B/CS number of cases update? 11-17-20 Staff Edit on OP

802,856 Views | 5546 Replies | Last: 12 hrs ago by trouble
FlyRod
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Could you link to that NYT piece please? Thanks.
CSAG96
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AG
Went to HEB today. I would say 75-80% masked. Maybe hit different stores in town
K2T2
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Wow, which HEB? I visit Tejas Center and Tower Point HEBs, and besides employees, maaaaybe 20% of people are masked. When I visit Aldi, though, most people are masked.
ColonelCoinCollector
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K2T2 said:

Wow, which HEB? I visit Tejas Center and Tower Point HEBs, and besides employees, maaaaybe 20% of people are masked. When I visit Aldi, though, most people are masked.


same
Rapier108
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62 New Cases
91 New Tests
0 New Deaths
27 In the Hospital (-2)

77801 +5
77802 +7
77803 +19
77805 +1
77807 +2
77808 +4
77840 +9
77845 +15

http://brazoshealth.org/sites/default/files/inline-files/6.20.20.pdf
"If you will not fight for right when you can easily win without blood shed; if you will not fight when your victory is sure and not too costly; you may come to the moment when you will have to fight with all the odds against you and only a precarious chance of survival. There may even be a worse case. You may have to fight when there is no hope of victory, because it is better to perish than to live as slaves." - Sir Winston Churchill
saltydog13
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AG
So an overall 2% death rate and 0% for those under 50?
trouble
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Yessir
CSAG96
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Jones Crossing. I shopped at 10am. Maybe the unmasked were at work or sleeping? Who knows. In general, I have felt safe at the stores. It has been private settings where things can get sketchy in my opinion. Who really know though? Most accounts are just our anecdotal experiences.
lockett93
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Spreadsheet updated.

https://docs.google.com/spreadsheets/d/11DhOiIPQwUQ5teJsvOV_JYp-zDkE4Eq5bQ91fud7y9Q/


Travel cases disappeared and are now community spread.
dubi
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Dr Frank has updated Sweden with the actual date of death.

Reported cases (red dot).
Actual deaths (black dot)
"Projected" deaths is the maroon line which showing diminishing spikes.

Perhaps this would be our graph if we had not closed our country for 3 months?

Protect the elderly and the immuno compromised and keep on living! Wash your hands and social distance!!!!!

Is Not a Turtle
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Something on my mind that is close to this so I will post it here and I would love to hear from any local docs on the matter:

How have the methods of treatment and treatment schedules improved/changed from the initial wave of the disease? I feel like we get no updates in the form of "we've learned X about COVID and it's treatments and we are having Y outcomes based on these factors."

I would like to know how predicted outcomes have changed and how that plays into this conversation. Personally, I would feel better about the virus and it's treatment if I knew the doctors have a plan to treat every patient with contingencies for the ways in which the virus advances.

That conversation does not appear to happen locally, regionally, or nationally on any level regarding the virus and it's an important one.

Would you feel better if they said, "with current treatments, social distancing, and mask wearing our expected outcomes are decreasing patient mortality."

I know I would. So my question to any doctor/nurse/administrator, is there a plan of care and treatment that is helping patients beat this thing and is it known in medical communities? I don't need specifics, just confidence in a plan.
FlyRod
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Agreed...more info would be welcome. I'd also like to see some numbers on the "recovered" category suffering long term effects, organ damage, etc. and that breakdown by age group.
Rapier108
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FlyRod said:

Agreed...more info would be welcome. I'd also like to see some numbers on the "recovered" category suffering long term effects, organ damage, etc. and that breakdown by age group.
Most people are not suffering long term problems. While the Coronaboard acts like it is nearly 100%, it is not and never has been.

Those that are, are the ones who suffer severe illness, meaning those who are already at high risk for complications.
"If you will not fight for right when you can easily win without blood shed; if you will not fight when your victory is sure and not too costly; you may come to the moment when you will have to fight with all the odds against you and only a precarious chance of survival. There may even be a worse case. You may have to fight when there is no hope of victory, because it is better to perish than to live as slaves." - Sir Winston Churchill
FlyRod
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I'll wait and see what the data say on the subject.

https://www.vox.com/platform/amp/2020/5/8/21251899/coronavirus-long-term-effects-symptoms

https://www.usatoday.com/story/news/health/2020/06/20/coronavirus-covid-19-symptoms-can-last-months-some-patients/3207573001/
KidDoc
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AG
Note that I am an outpatient pediatrician so I have no personal experience treating inpatient severe COVID.

Locally we get weekly updated treatment protocols based on international data that is building up week by week. Treatments and outcomes are improving, as noted in the Dexamethasone data this week, but still a lot to learn. There are lots of treatment options that are still under review and unproven.

The post exposure or prophylactic use of HCQ is interesting but it is hard to prove your treatment works when > 99% of the patients would have a good outcome without treatment.

No idea on how the A&M BCG study is going.



No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
new straw
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I am a nurse who rotates through one of the COVID units 1-2 shifts per week. Treatment plan is on a case By case basis. Like the doc said, dexamethasone is the newest drug we are using. Remdesivir is dependent on pre existing conditions and only prescribed by an infectious disease specialist. Still using azithromycin for most cases. That is usually discontinued after we ensure there isn't a secondary bacterial infection. Research is ever evolving, but in general, there is a protocol.
oklaunion
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Rapier108 said:

FlyRod said:

Agreed...more info would be welcome. I'd also like to see some numbers on the "recovered" category suffering long term effects, organ damage, etc. and that breakdown by age group.
Most people are not suffering long term problems. While the Coronaboard acts like it is nearly 100%, it is not and never has been.

Those that are, are the ones who suffer severe illness, meaning those who are already at high risk for complications.
I am not sure how you make that claim as this virus has been around for less than half a year. How does a doctor know what long term problems may occur if a person is never seen or admitted and simply suffered through the initial effects? The linked article above regarding long term effects states the virus has attached or has the potential to attach to various organs and impart damage. Maybe the damage won't surface as an acute, short term symptom but to say most people are not suffering long term problems is a bit early to say in my opinion.

But I hope you are correct.
SPI-FlatsCatter 84
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KidDoc said:

Note that I am an outpatient pediatrician so I have no personal experience treating inpatient severe COVID.

Locally we get weekly updated treatment protocols based on international data that is building up week by week. Treatments and outcomes are improving, as noted in the Dexamethasone data this week, but still a lot to learn. There are lots of treatment options that are still under review and unproven.

The post exposure or prophylactic use of HCQ is interesting but it is hard to prove your treatment works when > 99% of the patients would have a good outcome without treatment.

No idea on how the A&M BCG study is going.






Im 2017 Dx BC. Non invasive praise Jesus

24 mos + NED

What is BCG being used for on the Chinavirus fight? BCG was already in very short supply

What about mitomyacin?

Thx
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Rapier108
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Quote:

What is BCG being used for on the Chinavirus fight? BCG was already in very short supply
https://www.kbtx.com/content/news/Wanted-1800-volunteers-for-Texas-AMs-nationwide-test-of-drug-to-fight-COVID-19-570039211.html
"If you will not fight for right when you can easily win without blood shed; if you will not fight when your victory is sure and not too costly; you may come to the moment when you will have to fight with all the odds against you and only a precarious chance of survival. There may even be a worse case. You may have to fight when there is no hope of victory, because it is better to perish than to live as slaves." - Sir Winston Churchill
Belton Ag
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oklaunion said:

Rapier108 said:

FlyRod said:

Agreed...more info would be welcome. I'd also like to see some numbers on the "recovered" category suffering long term effects, organ damage, etc. and that breakdown by age group.
Most people are not suffering long term problems. While the Coronaboard acts like it is nearly 100%, it is not and never has been.

Those that are, are the ones who suffer severe illness, meaning those who are already at high risk for complications.
I am not sure how you make that claim as this virus has been around for less than half a year. How does a doctor know what long term problems may occur if a person is never seen or admitted and simply suffered through the initial effects? The linked article above regarding long term effects states the virus has attached or has the potential to attach to various organs and impart damage. Maybe the damage won't surface as an acute, short term symptom but to say most people are not suffering long term problems is a bit early to say in my opinion.

But I hope you are correct.
It's also way too early to get worked up about the potential for long term effects. I don't think it's a big surprise that there are potentially some long term effects for some who contract the virus. Just as there is for anyone who becomes seriously ill from any viral respiratory disease.

Now this isn't directed only at you, but I notice that the same folks who constantly state "this virus has been around for less than half a year" are usually the same ones who talk about long term effects, about how our way of life is going to drastically change forever and that masks are going to become necessary for the rest of our lives, etc. etc.
SPI-FlatsCatter 84
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AG
Rapier108 said:

Quote:

What is BCG being used for on the Chinavirus fight? BCG was already in very short supply
https://www.kbtx.com/content/news/Wanted-1800-volunteers-for-Texas-AMs-nationwide-test-of-drug-to-fight-COVID-19-570039211.html



Thx for the link

There's a waiting list for Bladder cancer patients right now that are beginning or in the middle of infusion treatments

Some cancer patients are being routed, already, to less reliable treatments due to lack of BCG stocks

Had not previously noticed that these depleted stocks were being used to research Chinavirus cures

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Is Not a Turtle
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Thanks for weighing in on the subject.

I assumed the truth was messy but I am glad to hear that even if varied, there is a treatment protocol.

If you were listening to the media, every positive test is a death sentence and it's hard to hear.
1.618
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The "novel" part of a novel virus means that we have no experience with this virus---no time tested treatment protocols, no vaccines, etc. It is all an educated guess at this point, which I will admit is better than an uneducated guess.

6 months in for something "novel" means that we might know a bunch more than we knew on day 0 but our knowledge is still in infancy. You can throw truckloads of money at figuring out treatments/cures but good science still takes time. Lots of time (like YEARS) plus some really good luck to develop anything meaningful. The best thing that we can do is try to slow the spread so that we don't overwhelm the medical system while the researchers do their thing.

Slowing the spread is not complicated. We know how to do that. We have proven how to do that. Some of us might not like the way that we slow the spread, but that does not mean that it does not work. It is the only way that we know of to slow things down and buy the researchers time to do their thing, If we can get a vaccine or effective treatment in the next 2 years, that will be record breaking. It would be something to celebrate for sure.

The question is, how inconvenienced are we willing to be while we wait for researchers to come up with answers? Because that will determine how many people will get the disease, die from it or suffer with long term complications from covid-19. If you don't catch it, you won't have to worry about the long term complications. And if you don't catch it, you won't have to wonder how many other people you passed it along to.
cavscout96
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AG
Or we could just let it run its course and take really well thought out and diliberately implemented steps to protect the most vulnerable folks since the likelyhood of a healthy person dying from this are practically non-existent.

Houston2AngeloAg
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1.618 said:

The "novel" part of a novel virus means that we have no experience with this virus---no time tested treatment protocols, no vaccines, etc. It is all an educated guess at this point, which I will admit is better than an uneducated guess.

6 months in for something "novel" means that we might know a bunch more than we knew on day 0 but our knowledge is still in infancy. You can throw truckloads of money at figuring out treatments/cures but good science still takes time. Lots of time (like YEARS) plus some really good luck to develop anything meaningful. The best thing that we can do is try to slow the spread so that we don't overwhelm the medical system while the researchers do their thing.

Slowing the spread is not complicated. We know how to do that. We have proven how to do that. Some of us might not like the way that we slow the spread, but that does not mean that it does not work. It is the only way that we know of to slow things down and buy the researchers time to do their thing, If we can get a vaccine or effective treatment in the next 2 years, that will be record breaking. It would be something to celebrate for sure.

The question is, how inconvenienced are we willing to be while we wait for researchers to come up with answers? Because that will determine how many people will get the disease, die from it or suffer with long term complications from covid-19. If you don't catch it, you won't have to worry about the long term complications. And if you don't catch it, you won't have to wonder how many other people you passed it along to.


Ok. I'll bite. How strict should we be with slowing them spread again? And what if we don't have a vaccine in 2 yrs?

No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
Belton Ag
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AG
Quote:

The question is, how inconvenienced are we willing to be while we wait for researchers to come up with answers?
The fact that you view potentially collapsing the economy, plunging millions into unemployment and poverty, and putting the Federal government on the hook for trillions of dollars it can never hope to repay save for crippling inflation as an inconvenience is quite telling.
Tailgate88
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AG
K2T2 said:

Wow, which HEB? I visit Tejas Center and Tower Point HEBs, and besides employees, maaaaybe 20% of people are masked. When I visit Aldi, though, most people are masked.


It varies but when I was there yesterday it was probably 30%. Tower Point.
K2T2
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cavscout96 said:

Or we could just let it run its course and take really well thought out and diliberately implemented steps to protect the most vulnerable folks since the likelyhood of a healthy person dying from this are practically non-existent.




What makes you think any step up the chain of our leadership is capable of this?
1.618
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Belton Ag said:

Quote:

The question is, how inconvenienced are we willing to be while we wait for researchers to come up with answers?
The fact that you view potentially collapsing the economy, plunging millions into unemployment and poverty, and putting the Federal government on the hook for trillions of dollars it can never hope to repay save for crippling inflation as an inconvenience is quite telling.

So social distancing to slow the spread of covid19 will potentially collapse the economy? I learn something new every day.
Fitch
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AG
State and Area Case Data





County-level Case Data




Hospitalizations by TSA Region
Belton Ag
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AG
1.618 said:

Belton Ag said:

Quote:

The question is, how inconvenienced are we willing to be while we wait for researchers to come up with answers?
The fact that you view potentially collapsing the economy, plunging millions into unemployment and poverty, and putting the Federal government on the hook for trillions of dollars it can never hope to repay save for crippling inflation as an inconvenience is quite telling.

So social distancing to slow the spread of covid19 will potentially collapse the economy? I learn something new every day.
So that's all this is about? Everything open and running as usual except for social distancing? I don't believe that's going to slow the spread very much at all, nor do I truly believe that's what you're going for in your post but I'll admit being wrong.
Rapier108
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19 New Cases
0 New Tests
0 New Deaths
27 In the Hospital (-/+ 0)

77801 +2
77802 +2
77803 +6
77807 +4
77840 +4
77845 +1

http://brazoshealth.org/sites/default/files/inline-files/6.21.20.pdf
"If you will not fight for right when you can easily win without blood shed; if you will not fight when your victory is sure and not too costly; you may come to the moment when you will have to fight with all the odds against you and only a precarious chance of survival. There may even be a worse case. You may have to fight when there is no hope of victory, because it is better to perish than to live as slaves." - Sir Winston Churchill
scd88
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AG
Why so few new cases?
JaneDoe02
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AG
Because it's the weekend
cavscout96
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K2T2 said:

cavscout96 said:

Or we could just let it run its course and take really well thought out and diliberately implemented steps to protect the most vulnerable folks since the likelyhood of a healthy person dying from this are practically non-existent.




What makes you think any step up the chain of our leadership is capable of this?


Nothing. None of them are leaders.
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