My friend who is a doctor at Madigan (Army medical Center in Washington) Has been posting tons bemoaning the lack of proper PPE. He's also posted a few videos/links.. Sorry if any of these have already been posted. Quoted items are his captions.

Quote:

---

To my medical friends.
I've been saying this all along (sorry to my co-workers who hear this daily) - although this virus is mostly spread via droplet/contact, it has clear airborne tendencies and we must have higher levels of protection as equipment/resources become available.
Many of the countries that use airborne precautions have greatly decreased their healthcare workers illnesses. This also yields better patient outcomes and decreases nosocomial infections in the hospitals. Those facilities that don't abide by these precautions suffer great healthcare worker disruption (we get sicker and are quarantined often) - a la China early on, Italy and NYC right now. Look deeply at your hospitals - it is all too often that 1-2 initial Covid patients causes many more fold of healthcare workers to become exposed because we aren't taking the correct precautions. Unfortunately, our country downgraded precautions in early March likely due to our inadequate protective equipment (my educated opinion). Please keep abreast of the evolving body of research that shows that Covid-19 is small, can be carried on micro-droplets, can be aerosolized, and can be airborne for many hours. Knowing this will encourage you to be more mindful in various places of your hospital were the concentration of Covid patients are high.

---

https://www.msn.com/en-us/news/us/the-lost-month-how-a-failure-to-test-blinded-the-us-to-covid-19/ar-BB11Qo84?fbclid=IwAR2ALmkwL8rVBWF0Gd80dYwIZATXAzdLgatr0NQNFz15ZpW7ZN4yYzkVAv8

Quote:

---

I think this is a great interview for the non-medical people to listen to. It is a short talk followed by Q&A from a Critical Care Physician in NYC.
My take-away points from his talk are:
1. Know that Covid-19 is in your community. This should not scare you, but remind you to take control and be safe.
2. Become a "hand nazi". Keep your hands clean all of the time and use Purell before and after you touch any high traffic item in public if you must use your hand. Surprisingly, your elbow and butt can open doors (I added that part).
3. Be more psychologically aware of not touching your face. The general public should be encouraged to wear simple surgical masks in public (more so as a reminder to avoid touching their face).
4. As noted above, he recommends the general public to use surgical masks in public (at least during the peak of this crisis) for droplet mitigation but to also prevent touching your face. The general public has no use for wearing N95 masks (unless you are immunocompromised). Save the N95 masks for the healthcare workers.
5. Keep your 6+ feet of social distancing.
6. Shrink your social circle now.
7. If you have a sick family member at home, keep them in a separate room and separate bathroom if possible. If they must interact with the family, they must wear a mask. Wipe down anything they touch/contact.
8. As sick people feel better (fever stops), continue precautions for another week. Have them wear a mask as they increase their social interaction/return to work during this time.
9. Treat all cold and flu-like symptoms as a possible Covid-19 until you are certain what it is.

---

Quote:

---

It is essential that those on the frontlines are properly protected. Doctors, nurses, paramedics and techs are not easily replaced.

---

https://www.theatlantic.com/ideas/archive/2020/03/were-failing-doctors/608662/?utm_source=feed&fbclid=IwAR0eKUufKlQq9F4ygXBmLAIGiS2kHWQIk7WNBgz7uwAGaIx6Z6xdFnbXBNk


https://www.kevinmd.com/blog/2020/03/we-are-not-expendable-we-are-not-replaceable.html?fbclid=IwAR0veFfYhaxA0zegfzocm0aFuqFZE0G81B_G1gtRBsC5n-xZLydwSa0doYI

Big drop in reported deaths today, and number of new cases declined. Only one data point but let's see if last week's warm weather creates fewer reported cases this week.

swimmerbabe11 said:

---

---

Wow.

Nice study posted by diyala nick on cytokine storms

https://www.jci.org/articles/view/137647/pdf

Damn, this will upset some of the usual suspects.

Crazies disoriented and desperately trying to focus their attacks to topple President Trump. Still have not learned any President Trump attack plan is a loser plan.

You aren't as astute as you think you are. Have a nice night.

IrishTxAggie said:

---

---

Real conflict for Trump haters now. Do they want this to work?

They are currently gathering their notes and making calls for their next responses to counter this unforseen event.

houag80 said:

---

You aren't as astute as you think you are. Have a nice night.

---

So you think some aggies are cheering for the death of fellow Americans? Really?

Philip J Fry said:

---

houag80 said:

---

Damn, this will upset some of the usual suspects.

---

Ridiculous comment. Nobody is cheering for the virus. This is great news.

---

It is fantastic news

Philip J Fry said:

---

houag80 said:

---

You aren't as astute as you think you are. Have a nice night.

---

So you think some aggies are cheering for the death of fellow Americans? Really?

---

If means Trump losing in November absolutely the left is sick

the last of the bohemians said:

---

Big drop in reported deaths today, and number of new cases declined. Only one data point but let's see if last week's warm weather creates fewer reported cases this week.

---

The drop in deaths is fantastic news. The drop in reported cases doesn't mean anything sadly.

We processed 12% less COVID-19 tests today than yesterday, and new cases dropped 5%. Means that accuracy is going up, but the # positive cases is just a function of testing capacity and nothing more.

aginlakeway said:

---

IrishTxAggie said:

---

---

Real conflict for Trump haters now. Do they want this to work?

---

I hate Trump.

Of course I want this to work. I've been skeptical because the early studies were bad, but I've been hoping this would be some kind of magic bullet and we can all go back to work soon.

Don't be an *******.

houag80 said:

---

Did I stutter? You're a bright one supposedly, you figure it out.

---

I honestly can't tell because you've been hiding behind your internet toughguy act instead of actually saying what you mean.

Just because I happen to agree with the administration that we are looking at hundreds of thousands of deaths from this virus in no way means I am ****ing rooting for it to happen.

Just crazy to think about when put into those terms. Quite amazing to be living through this period of history

Everyone should watch this update. Solutions and answers galore.

Main take away...Wear a mask

Shanked Punt said:

---

Mr.Infectious said:

---

---

I'm sure there were people back then that were saying this black plague thing is no different than a bad flu.

---

The bigger problem was that they had a bunch smug know-it-all's who didn't actually know anything.

"Don't you know What exponential Growth even Is? No one should have to pay rent or go to work"

"Don't you even realize you should be carrying posies!?"

Had a minor quibble. That Science paper (which we've talked about here for a bit) isn't "proof" that 86% are mild/asymptomatic. It is a model that suggests 86% went undetected. We "needed" the cases to make the math work, and they weren't there. It's like we saw their shadow but not them.

Things that could cause that:
- not wanting to get welded in your house
- inability to get tested
- insensitivity to symtpoms (same folks might notice the same things today)
- inability to see a doctor
- lies by Chinese gov't wrt data
- and of course asymptomatic cases

It's a data point along the way. All sorts of studies will be done to come to the best conclusion.

We need to get to herd immunity to get back to normal functioning society. First glance, 35MM is the number we need in the US. That will change +/- as we learn more.

This will go nowhere.

"The virus in China is probably pretty bad" is not inside information.