Light at the end of the tunnel in TX?

13,094 Views | 78 Replies | Last: 3 yr ago by Charpie
planoaggie123
How long do you want to ignore this user?
AG
Ranger222 said:

Also someone mentioned the UF study....

Why don't we hear from the CEO of UF Health himself to hear how things are going? Video is from yesterday.



Is the plan forever masks? Should we just buckle up and expect that? Or is it just when hospitals get strained?
Cyp0111
How long do you want to ignore this user?
I'm not sure but Ill defer to you since you have it all figured out...
planoaggie123
How long do you want to ignore this user?
AG
Cyp0111 said:

I'm not sure but Ill defer to you since you have it all figured out...

I don't hence the question.

What is the plan?

Vaccines don't stop transmission or from getting it...soo....Is it just a hospital filling up thing? Do we just wait for Judge Clay to tell us and keep our Forever 21 / Gap / Old Navy / Wal Mart masks on standby?

After we calm down COVID cases in hospital I assume we will begin shaming anyone else that walks in to a hospital with a preventable issue (texting and driving; heart problems from obesity; diabetes from obesity;, etc).

I get that hospitals are full but the truth of the matter is there are more people in hospitals from non-covid issues than covid issues. there are also more deaths from non-covid issues than covid issues. yet somehow we are using this to be the virus that forces businesses to change policys on a whim; forces kids to wear masks.

I just would like some honest thoughts on the long term plan assuming we potentially cannot actually "stop" this virus...
Pendragon12
How long do you want to ignore this user?
AG
planoaggie123 said:

Is there scientific evidence that the vaccines stop transmission? Do we know that for sure or are we basing it on how many vaccinated people test positive and assume everyone else is not getting COVID?

I guess it seems like the vaccine does not stop transmission or getting "re-infected" and therefore COVID-19 will always have "hosts" but maybe I am completely off on this...
The vaccine seems to be very effective at "stopping" serious illness requiring hospitalization. The issue with this wave is hospitals (or some, or a few, or whatever I need to qualify this with to make everyone happy) are being stretched to capacity, or over, again. There is a downstream effect to those who would need a hospital for other, non-COVID reasons now may not be able to get in. Or staff is burnt out and mistakes get made. Or staff is burnt out and quit, exacerbating the already present staffing issues.

Everyone who is adamant about moving on and having a normal life and not letting COVID dictate the world, I hear you. The best way to do that is to promote vaccinations so that hospitals and hospital staff don't continue to be pushed like this.
planoaggie123
How long do you want to ignore this user?
AG
So how long on masks?

Till the hospitals / Judge Clay tell us? What is the metric?

As soon as we hit that mark...if we all wear masks....can we go to a national push to shame people who are fat or smoke? That way when we get full in hospitals we can blame those people and not require masks covering the face of perfectly healthy people?
beerad12man
How long do you want to ignore this user?
AG
Ranger222 said:

beerad12man said:

Vaccination now unfortunately won't help this current wave. By the time it takes affect, it will be over.

It might help the future fall/winter wave, though. So it's still a good idea for more to get vaccinated, and I hope they do. Fortunately, I think this one is about peaked, will plummet soon, and be the last big hurrah. I'm still pretty shocked with over 50% vaccinated and likely 35-40% with some layer of natural immunity we are still having these issues. Surprises me, as mathematically I would think that would put us over 70% immunity(at least some degree, enough to prevent hospitalizations). But we may very well need about 85-90% to prevent any future hospital crowding.

Hopefully we can get to about 60+% vaccinated in Texas, along with 50+% naturally immune, which would put us over 80% by the winter wave.

Unfortunately those numbers aren't close to the real situation. Let's do some quick math.

The population of the US is 328 million.

Currently we are looking at 205 million Americans with some level of immunity (168 million vaccinated + 37 m COVID cases). That only equals 205 million Americans, or 62.5% of the US population.

That leaves 120 million Americans with no level of immunity. That's greater than the entire US population in 1918, which sustained a pandemic.

The idea that the virus is quickly running out of hosts to continue this is just unfortunately not true. We will continue to see waves and surges into the fall and winter until a larger percentage of the US population is vaccinated. It's not going away until we put in greater effort to end it.
How are they "not close"? If 35-40% have had it, and 50% are vaccinated, that's 67.5 to 70% immunity. Which is what I said. I really hope we can get to about 60% vaccination by the winter wave. That could give us approaching 80% overall immunity levels, and even higher in the higher risk to be hospitalized crowd.

Also, with the bolded part, are you implying that percentages aren't what mean anything? I highly disagree. If we have 1 billion people, but 90% immunity, that means 100,000,000 hosts. Sounds like a lot, but it still will have a harder time spreading tan if you had 100,000 population with zero immunity. Those 100,000,000 are more in contact with one another, than the 100,000,000 in a population of 900,000,000 immune people

It's still about percentage of people in a population. Not total hosts. It still has to travel from person to person, and the more gaps you have in that non-immune population, the harder it gets for it to spread.
beerad12man
How long do you want to ignore this user?
AG
Either way, I don't know where you get your math? If you have 50% fully vaccinated, and 40% has had it. The logical conclusion would be to say 70% have a level of immunity. And I've never said it's
quickly running out of hosts. However, I do absolutely think the subsequent waves moving forward will be lower than this one in terms of hospitalizations.
Pendragon12
How long do you want to ignore this user?
AG
planoaggie123 said:

So how long on masks?

Till the hospitals / Judge Clay tell us? What is the metric?

As soon as we hit that mark...if we all wear masks....can we go to a national push to shame people who are fat or smoke? That way when we get full in hospitals we can blame those people and not require masks covering the face of perfectly healthy people?
You asked about vaccines and if there is scientific evidence that vaccines stop transmission. I said nothing about masks, not sure where this response comes from but I'll bite against my better judgement.

Much of the country had dropped masks before Delta took hold. I think increasing vaccinations which would likely (according to data) minimize the impact to hospitals is how this whole country gets back to normal, runs normally, and yes makes masks go away. The issue is the strain rapid spread and severe infection puts on our medical system. Rapid spread is less of an issue if severe infection is not associated with it. Vaccines may very well not completely limit rapid spread as new variants come along, but all data is pointing to vaccines minimizing severe infection.
beerad12man
How long do you want to ignore this user?
AG
Masking is a futile effort, with a mixed bag of results worldwide to show they make no significant difference. Still don't know why we are discussing them with the real world data we have. They are divisive, unnatural, and a net negative on society.

Vaccination and natural immunity are the only things that matter. Adding these together to get a population immunity strong enough to prevent major surges. However we get there, I don't care.
planoaggie123
How long do you want to ignore this user?
AG
Fair points and appreciate the response. Sorry for switching from vaccine to masks but at the same time they seem to go hand-in-hand right now.

For me...light at the end of the tunnel will shine most bright when I am not having to go to School Board meetings to keep masks off my kids. Get adults vaccinated and lets move along. While sure some kids are going to the hospitals the numbers are still ultimately very low and the total death count of flu vs COVID is not astronomical (yes, more COVID deaths but not by more than 100 or 200 across the entire 50M kids under the age of 12).

I wish more people would get vaccines and we could hit some milestone that would allow normalcy in society....but more vaccines should not come at the basis of mandates...
Ranger222
How long do you want to ignore this user?
AG
beerad12man said:

Either way, I don't know where you get your math? If you have 50% fully vaccinated, and 40% has had it. The logical conclusion would be to say 70% have a level of immunity. And I've never said it's
quickly running out of hosts. However, I do absolutely think the subsequent waves moving forward will be lower than this one in terms of hospitalizations.

You are suggesting from your "numbers" pulled directly out of the air that "40% has had it". I'm telling you that is incredibly wrong. The number is closer to 15% (reported is 10% but I'm even bumping up that number). That comes from actual data and facts. There is a huge difference in 63% immunity protection compared to the 70-80% you are imagining -- and it comes to timescale. We've been at this for 18 months. If vaccination rate has slowed, how much longer are we going to have to wait for the virus to run through the remaining population to actually get to the 70-80% number? Another 18 months? Certainly not just a couple more months like many are hoping. We are only at 63% now. No one wants to do this for 18 more months, but that is the real situation we are staring down. Or, we can get two shots and end this in less than two months. We seem to want to take the longer approach.
beerad12man
How long do you want to ignore this user?
AG
Ranger222 said:

beerad12man said:

Either way, I don't know where you get your math? If you have 50% fully vaccinated, and 40% has had it. The logical conclusion would be to say 70% have a level of immunity. And I've never said it's
quickly running out of hosts. However, I do absolutely think the subsequent waves moving forward will be lower than this one in terms of hospitalizations.

You are suggesting from your "numbers" pulled directly out of the air that "40% has had it". I'm telling you that is incredibly wrong. The number is closer to 15% (reported is 10% but I'm even bumping up that number). That comes from actual data and facts. There is a huge difference in 63% immunity protection compared to the 70-80% you are imagining -- and it comes to timescale. We've been at this for 18 months. If vaccination rate has slowed, how much longer are we going to have to wait for the virus to run through the remaining population to actually get to the 70-80% number? Another 18 months? Certainly not just a couple more months like many are hoping. We are only at 63% now. No one wants to do this for 18 more months, but that is the real situation we are staring down. Or, we can get two shots and end this in less than two months. We seem to want to take the longer approach.
No idea where you get 15%. Even the CDC would say that's way off. So where are your 'facts'? How come you are the only person who knows this? Many, many prominent people would guess much closer to 40% than 15.

You are acting like you have all the "Facts". Where are they?

What actually irks me the most is you think I pulled it out of the air. No, the CDC, and most experts, would guess far higher than 15%, so I'm not sure how that's a fact.

https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/burden.html

36% at the end of May, BEFORE this wave. So yeah, 40%.
Knucklesammich
How long do you want to ignore this user?
Aggie95 said:

Aston94 said:

ORAggieFan said:

Aggie95 said:

There was a University of Florida study that predicted the peak of this spike would be 8/18...hopefully pretty accurate.

That's likely going to be accurate for the southern part of the US. SoCal and across. November will have an uptick. Northern states will lag here but then be worse in fall. The only thing that ends this is stop testing.


Sorry, I am not on either side of the great Covid debate, but this is ridiculous. Full hospitals say there is more to this than testing.
you realize the hospitals are full due to more reasons than COVID right?

we have thousands fewer beds than this time last year (severe staff shortages)
RSV is running rampant
Flu is coming back
about 18% of ICU beds are covid
According to Texas Medical Center in Houston, 43% of their ICU beds are held with COVID patients I think that is as of Tuesday. It was 30% on Monday last week.

I get it the vast majority of folks will be just fine and let's not think this is the bubonic plague but its also not a made up issue that doesn't exist or is just a minor drag on healthcare systems.
beerad12man
How long do you want to ignore this user?
AG
And I never claimed I believe it will go another couple months. I actually expect this to last 3-4 more years. Maybe 5-6, with 2 big waves a year just like now. Winter and Summer.

Yes, if we could get 10-20% more vaccinated, we could reduce that greatly, and I wish it would happen.
J. Walter Weatherman
How long do you want to ignore this user?
beerad12man said:

Masking is a futile effort, with a mixed bag of results worldwide to show they make no significant difference. Still don't know why we are discussing them with the real world data we have. They are divisive, unnatural, and a net negative on society.

Vaccination and natural immunity are the only things that matter. Adding these together to get a population immunity strong enough to prevent major surges. However we get there, I don't care.


Agreed. Which is why it's so frustrating the CDC backtracked on their mask guidance. Every effort right now should revolve around getting more people vaccinated as it's the only way out. Yet the CDC, and power hungry political opportunists, are actively working against that by trying to make everyone wear masks that have been repeatedly shown to be nothing more than pointless theater.
Aston94
How long do you want to ignore this user?
AG
Ranger222 said:

beerad12man said:

Vaccination now unfortunately won't help this current wave. By the time it takes affect, it will be over.

It might help the future fall/winter wave, though. So it's still a good idea for more to get vaccinated, and I hope they do. Fortunately, I think this one is about peaked, will plummet soon, and be the last big hurrah. I'm still pretty shocked with over 50% vaccinated and likely 35-40% with some layer of natural immunity we are still having these issues. Surprises me, as mathematically I would think that would put us over 70% immunity(at least some degree, enough to prevent hospitalizations). But we may very well need about 85-90% to prevent any future hospital crowding.

Hopefully we can get to about 60+% vaccinated in Texas, along with 50+% naturally immune, which would put us over 80% by the winter wave.

Unfortunately those numbers aren't close to the real situation. Let's do some quick math.

The population of the US is 328 million.

Currently we are looking at 205 million Americans with some level of immunity (168 million vaccinated + 37 m COVID cases). That only equals 205 million Americans, or 62.5% of the US population.

That leaves 120 million Americans with no level of immunity. That's greater than the entire US population in 1918, which sustained a pandemic.

The idea that the virus is quickly running out of hosts to continue this is just unfortunately not true. We will continue to see waves and surges into the fall and winter until a larger percentage of the US population is vaccinated. It's not going away until we put in greater effort to end it.
Ranger-

I am not sure where herd immunity lies, but I would say that the number of 37 million covid cases is low. I think the number I had seen early was 3-4 times the documented cases would be the real case number. Many have had it without knowing, many did not get tested if they had mild symptoms, many had it before testing was widely available.

So I think at least a 3x multiplier on that number is reasonable, bringing you to approximately 100 million US citizens that have had the virus.

Of course then the question is the cross over of those who have had the virus and those who are vaccinated, so in calculating it would not be accurate to add the 100 million cases and 168 million vaccinated to say that 268 million have some form of immunity, as there is a large crossover of those two numbers, and that is something I have not seen numbers on.
Bird Poo
How long do you want to ignore this user?
AG
Herd immunity? LOL

I remember being told that we needed 70%. Then it was 90%.

There is no such thing as herd immunity. It mutates so fast that we will have to deal with it like the flu.
Marcus Aurelius
How long do you want to ignore this user?
AG
It's a hot mess here. We are at 96 covid inpts. 2 entire floors full of covid (one floor is a 48 bed ICU). Disheartening and maddening from my perspective to see it like this now. ER is jammed with people waiting for beds. Only one 24 bed ICU left to take the non covid ICU pts and it is full.
agforlife97
How long do you want to ignore this user?
AG
Marcus Aurelius said:

It's a hot mess here. We are at 96 covid inpts. 2 entire floors full of covid (one floor is a 48 bed ICU). Disheartening and maddening from my perspective to see it like this now. ER is jammed with people waiting for beds. Only one 24 bed ICU left to take the non covid ICU pts and it is full.
What are the demographics of most patients you are seeing right now?
gunan01
How long do you want to ignore this user?
AG
I can't imagine the level of burnout you and your fellow healthcare providers (other docs, nurses, admin staff etc) are feeling right now. Hang in there doc.

Thank you as always for your updates. Always great to hear from someone on the front lines.
Aston94
How long do you want to ignore this user?
AG
Marcus Aurelius said:

It's a hot mess here. We are at 96 covid inpts. 2 entire floors full of covid (one floor is a 48 bed ICU). Disheartening and maddening from my perspective to see it like this now. ER is jammed with people waiting for beds. Only one 24 bed ICU left to take the non covid ICU pts and it is full.
Will be praying for you and all ER nurses and docs over the next couple weeks.

RandyAg98
How long do you want to ignore this user?
AG
Marcus Aurelius said:

It's a hot mess here. We are at 96 covid inpts. 2 entire floors full of covid (one floor is a 48 bed ICU). Disheartening and maddening from my perspective to see it like this now. ER is jammed with people waiting for beds. Only one 24 bed ICU left to take the non covid ICU pts and it is full.
Still mostly unvaccinated?
Marcus Aurelius
How long do you want to ignore this user?
AG
Yes. And on average younger. Also more % Caucasians c/w early pandemic.
Captain Pablo
How long do you want to ignore this user?
AG
Sooooooo

Not light at the end of the tunnel?
Drip99
How long do you want to ignore this user?
AG
Seems that it would only get worse in the short term with kids back in school and bringing the virus home to parents...
czechy91
How long do you want to ignore this user?
AG
We haven't rounded the corner yet as best I can tell here in the greater Houston area. TMC shows an R(t) of 1.16 which is higher than last week and other metrics are worse across the board. (Actually that was for 8/19, 8/20 show R(t) of 0.96 so that's a move in the right direction)

Looks like this is going to have to burn itself out but it is going to be one hell of a big fire. Hope it starts running out of fuel soon.

https://www.tmc.edu/coronavirus-updates/tmc-key-takeaways/
gougler08
How long do you want to ignore this user?
AG
Rt still slightly less than 1.0, if it keeps dropping then even with kids going back we should see cases decrease

Teslag
How long do you want to ignore this user?
AG
JesusQuintana said:

Seems that it would only get worse in the short term with kids back in school and bringing the virus home to parents...


Luckily kids aren't a big vector for transmission
beerad12man
How long do you want to ignore this user?
AG
Captain Pablo said:

Sooooooo

Not light at the end of the tunnel?
Yes. This is just the peak, so the worst of it. The next few weeks should be a good trend.
beerad12man
How long do you want to ignore this user?
AG
JesusQuintana said:

Seems that it would only get worse in the short term with kids back in school and bringing the virus home to parents...
This just really hasn't been the case anywhere. It's more seasonal waves that affect the majority of spread than timing of schools. Not saying it can't happen here and there, just saying in terms of mass spread, schools haven't been the reason for hospitalizations filling up.
Captain Pablo
How long do you want to ignore this user?
AG
beerad12man said:

Captain Pablo said:

Sooooooo

Not light at the end of the tunnel?
Yes. This is just the peak, so the worst of it. The next few weeks should be a good trend.


We'll see. Case counts are way up, even since this thread was started. Lots of sick people

Hope it starts receding soon, like what we saw in India (assuming you can rely on their data)
Charpie
How long do you want to ignore this user?
AG
I know that was true before. Is that the case with Delta?
Fitch
How long do you want to ignore this user?
AG
Bunch of anecdotes of late would seem to contraindicate trend from last year (re: kids as transmission vectors).

But yo no se.
Charpie
How long do you want to ignore this user?
AG
yeah that's what I'm wondering.
Teslag
How long do you want to ignore this user?
AG
Charpie said:

I know that was true before. Is that the case with Delta?


We have seen no statistical data to the contrary.
Page 2 of 3
 
×
subscribe Verify your student status
See Subscription Benefits
Trial only available to users who have never subscribed or participated in a previous trial.