How many immunosuppressed patients do you manage Joe? I'm predicting my number far exceeds yours. Wanna bet?
You work in an ER
Your number is "0"
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How many immunosuppressed patients do you manage Joe? I'm predicting my number far exceeds yours. Wanna bet?
Right. No one immunosuppressed comes to the ED. All the cancer and HIV patients just go to urgent care when complications arise. Or to their regular oncologist/hematologist/ID specialist since problems always predictably arise only from 9a-5p.You work in an ER
Your number is "0"
Coorelation is not necessarily causation (I've already parroted that mantra), but you cant even show coorelation that masks do work.No; it's explaining to you exactly the problem you and your buds are making.
Correlation is not causation; when ancillary data are ignored, they can overwhelm the "signal" you'd see on mask effectiveness. In statistics, these are referred to as "co-variates"
I dont know what your definition of "ignore" is. You talk out of both sides of your mouth so frequenlty and you dont hold the same logic throughout your statements, so I want to be very clear; do you think mask mandates extend to private residences?You literally don't understand what "ignoring" co-variables means?
I don't think you understand what the word means.I dont know what your definition of "ignore" is.
Coorelation is not necessarily causation (I've already parroted that mantra), but you cant even show coorelation that masks do work.
Right. No one immunosuppressed comes to the ED.
In your understanding; do mask mandates extend to private residences?I don't think you understand what the word means.
One link was concerning flu numbers, and if ive learned anything the past year; covid ≠ flu, so that one I did ignore (i.e. did not read).You now have two peer-reviewed links.
Will you "ignore" them?
One link was concerning flu numbers, and if ive learned anything the past year; covid ≠ flu, so that one I did ignore (i.e. did not read).
The other one, assuming you're referring to the Jama Network: Who were the peers that reviewed it? And is that considered a study? I see reference to it being an article, but not a study. Regardless, the "proof" in that article is doing the same thing you rejected as proof masks dont work. That is, "self-reported" mask wearing, "estimates", and no mention of potential other variables among the observed population. Its literally a compilation of what you've spent the last 3 pages trying to discredit. By your own standards, you would have to disqualify it if you are being intellectually consistent.
In your understanding; do mask mandates extend to private residences?
Then you should be calling out your buddy, posting a diarrhea of links that say the same thing.One link was concerning flu numbers, and if ive learned anything the past year; covid ≠ flu, so that one I did ignore (i.e. did not read).
Yeah. I do know that."And it's precisely why mask mandates didn't work in many areas: people ignored them and threw superspreader parties."
You don't know that.
Here's Forbes, on rich folks throwing parties. Superspreader events.
Who do you suppose works at those parties as servers and bartenders? Rich friends? Or poor minorities....??
Celebrities And Rich Neighborhoods Won’t Stop Hosting Massive Mansion Parties
Police are busting massive mansion parties, thought to be "super-spreader" events, on a near-daily basis.www.forbes.com
Sigh, lets try this again. 1 word answer. In your understanding; do mask mandates extend to private residences?When you are at home with the same people you normally live with, no. Masks are not required.
When someone NOT in your core group (party, housekeeper, etc) is there, then masks SHOULD be required.
Now, this isn't terribly pertinent at this point, because infection rates in communities are dropping; but when positivity rates and infections are high, then anyone you do NOT usually associate with should have been masking up along with you, if they were in your house.
This is literally how plumbers, HVAC guys, realtors, etc have all been working during 2020.
And it's precisely why mask mandates didn't work in many areas: people ignored them and threw superspreader parties.
One link was concerning flu numbers, and if ive learned anything the past year; covid ≠ flu, so that one I did ignore (i.e. did not read).
The other one, assuming you're referring to the Jama Network: Who were the peers that reviewed it? And is that considered a study? I see reference to it being an article, but not a study. Regardless, the "proof" in that article is doing the same thing you rejected as proof masks dont work. That is, "self-reported" mask wearing, "estimates", and no mention of potential other variables among the observed population. Its literally a compilation of what you've spent the last 3 pages trying to discredit. By your own standards, you would have to disqualify it if you are being intellectually consistent.
Sigh, lets try this again. 1 word answer. In your understanding; do mask mandates extend to private residences?
Theyre not my buddies, nor did I read those links. Stop playing "whatabout-ism"Then you should be calling out your buddy, posting a diarrhea of links that say the same thing.
Nope, you didn't listen and went on a random diatribe.I already explained to you, that it depends on the circumstances.
You want a one-size-fits-all answer, which simply does not exist.
So im guessing you dont know who the peers who reviewed that article are either? No comment on the compilation of "cherry picked" situations that werent conducted in a controlled environment? (i.e. the very same type of data you were railing against?)Coronavirus Disease 2019 (COVID-19)
CDC provides credible COVID-19 health information to the U.S.www.cdc.gov
Still Confused About Masks? Here’s the Science Behind How Face Masks Prevent Coronavirus
We talked to UCSF epidemiologist George Rutherford, MD, and infectious disease specialist Peter Chin-Hong, MD, about the CDC’s reversal on mask-wearing, the current science on how masks work, and what to consider when choosing a mask.www.ucsf.edu
I've answered for you twice. Your inability to comprehend is a "you" problem.Sigh, lets try this again. 1 word answer. In your understanding; do mask mandates extend to private residences?
So im guessing you dont know who the peers who reviewed that article are either? No comment on the compilation of "cherry picked" situations that werent conducted in a controlled environment? (i.e. the very same type of data you were railing against?)
It is literally a "gotcha". That's what the whole "binary all-or-none" line of questioning is about.Nope, you didn't listen and went on a random diatribe.
Its a very easy question. No tricks, not a "gotcha".
Why wont you clearly and concisely answer this very simple question?I've answered for you twice. Your inability to comprehend is a "you" problem.
Clearly I read it if I know all it is, is an article summarizing a handful of "cherry picked" situations and not peered reveiwed nor a true study since it didnt isolate the variables (and if thats incorrect, please feel free to show me otherwise). Why can't you aknowledge its the same logic you agrued against using for several pages (remember the ice cream vs crime debacle of an analogy?) - just 180 degrees opposite position?Translation: "I'll ignore this, too"
Since you refuse to answer, ill answer for you: The answer is 'no, of course mandates do not apply to private residences'. Now, since that has been established, and you have also aknowledged the bulk (I would love to put a number to 'bulk' if you happen to have it) of transmissions come in a private setting, coupled with our agreement that the only thing that works is the vaccine, we have come full circle and seem to agree that the mandates were not needed, not useful and more harmful than not. I dont understand why that was so difficult.It is literally a "gotcha". That's what the whole "binary all-or-none" line of questioning is about.
#FalseDilemmaFallacy
Why wont you clearly and concisely answer this very simple question?
Joe you have a gross underestimation of the work we do.Fixing a cut on someone immunocompromised isn't performing the work their oncologist, or PCP does.
Good Lord.
Joe you have a gross underestimation of the work we do.
These patients come in septic. They come in neutropenic. They come in with electrolyte abnormalities from chemo. They come in for nausea vomiting related to chemo. They come in for acute neurologic dysfunction related to spinal/brain masses. They come in for intractable pain. They come in for encephalomenigitis from opportunistic organisms. They come in for GI, oral and bladder issues from chemo and radiation.
Am I ordering chemo? No. Do I manage these patients after hours? Hell yes. And not for 'a cut' Nearly everyday. I work in an urban ED with multiple heme/onc offices within walking distance. Get over yourself.
Wrong. I’m not gonna have this discussion with you. You have no idea what I do and I have no reason to justify it to you.And your job is to stabilize them, and send them on their way.
Could've guessed when your own logic was turned back on you, you couldn't come up with a decent rebuttal. We'll consider this debate over. Mask mandates: ineffective.#FalseDilemmaFallacy
Wrong. I’m not gonna have this discussion with you.
Could've guessed when your own logic was turned back on you, you couldn't come up with a decent rebuttal.
Once again you're an idiot. If you would read what I wrote instead of making your own narrative, this study IMPORES the medical community to think about covid as an airborne virus and NOT a virus through droplets, which is the WHOLE basis of using a mask and covered by your stupid ass mannequin studies. As the study suggests, if it's airborne, masks are useless.I'll choose:
It Is Time to Address Airborne Transmission of Coronavirus Disease 2019 (COVID-19)
We appeal to the medical community and to the relevant national and international bodies to recognize the potential for airborne spread of coronavirus disease 2academic.oup.com
All this is informing you, is that masks won't be effective when viral buildup in poorly ventilated rooms overcomes their ability to effectively filter anything. N95s would work in that case.
This is literally why occupancy limits AND masks were the recommendation.
This article says NOTHING about mask effectiveness in other, normal use.
EDIT: THEY EVEN STATE THIS IN YOUR LINK
This problem is especially acute in indoor or enclosed environments, particularly those that are crowded and have inadequate ventilation [17] relative to the number of occupants and extended exposure periods (as graphically depicted in Figure 1).
And how did I figure you'd be an idiot once again?? But shocker, YOU are!!! This link along with the two other links is to DISPROVE your stupid talking point about RCT's not able to be conducted during covid/pandemic. The other two are being conducted and NOWHERE in the link does it say the study is NOT active. Ergo you're a dumbassLocally Produced Cloth Face Mask and COVID-19 Like Illness Prevention - Full Text View - ClinicalTrials.gov
Locally Produced Cloth Face Mask and COVID-19 Like Illness Prevention - Full Text View.clinicaltrials.gov
This study was initiated and apparently never completed. Likely, because they cannot get enough compliance and tracking of covariables (i.e. actual behavior) to identify any signal, whatsoever.
This is a study that didn't need >9 months to finish.
There is no data to report here. Ergo, your link is worthless.
And this post is a debunking of itself because you didn't do shit to debunk ANYTHING. You just once again tried to move the goalpost and change the conversation because you don't have the ability to stay on the topic at hand. The links that were posted prove you and the pro-mask mafia are a bunch of uninformed idiots holding onto hope a face diaper will protect you from an airborne virus. Good news is, the more the public sees things like the Rangers stadium full, Super Bowl, UFC full events and people not dying because they aren't wearing masks, the more buffoons such as yourself will be seen as the real anti-science people.I've already debunked two of your links, that do not support your position.
If you've found one that you think does, post that and explain in detail why you think it supports your argument.
What you've posted here is diarrhea of links, few (if any) that actually say what you think they say.
In contrast, I've given you one source that explicitly supports what I've told you. It's not worth my time to wade thru more BS links that aren't related to the topic.
No it didn’t. I’ve simply grown weary of your shtick and while I’m inclined by my nature to stand up for the work we do in EM I don’t know why I should to you. You’re nobody.LOL
That one stung, didn't it?
I understand the important role ER docs play in healthcare, but lets not be over-stating our contributions to "cancer care" here.
Once again you're an idiot. If you would read what I wrote instead of making your own narrative, this study IMPORES the medical community to think about covid as an airborne virus and NOT a virus through droplets