comparisons to non-infectious chronic diseases are moronic and demonstrate a lack of understanding of epidemiology.
Or quite possibly just pissing in the wind out of frustration.
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comparisons to non-infectious chronic diseases are moronic and demonstrate a lack of understanding of epidemiology.
Something tells me pissing in the wind will NOT help frustration.Or quite possibly just pissing in the wind out of frustration.
Very insightful. There’s nothing funny about this fiasco whatsoever. I’m associated with two urgent cares and we’ve seen more MI’s(heart attacks) in the last three weeks than the last 14 years combined. All of them called 911 or tried to present to the ER and were flat out refused service. Does that make sense to you? All we can do at an urgent care is give them Aspirin and Nitroglycerin and some Oxygen from a portable tank and a prayer. Does that sound funny?
And yes it has become the norm as Covid19 has become everyone’s only item in there differential diagnosis. I can give you multiple other examples such as briefly, a 32 yo women( my patient that I triaged over the phone before sending her to the ER) with acute abdominal pain and fever for one day waited for three hours just to asked if she has cough, fever, or SOB before being sent home because it’s unlikely she has Covid19. Does that sound right to you as a lay person? I like you to laugh at my patients’ face and tell them they have been properly treated. Including the 79 year old with a massive stroke. I knew there’s no point in offering any reasonable insight as the whole world for the most part has been already sold that Covid19 is the be all and end all. It’s become unPC to even question the craziness that has become the norm.
For those that have reading comprehension issues, I’ll say it again, I’m not saying none of this is needed, social distancing etc, what I’m saying is perspective is important and always will be. If you can’t understand this concept then...
How about we make a giant deal over heart disease. It is only killing people world wide 30x faster than the COVID virus! Never heard anybody talk about rushing out to shut down all the fast food restaurants.
Very insightful. There’s nothing funny about this fiasco whatsoever. I’m associated with two urgent cares and we’ve seen more MI’s(heart attacks) in the last three weeks than the last 14 years combined. All of them called 911 or tried to present to the ER and were flat out refused service. Does that make sense to you? All we can do at an urgent care is give them Aspirin and Nitroglycerin and some Oxygen from a portable tank and a prayer. Does that sound funny?
And yes it has become the norm as Covid19 has become everyone’s only item in there differential diagnosis. I can give you multiple other examples such as briefly, a 32 yo women( my patient that I triaged over the phone before sending her to the ER) with acute abdominal pain and fever for one day waited for three hours just to asked if she has cough, fever, or SOB before being sent home because it’s unlikely she has Covid19. Does that sound right to you as a lay person? I like you to laugh at my patients’ face and tell them they have been properly treated. Including the 79 year old with a massive stroke. I knew there’s no point in offering any reasonable insight as the whole world for the most part has been already sold that Covid19 is the be all and end all. It’s become unPC to even question the craziness that has become the norm.
For those that have reading comprehension issues, I’ll say it again, I’m not saying none of this is needed, social distancing etc, what I’m saying is perspective is important and always will be. If you can’t understand this concept then...
Meanwhile how many people realize that in 2017 alone, over 800,000 children under 5 died of pneumonia that year. This was only those under 5! Now factor in the elderly and everyone else in between. Was there any media coverage or shutdown accordingly?
For comparison, as of April 19, we are sitting at 164,000 deaths due to Covid-19 in the entire world. China under reported etc etc, either way it’s not in the same league in death toll as those from pneumonia or even the flu. You will see in the months ahead that the death rate of Covid19 is much much lower than current figures due to incomplete data. Again, not saying nothing needs to be done, but this reaction is too much!
In the U.S., 3 out of 100,000 children diagnosed with pneumonia end up dying from it. That is a 0.003% fatality rate.
In the U.S., 16 (rounded up) out of 100,000 persons of all ages diagnosed with pneumonia end up dying from it. That equates to a 0.0158% fatality rate.
https://ourworldindata.org/pneumonia
Since the first reported case of COVID-19 in the U.S., there have been 40,931 deaths out of a reported 766,664 cases. That equates to a 5.338% fatality rate.
Thus, as of today, the fatality rate of COVID-19 exceeds the fatality rate of pneumonia by more than 337%.
Let me put it another way . . . at these rates:
With pneumonia, 16 out of 100,000 people die from the infection.
With COVID-19, 5,338 out of 100,000 people die from the infection.
There are proven therapies for dealing with pneumonia. No such proven therapies exist for COVID-19.
I think that your post is nothing but a bunch of conclusion driven bull$hit.
In the U.S., 3 out of 100,000 children diagnosed with pneumonia end up dying from it. That is a 0.003% fatality rate.
In the U.S., 16 (rounded up) out of 100,000 persons of all ages diagnosed with pneumonia end up dying from it. That equates to a 0.0158% fatality rate.
https://ourworldindata.org/pneumonia
Since the first reported case of COVID-19 in the U.S., there have been 40,931 deaths out of a reported 766,664 cases. That equates to a 5.338% fatality rate.
Thus, as of today, the fatality rate of COVID-19 exceeds the fatality rate of pneumonia by more than 337%.
Let me put it another way . . . at these rates:
With pneumonia, 16 out of 100,000 people die from the infection.
With COVID-19, 5,338 out of 100,000 people die from the infection.
There are proven therapies for dealing with pneumonia. No such proven therapies exist for COVID-19.
I think that your post is nothing but a bunch of conclusion driven bull$hit.
The case fatality rate is very likely magnitudes less than what is being published now. USC published a study today, and Stanford published one last week, where they did antibody studies of the population. Stanford's study showed that the infection rate is 50 to 80 times higher than what has been tested, USC's study showed 28 to 55 times as prevalent. This is very good news, as it means that the vast majority of people who get it are never ill enough to have to go to a doctor or seek medical care. It mirrors studies from Germany and Denmark whose findings were very similar. The only people being tested in the US (outside these antidbody studies) are people who are sick enough to have to seek medical attention. If the CFR is truly 5.338%, then yes we would all have to stay in our homes until a vaccine was created. If if the CFR is 0.1% or something along those lines, then we shoudl open up.
Please identify the names of the hospitals where the ER physicians refused to admit patients experiencing myocardial infarctions and, instead, sent them home. Also, name the hospitals where ERs are only asking patients if they are presenting with symptoms consistent with COVID-19 infection.
In the U.S., 3 out of 100,000 children diagnosed with pneumonia end up dying from it. That is a 0.003% fatality rate.
In the U.S., 16 (rounded up) out of 100,000 persons of all ages diagnosed with pneumonia end up dying from it. That equates to a 0.0158% fatality rate.
https://ourworldindata.org/pneumonia
Since the first reported case of COVID-19 in the U.S., there have been 40,931 deaths out of a reported 766,664 cases. That equates to a 5.338% fatality rate.
Thus, as of today, the fatality rate of COVID-19 exceeds the fatality rate of pneumonia by more than 337%.
Let me put it another way . . . at these rates:
With pneumonia, 16 out of 100,000 people die from the infection.
With COVID-19, 5,338 out of 100,000 people die from the infection.
There are proven therapies for dealing with pneumonia. No such proven therapies exist for COVID-19.
I think that your post is nothing but a bunch of conclusion driven bull$hit.
I’m not going to tell you exactly which hospitals but I’ll give you a hint: my main practice is in Ranch Cucamonga and the Urgent Care that saw an unusually high numbers of MI’s is in Whittier CA. Those pts that were denied service never got to see the doctors at the hospitals! Get it?
And FYI, only about 20% of the patients I’ve sent to get tested so far actually got tested. That tells you how selective they are still.
If the true fatality rate is anywhere near 5% I’ll sign over my house to you. And your numbers about how low the pneumonia fatality rates are just proves my point even more that even with a low rate, we still lost 800,000 kids under five years of age that year yet we are supposed to shut down the world due to 170,000 Total deaths due to Covid-19 as of 4/20/20. It doesn’t make sense! Point being 2017 proved to be much more fatal yet this year’s Corona virus gets the attention of every tv and radio channels 24/7 plus websites, WHO, CDC, and all the ensuing irrational behavior and it’s consequences due to this hysteria that has been created. Hence the reason why I’m preaching for perspective. Like a previous poster said, the answer is likely to be in the middle, ie open businesses back up with extra precautions, fanless sporting events, etc.
I’m not going to tell you exactly which hospitals but I’ll give you a hint: my main practice is in Ranch Cucamonga and the Urgent Care that saw an unusually high numbers of MI’s is in Whittier CA. Those pts that were denied service never got to see the doctors at the hospitals! Get it?
And FYI, only about 20% of the patients I’ve sent to get tested so far actually got tested. That tells you how selective they are still.
If the true fatality rate is anywhere near 5% I’ll sign over my house to you. And your numbers about how low the pneumonia fatality rates are just proves my point even more that even with a low rate, we still lost 800,000 kids under five years of age that year yet we are supposed to shut down the world due to 170,000 Total deaths due to Covid-19 as of 4/20/20. It doesn’t make sense! Point being 2017 proved to be much more fatal yet this year’s Corona virus gets the attention of every tv and radio channels 24/7 plus websites, WHO, CDC, and all the ensuing irrational behavior and it’s consequences due to this hysteria that has been created. Hence the reason why I’m preaching for perspective. Like a previous poster said, the answer is likely to be in the middle, ie open businesses back up with extra precautions, fanless sporting events, etc.
I’m not going to tell you exactly which hospitals but I’ll give you a hint: my main practice is in Ranch Cucamonga and the Urgent Care that saw an unusually high numbers of MI’s is in Whittier CA. Those pts that were denied service never got to see the doctors at the hospitals! Get it?
And FYI, only about 20% of the patients I’ve sent to get tested so far actually got tested. That tells you how selective they are still.
If the true fatality rate is anywhere near 5% I’ll sign over my house to you. And your numbers about how low the pneumonia fatality rates are just proves my point even more that even with a low rate, we still lost 800,000 kids under five years of age that year yet we are supposed to shut down the world due to 170,000 Total deaths due to Covid-19 as of 4/20/20. It doesn’t make sense! Point being 2017 proved to be much more fatal yet this year’s Corona virus gets the attention of every tv and radio channels 24/7 plus websites, WHO, CDC, and all the ensuing irrational behavior and it’s consequences due to this hysteria that has been created. Hence the reason why I’m preaching for perspective. Like a previous poster said, the answer is likely to be in the middle, ie open businesses back up with extra precautions, fanless sporting events, etc.
Thanks for the perspective. That's interesting. You are correct, logic would tell us thee CFR isn't anywhere near 5%. The USC study that came out yesterday was similar to the Stanford study. Actual CFR between 0.1 and 0.3%, and that is just of the people who get the virus to begin with. Still more lethal than influenza, but not something we should be going into a self-imposed Depression over.
The case fatality rate is very likely magnitudes less than what is being published now. USC published a study today, and Stanford published one last week, where they did antibody studies of the population. Stanford's study showed that the infection rate is 50 to 80 times higher than what has been tested, USC's study showed 28 to 55 times as prevalent. This is very good news, as it means that the vast majority of people who get it are never ill enough to have to go to a doctor or seek medical care. It mirrors studies from Germany and Denmark whose findings were very similar. The only people being tested in the US (outside these antidbody studies) are people who are sick enough to have to seek medical attention. If the CFR is truly 5.338%, then yes we would all have to stay in our homes until a vaccine was created. If if the CFR is 0.1% or something along those lines, then we shoudl open up.
Not if you have fun cancelling things.All fun is cancelled this year.
Why not just take HCQ + Zn prophylactically and be done?
Why were doctors in NJ keeping it for themselves? "The state had said last week that doctors were prescribing hydroxychloroquine for themselves and family members who weren't sick."
https://twitter.com/zev_dr
Not if you have fun cancelling things.
1. "high" dose and the zpac cause heart issues. by the way Zn is the antiviral, the HCQ just lets it get into the cell to stop RNA replication, but it does have to be soon enough and not on death's bed.
This is an honest question to all, not being a jackass one way or the other, but what is an acceptable body count? Where is the cut off point that is "too many"? I don't know the answer but there must be some concensus by the people. And at the same time, be able to answer the question if it killed someone in your family or somewhat close friend would that have been acceptable or would your decision change?
As a society, we make decisions all the time about what an acceptable risk is. About 33,000 people, more or less, die in car accidents every year in the U.S. Every one of them is tragic and impactful. But we don't restrict travel on interstates or preclude people from driving if they qualify for a license.
But, in the case of certain emergencies, officials will close interstates and highways when they've determined that it is not safe to drive.
That IS the question isn't it. And I'm not saying what the answer should be. I don't know. I do know if you keep 22+ million people unemployed and confined to their homes for another year you will see the body count pile up from suicides and other things that go along with immediately impoverishing millions of people and literally forbidding them to earn a living. To say nothing of whether people will actually starve or thousands of other people die because they can't get health services. Right now in my state you can't get "elective" procedures such as knee replacement, hip replacement, cancer, etc. The supply chain for food can't continue to be strained as it is right now forever, nor can cancellations of things like cancer treatments, dental visits, etc. Life cannot go on if people are confined to their homes for 12-18 months.
As a society, we make decisions all the time about what an acceptable risk is. About 33,000 people, more or less, die in car accidents every year in the U.S. Every one of them is tragic and impactful. But we don't restrict travel on interstates or preclude people from driving if they qualify for a license.
These are all difficult issues. Life itself is a risk every day when you go out the front door.
But, in the case of certain emergencies, officials will close interstates and highways when they've determined that it is not safe to drive.
Dude it's been a month it's not gonna go on for a year....That IS the question isn't it. And I'm not saying what the answer should be. I don't know. I do know if you keep 22+ million people unemployed and confined to their homes for another year you will see the body count pile up from suicides and other things that go along with immediately impoverishing millions of people and literally forbidding them to earn a living. To say nothing of whether people will actually starve or thousands of other people die because they can't get health services. Right now in my state you can't get "elective" procedures such as knee replacement, hip replacement, cancer, etc. The supply chain for food can't continue to be strained as it is right now forever, nor can cancellations of things like cancer treatments, dental visits, etc. Life cannot go on if people are confined to their homes for 12-18 months.
As a society, we make decisions all the time about what an acceptable risk is. About 33,000 people, more or less, die in car accidents every year in the U.S. Every one of them is tragic and impactful. But we don't restrict travel on interstates or preclude people from driving if they qualify for a license.
These are all difficult issues. Life itself is a risk every day when you go out the front door.
At least there will still be beer and tunes to listen to. They can't take those away.
Yeah but what about just beer?How many alcoholic deaths per year are acceptable to you before they ban it?
From NHI
An estimated 88,000 people (approximately 62,000 men and 26,000 women) die from alcohol-related causes annually, making alcohol the third leading preventable cause of death in the United States..
Of course, and then they re-open as soon as possible.
Yeah but what about just beer?
Well duh think how many would starve eating healthy foods only. Why you think carbs are king of the food pyramidBeer? That's just the tip of the iceberg. After our covid-19 alarmist Hawkfeever partakes in his morbid beer drinking I imagine he heads down to the local deep fat fried fat on a stick joint and sows down of which.......
Unhealthy eating is linked to 400,000 US deaths per year!!!!!!!!!!
Dude it's been a month it's not gonna go on for a year....
When the hell have car wrecks caused a worldwide shortage of medical supplies???
Some of these comparisons are just stupid....
BTW we do have restrictions we call them speed limits and traffic laws as well as safety standards for vehicles.
When supplies and tests are where they should be, I'm sure many will be going back to work.The medical supplies are catching up. When it does completely, many healthy people are still going to be scared shitless because of the way this is all portrayed. Every story shows people in the hospital in ICU on a ventilator. That is a small % of people that end up like that and yes it is very contagious so we can't have everyone getting it at once, but the biggest risk is to those with health conditions and elderly. They have to stay quarantined for the duration no matter what. That is not the majority of the working age population or the school kids. We need to get going as soon as medical supplies and testing are in.
I bet the lockdowns are saving people from traffic accident deaths, so maybe we just go into permanent lockdown and the government sends us food and bubble wrap in case we fall in our homes.
So that sounds pretty easy. Just quarantine all those with high blood pressure, BMIs > 30, and/or some form of diabetes. Can’t be too many that fall into those groups, right?4/22 article:
Data taken from March to early April showed that the median age of patients was 63 years old and 53 percent of all coronavirus patients suffered from hypertension, the most prevalent of the ailments among patients.
In addition, 42 percent of coronavirus patients who had body mass index (BMI) data on file suffered from obesity while 32 percent of all patients suffered from diabetes.
The reporting in this link is entirely consistent with a Tuesday night discussion that I had with a good friend who serves on the Board of a specific University of Iowa department: https://www.axios.com/coronavirus-colleges-universities-7cfc5228-00fb-44e1-a850-e332050641a7.html
He estimated that, at best, there is a 50/50 shot of on campus classes this Fall. Massive concern regarding enrollment and attendance.