100% not at all.
I've got grandparents, and older parent(s) as well.

Just confused as to why this bug has been singled out.
Not trying to be a cunt but have you not been paying attention to this at all? It’s highly contagious with poor treatment options and no vaccines. If left unmitigated we’re looking at millions of dead people spanning all age groups.
 

BeardOfKnowledge

The Most Consistent Motherfucker You Know
Jul 22, 2015
60,554
56,071
Nah bro, 100% not at all.
I've got grandparents, and older parent(s) as well.

Just confused as to why this bug has been singled out.
So the flu kills about .01% of people it infects, this kills about 3%. In the people who survive many receive what looks like it might be irreparable lung damage.
 

BJTT_Kiwi

My member is more well known than yours
Jun 25, 2015
3,275
5,863
So the flu kills about .01% of people it infects, this kills about 3%. In the people who survive many receive what looks like it might be irreparable lung damage.
Fair call. It's only just kicking in here in NZ so we've only got 25 cases or so as of today, and no deaths.

As I said, I'm not trying to be a dick.
 

Splinty

Shake 'em off
Admin
Dec 31, 2014
44,116
89,900
Maybe someone can work up another valve to regulate the air flow of each tube?

edit: that’s probably much easier said than done.
Two patients probably pretty easy, but I think the guy posting the 9:1 is just doing it as an experiment in case. I'm thinking there must be pressure loss across such a system but I dunno... I've never cranked a vent up to see if I could give 9 times the pressure needed for a single patient.
 

ShatsBassoon

Throwing bombs & banging moms
First 100
Jan 14, 2015
18,600
33,599
Fair call. It's only just kicking in here in NZ so we've only got 25 cases or so as of today, and no deaths.

As I said, I'm not trying to be a dick.
From my brother in law. He's in the NZ navy

We have no overseas travel at work and no internal travel. In payroll, we are special now and are not allowed to have breaks or lunches with other staff and have to stay at least 1 metre distance. We are being separated into different offices so if one of us gets sick, we don't spread it to the others in the team, although a lack of office space means 2 have to share. Our DCs are working about 50% harder than they do at peak Christmas time, at least double the normal 'busy' day. One of our smaller branches which usually closes at 4.00pm was working through to 5.00am. I don't know how long our DC and branch staff can keep working like this. Dad has water and soap in the van and is washing his hands after every job.
 

La Paix

Fuck this place
First 100
Jan 14, 2015
38,273
64,362
This was sent to me from a coworker. Thoughts Splinty @Splinty SC MMA MD @SC MMA MD ?


Taken from my friends page, she is a nurse at KGH and i felt this was all valuable information so I copied to share.

Best explanation I have read about the corona virus: Feeling confused as to why Coronavirus is a bigger deal than Seasonal flu? Here it is in a nutshell. I hope this helps. Feel free to share this to others who don’t understand...

It has to do with RNA sequencing.... I.e. genetics.

Seasonal flu is an “all human virus”. The DNA/RNA chains that make up the virus are recognized by the human immune system. This means that your body has some immunity to it before it comes around each year... you get immunity two ways...through exposure to a virus, or by getting a flu shot.

Novel viruses, come from animals.... the WHO tracks novel viruses in animals, (sometimes for years watching for mutations). Usually these viruses only transfer from animal to animal (pigs in the case of H1N1) (birds in the case of the Spanish flu). But once, one of these animal viruses mutates, and starts to transfer from animals to humans... then it’s a problem, Why? Because we have no natural or acquired immunity.. the RNA sequencing of the genes inside the virus isn’t human, and the human immune system doesn’t recognize it so, we can’t fight it off.

Now.... sometimes, the mutation only allows transfer from animal to human, for years it’s only transmission is from an infected animal to a human before it finally mutates so that it can now transfer human to human... once that happens..we have a new contagion phase. And depending on the fashion of this new mutation, thats what decides how contagious, or how deadly it’s gonna be..

H1N1 was deadly....but it did not mutate in a way that was as deadly as the Spanish flu. It’s RNA was slower to mutate and it attacked its host differently, too.

Fast forward.

Now, here comes this Coronavirus... it existed in animals only, for nobody knows how long...but one day, at an animal market, in Wuhan China, in December 2019, it mutated and made the jump from animal to people. At first, only animals could give it to a person... But here is the scary part.... in just TWO WEEKS it mutated again and gained the ability to jump from human to human. Scientists call this quick ability, “slippery”

This Coronavirus, not being in any form a “human” virus (whereas we would all have some natural or acquired immunity). Took off like a rocket. And this was because, Humans have no known immunity...doctors have no known medicines for it.

And it just so happens that this particular mutated animal virus, changed itself in such a way the way that it causes great damage to human lungs..

That’s why Coronavirus is different from seasonal flu, or H1N1 or any other type of influenza.... this one is slippery AF. And it’s a lung eater...And, it’s already mutated AGAIN, so that we now have two strains to deal with, strain s, and strain L....which makes it twice as hard to develop a vaccine.

We really have no tools in our shed, with this. History has shown that fast and immediate closings of public places has helped in the past pandemics. Philadelphia and Baltimore were reluctant to close events in 1918 and they were the hardest hit in the US during the Spanish Flu.

Factoid: Henry VIII stayed in his room and allowed no one near him, till the Black Plague passed...(honestly...I understand him so much better now). Just like us, he had no tools in his shed, except social isolation...

And let me end by saying....right now it’s hitting older folks harder... but this genome is so slippery...if it mutates again (and it will). Who is to say, what it will do next.

Be smart folks... acting like you’re unafraid is so not sexy right now.

#flattenthecurve. Stay home folks... and share this to those that just are not catching on.

Stay safe and healthy my friends