Latest Coronavirus - Yikes

[SmokyRiverDog]

You think the West Coast CORO is weaker than the East Coast? I was having this discussion with a friend, yesterday. Seems that way, absent any definitive evidence.

Oddly enough, that seems to be what I've been reading. The West Coast version is straight from Asia, and the East Coast version is filtered through Europe. I still think viral load within heavily packed public transportation has to be some sort of factor, though. Also, did I read someone mention that there are 3 variants of this thing with varying severities? I've read so much, but I swear I saw that at one point.

 

[FLVOL_79]

So the Wuhan Virology lab that people accuse of creating this virus was experimenting on a 1000 bats that were pulled from caves in Yunnan where the virus has been genetically detected to have come from while receiving US government funding...

Yeah, if true, nothing to see here...

U.S. government gave $3.7million grant to Wuhan lab that experimented on coronavirus source bats | Daily Mail Online

 

[DynaLo]

Stanford thinks it's been here as early as October

Which would make the earlier questions posed more relevant concerning how many pneumonia deaths before January, that were attributed to the flu, were actually caused by this virus

 

[TennTradition]

Oddly enough, that seems to be what I've been reading. The West Coast version is straight from Asia, and the East Coast version is filtered through Europe. I still think viral load within heavily packed public transportation has to be some sort of factor, though. Also, did I read someone mention that there are 3 variants of this thing with varying severities? I've read so much, but I swear I saw that at one point.

The Washington illnesses seem to have come straight from China - but from what I’ve read the California illnesses have a healthy mix of China, Washington, and New York.

 

[Volsfaninva917]

I came back from SF area in late December after being around large crowds on a daily basis. Was laid out for two days. Had a lingering cough for a week or two. Got tested for flu and came back negative. Should add that my kids got absolutely nothing, despite being around me.

I got sick in February, didn't test me for the flu they just assumed it was. 102 fever for about 5 days, dry cough the next week I was incredibly weak but my fever was going. Took me about 3 weeks to get better, my wife and kids never got sick

 

[evillawyer]

This is good news. Ventilators LEAVING NYC.

 

[SpaceCoastVol]

Utterly ridiculous post.

No one is "cheering on the virus" to spite Trump. Reality is reality. Acknowledging the reality and working to improve the situation are due to be commended as wise, not resentful.

bullsqueeze. And on top of that, you trashed him for 'being racist with the travel ban' now you trash him for not acting soon enough.


8 more years

 

[Purple Tiger]

While the Holy Spirit is leading me to dress up in my Easter best and set on my couch for Easter services tomorrow, I’m not going to question that The Spirit might be leading other (with God’s hand of protection covering them) to attend services in person...we see in the Book of Daniel where God expects His children to obey Him.

The Holy Spirit is not leading anyone to go to church. Orneriness, selfishness and insensitivity are leading people to church. Don't blame God for people's lack of common sense.

 

[newyorkvol]

Fear not! Joe has a plan:

Joe Biden: My Plan to Reopen America After the Coronavirus

My cynical summation....
1) find a cure/vaccine faster
2) re-open economy as slow as possible
3) blame problem on current administration

 

[newyorkvol]

This is good news. Ventilators LEAVING NYC.

So Andrew had 30,035 ventilators??

But I agree it’s good news.

 

[Volsfaninva917]

I don't think so, but what's the other side of that coin? That the people saying that we need to get back to work, wile disregarding the need for a sensible plan, are willing to sacrifice American lives so Trump can claim a recovering economy? Which is more absurd?

Come on guys, are we really gonna do this today?

People need to get back to work because the economic carnage is already going to be a lot to over come regardless of who's president the next 4 years. And yes, there are people out there throwing shade at positive news and blasting the negative that in itself is cheering on the virus

 

[NurseGoodVol]

English please

A ventilator can be set up several ways. With every breath that we control with a ventilator certain levels of pressure are delivered with every breath. The goal is to open wider or hold open longer the alveoli which are the oxygen exchangers for the lungs. In that same process Co2 is exchanged.
Ards (adult respiratory distress syndrome) and covid 19 pts have alveoli that are compromised but the compromise is different.

Best example I can give is a balloon. Blowing an empty collapsed balloon takes an initial force to open up a balloon. That's forced inspiratory pressure. You can blow up a balloon filled with water and still have a high % of surface area available for air exchange. (ARDS). You blow up a balloon that is 3 times thicker with water in it... Covid alveoli.
Letting the air out of the balloon is important too. When you take a balloon and pull on both sides of the top and it makes that screetchy sound... You just added PEEP ( Positive end expiratory pressure). It controls how long and with how much pressure you exhale.
Vent PEEP for any pt is 5-8. ARDS 10-12 and the covid pts I cared for 14. If we tried to reduce their PEEP to 12 their oxygen content in their blood would drop to half of what it was.
The reason this is such a concern Is too little oxygen and the body reacts and becomes acidic which will eventually kill you. Too much pressure can cause barotrauma to the lungs and permanently damage the lungs.
It is what it is. We don't have a comparable template to run this on. We are reducing oxygen slowly then reducing PEEP. We do recruitment measures in which we take their PEEP to 22-24 for x minutes, then slowly reduce it over 10 minutes. It in effect " blows them open" and we see oxygenation get much better and the pt then expends much less energy to breath. Mind you this procedure drops their BP dramatically so Im in the room controlling the BP with IV meds. It can take up to an hour to get them stabilized again.
I've left out several other factors that we consider when ventilating a pt.

 

[0nelilreb]

This is good news. Ventilators LEAVING NYC.

Downstate ? From NYC?

 

[lawgator1]

bullsqueeze. And on top of that, you trashed him for 'being racist with the travel ban' now you trash him for not acting soon enough.


8 more years

I did?

Link?

 

[Purple Tiger]

Like most celebrated Christian Holidays, the time frame for Easter was originally chosen to coincide with Ostara, the Spring Equinox celebrated by Pagan religions. The Spring Equinox is historically celebrated as the rebirth of Mother Earth by the goddess Eostra from the death of winter and is still celebrated by neopagans and Wiccans.

Easter was originally Pascha or Passover to the first Christians, who were Jews.

 

[Stew Cook]

The Washington illnesses seem to have come straight from China - but from what I’ve read the California illnesses have a healthy mix of China, Washington, and New York.

So, if the east coast one proves more fatal or aggressive than the west coast's, I suppose their wouldn't be any denying that the virus is mutating, and apparently for the worse.

 

[DinkinFlicka]

Huner spend it and help the people that actually need the money. As soon as my haircut place opens up I'm giving a $50 tip for the person that cuts my hair. Every service industry person I can find to give work to I am going to. I don't need the money either, but I'm going to pass it along to the ones that do.

It's funny that @MOOOOONEY and @1972 Grad liked this post because they **** on the original service industry job every chance they get. Lmao.

Major props to you though. That's a thoughtful and classy move.

 

[TennTradition]

So, if the east coast one proves more fatal or aggressive than the west coast's, I suppose their wouldn't be any denying that the virus is mutating, and apparently for the worse.

If there really was a difference then yes the genetic code of the virus would be readily distinguishable and outcomes would have to be tracked carefully to ensure there really is a difference in outcome. So far mutations have been slow and minor, as far as we know.

 

[Stew Cook]

It's funny that @MOOOOONEY and @1972 Grad liked this post because they **** on the original service industry job every chance they get. Lmao.

Major props to you though. That's a thoughtful and classy move.

Mooney and 72 **** on prostitutes? I've heard of this sort of thing, but they better be giving good tips, is all I have to say.

 

[BP4Prez]

This is good news. Ventilators LEAVING NYC.

Good news, indeed.

 

[hUTch2002]

I think that it will ultimately have to run through percentages that high - IF the R0 is as high as the scientists who study it think it is. Weather might push that down for the summer which means people wouldn’t start getting further infected en masse until fall. But if you’re not social distancing and the R0 goes back up, more people have to get infected to get to the equilibrium level for uninfected people (here immunity). Unless a vaccine artificially lowers that ‘uninfected’ portion of the population or the estimates on R0 are wrong.

I’m afraid people are putting a lot of hope in a potential vaccine but there’s no guarantee there will ever be one. My guess is that it’ll be more like the flu shot, not a true vaccine but something that helps some, yet certainly not all, as it affects everyone differently and will mutate.

 

[TennTradition]

I’m afraid people are putting a lot of hope in a potential vaccine but there’s no guarantee there will ever be one. My guess is that it’ll be more like the flu shot, not a true vaccine but something that helps some, yet certainly not all, as it affects everyone differently and will mutate.

That should depend on how quickly and significantly it mutates. Perhaps a MD can correct me if I’m wrong, but I believe influenza can have the problem of more frequent mutation with multiple strains in circulation. However, in our limited experience this far with this coronavirus I think mutations have been minor (but very we have been observing for a fairly limited time).

 

[Rickyvol77]

This is good news. Ventilators LEAVING NYC.

I guess 3 million ventilators to go?

 

[Orangeburst]

So, if the east coast one proves more fatal or aggressive than the west coast's, I suppose their wouldn't be any denying that the virus is mutating, and apparently for the worse.

Would this help explain why we are hearing it is possible to get reinfected with another strain, just as you can with the flu even though you had a flu shot? By next year the vaccine may not even be very effective. JMO as I do not know how they target new flu strains year to year but I assume it is pretty much a guess.

 

[volfanjustin]

Utterly ridiculous post.

No one is "cheering on the virus" to spite Trump. Reality is reality. Acknowledging the reality and working to improve the situation are due to be commended as wise, not resentful.

If this virus has the economic impact it seems to be having and causes Trump to lose in November, I wouldn’t be surprised to see a lot of praise of the virus coming from the left. The person who released it from the lab may even get a spot speaking at the dems convention.