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Hauler

Been fallin so long it's like gravitys gone
Feb 3, 2016
45,414
57,814
they're just stressed from working with you.

give them a couple doobie breaks a day, contact me if their symptoms don't improve.
Dude, I'm the coolest boss ever.
If doobie breaks were legal I'd be all for it. I'd roll the joints for them and give a little extra "chill" for those who needed it.
 

Splinty

Shake 'em off
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Dec 31, 2014
44,116
91,095
If workers have symptoms - any symptom - and they aren't vaxed, we are sending them home to quarantine. Guidance from CDC was 10 days if positive, 14 days if exposed with no vax. No meds necessary.

That has now been reduced to 5 days if positive and they can return to work if their symptoms are improving and they don't have a fever. No meds necessary.
The CDC guidance is on quarantine, not on treatment.
Treatment is the doctors call.

No, meds aren't necessary for someone that got better that far out already.

Most positives never get treatment. Just like a normal cold, they ride it out. I've had a couple workers have their situation deteriorate and need hospitalization. What I'm saying is they might not have needed hospitilization if they were treated at the first sign of symptoms.
Most positives don't need treatment.

What exactly do you think should have been done to treat that wasn't done?
 

BeardOfKnowledge

The Most Consistent Motherfucker You Know
Jul 22, 2015
60,547
56,268
there's no evidence of that, other than people who can't math so good.
2 years into the pandemic they've finally admitted here that everyone who receives a COVID test while under hospital care is then counted under being on hostpial, ICU, etc as "COVID".
 

Hauler

Been fallin so long it's like gravitys gone
Feb 3, 2016
45,414
57,814
What exactly do you think should have been done to treat that wasn't done?
I don't know.

But having someone sitting at home to deal with their symptoms until they can't take it anymore feels like the wrong move.

Early at-home treatment > Hospitalization
 

Hauler

Been fallin so long it's like gravitys gone
Feb 3, 2016
45,414
57,814
which ones are those?


edit - also do you not understand that vaccines do more than individual protection?
I read something about kids getting myocarditis after the jab. Not sure on the factual nature of it because who fucking knows anymore, but I think it's pretty accepted that kids are low-risk. So why introduce a risk?

Yes, I understand the theory that vaccines are for your fellow man, not just the individual. I got the jab. There's no telling how many humans I saved.
 
M

member 3289

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It is.
But it's not.

Especially for kids. Force kids who have like a .00000001% chance of getting dead from Covid to get a vax that can have negative side effects with life-long complications.
Yeah I'm all for young kids not getting vaccinated. They should definitely quarantine if they test positive, but research shows that serious illness or mortality are very rare.

Anecdotally, when my brother and his wife recently caught covid, 2/3 of their kids also showed symptoms. But the symptoms were even milder than their vaccinated parents (none of the kids are vaccinated despite 2/3 being old enough) and they recovered in a day or two. My brother and his wife took about 5 days each to recover.

But we still need to quarantine contagious children and take other preventative action to avoid infecting the medically vulnerable.
 

Splinty

Shake 'em off
Admin
Dec 31, 2014
44,116
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I don't know.

But having someone sitting at home to deal with their symptoms until they can't take it anymore feels like the wrong move.

Early at-home treatment > Hospitalization
Just tell me what effective and less harmful and non-limited treatment (since we are already running the wells dry) I should give to the 90% that aren't high risk for hospitalization in the first place.

You'll have to give me something effective by data and it should be pretty cheap and definitely not limited. The cheap part is preference since you are against the cheap vaccines but as we've seen in Texas and Florida we are happy to pay 2k a pop for antibody infusions instead. Effective, less harmful than disease, and not limited is the most important though.
 

Splinty

Shake 'em off
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Dec 31, 2014
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I read something about kids getting myocarditis after the jab. Not sure on the factual nature of it because who fucking knows anymore, but I think it's pretty accepted that kids are low-risk. So why introduce a risk?
Younger patients, particular young men are increased risked for myocarditis after vaccination. Highest rates are seen in young men around 19 or so.

To evaluate whether this is a reason to not get vaccinated you must know the following:
What is the risk of myocarditis after covid infection? Is the myocarditis after covid more or less severe than that of vaccination? How many children will have worse morbidity or mortality from being unvaccinated -- ie, is vaccination myocarditis risk greater than covid M&M as a whole?

But even all that really misses out on the larger picture when considering relative risk.
People assume Measles wasn't dangerous. It was.
So why did people have Measles parties?
Because everything else was killing their kids too and in the world of other things killing kids, it was par for the course.

So the real question is "Does COVID represent a high enough relative risk for a particular population to justify intervening?"
If so, then intervening decreased morbidity and mortality. If COVID is less dangerous than average child hood, who cares?
So how dangerous is COVID now that we aren't in 1950 when you were a teenager?


Covid is 4-5 times higher risk for myocarditis at this time.
Covid myocarditis cases are more severe and more often require hospitalization/ICU and longer hospitalizations.
Covid M&M as a whole is higher than the vaccination M&M.

There is no risk factor so far that is higher for kids getting vaccinated than kids getting covid other than arguments about the unknown for vaccination while ignoring the unknowns for covid recovery.

COVID is a top 10 cause of death in kids. No they don't die much. They don't die of anything much. But is not just "kids". It's kids 5+ and we see a U shaped curve of risk in which newborns have bad outcomes and then 1-5 does great and then it starts to climb again somewhere around 6-7 it starts to out compete pneumonias for killing kids. We already vaccinate for the most common pneumonia and it makes no sense to treat this disease that has a greater relative risk differently.

Should we still be hammering firearms safety, vehicle safety, and drowning? YES. Those are the highest of risk items in childhood. But they are ubiquitous as part of their risk profile and intervening on them doesn't mean NOT intervening a different top 10 risk to children.
 

Big Dummy

Cream of the Crop
Dec 15, 2018
8,319
12,755
Maybe you retards can take a break from trying to save the world and do something productive.

New fight pick template drops next Wednesday.


Pussies.
 

Hauler

Been fallin so long it's like gravitys gone
Feb 3, 2016
45,414
57,814
Just tell me what effective and less harmful and non-limited treatment (since we are already running the wells dry) I should give to the 90% that aren't high risk for hospitalization in the first place.

You'll have to give me something effective by data and it should be pretty cheap and definitely not limited. The cheap part is preference since you are against the cheap vaccines but as we've seen in Texas and Florida we are happy to pay 2k a pop for antibody infusions instead. Effective, less harmful than disease, and not limited is the most important though.
I'm not a doctor - and I hope you aren't taking my Wednesday conference-call ramblings as criticism. I'm wanting people to get better before they have to see you.

Some drugs I've heard mentioned as possible early treatment solutions that could prevent hospitalization...

Ivermectin. Generic.
Hydrochloroquine/Chloroquine. Generic.
Regeneron
Monoclonal antibodies

I don't know. We are 2 years into this thing. I would think we should have a magic drug cocktail that people could take when they first feel something is off - before they need hospitalization.

I don't know shit about shit when it comes to medications. I'm just repeating what I've read. So I do appreciate your professional feedback.
 

Splinty

Shake 'em off
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Dec 31, 2014
44,116
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vermectin. Generic.
Hydrochloroquine/Chloroquine. Generic.
Regeneron
Monoclonal antibodies
Ivermectin data sucks at this point and is mostly political all over. Neutral parties have consistently showed no change in hospitalization.

HCQ has a higher risk profile and we already used it. Didn't work for hospitalization reduction.

We are actively using regeneron. Short supply. Just ran out in our entire state. 2k a pop.

Monoclonal Antibodies covers are drug class. We have a couple in the outpatient setting. Using them. Limited supply. All expensive.

Others:
dexamethasone...more harm than good when used in the undifferentiated outpatient population.

Fluvoxamine. Scant data for hospitalization prevention. Lots of sides like any SSRI and can't use without an EKG in the patients usually at risk for hospitalization.

Budesonide inhalers...insurance won't cover usually. Assume a class effect. Write a cheap steroid inhaler. Likely reduces risk of developing COVID pneumonia.

famotidine, vit d, zinc, et all...homeopathic in hospitalization prevention. If you're deficient, you will get sicker if you are not fixing that ahead of time. But that's more a conversation on comorbidities than treatment after infection as you are talking.




The point?
You're assuming we are just sitting around not treating and being reactive. You think there's some treatment just not being used. Not true.

You seem to understand that the great majority of people are not at severe risk for decompensation. So you should innately understand the conundrum of giving unneeded meds with rare side effects to the 90% that don't need them. No matter then med with the larger population usage you will see more side effects. And even using the treatments you are suggesting, even using them stratified to the the higher risk like old people like you or the obese and unhealthy like Sex Chicken @Sex Chicken we are out of the supplies and spending 13 times as much per treatment vs vaccination.

Vaccines aren't limited.
They are cheaper than the things I've got with great data on effectiveness.
They are more effective than any of my treatments in preventing hospitalization and death.
That's why the focus on vaccines.
Florida and Texas have not focused on vaccines. We are doing exactly what you think we should do -- fuck the vaccines, go get treated. We ran out of treatment supplies with that strategy so now we are begging the feds for emergency assistance.
 

Splinty

Shake 'em off
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Dec 31, 2014
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Also after we are done with this current wave in a month (here maybe not in Ohio) this will all probably be moot as omicron is here to save/overrun us one more time.
 

Splinty

Shake 'em off
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Dec 31, 2014
44,116
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I'm not a doctor - and I hope you aren't taking my Wednesday conference-call ramblings as criticism. I'm wanting people to get better before they have to see you.
Not at all. I am sipping coffee and doing charts.
I'm just pointing out that "why aren't you treating ahead of time?!?!" is a common accusation. And we keep trying different things to do so and they don't work very well or are a million dollars. If you are a big diabetic guy at 55+ you are high risk for falling apart and punching right through the minimal effect of anything we've got short of antivirals and antibody cocktails.


I don't know. We are 2 years into this thing. I would think we should have a magic drug cocktail that people could take when they first feel something is off - before they need hospitalization.
Sure it's possible that we haven't repurposed enough etc. Right there with you. I'm frustrated as well.
But the machine turns slowly and each time we think we've got said cocktail it either doesn't work out in the controlled trials or its a million dollars and big pharma is jerkin off to the profits. This isn't unlike most of medicine right now that is going through a major shift to antibodies and other highly targeted therapies. They work...and they are mostly limited and cost prohibitive.
 

Hauler

Been fallin so long it's like gravitys gone
Feb 3, 2016
45,414
57,814
Also after we are done with this current wave in a month (here maybe not in Ohio) this will all probably be moot as omicron is here to save/overrun us one more time.
I have a mandatory business trip I'm hoping gets cancelled due to Covid. It's slated for March.

What are my chances that it's shut down again like last year?
 

Splinty

Shake 'em off
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Dec 31, 2014
44,116
91,095
I have a mandatory business trip I'm hoping gets cancelled due to Covid. It's slated for March.

What are my chances that it's shut down again like last year?
depends on the location I guess.

I cancelled a trip to Japan around that time because Asia is both high alert due to their SARS history and also Japan's xenophobia that blames foreigners for everything.

My guess though? There isn't an appetite to cancel much in most of the Country. Omicron is insanely fast moving and should peak everywhere in the next 6-8 weeks. It's already coming on board here hard and I expect to see some resource limitation in the next week or two followed by the usual recovery from getting people home or dying.

Those timelines would put most of us on the down slope by March. But until you see the hospitals empty out some places are going to hang on to restrictions longer than others.
 
M

member 3289

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Splinty @Splinty hasn't Casirivimab/imdevimab (Regeneron for the normies) been shown to be less effective at treating Omicron?
 

Filthy

Iowa Wrestling Champion
Jun 28, 2016
27,507
29,834
2 years into the pandemic they've finally admitted here that everyone who receives a COVID test while under hospital care is then counted under being on hostpial, ICU, etc as "COVID".
Is that Canukistan exclusive? FWIW, we're talking about deaths, and the process for classifying deaths regarding infectious diseases coupled with other conditions hasn't changed in the US...@paging Splinty @Splinty