General Corona virus updates

[ThatOneDude]

I know you’re joking but for the benefit of the others who didn’t get it... @Splinty can shoot me later for butchering this.

My understanding is there could be two main issues causing major lack of oxygen issues:

Lungs are working fine but the blood vessels are not and they’re UN able to get the oxygen needed.

or

Blood vessels are working fine but the lungs aren’t able to bring oxygen that is needed. (This seems to be the issue that most folks think is going on but could not be)

There’s a difference in approach to either problem but knowing which issues is affecting the particular patient at hand is still a huge problem and not easy to determine and proper treatment isn’t always what is administered. IE if the lungs are working fine but the blood vessels are not, intubation may not be the best solution in the beginning which seems to be what most places are doing sooner than later.

Now go back to playing games you kids.

Thanks for breaking that down for a retarded 5 year old. I appreciate you.

Any thoughts on baby bottle sterilizers working to disinfect coronavirus masks? I have included an example Pic from my work this morning.

 

[tang]

Why do you think steam sterilization would not work? My scientist wife seems to think it should work if you run it for say 6 minutes + instead of the 4 you do for bottles.

you're supposed to do it for 4 minutes? I thought it was only 2. I have the same kind and run it for 2 minutes

 

[ThatOneDude]

you're supposed to do it for 4 minutes? I thought it was only 2. I have the same kind and run it for 2 minutes

It's four minutes for our microwave due to its wattage, stupid thing looks all bad ass but is weak imo

 

[lueVelvet]

Thanks for breaking that down for a retarded 5 year old. I appreciate you.

Any thoughts on baby bottle sterilizers working to disinfect coronavirus masks? I have included an example Pic from my work this morning.

If @Splinty goes into details about this, I will break it down for retarded 5 year olds but I have no expertise in this field as I only have the ability to explain someone else’s complex ideas to retarded children.

Also, I did read that high temperatures breaks down the virus so my best guess is that it should do. Unless someone has some specific reason as to why the steam (read: high temperatures) won’t kill this virus?

 

[ThatOneDude]

If @Splinty goes into details about this, I will break it down for retarded 5 year olds but I have no expertise in this field as I only have the ability to explain someone else’s complex ideas to retarded children.

Also, I did read that high temperatures breaks down the virus so my best guess is that it should do. Unless someone has some specific reason as to why the steam (read: high temperatures) won’t kill this virus?

That's my thinking and my scientist wife's thinking, @sparkuri disagrees, but I'm not sure of his credentials. The reason we even thought of it is because of the business insider article that discusses the blue shop towels from harbor freight being a fantastic filtering media. And it can be washed 3 times, they are still testing after more washes.
We were wondering if steam sterilization would be a better method to clean these types of masks with and if it would extend their service life.
My brother is currently making cloth masks that will allow the blue cloth to be folded in half and pulled through, so it's an insert. You can wash the cloth part as many times as you want.

 

[lueVelvet]

That's my thinking and my scientist wife's thinking, @sparkuri disagrees, but I'm not sure of his credentials. The reason we even thought of it is because of the business insider article that discusses the blue shop towels from harbor freight being a fantastic filtering media. And it can be washed 3 times, they are still testing after more washes.
We were wondering if steam sterilization would be a better method to clean these types of masks with and if it would extend their service life.
My brother is currently making cloth masks that will allow the blue cloth to be folded in half and pulled through, so it's an insert. You can wash the cloth part as many times as you want.

Dude that’s really awesome about your bro making masks that can swap out the blue paper towels.

I was looking into it a bit more and it appears some folks think steam isn’t enough but as I’ve seen everywhere, Steam is used in autoclaves for disinfecting medical stuff all of the time. I know your machine isn’t pressurized like an autoclave would be but IMHO if you’re going to reside like we have to at the moment, I can’t imagine making it any worse and even if it’s not 100%, I would think 99.9% would be better than nothing?

I have a Harbor Freight a block from my house so I should check out those paper towels f hey still have any lol.

 

[Zeph]

View: https://twitter.com/realGulDukat/status/1246577642821824514?s=20

 

[Disciplined Galt]

I love @Miesha's Taint and will kill anyone speaking against him

 

[ThatOneDude]

Dude that’s really awesome about your bro making masks that can swap out the blue paper towels.

I was looking into it a bit more and it appears some folks think steam isn’t enough but as I’ve seen everywhere, Steam is used in autoclaves for disinfecting medical stuff all of the time. I know your machine isn’t pressurized like an autoclave would be but IMHO if you’re going to reside like we have to at the moment, I can’t imagine making it any worse and even if it’s not 100%, I would think 99.9% would be better than nothing?

I have a Harbor Freight a block from my house so I should check out those paper towels f hey still have any lol.

Go get em!
TOOLBOX® Big Grip® Bucket Blue Shop Towels

This is the article
Using blue shop towels in homemade face masks can filter particles 2x to 3x better than cotton, 3 clothing designers discover after testing dozens of fabrics

We have a giant pressure cooker we could use as well, stack on a couple of penny's on the weight and bring that bad boy up to 25 lbs like a boss.

My brother sent me a video, it's basically got a sleeve you can fold a paper towel and pull through, that's what he's using for testing until the blue towels get delivered.

 

[Shinkicker]

I drink warm lemon water in the morning.
It regulates the liver & promotes healthy gut flora, along with flushing.
We're drinking ginger tea every time our throats are soar.

 

[FINGERS]

 

[MMAPlaywright]

Sobering reality or scaremongering?
This worries me:

Covid vs. US Daily Average Cause of Death

 

[Splinty]

Hey, Doc how do you like this? My state has already flattened the curve!

https://www.theage.com.au/national/...ted-to-flatten-the-curve-20200405-p54h9v.html

Ignore the fine print: "However, the recent rise in the number of locally transmitted cases – those with no link to someone who was infected overseas – is a worry for authorities. At 75, there are more than triple the number of community transmission cases than there were a week ago, and Dr Sutton said these cases would grow as testing expanded to public-facing workforces including healthcare workers, police and prison staff".

See? The problem is testing. Too much testing. Our state has been on the forefront of not testing anybody, testing half as much as any other state in Australia and refusing to test for community transmission. So we nailed it! If you don't test anybody, then you too can flatten the curve in no time. Hopefully this news story means that all of my fellow Victorians stop worrying about social distancing now, as all is well.

Can't fail a test you don't take

 

[Zeph]

View: https://twitter.com/lodgepolepines/status/1246623000578994176?s=20

 

[BeardOfKnowledge]

The Huawei P 40 is your frind.

No google at all

I'd rather give my information to Google than the Chinese government.

 

[ShatsBassoon]

View: https://youtu.be/F1axBGWFm4U

 

[Splinty]

Scott Weingart is a famous EM/Critical Care doctor in NYC. Like the perfect guy in the exact time to look into this.

He's bought into the idea that these patients have a varied presentation with some large subsect of patients having the high compliance lungs and blood perfusion problem.


View: https://www.youtube.com/watch?v=mZqNiQxJLSU&feature=emb_title



We could possibly give these patients nitric oxide or early anticoagulation if no contraindications.

 

[lueVelvet]

Scott Weingart is a famous EM/Critical Care doctor in NYC. Like the perfect guy in the exact time to look into this.

He's bought into the idea that these patients have a varied presentation with some large subsect of patients having the high compliance lungs and blood perfusion problem.


View: https://www.youtube.com/watch?v=mZqNiQxJLSU&feature=emb_title



We could possibly give these patients nitric oxide or early anticoagulation if no contraindications.

The scariest part of this whole thing is not knowing how to detect exactly what’s going on and treating accordingly. I understand it’s early days relative to when this thing was found but it’s still terrifying.

 

[Splinty]

The scariest part of this whole thing is not knowing how to detect exactly what’s going on and treating accordingly. I understand it’s early days relative to when this thing was found but it’s still terrifying.

Luckily we still have markers of distress in the patients and that's what they're saying is to not go by one of the markers that we often use. And instead go by markers that would be present no matter which presentation there is:

Your CO2 is high? You getting confused because of bad oxygen exchange? You are working hard to breathe and feel short of breath? You get put on the ventilator for all those. And that could happen in all of these patients no matter the underlying cause. The difference is to Make a low oxygen number a secondary data point and not drive putting someone on the ventilator based on that if otherwise they're okay. Interestingly, @SC MMA MD is probably more comfortable with that idea than many people that deal with adults. He sees heart kids and they often have goal oxygen saturations that are astonishingly low and the kids are just going around doing very fine. And if you try to over oxygenate them to get them to a "normal" level you can do harm to them.

So there is some developing boundaries here on assessing these patients even though you might not know where that patient's going to go afterwards.

But you're right, without knowing exactly what's going on, it's a little difficult to really dial in a laser focused optimal treatment plan. I'm seeing some surgery ICU docs that have been recruited to work on these patients. Because they think it's a blood problem and in patients with other diseases that do the same things you sometimes get microscopic blood clots, some of those docs are using blood thinners if the patient doesn't have a reason to avoid them. Like you said there's no evidence for this but the process is being built. Welcome to Medicine. It's in fits and starts until you finally get studies

 

[BeardOfKnowledge]

The scariest part of this whole thing is not knowing how to detect exactly what’s going on and treating accordingly. I understand it’s early days relative to when this thing was found but it’s still terrifying.

We should know a lot more than we do, but someone obstructed the rest of the world.

 

[lueVelvet]

Luckily we still have markers of distress in the patients and that's what they're saying is to not go by one of the markers that we often use. And instead go by markers that would be present no matter which presentation there is:

You're CO2 is high? You getting confused because of bad oxygen exchange? You are working hard to breathe and feel short of breath? You get put on the ventilator for all those. And that could happen in all of these patients no matter the underlying cause. The difference is to Make a low oxygen number a secondary data point and not drive putting someone on the ventilator based on that if otherwise they're okay. Interestingly, @SC MMA MD is probably more comfortable with that idea than many people that deal with adults. He sees heart kids and they often have goal oxygen saturations that are astonishingly low and the kids are just going around doing very fine. And if you try to over oxygenate them to get them to a "normal" level you can do harm to them.

So there is some developing boundaries here on assessing these patients even though you might not know where that patient's going to go afterwards.

But you're right, without knowing exactly what's going on, it's a little difficult to really dial in a laser focused optimal treatment plan. I'm seeing some surgery ICU docs that have been recruited to work on these patients. Because they think it's a blood problem and in patients with other diseases that do the same things you sometimes get microscopic blood clots, some of those docs are using blood thinners if the patient doesn't have a reason to avoid them. Like you said there's no evidence for this but the process is being built. Welcome to Medicine. It's in fits and starts until you finally get studies

Should I contract this shit I want the docs to read your posts lol.

 

[lueVelvet]

Should I contract this shit I want the docs to read your posts lol.

Or maybe I’m the idiot for listening to a doc on an MMA forum off topic thread.

 

[Splinty]

Should I contract this shit I want the docs to read your posts lol.

Academic docs are probably all sharing this and working on the next steps. I'm a redneck private practice doctor, but I read and publish as high as anyone in my position can.
One day I'll hit the lottery and then go into an academic setting like @SC MMA MD
Then I can get paid to read and teach for a living.

Or maybe I’m the idiot for listening to a doc on an MMA forum off topic thread.

There's a reason I source everything I post and you can see other broad well known public facing docs and their credentials. As a patient, you should advocate for yourself, but don't assume you know a full treatment plan based on posts of course. This is like the nuance of the hydroxychloroquine. If I were a patient, even as a doctor, I'm not sure I would be begging for that drug. I do have some personal thoughts on low-harm low-risk treatments that I would want to ask my doctor about. But like in a court, you don't want to be your own doctor lawyer.

Also remember this is all DEVELOPING and this may be only some patients and not all patients. But the best take home I'm seeing here is the Scott Weingart webinar where he's teaching fellows some rough rules in their facility in stepwise therapies.

 

[Splinty]

State by State Status of Confirmed Covid-19 Cases

@MMAPlaywright thanks for that site

 

[member 3289]

I'm a redneck

Agree 100%