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General COVID-19 Talk #4 MOD Warning

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Raccoon Jesus said:
Man, I used to think there was nothing worse than using children for cheap political points, but I guess that just got one upped by people using children for fake political points via internet clout using viral videos. Gross.
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Hey I'm just glad that folks are realizing kids can determine their gender identity now that they're smart enough to understand viral diseases. It's been a slow process, but they've come around I guess.
 
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Schrute farms beets said:
Are all these deaths truly due solely to Covid? I ask because i don't know. So i'm not being a brat or anything. I just want to understand and get clarification from someone who may know. Obviously the hospitalizations are overstated -- being that they include anyone in the hospital for something else and happen to test positive for CV even without symptoms (e.g., my sister recently).
My company (K's of people) has had one death...couple months ago with Covid and it was a big deal administratively. Turns out, he actually died of a heart attack and postmortem it showed he was CV positive.
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Covid creates new problems and exacerbates old ones. But in short, largely yes. The exceptions I have seen are cancer related but people with cancer are prone to clots and Covid accelerates that process too so they become more likely to throw clots. But people don't come to the unit unless they are on death's door and most people on the floor don't die on us because we have checks and balances in place to accelerate people to the ICU if needed. Most will accelerate care to the unit or will call it quits on the floor and go on hospice/comfort care if they don't want further intervention. It depends where they are at and what their wishes were. Keep in mind at the height of the pandemic, some never got to make that choice d/t lack of resources.

It also does apply to heart attacks as well because it causes clotting which leads to heart attacks. There are going to be cases where it's someones time but usually if someone dies from a clot, there is more than one. We usually find at least 2 or 3 on autopsy or many small ones which make it multifocal, especially if it leads to the brain (stroke). The clots are not usually just one clot.

The biggest misconception is that people keep thinking it's a respiratory virus, but it acts as a vascular disease that spreads in the air. Just because it spreads via respiratory doesn't mean it's a respiratory infection. It infects anywhere the blood will take it which is why it is multi organ focused. Brain-can't smell, brain fog, can't taste. Heart-dysrhythmias, heat failure (it does infect tissue), lungs-fibrosis, long term oxygen needs, kidneys-dialysis. List goes on....

I have seen people in the ICU who have had COVID and other things but the COVID was exacerbating what they're dealing with because it hits all the organ systems which is what makes it so dangerous. From an endocrine standpoint, diabetics do poorly with it because it throws them in DKA if Type 2 which dehydrates them to the point the body cannot keep up. Same thing with Type 1 but it's called HHNS but causes massive dehydration leading to arrhythmias. It shows up in a lot of different ways accelerating comoribidities but if we catch it early enough we can try to limit it with steroids which tighten up the lungs and oxygen before too much organ damage takes place which is why catching it early is important. (ie early testing) so something like HHNS or DKA can be treated before it gets out of hand. Once it gets out of hand, airway protect becomes an issue and someone is more likely to get intubated which leads to staying on the vent.

But I personally haven't seen someone die of something who just happen to have Covid, it accelerates the commorbidities. The difference is commorbidities can usually be managed. Covid takes advantage of it. Being the most obese nation in the world has played into that. As it relates to heart attacks, it's entirely possible the coworker was going to die of a heart attack at some point. If they had not caught Covid, the question would have been how long would it have been delayed by. 10 years, 20 years, a year, a month. But I'm sure it moved the process along.

I think it's a real shitty way to go. Some of these people get dragged through the mud, develop pressure injuries, clots, lose fingers or toes d/t the pressors they are on because they clamp down the vessels so tight that they limbs lose blood and die off...... (life over lipmb). As it relates to this mask mandate for kids in schools, I don't want to see any youngins go through this and I think we're setting up the 0-5 year olds for a big fall if they were primies. I don't think giving up on masking in schools til those vaccines for youngins get approved is at all unreasonable but until one can see the horror of it all, one won't really understand. They're gonna pass it on to their unprotected siblings. It would be nice if the media could actually show what we really see. It's a war zone in there and like war overseas, there are somethings the media won't be allowed to show because it's too horrific. We just see the missiles shooting off a sub or someone running for cover. But we see soldiers come back with PTSD and stuff like that. So something more is obviously happening. It's the same with this. But someone who just happen to have Covid....its not likely, possible but not likely. It was Covid because it accelerated it at a much faster rate. But they likely didn't land there in the hospital without the virus helping them along. If they were there for something else so be it, but we don't admit people to the hospital unless it is necessary. If someone happened to test positive and everything else is ok, then they go home and don't come to the unit and certainly don't die.
 
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LT Dan said:
Hey guys. I have been in the hospital about a week and i am not going to be able to do the updates for a while.
I know some people really look forward to them and I'm sorry
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Hiding out in the gynecology department drop ceiling again?

Seriously though, hope whatever you're dealing with gets better asap!
 
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Whatever it is, get well soon and take care Lt Dan.
In the meantime, i was just on their site to see the cases and figured i'd post today's numbers. It seems like cases are still dropping fast -- it was well over 1K last week and now 567. Hosp/ICUs have dropped about 40% since last week.
upload_2022-2-18_14-47-49.png
 
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KINGS17 said:
Did I say I wanted to be a guinea pig? I essentially said that the data on the Omicron variant thus far indicates it does not infect the lungs, but instead infects the throat. Therefore, it has not been deadly.



Early data points to lower hospitalisation rate linked to Omicron, says expert

Early data emerging from Denmark and South Africa indicates there may be a lower hospitalisation rate linked to the Omicron variant of Covid-19, according to an infectious diseases consultant.

“There is a sense, talking to the South Africans, that the brunt of this pandemic is being felt in the community rather than in the hospitals. So, a lot of people are getting sick, but the brunt of it is falling on community services rather hospitals. Whether that will happen here remains to be seen.”

In addition, he said while there were “alarming” numbers of cases of the Omicron variant in Denmark - which has a similar population and vaccination rate to Ireland - this has not yet translated into very high hospitalisation rates.

“They are about a week ahead of us in terms of Omicron and, when you look at their numbers, they are alarming. The day before yesterday they had 11,000 cases... two weeks ago, they had about 7-8,000 cases a day.

“Normally, two weeks later, you expect that to translate into hospital admissions. Yesterday, they had an additional 15 hospitalisations,” he told the Brendan O’Connor Show on RTÉ radio.

Hmm, 15 hospitalizations with around 10,000 cases per day over several weeks. Maybe they don't have elderly or immunocompromised people in Denmark? Yeah, of course they do. Just in case you want to do the rough math, that's a hospitalization rate of approximately 0.01%.

With 75% of the cases in the U.S. being the Omicron variant, we actually just caught a huge break. It has become the predominant variant already, and it is much less deadly or able to cause serious illness.

[edit NADT]
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Time to pay the butcher's bill, 17.

You said you didn't want to revisit this in two months, because your data from South Africa (and then further on, Denmark) told you all you needed to know.

But what you neglected all along is that the United States was in it's wintry period while South Africa is in summertime. And we all know how viruses act in those differing seasons.

You also neglected the United States' citizens to be waaaay more obese than person in South Africa. And of course, the difference in mean age.

Omicron, the so-called "mild" variant, has killed 139,465 people in the United States since we discussed this on December 20. In the past three days alone, we have lost 11,427 people at a clip close to 3,000 a day. Those are mind-numbing statistics. This is what happens when we still have large pools of unvaccinated people, and when people listen to blithe and lazy media reports about a "mild" variant.
 
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Fishhead said:
I think that 1M per day prediction is way off base, and not just because everyone will huddle in their houses if it looks like that. Our protection here in the US is far superior to that of other countries as the mRNA viruses, when boosted, lose very little protection with Omicron - the response is close to the same as delta. The caveat is you need a 3 dose regimen. We will be in far better shape than countries that rely on viral vector vaccines like the Oxford one. Whatever happens in Europe really shouldn't happen here, but all bets are off if you are unvaccinated. If there was ever a time to get the shot sequence, it's now. I expect the death count will be lower than delta even if it isn't less virulent because a solid percentage of Americans are vaccinated. If this variant scares the crap out of enough people so they get the shot, all the better.

Right now, 87% of all hospitalizations and 89% of all ICU admits in OC are unvaccinated.
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Yeah, we never did quite average a million cases per day but we did go over a million per day on some reporting days after weekends, but also some days in the middle of the week which is horrific in it's own right.

January 3 (after a holiday weekend): 1,076,889
January 10 (another Monday): 1,485,764
January 18 (after a Monday holiday): 1,168,432
January 24 (another Monday): 1,008,773

For the month of January, nationwide, we had 20,197,220 cases at an average clip of 651,523 cases per day.

Deaths in January (almost all are Omicron): 61,146
Deaths in February (so far) (all are Omicron): 60,735

Also, you were clearly wrong in your assumption that we lost very little protection from Omicron INFECTION when taking the three-prime mRNA vaccine protocol. Omicron busted right through, but the vaccines DID protect us from severe infection and death. The reason for all the suffering and death this nation endured the past three months (it's not over, the butcher's bill is finally cresting but we have to count the March death count as part of this Omicron wave) is over 90% due to the unvaccinated population.
 
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