Posted on 03/09/2020 6:52:20 PM PDT by PPSman
A person, who attended the 2020 Conservative Political Action Conference (CPAC), tested positive for the Wuhan coronavirus (COVID-19).
Mainstream media has gone mad reporting this fact:
(Excerpt) Read more at economicpolicyjournal.com ...
Our neighbrhood had a water pipe burst and then some a couple winters ago...everybody went to the stores nearby for water and the clerks wanted to know what was going on because the shelfs were sold out.
Number of ventilators in the U.S.:
https://www.ncbi.nlm.nih.gov/pubmed/21149215
Second, the fundamental pathophysiology of severe viral pneumonia is acute respiratory distress syndrome (ARDS).2
Non-invasive ventilation is not recommended for patients with viral infections complicated by pneumonia because, although non-invasive ventilation temporarily improves oxygenation and reduces the work of breathing in these patients, this method does not necessarily change the natural disease course.6
https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(20)30110-7/fulltext
When the ventilators are all spoken for, what do hospitals do?
Abstract
OBJECTIVE:
The supply and distribution of mechanical ventilation capacity is of profound importance for planning for severe public health emergencies. However, the capability of US health systems to provide mechanical ventilation for children and adults remains poorly quantified. The objective of this study was to determine the quantity of adult and pediatric mechanical ventilators at US acute care hospitals.
METHODS:
A total of 5,752 US acute care hospitals included in the 2007 American Hospital Association database were surveyed. We measured the quantities of mechanical ventilators and their features.
RESULTS:
Responding to the survey were 4305 (74.8%) hospitals, which accounted for 83.8% of US intensive care unit beds. Of the 52,118 full-feature mechanical ventilators owned by respondent hospitals, 24,204 (46.4%) are pediatric/neonatal capable. Accounting for nonrespondents, we estimate that there are 62,188 full-feature mechanical ventilators owned by US acute care hospitals. The median number of full-feature mechanical ventilators per 100,000 population for individual states is 19.7 (interquartile ratio 17.2-23.1), ranging from 11.9 to 77.6. The median number of pediatric-capable device full-feature mechanical ventilators per 100,000 population younger than 14 years old is 52.3 (interquartile ratio 43.1-63.9) and the range across states is 22.1 to 206.2. In addition, respondent hospitals reported owning 82,755 ventilators other than full-feature mechanical ventilators; we estimate that there are 98,738 devices other than full-feature ventilators at all of the US acute care hospitals.
CONCLUSIONS:
The number of mechanical ventilators per US population exceeds those reported by other developed countries, but there is wide variation across states in the population-adjusted supply. There are considerably more pediatric-capable ventilators than there are for adults only on a population-adjusted basis.
Comment in
Survey of mechanical ventilators in US acute care hospitals: a baseline for critical care surge capacity planning. [Disaster Med Public Health Prep. 2010]
62,188 full-feature mechanical ventilators owned by US acute care hospital
&&&&&
Note: This was 2007. So, let’s say we are up to 75,000.
If 10% require hospitalization, it would seem we hit max capacity at 750,000-1,000,000 infected.
Have you looked at the projections? We’ll be there in a couple months.
Here’s the name of the “experts”:
Rubinson L1, Vaughn F, Nelson S, Giordano S, Kallstrom T, Buckley T, Burney T, Hupert N, Mutter R, Handrigan M, Yeskey K, Lurie N, Branson R.
Author information
1
National Disaster Medical System, 409 C Street, Suite 330, Washington, DC 20224, USA. lewis.rubinson@hhs.gov
**
I understand denying reality is part of the grief process. However, it’s amazing otherwise reasonable people on FR fail to accept reality.
Do you think that Italy is nothing like America?
Or people are going to self-quarantine? Some fool this week went to a father-daughter dance and had his daughter on an Amtrak train cross country when he was told to self-quarantine.
The cat is out of the bag.
Dude, I’m stealing your sign!
Great (sourced) info you are posting.
The normalcy bias, here, is startling.
A google doc updated daily as to the count per state:
This was the worst story in the U.S. aside from the CPAC folks. This guy was in TIMES SQUARE for a medical conference. Not good.
https://abc7ny.com/health/man-hospitalized-in-nj-for-covid-19-speaks-about-virus/5997049/
opps! ‘Milan’ I intended...
So why was the guy given medications being used in a trial and approved by Chinese authorities to help him recover???? That is if he’s in NJ Hospital why do they need China’s approval?????
Lots of questions aout his case as I see it.
Pretty sure, by the way, an attorney friend of mine got corona. She had pneumonia, flu, sore throat, dry coughs, and was put out of commission. This is in Houston, Texas. No formal testing, but I doubt that’s a regular flu.
If only Bloomberg had given each of us a million dollars instead of buying ad time.
Article from an Italian newspaper and online translator:
Source:
Coronavirus in Bergamo, doctor Humanitas on Facebook: “dramatic situation, other than normal flu»
The transformed wards and the “war” in the lane or in the emergency room: “patients do not breathe, they come here because they need oxygen.” “We must hope that our organism will eradicate covid-19 on its own»
by Redazione Bergamo online
Generic photo, first aid
Generic photo, first aid
shadow
We publish the intervention on social media of Daniele Macchini, doctor at the clinics Humanitas Gavazzeni. An important testimony about the real extent of the coronavirus and about doctors in the trenches to cope with the emergency.
“In one of the constant emails I receive from my health management on a more than daily basis these days, there was also a paragraph titled “Doing social responsibly”, with some recommendations that can only be supported. Having thought for a long time whether and what to write about what is happening to us, I felt that silence was not at all responsible. I will therefore try to convey to the people “not involved in the work” and further away from our reality, what we are living in Bergamo in these days of Pandemic from Covid-19. I understand the need not to create panic, but when the message of the danger of what is happening does not reach to the people, and I feel anyone who still cares about the recommendations and the people that you group complaining of not being able to go to the gym or to do soccer tournaments, I shudder. I also understand the economic damage and I am also concerned about that. After the epidemic the drama will start again.
But, aside from the fact that we are literally devastating, even from the economic point of view, our national health System, I would put it to a higher importance of the damage to health that there is a risk in the whole country, and I find it nothing short of “chilling”, for example, that we have not yet established a red zone already required by the Region, the municipalities of Alzano Lombardo and Nembro (I should point out that this is pure personal opinion). I watched with a little amazement the reorganization of the entire hospital in the previous week, when our enemy, the current was still in the shadows: the departments plan plan literally “emptied”, the activities elective interrupted, the intensive therapies liberated to create as many beds as possible. Containers arriving in front of the emergency room to create diversified routes and avoid possible contagion. Throughout this rapid transformation brought in the corridors of the hospital an atmosphere of silence and emptiness surreal still not understood, waiting for a war that had yet to start, and that many (including me) were not so sure it would have never arrived with such ferocity (I open a parenthesis: this all in silence and without pubblicizzazioni, while several newspapers had the courage to say that private health care was not doing anything).
I still remember my night guard a week ago spent unnecessarily without turning a blind eye, waiting for a call from the microbiology of the sack. I was waiting for the outcome of a swab on the first suspicious patient in our hospital, thinking about what consequences there would be for us and the clinic. If I think back, it seems almost ridiculous and unjustified to me that my agitation for only one possible case, now that I have seen what is happening. Well, the situation now is nothing short of dramatic. No more words come to mind. The war has literally exploded, and the battles are uninterrupted day and night. One after another, the poor unfortunate people show up in the emergency room. They have far from the complications of a flu. Let’s stop saying it’s a bad flu. In these two years I learned that bergamasks do not come to the emergency room at all. They behaved well again. They followed all the directions given: a week or ten days at home with a fever without going out and risking infection, but now they can not take it anymore. They don’t breathe enough, they need oxygen. Drug therapies for this virus are few.
The course depends mainly on our organism. We can only support him when he can’t take it anymore. It is mainly hoped that our organism will eradicate the virus on its own, let’s face it. Antiviral therapies are experimental on this virus and we learn day after day its behavior. Staying at home until symptoms worsen does not change the prognosis of the disease. Now, however, has arrived that need for beds in all its drama. One after another the wards that had been emptied, fill up at an impressive pace. The boards with the names of the patients, of different colors depending on the operating unit they belong to, are now all red and instead of surgery there is the diagnosis, which is always the same cursed: bilateral interstitial pneumonia. Now, explain to me which flu virus causes such a rapid drama.
Because that is the difference (now I get a bit technical): in the classical influence, aside from infect a lot less of the population over a period of several months, the cases may complicate less frequently, only when the virus by destroying the protective barriers of our respiratory system allows bacteria normally resident in the high way to invade the bronchi and lungs causing more severe cases. The Covid 19 causes a banal influence in many young people, but in many elderly (and not only) a real Sars because it gets directly into the alveoli of the lungs and infects them making them unable to perform their function. The resulting respiratory failure is often severe and after a few days of hospitalization the simple oxygen that can be administered in a ward may not suffice. Sorry, but to me as a doctor does not at all reassure that the most serious are predominantly elderly with other pathologies. The elderly population is the most represented in our country and it is difficult to find someone who, over the age of 65, does not take at least the pill for pressure or diabetes.
I assure you that when you see young people that ends up in the intensive care unit, pronata or worse in Ecmo (a machine for the worst cases, which extracts the blood, and re-oxygenates it and returns it to the body, in the expectation that the body will, hopefully, heal her lungs), all of this peace of mind for your young age pass. And while there are still people on social media who boast of not being afraid by ignoring the indications, protesting because their normal life habits are “temporarily” in crisis, the epidemiological disaster is being carried out. And there are no more surgeons, urologists, orthopedists, we are only doctors who suddenly become part of a single team to face this tsunami that has overwhelmed us.
Cases multiply, we arrive at rates of 15-20 admissions per day all for the same reason. The results of tampons now come one after another: positive, positive, positive. Suddenly the emergency room is collapsing. Emergency provisions are issued: help is needed in the emergency room. A quick meeting to learn how the first aid management software works and a few minutes later they are already downstairs, next to the Warriors who stand at the front of the war. The screen of the pc with the patterns of the accesses is always the same: fever and respiratory distress, fever and cough, respiratory failure, etc.... examinations, the radiology always with the same sentence: interstitial pneumonia, bilateral. All to be admitted. Someone already intubating goes to the ICU. For others it is late. Intensive care becomes saturated, and where intensive care ends, more are created. Every fan becomes like gold: those of the operating rooms that have now suspended their non-urgent activity become places of intensive care that did not exist before. I found it incredible, or at least I can speak for Humanitas Gavazzeni (where I work) how we managed to put in place in such a short time an deployment and reorganization of resources so finely engineered to prepare for a disaster of such magnitude. And every reorganization of beds, wards, staff, work shifts and duties is constantly reviewed day after day to try to give everything and even more. Those wards that previously looked like ghosts are now saturated, ready to try to give the best to the sick, but exhausted. The staff is exhausted. I saw fatigue on faces that didn’t know what it was despite the already grueling workloads they had. I saw people stop even beyond the hours they used to stop already, for overtime that were now customary. I have seen a solidarity of all of us, who have never failed to go to fellow internists to ask “ what can I do now for you?”or” leave that shelter alone that I’ll take care of.” Doctors who move beds and transfer patients, who administer therapies instead of nurses. Nurses with tears in their eyes because we can not save all and the vital parameters of several patients at once detect an already marked fate. There are no more shifts, schedules.
Maybe if we just asked him, real nice.
Junk mail?
Consistent with this doctor’s account as well:
https://twitter.com/jasonvanschoor/status/1237142891077697538
Good luck to her!
Old newspapers work pretty well.
Remember all the old memes & cartoons about a Sears catalog in the outhouse?
I actually looked on the web to see if something homemade could be rigged up! Found a video of some family in India(?) where somebody has been hand pumping the balloon type thing for two years or something crazy. Family and friends take turns squeezing it for the guy.
Someone on FR posted this:
CORONO TREATMENT
This bug causes a ‘cytokine storm’, like the Spanish Flu did. It will kill healthy young people as well. With a quickness.
From what I understand, the Spanish Flu (and by extension the new A-H1N1 variant) kills by provoking an immune system hyper-response, sometimes called the “Cytokine Storm” which severely damages the lungs and causes Acute Respiratory Distress (ARD) resulting in oxygen deprivation to the internal organs.
Here is an over the counter (OTC) formula that inhibits some of the major inflammatory mediators, and is now being suggested as a way to stave off ARD. All four factors must be included.
1a) A prescription ACE-2 inhibitor anti-hypertension drug. (Note: Healthy folks w/normal BP would experience a crash in BP, fainting, et al. Those already on other types of BP lowering meds would experience the same.)
-or-
1b) If unavailable, 15,000 IU of Vitamin D (Note: 15,000 IU is a huge dose of Vitamin D, a fat soluble vitamin. This means excess Vitamin D is stored in the liver, rather being excreted. The half life of Vitamin D is roughly three weeks, and Vitamin D toxicity can cause serious problems)
2) Histamine-1 blocker. Benedryl or the equivalent.
3) Histamine-2 blocker. Tagamet or the equivalent (normally used to block acid reflux.)
4) Ibuprofen. Advil or the equivalent, a prostaglandin blocker.
In addition, it is also recommended to maintain just the MDAR of Vitamin A. Being short of Vitamin A is associated with having an excess of a very powerful inflammatory mediator called TNF-1. But it is easy to take too much Vitamin A, which is toxic. High doses of the provitamin Beta-carotene, which the body converts to Vitamin A, might work as well as straight Vitamin A, and are much less toxic.
Care should be taken to avoid “health foods” that can artificially enhance the immune system, something to be avoided when there is the prospect of ARD.
This was extracted from an earlier thread I’ve lost track of, with some comments on Vitamin D from NautiNurse, and on ACE-2 inhibitors from reformedliberal added, and a flat out guess on Beta Carotene from me...
PA Engineer added:
N-Acetylcysteine (NAC) is also well documented. I’ll post some of the studies later.
on 01/27/2020
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